Adversarial Fine-tuning using Generated Respiratory Sound to Address Class Imbalance
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Abstract (arXiv)
Deep generative models have emerged as a promising approach in the medical image domain to address data scarcity. However, their use for sequential data like respiratory sounds is less explored. In this work, we propose a straightforward approach to augment imbalanced respiratory sound data using an audio diffusion model as a conditional neural vocoder. We also demonstrate a simple yet effective adversarial fine-tuning method to align features between the synthetic and real respiratory sound samples to improve respiratory sound classification performance. Our experimental results on the ICBHI dataset demonstrate that the proposed adversarial fine-tuning is effective, while only using the conventional augmentation method shows performance degradation. Moreover, our method outperforms the baseline by 2.24% on the ICBHI Score and improves the accuracy of the minority classes up to 26.58%. For the supplementary material, we provide the code at https://github.com/kaen2891/adversarial_fine-tuning_using_generated_respiratory_sound.
Key facts. Cited by 11 papers in the map (data through 14 Oct 2026). Builds on 15 of its 34 references that are in the map. First posted on arXiv 11 Nov 2023.
Builds on
15 of 34 references.
References · 15
- 2020Denoising Diffusion Probabilistic Modelscited by 21,076
- 2015Domain-Adversarial Training of Neural Networkscited by 3,044
- 2020DiffWave: A Versatile Diffusion Model for Audio Synthesiscited by 1,354
- 2021AST: Audio Spectrogram Transformercited by 643
- 2017Data Augmentation Generative Adversarial Networkscited by 278
- 2022Diffusion Models for Medical Anomaly Detectioncited by 232
- 2018MedGAN: Medical Image Translation using GANscited by 152
- 2018Medical Image Synthesis for Data Augmentation and Anonymization using Generative Adversarial Networkscited by 147
- 2018GAN Augmentation: Augmenting Training Data using Generative Adversarial Networkscited by 107
- 2016Medical Image Synthesis with Context-Aware Generative Adversarial Networkscited by 91
- 2019Synthesizing Diverse Lung Nodules Wherever Massively: 3D Multi-Conditional GAN-based CT Image Augmentation for Object Detectioncited by 29
- 2020RespireNet: A Deep Neural Network for Accurately Detecting Abnormal Lung Sounds in Limited Data Settingcited by 26
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Citing papers per year: 2024: 3; 2025: 4; 2026: 4.
11 papers.
- 2024A Survey on Data Augmentation in Large Model Eracited by 31
- 2024RepAugment: Input-Agnostic Representation-Level Augmentation for Respiratory Sound Classificationcited by 12
- 2024BTS: Bridging Text and Sound Modalities for Metadata-Aided Respiratory Sound Classificationcited by 12
- 2025Domain Adversarial Training for Mitigating Gender Bias in Speech-based Mental Health Detectioncited by 3
- 2025Tri-MTL: A Triple Multitask Learning Approach for Respiratory Disease Diagnosiscited by 3
- 2025Improving Respiratory Sound Classification with Architecture-Agnostic Knowledge Distillation from Ensemblescited by 3
- 2025Geometry-Aware Optimization for Respiratory Sound Classification: Enhancing Sensitivity with SAM-Optimized Audio Spectrogram Transformerscited by 0
- 2026Resp-Agent: An Agent-Based System for Multimodal Respiratory Sound Generation and Disease Diagnosiscited by 0
- 2026Meta-Ensemble Learning with Diverse Data Splits for Improved Respiratory Sound Classificationcited by 0
- 2026Quality Adaptive Angular Margin Learning for Respiratory Sound Classificationcited by 0
- 2026Lung-SRAD: Spectral-Aware Regularized Audio DASS with Dual-Axis Patch-Mix Contrastive Learning for Respiratory Sound Classificationcited by 0
- 2026Lung-SRAD: Spectral-Aware Regularized Audio DASS with Dual-Axis Patch-Mix Contrastive Learning for Respiratory Sound Classification10 Jun 2026
- 2026Quality Adaptive Angular Margin Learning for Respiratory Sound Classification10 Jun 2026
- 2026Meta-Ensemble Learning with Diverse Data Splits for Improved Respiratory Sound Classification27 Apr 2026
- 2026Resp-Agent: An Agent-Based System for Multimodal Respiratory Sound Generation and Disease Diagnosis16 Feb 2026
- 2025Geometry-Aware Optimization for Respiratory Sound Classification: Enhancing Sensitivity with SAM-Optimized Audio Spectrogram Transformers27 Dec 2025
- 2025Improving Respiratory Sound Classification with Architecture-Agnostic Knowledge Distillation from Ensembles28 May 2025
- 2025Tri-MTL: A Triple Multitask Learning Approach for Respiratory Disease Diagnosis6 May 2025
- 2025Domain Adversarial Training for Mitigating Gender Bias in Speech-based Mental Health Detection6 May 2025
- 2024BTS: Bridging Text and Sound Modalities for Metadata-Aided Respiratory Sound Classification10 Jun 2024
- 2024RepAugment: Input-Agnostic Representation-Level Augmentation for Respiratory Sound Classification5 May 2024
- 2024A Survey on Data Augmentation in Large Model Era27 Jan 2024
Similar, not cited
Close in wording, no citation either way
- 2026Synthetic Data Augmentation for Medical Audio Classification: A Preliminary Evaluation
- 2024Light-weight Fine-tuning Method for Defending Adversarial Noise in Pre-trained Medical Vision-Language Models
- 2020CNN-MoE based framework for classification of respiratory anomalies and lung disease detection ↗
- 2024A Survey of Deep Learning Audio Generation Methods
- 2026Zero-Shot Respiratory Sound Classification through LLM-Augmented Audio-Text Alignment
- 2024Generative AI-based data augmentation for improved bioacoustic classification in noisy environments
- 2022Hierarchical Diffusion Models for Singing Voice Neural Vocoder
- 2021VQCPC-GAN: Variable-Length Adversarial Audio Synthesis Using Vector-Quantized Contrastive Predictive Coding