Counterfactual contrastive learning: robust representations via causal image synthesis
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Abstract (arXiv)
Contrastive pretraining is well-known to improve downstream task performance and model generalisation, especially in limited label settings. However, it is sensitive to the choice of augmentation pipeline. Positive pairs should preserve semantic information while destroying domain-specific information. Standard augmentation pipelines emulate domain-specific changes with pre-defined photometric transformations, but what if we could simulate realistic domain changes instead? In this work, we show how to utilise recent progress in counterfactual image generation to this effect. We propose CF-SimCLR, a counterfactual contrastive learning approach which leverages approximate counterfactual inference for positive pair creation. Comprehensive evaluation across five datasets, on chest radiography and mammography, demonstrates that CF-SimCLR substantially improves robustness to acquisition shift with higher downstream performance on both in- and out-of-distribution data, particularly for domains which are under-represented during training.
Key facts. Cited by 11 papers in the map (data through 7 Oct 2026). Builds on 22 of its 29 references that are in the map. First posted on arXiv 14 Mar 2024.
Builds on
22 of 29 references.
References · 22
- 2020A Simple Framework for Contrastive Learning of Visual Representationscited by 11,979
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- 2021Big Self-Supervised Models Advance Medical Image Classificationcited by 320
- 2019PadChest: A large chest x-ray image dataset with multi-label annotated reportscited by 308
- 2020Deep Structural Causal Models for Tractable Counterfactual Inferencecited by 210
- 2022Diffusion Visual Counterfactual Explanationscited by 96
- 2020Evaluating and Mitigating Bias in Image Classifiers: A Causal Perspective Using Counterfactualscited by 56
- 2023High Fidelity Image Counterfactuals with Probabilistic Causal Modelscited by 53
10 more
- 2022What is Healthy? Generative Counterfactual Diffusion for Lesion Localizationcited by 52
- 2023Measuring axiomatic soundness of counterfactual image modelscited by 34
- 2022Self-supervised Learning from 100 Million Medical Imagescited by 31
- 2023Diffusion Models for Counterfactual Generation and Anomaly Detection in Brain Imagescited by 30
- 2022CheXplaining in Style: Counterfactual Explanations for Chest X-rays using StyleGANcited by 25
- 2022Generating Counterfactual Hard Negative Samples for Graph Contrastive Learningcited by 13
- 2022High-resolution synthesis of high-density breast mammograms: Application to improved fairness in deep learning based mass detectioncited by 11
- 2023Inherently Interpretable Multi-Label Classification Using Class-Specific Counterfactualscited by 10
- 2022Adversarial Counterfactual Augmentation: Application in Alzheimer's Disease Classificationcited by 6
- 2021Counterfactual Explanation of Brain Activity Classifiers using Image-to-Image Transfer by Generative Adversarial Networkcited by 5
Built on by
Citing papers per year: 2024: 2; 2025: 6; 2026: 3.
11 papers.
- 2024Robust image representations with counterfactual contrastive learningcited by 12
- 2025CF-Seg: Counterfactuals meet Segmentationcited by 10
- 2025Diffusion Counterfactual Generation with Semantic Abductioncited by 8
- 2024Mask of truth: model sensitivity to unexpected regions of medical imagescited by 6
- 2025Counterfactual Identifiability via Dynamic Optimal Transportcited by 5
- 2025Segmentor-Guided Counterfactual Fine-Tuning for Locally Coherent and Targeted Image Synthesiscited by 2
- 2025Causal Representation Learning with Observational Grouping for CXR Classificationcited by 1
- 2026Generating Chest X-Ray Counterfactuals by Specialising Foundation Image Modelscited by 1
- 2025Learning to Harmonize Cross-vendor X-ray Images by Non-linear Image Dynamics Correctioncited by 0
- 2026Positional Segmentor-Guided Counterfactual Fine-Tuning for Spatially Localized Image Synthesiscited by 0
- 2026TypedCSIP: Typed Counterfactual Pretraining for Chinese Legislative Conflict Classificationcited by 0
- 2026Generating Chest X-Ray Counterfactuals by Specialising Foundation Image Models21 Sep 2026
- 2026TypedCSIP: Typed Counterfactual Pretraining for Chinese Legislative Conflict Classification25 May 2026
- 2026Positional Segmentor-Guided Counterfactual Fine-Tuning for Spatially Localized Image Synthesis22 Mar 2026
- 2025Counterfactual Identifiability via Dynamic Optimal Transport9 Oct 2025
- 2025Segmentor-Guided Counterfactual Fine-Tuning for Locally Coherent and Targeted Image Synthesis29 Sep 2025
- 2025Causal Representation Learning with Observational Grouping for CXR Classification25 Jun 2025
- 2025CF-Seg: Counterfactuals meet Segmentation19 Jun 2025
- 2025Diffusion Counterfactual Generation with Semantic Abduction9 Jun 2025
- 2025Learning to Harmonize Cross-vendor X-ray Images by Non-linear Image Dynamics Correction14 Apr 2025
- 2024Mask of truth: model sensitivity to unexpected regions of medical images5 Dec 2024
- 2024Robust image representations with counterfactual contrastive learning16 Sep 2024