BiasPruner: Debiased Continual Learning for Medical Image Classification
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Abstract (arXiv)
Continual Learning (CL) is crucial for enabling networks to dynamically adapt as they learn new tasks sequentially, accommodating new data and classes without catastrophic forgetting. Diverging from conventional perspectives on CL, our paper introduces a new perspective wherein forgetting could actually benefit the sequential learning paradigm. Specifically, we present BiasPruner, a CL framework that intentionally forgets spurious correlations in the training data that could lead to shortcut learning. Utilizing a new bias score that measures the contribution of each unit in the network to learning spurious features, BiasPruner prunes those units with the highest bias scores to form a debiased subnetwork preserved for a given task. As BiasPruner learns a new task, it constructs a new debiased subnetwork, potentially incorporating units from previous subnetworks, which improves adaptation and performance on the new task. During inference, BiasPruner employs a simple task-agnostic approach to select the best debiased subnetwork for predictions. We conduct experiments on three medical datasets for skin lesion classification and chest X-Ray classification and demonstrate that BiasPruner consistently outperforms SOTA CL methods in terms of classification performance and fairness. Our code is available here.
Key facts. Cited by 12 papers in the map (data through 7 Oct 2026). Builds on 21 of its 30 references that are in the map. First posted on arXiv 11 Jul 2024.
Builds on
21 of 30 references.
References · 21
- 2015Deep Residual Learning for Image Recognitioncited by 51,809
- 2016Overcoming catastrophic forgetting in neural networkscited by 4,718
- 2018Generalized Cross Entropy Loss for Training Deep Neural Networks with Noisy Labelscited by 994
- 2017ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseasescited by 969
- 2017PackNet: Adding Multiple Tasks to a Single Network by Iterative Pruningcited by 882
- 2023A Comprehensive Survey of Continual Learning: Theory, Method and Applicationcited by 860
- 2020Supermasks in Superpositioncited by 223
- 2021Evaluating Deep Neural Networks Trained on Clinical Images in Dermatology with the Fitzpatrick 17k Datasetcited by 184
- 2023A Comprehensive Survey of Forgetting in Deep Learning Beyond Continual Learningcited by 66
- 2022Detecting Shortcut Learning for Fair Medical AI using Shortcut Testingcited by 52
- 2020Continual Learning for Domain Adaptation in Chest X-ray Classificationcited by 31
- 2022FairGRAPE: Fairness-aware GRAdient Pruning mEthod for Face Attribute Classificationcited by 30
9 more
- 2022When does Bias Transfer in Transfer Learning?cited by 23
- 2022FairDisCo: Fairer AI in Dermatology via Disentanglement Contrastive Learningcited by 22
- 2022Continual Prune-and-Select: Class-incremental learning with specialized subnetworkscited by 16
- 2022Pseudo Bias-Balanced Learning for Debiased Chest X-ray Classificationcited by 14
- 2023Even Small Correlation and Diversity Shifts Pose Dataset-Bias Issuescited by 8
- 2024Where is the Truth? The Risk of Getting Confounded in a Continual Worldcited by 8
- 2022Task-agnostic Continual Hippocampus Segmentation for Smooth Population Shiftscited by 6
- 2022Sustaining Fairness via Incremental Learningcited by 5
- 2023Continual Learning in the Presence of Spurious Correlationcited by 1
Built on by
Citing papers per year: 2024: 2; 2025: 9; 2026: 1.
12 papers.
- 2025LesionGen: A Concept-Guided Diffusion Model for Dermatology Image Synthesiscited by 4
- 2025Preventing Shortcut Learning in Medical Image Analysis through Intermediate Layer Knowledge Distillation from Specialist Teacherscited by 4
- 2025Subgroup Performance Analysis in Hidden Stratificationscited by 3
- 2025Knowledge Graph Enhanced Generative Multi-modal Models for Class-Incremental Learningcited by 1
- 2025Subgroups Matter for Robust Bias Mitigationcited by 1
- 2025Foundation Models as Class-Incremental Learners for Dermatological Image Classificationcited by 1
- 2025Forging a Dynamic Memory: Retrieval-Guided Continual Learning for Generalist Medical Foundation Modelscited by 1
- 2024Debiasify: Self-Distillation for Unsupervised Bias Mitigationcited by 0
- 2024Conformal-in-the-Loop for Learning with Imbalanced Noisy Datacited by 0
- 2025Confounder-Free Continual Learning via Recursive Feature Normalizationcited by 0
- 2025BM-CL: Bias Mitigation through the lens of Continual Learningcited by 0
- 2026CoRE: Concept-Reasoning Expansion for Continual Brain Lesion Segmentationcited by 0
- 2026CoRE: Concept-Reasoning Expansion for Continual Brain Lesion Segmentation28 Apr 2026
- 2025Forging a Dynamic Memory: Retrieval-Guided Continual Learning for Generalist Medical Foundation Models15 Dec 2025
- 2025Preventing Shortcut Learning in Medical Image Analysis through Intermediate Layer Knowledge Distillation from Specialist Teachers21 Nov 2025
- 2025BM-CL: Bias Mitigation through the lens of Continual Learning1 Sep 2025
- 2025LesionGen: A Concept-Guided Diffusion Model for Dermatology Image Synthesis30 Jul 2025
- 2025Foundation Models as Class-Incremental Learners for Dermatological Image Classification18 Jul 2025
- 2025Confounder-Free Continual Learning via Recursive Feature Normalization11 Jul 2025
- 2025Subgroups Matter for Robust Bias Mitigation27 May 2025
- 2025Knowledge Graph Enhanced Generative Multi-modal Models for Class-Incremental Learning24 Mar 2025
- 2025Subgroup Performance Analysis in Hidden Stratifications13 Mar 2025
- 2024Conformal-in-the-Loop for Learning with Imbalanced Noisy Data4 Nov 2024
- 2024Debiasify: Self-Distillation for Unsupervised Bias Mitigation1 Nov 2024