# More Than Positive and Negative: Communicating Fine Granularity in Medical Diagnosis

arXiv: https://arxiv.org/abs/2408.02214 · HTML: https://mlsanity.com/paper/2408.02214/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 15 of its 30 references that are in the map.
- First posted on arXiv 5 Aug 2024.

## Builds on (most cited first, 15 of 15)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [A Survey on Deep Learning in Medical Image Analysis](https://mlsanity.com/paper/1702.05747/) (2017)
- [When Does Label Smoothing Help?](https://mlsanity.com/paper/1906.02629/) (2019)
- [ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseases](https://mlsanity.com/paper/1705.02315/) (2017)
- [CheXNet: Radiologist-Level Pneumonia Detection on Chest X-Rays with Deep Learning](https://mlsanity.com/paper/1711.05225/) (2017)
- [Learning a Deep ConvNet for Multi-label Classification with Partial Labels](https://mlsanity.com/paper/1902.09720/) (2019)
- [Large-scale Robust Deep AUC Maximization: A New Surrogate Loss and Empirical Studies on Medical Image Classification](https://mlsanity.com/paper/2012.03173/) (2020)
- [Interpreting Chest X-rays via CNNs that Exploit Hierarchical Disease Dependencies and Uncertainty Labels](https://mlsanity.com/paper/2005.12734/) (2020)
- [Diagnose like a Radiologist: Attention Guided Convolutional Neural Network for Thorax Disease Classification](https://mlsanity.com/paper/1801.09927/) (2018)
- [Weakly Supervised Lesion Localization With Probabilistic-CAM Pooling](https://mlsanity.com/paper/2005.14480/) (2020)
- [Learning to diagnose from scratch by exploiting dependencies among labels](https://mlsanity.com/paper/1710.10501/) (2017)
- [Attention-Guided Curriculum Learning for Weakly Supervised Classification and Localization of Thoracic Diseases on Chest Radiographs](https://mlsanity.com/paper/1807.07532/) (2018)
- [Expert Uncertainty and Severity Aware Chest X-Ray Classification by Multi-Relationship Graph Learning](https://mlsanity.com/paper/2309.03331/) (2023)

## Abstract (arXiv)

With the advance of deep learning, much progress has been made in building powerful artificial intelligence (AI) systems for automatic Chest X-ray (CXR) analysis. Most existing AI models are trained to be a binary classifier with the aim of distinguishing positive and negative cases. However, a large gap exists between the simple binary setting and complicated real-world medical scenarios. In this work, we reinvestigate the problem of automatic radiology diagnosis. We first observe that there is considerable diversity among cases within the positive class, which means simply classifying them as positive loses many important details. This motivates us to build AI models that can communicate fine-grained knowledge from medical images like human experts. To this end, we first propose a new benchmark on fine granularity learning from medical images. Specifically, we devise a division rule based on medical knowledge to divide positive cases into two subcategories, namely atypical positive and typical positive. Then, we propose a new metric termed AUCFG on the two subcategories for evaluation of the ability to separate them apart. With the proposed benchmark, we encourage the community to develop AI diagnosis systems that could better learn fine granularity from medical images. Last, we propose a simple risk modulation approach to this problem by only using coarse labels in training. Empirical results show that despite its simplicity, the proposed method achieves superior performance and thus serves as a strong baseline.