# LTCXNet: Advancing Chest X-Ray Analysis with Solutions for Long-Tailed Multi-Label Classification and Fairness Challenges

arXiv: https://arxiv.org/abs/2411.10746 · HTML: https://mlsanity.com/paper/2411.10746/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 13 of its 31 references that are in the map.
- First posted on arXiv 16 Nov 2024.

## Builds on (most cited first, 13 of 13)

- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [You Only Look Once: Unified, Real-Time Object Detection](https://mlsanity.com/paper/1506.02640/) (2015)
- [A ConvNet for the 2020s](https://mlsanity.com/paper/2201.03545/) (2022)
- [Learning Imbalanced Datasets with Label-Distribution-Aware Margin Loss](https://mlsanity.com/paper/1906.07413/) (2019)
- [Decoupling Representation and Classifier for Long-Tailed Recognition](https://mlsanity.com/paper/1910.09217/) (2019)
- [General Multi-label Image Classification with Transformers](https://mlsanity.com/paper/2011.14027/) (2020)
- [A Clarification of the Nuances in the Fairness Metrics Landscape](https://mlsanity.com/paper/2106.00467/) (2021)
- [ML-Decoder: Scalable and Versatile Classification Head](https://mlsanity.com/paper/2111.12933/) (2021)
- [Trustworthy Long-Tailed Classification](https://mlsanity.com/paper/2111.09030/) (2021)
- [Long-Tailed Classification of Thorax Diseases on Chest X-Ray: A New Benchmark Study](https://mlsanity.com/paper/2208.13365/) (2022)
- [Fairness-aware Class Imbalanced Learning](https://mlsanity.com/paper/2109.10444/) (2021)
- [CheXFusion: Effective Fusion of Multi-View Features using Transformers for Long-Tailed Chest X-Ray Classification](https://mlsanity.com/paper/2308.03968/) (2023)

## Built on by (most cited first, 1 of 1)

- [TRCGL-Net: A Long-Tailed Multi-Label Chest X-Ray Classification Framework with Generative Data Augmentation and Label Co-Occurrence Modeling](https://mlsanity.com/paper/2607.00975/) (2026)

## Abstract (arXiv)

Chest X-rays (CXRs) often display various diseases with disparate class frequencies, leading to a long-tailed, multi-label data distribution. In response to this challenge, we explore the Pruned MIMIC-CXR-LT dataset, a curated collection derived from the MIMIC-CXR dataset, specifically designed to represent a long-tailed and multi-label data scenario. We introduce LTCXNet, a novel framework that integrates the ConvNeXt model, ML-Decoder, and strategic data augmentation, further enhanced by an ensemble approach. We demonstrate that LTCXNet improves the performance of CXR interpretation across all classes, especially enhancing detection in rarer classes like `Pneumoperitoneum' and `Pneumomediastinum' by 79% and 48%, respectively. Beyond performance metrics, our research extends into evaluating fairness, highlighting that some methods, while improving model accuracy, could inadvertently affect fairness across different demographic groups negatively. This work contributes to advancing the understanding and management of long-tailed, multi-label data distributions in medical imaging, paving the way for more equitable and effective diagnostic tools.