# Achieving Fair Skin Lesion Detection through Skin Tone Normalization and Channel Pruning

arXiv: https://arxiv.org/abs/2509.22712 · HTML: https://mlsanity.com/paper/2509.22712/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 17 of its 38 references that are in the map.
- First posted on arXiv 24 Sep 2025.

## Builds on (most cited first, 17 of 17)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [A Style-Based Generator Architecture for Generative Adversarial Networks](https://mlsanity.com/paper/1812.04948/) (2018)
- [Learning Deep Features for Discriminative Localization](https://mlsanity.com/paper/1512.04150/) (2015)
- [Towards A Rigorous Science of Interpretable Machine Learning](https://mlsanity.com/paper/1702.08608/) (2017)
- [A Survey Of Methods For Explaining Black Box Models](https://mlsanity.com/paper/1802.01933/) (2018)
- [A Reductions Approach to Fair Classification](https://mlsanity.com/paper/1803.02453/) (2018)
- [Fair Feature Distillation for Visual Recognition](https://mlsanity.com/paper/2106.04411/) (2021)
- [FairPrune: Achieving Fairness Through Pruning for Dermatological Disease Diagnosis](https://mlsanity.com/paper/2203.02110/) (2022)
- [Skin Lesion Classification Using Ensembles of Multi-Resolution EfficientNets with Meta Data](https://mlsanity.com/paper/1910.03910/) (2019)
- [FairAdaBN: Mitigating unfairness with adaptive batch normalization and its application to dermatological disease classification](https://mlsanity.com/paper/2303.08325/) (2023)
- [Revisiting Skin Tone Fairness in Dermatological Lesion Classification](https://mlsanity.com/paper/2308.09640/) (2023)
- [Achieving Fairness Through Channel Pruning for Dermatological Disease Diagnosis](https://mlsanity.com/paper/2405.08681/) (2024)
- [Incorporating Rather Than Eliminating: Achieving Fairness for Skin Disease Diagnosis Through Group-Specific Expert](https://mlsanity.com/paper/2506.17787/) (2025)
- [ABROCA Distributions For Algorithmic Bias Assessment: Considerations Around Interpretation](https://mlsanity.com/paper/2411.19090/) (2024)
- [Conformal uncertainty quantification to evaluate predictive fairness of foundation AI model for skin lesion classes across patient demographics](https://mlsanity.com/paper/2503.23819/) (2025)

## Abstract (arXiv)

Recent works have shown that deep learning based skin lesion image classification models trained on unbalanced dataset can exhibit bias toward protected demographic attributes such as race, age,and gender. Current bias mitigation methods usually either achieve high level of fairness with the degradation of accuracy, or only improve the model fairness on a single attribute. Additionally usually most bias mitigation strategies are either pre hoc through data processing or post hoc through fairness evaluation, instead of being integrated into the model learning itself. To solve these existing drawbacks, we propose a new Individual Typology Angle (ITA) Loss-based skin tone normalization and data augmentation method that directly feeds into an adaptable meta learning-based joint channel pruning framework. In skin tone normalization, ITA is used to estimate skin tone type and adjust automatically to target tones for dataset balancing. In the joint channel pruning framework, two nested optimization loops are used to find critical channels.The inner optimization loop finds and prunes the local critical channels by weighted soft nearest neighbor loss, and the outer optimization loop updates the weight of each attribute using group wise variance loss on meta-set. Experiments conducted in the ISIC2019 dataset validate the effectiveness of our method in simultaneously improving the fairness of the model on multiple sensitive attributes without significant degradation of accuracy. Finally, although the pruning mechanism adds some computational cost during training phase, usually training is done off line. More importantly,