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Main Authors: Sourget, Théo, Hestbek-Møller, Michelle, Jiménez-Sánchez, Amelia, Xu, Jack Junchi, Cheplygina, Veronika
Format: Preprint
Published: 2024
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Online Access:https://arxiv.org/abs/2412.04030
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author Sourget, Théo
Hestbek-Møller, Michelle
Jiménez-Sánchez, Amelia
Xu, Jack Junchi
Cheplygina, Veronika
author_facet Sourget, Théo
Hestbek-Møller, Michelle
Jiménez-Sánchez, Amelia
Xu, Jack Junchi
Cheplygina, Veronika
contents The development of larger models for medical image analysis has led to increased performance. However, it also affected our ability to explain and validate model decisions. Models can use non-relevant parts of images, also called spurious correlations or shortcuts, to obtain high performance on benchmark datasets but fail in real-world scenarios. In this work, we challenge the capacity of convolutional neural networks (CNN) to classify chest X-rays and eye fundus images while masking out clinically relevant parts of the image. We show that all models trained on the PadChest dataset, irrespective of the masking strategy, are able to obtain an Area Under the Curve (AUC) above random. Moreover, the models trained on full images obtain good performance on images without the region of interest (ROI), even superior to the one obtained on images only containing the ROI. We also reveal a possible spurious correlation in the Chaksu dataset while the performances are more aligned with the expectation of an unbiased model. We go beyond the performance analysis with the usage of the explainability method SHAP and the analysis of embeddings. We asked a radiology resident to interpret chest X-rays under different masking to complement our findings with clinical knowledge. Our code is available at https://github.com/TheoSourget/MMC_Masking and https://github.com/TheoSourget/MMC_Masking_EyeFundus
format Preprint
id arxiv_https___arxiv_org_abs_2412_04030
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Mask of truth: model sensitivity to unexpected regions of medical images
Sourget, Théo
Hestbek-Møller, Michelle
Jiménez-Sánchez, Amelia
Xu, Jack Junchi
Cheplygina, Veronika
Computer Vision and Pattern Recognition
The development of larger models for medical image analysis has led to increased performance. However, it also affected our ability to explain and validate model decisions. Models can use non-relevant parts of images, also called spurious correlations or shortcuts, to obtain high performance on benchmark datasets but fail in real-world scenarios. In this work, we challenge the capacity of convolutional neural networks (CNN) to classify chest X-rays and eye fundus images while masking out clinically relevant parts of the image. We show that all models trained on the PadChest dataset, irrespective of the masking strategy, are able to obtain an Area Under the Curve (AUC) above random. Moreover, the models trained on full images obtain good performance on images without the region of interest (ROI), even superior to the one obtained on images only containing the ROI. We also reveal a possible spurious correlation in the Chaksu dataset while the performances are more aligned with the expectation of an unbiased model. We go beyond the performance analysis with the usage of the explainability method SHAP and the analysis of embeddings. We asked a radiology resident to interpret chest X-rays under different masking to complement our findings with clinical knowledge. Our code is available at https://github.com/TheoSourget/MMC_Masking and https://github.com/TheoSourget/MMC_Masking_EyeFundus
title Mask of truth: model sensitivity to unexpected regions of medical images
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2412.04030