EWC-Guided Diffusion Replay for Exemplar-Free Continual Learning in Medical Imaging

Fuente: arXiv
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Autores principales: Harit, Anoushka, Prew, William, Sun, Zhongtian, Markowetz, Florian
Formato: Preprint
Publicado: 2025
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author Harit, Anoushka
Prew, William
Sun, Zhongtian
Markowetz, Florian
author_facet Harit, Anoushka
Prew, William
Sun, Zhongtian
Markowetz, Florian
contents Medical imaging foundation models must adapt over time, yet full retraining is often blocked by privacy constraints and cost. We present a continual learning framework that avoids storing patient exemplars by pairing class conditional diffusion replay with Elastic Weight Consolidation. Using a compact Vision Transformer backbone, we evaluate across eight MedMNIST v2 tasks and CheXpert. On CheXpert our approach attains 0.851 AUROC, reduces forgetting by more than 30\% relative to DER\texttt{++}, and approaches joint training at 0.869 AUROC, while remaining efficient and privacy preserving. Analyses connect forgetting to two measurable factors: fidelity of replay and Fisher weighted parameter drift, highlighting the complementary roles of replay diffusion and synaptic stability. The results indicate a practical route for scalable, privacy aware continual adaptation of clinical imaging models.
format Preprint
id arxiv_https___arxiv_org_abs_2509_23906
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle EWC-Guided Diffusion Replay for Exemplar-Free Continual Learning in Medical Imaging
Harit, Anoushka
Prew, William
Sun, Zhongtian
Markowetz, Florian
Computer Vision and Pattern Recognition
Artificial Intelligence
Medical imaging foundation models must adapt over time, yet full retraining is often blocked by privacy constraints and cost. We present a continual learning framework that avoids storing patient exemplars by pairing class conditional diffusion replay with Elastic Weight Consolidation. Using a compact Vision Transformer backbone, we evaluate across eight MedMNIST v2 tasks and CheXpert. On CheXpert our approach attains 0.851 AUROC, reduces forgetting by more than 30\% relative to DER\texttt{++}, and approaches joint training at 0.869 AUROC, while remaining efficient and privacy preserving. Analyses connect forgetting to two measurable factors: fidelity of replay and Fisher weighted parameter drift, highlighting the complementary roles of replay diffusion and synaptic stability. The results indicate a practical route for scalable, privacy aware continual adaptation of clinical imaging models.
title EWC-Guided Diffusion Replay for Exemplar-Free Continual Learning in Medical Imaging
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2509.23906