Curriculum Learning with Synthetic Data for Enhanced Pulmonary Nodule Detection in Chest Radiographs

Fuente: arXiv
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Main Authors: Sambhu, Pranav, Guin, Om, Sambhu, Madhav, Cha, Jinho
Format: Preprint
Published: 2025
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author Sambhu, Pranav
Guin, Om
Sambhu, Madhav
Cha, Jinho
author_facet Sambhu, Pranav
Guin, Om
Sambhu, Madhav
Cha, Jinho
contents This study evaluates whether integrating curriculum learning with diffusion-based synthetic augmentation can enhance the detection of difficult pulmonary nodules in chest radiographs, particularly those with low size, brightness, and contrast, which often challenge conventional AI models due to data imbalance and limited annotation. A Faster R-CNN with a Feature Pyramid Network (FPN) backbone was trained on a hybrid dataset comprising expert-labeled NODE21 (1,213 patients; 52.4 percent male; mean age 63.2 +/- 11.5 years), VinDr-CXR, CheXpert, and 11,206 DDPM-generated synthetic images. Difficulty scores based on size, brightness, and contrast guided curriculum learning. Performance was compared to a non-curriculum baseline using mean average precision (mAP), Dice score, and area under the curve (AUC). Statistical tests included bootstrapped confidence intervals, DeLong tests, and paired t-tests. The curriculum model achieved a mean AUC of 0.95 versus 0.89 for the baseline (p < 0.001), with improvements in sensitivity (70 percent vs. 48 percent) and accuracy (82 percent vs. 70 percent). Stratified analysis demonstrated consistent gains across all difficulty bins (Easy to Very Hard). Grad-CAM visualizations confirmed more anatomically focused attention under curriculum learning. These results suggest that curriculum-guided synthetic augmentation enhances model robustness and generalization for pulmonary nodule detection.
format Preprint
id arxiv_https___arxiv_org_abs_2510_07681
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Curriculum Learning with Synthetic Data for Enhanced Pulmonary Nodule Detection in Chest Radiographs
Sambhu, Pranav
Guin, Om
Sambhu, Madhav
Cha, Jinho
Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
This study evaluates whether integrating curriculum learning with diffusion-based synthetic augmentation can enhance the detection of difficult pulmonary nodules in chest radiographs, particularly those with low size, brightness, and contrast, which often challenge conventional AI models due to data imbalance and limited annotation. A Faster R-CNN with a Feature Pyramid Network (FPN) backbone was trained on a hybrid dataset comprising expert-labeled NODE21 (1,213 patients; 52.4 percent male; mean age 63.2 +/- 11.5 years), VinDr-CXR, CheXpert, and 11,206 DDPM-generated synthetic images. Difficulty scores based on size, brightness, and contrast guided curriculum learning. Performance was compared to a non-curriculum baseline using mean average precision (mAP), Dice score, and area under the curve (AUC). Statistical tests included bootstrapped confidence intervals, DeLong tests, and paired t-tests. The curriculum model achieved a mean AUC of 0.95 versus 0.89 for the baseline (p < 0.001), with improvements in sensitivity (70 percent vs. 48 percent) and accuracy (82 percent vs. 70 percent). Stratified analysis demonstrated consistent gains across all difficulty bins (Easy to Very Hard). Grad-CAM visualizations confirmed more anatomically focused attention under curriculum learning. These results suggest that curriculum-guided synthetic augmentation enhances model robustness and generalization for pulmonary nodule detection.
title Curriculum Learning with Synthetic Data for Enhanced Pulmonary Nodule Detection in Chest Radiographs
topic Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2510.07681