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Autori principali: Nahiduzzaman, Md, Korevaar, Steven, Bab-Hadiashar, Alireza, Tennakoon, Ruwan
Natura: Preprint
Pubblicazione: 2025
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Accesso online:https://arxiv.org/abs/2511.01131
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author Nahiduzzaman, Md
Korevaar, Steven
Bab-Hadiashar, Alireza
Tennakoon, Ruwan
author_facet Nahiduzzaman, Md
Korevaar, Steven
Bab-Hadiashar, Alireza
Tennakoon, Ruwan
contents Human-interpretable predictions are essential for deploying AI in medical imaging, yet most interpretable-by-design (IBD) frameworks require concept annotations for training data, which are costly and impractical to obtain in clinical contexts. Recent attempts to bypass annotation, such as zero-shot vision-language models or concept-generation frameworks, struggle to capture domain-specific medical features, leading to poor reliability. In this paper, we propose a novel Prior-guided Concept Predictor (PCP), a weakly supervised framework that enables concept answer prediction without explicit supervision or reliance on language models. PCP leverages class-level concept priors as weak supervision and incorporates a refinement mechanism with KL divergence and entropy regularization to align predictions with clinical reasoning. Experiments on PH2 (dermoscopy) and WBCatt (hematology) show that PCP improves concept-level F1-score by over 33% compared to zero-shot baselines, while delivering competitive classification performance on four medical datasets (PH2, WBCatt, HAM10000, and CXR4) relative to fully supervised concept bottleneck models (CBMs) and V-IP.
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spellingShingle Weakly Supervised Concept Learning with Class-Level Priors for Interpretable Medical Diagnosis
Nahiduzzaman, Md
Korevaar, Steven
Bab-Hadiashar, Alireza
Tennakoon, Ruwan
Computer Vision and Pattern Recognition
Human-interpretable predictions are essential for deploying AI in medical imaging, yet most interpretable-by-design (IBD) frameworks require concept annotations for training data, which are costly and impractical to obtain in clinical contexts. Recent attempts to bypass annotation, such as zero-shot vision-language models or concept-generation frameworks, struggle to capture domain-specific medical features, leading to poor reliability. In this paper, we propose a novel Prior-guided Concept Predictor (PCP), a weakly supervised framework that enables concept answer prediction without explicit supervision or reliance on language models. PCP leverages class-level concept priors as weak supervision and incorporates a refinement mechanism with KL divergence and entropy regularization to align predictions with clinical reasoning. Experiments on PH2 (dermoscopy) and WBCatt (hematology) show that PCP improves concept-level F1-score by over 33% compared to zero-shot baselines, while delivering competitive classification performance on four medical datasets (PH2, WBCatt, HAM10000, and CXR4) relative to fully supervised concept bottleneck models (CBMs) and V-IP.
title Weakly Supervised Concept Learning with Class-Level Priors for Interpretable Medical Diagnosis
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2511.01131