Gradient based Severity Labeling for Biomarker Classification in OCT

Fuente: arXiv
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Bibliographic Details
Main Authors: Kokilepersaud, Kiran, Prabhushankar, Mohit, AlRegib, Ghassan, Corona, Stephanie Trejo, Wykoff, Charles
Format: Preprint
Published: 2026
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author Kokilepersaud, Kiran
Prabhushankar, Mohit
AlRegib, Ghassan
Corona, Stephanie Trejo
Wykoff, Charles
author_facet Kokilepersaud, Kiran
Prabhushankar, Mohit
AlRegib, Ghassan
Corona, Stephanie Trejo
Wykoff, Charles
contents In this paper, we propose a novel selection strategy for contrastive learning for medical images. On natural images, contrastive learning uses augmentations to select positive and negative pairs for the contrastive loss. However, in the medical domain, arbitrary augmentations have the potential to distort small localized regions that contain the biomarkers we are interested in detecting. A more intuitive approach is to select samples with similar disease severity characteristics, since these samples are more likely to have similar structures related to the progression of a disease. To enable this, we introduce a method that generates disease severity labels for unlabeled OCT scans on the basis of gradient responses from an anomaly detection algorithm. These labels are used to train a supervised contrastive learning setup to improve biomarker classification accuracy by as much as 6% above self-supervised baselines for key indicators of Diabetic Retinopathy.
format Preprint
id arxiv_https___arxiv_org_abs_2602_19907
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Gradient based Severity Labeling for Biomarker Classification in OCT
Kokilepersaud, Kiran
Prabhushankar, Mohit
AlRegib, Ghassan
Corona, Stephanie Trejo
Wykoff, Charles
Computer Vision and Pattern Recognition
Machine Learning
In this paper, we propose a novel selection strategy for contrastive learning for medical images. On natural images, contrastive learning uses augmentations to select positive and negative pairs for the contrastive loss. However, in the medical domain, arbitrary augmentations have the potential to distort small localized regions that contain the biomarkers we are interested in detecting. A more intuitive approach is to select samples with similar disease severity characteristics, since these samples are more likely to have similar structures related to the progression of a disease. To enable this, we introduce a method that generates disease severity labels for unlabeled OCT scans on the basis of gradient responses from an anomaly detection algorithm. These labels are used to train a supervised contrastive learning setup to improve biomarker classification accuracy by as much as 6% above self-supervised baselines for key indicators of Diabetic Retinopathy.
title Gradient based Severity Labeling for Biomarker Classification in OCT
topic Computer Vision and Pattern Recognition
Machine Learning
url https://arxiv.org/abs/2602.19907