Self-Supervised Learning for Knee Osteoarthritis: Diagnostic Limitations and Prognostic Value of Hospital Data
Fuente:
arXiv
Gespeichert in:
| Hauptverfasser: | , , , |
|---|---|
| Format: | Preprint |
| Veröffentlicht: |
2026
|
| Schlagworte: | |
| Online-Zugang: | |
| Tags: |
Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
|
| _version_ | 1866915896371445760 |
|---|---|
| author | Rajamohan, Haresh Rengaraj Chen, Yuxuan Cho, Kyunghyun Deniz, Cem M. |
| author_facet | Rajamohan, Haresh Rengaraj Chen, Yuxuan Cho, Kyunghyun Deniz, Cem M. |
| contents | This study assesses whether self-supervised learning (SSL) improves knee osteoarthritis (OA) modeling for diagnosis and prognosis relative to ImageNet-pretrained initialization. We compared (i) image-only SSL pretrained on knee radiographs from the OAI, MOST, and NYU cohorts, and (ii) multimodal image-text SSL pretrained on hospital knee radiographs paired with radiologist impressions. For diagnostic Kellgren-Lawrence (KL) grade prediction, SSL yielded mixed results. While image-only SSL improved accuracy during linear probing (frozen encoder), it did not outperform ImageNet pretraining during full fine-tuning. Similarly, multimodal SSL failed to improve grading performance. A likely explanation is mismatch between the hospital pretraining corpus and the downstream diagnostic task: the hospital image-text dataset was restricted to knees from patients with clinically identified OA in routine care, rather than a cohort spanning the full spectrum from normal to severe disease needed for balanced KL grading. In addition, radiology impressions do not explicitly encode KL grade, limiting supervision for learning KL-specific decision boundaries. In contrast, this same multimodal initialization significantly improved prognostic modeling. It outperformed ImageNet baselines in predicting 4-year structural incidence and progression, including on external validation (MOST AUROC: 0.701 vs. 0.599 at 10\% labeled data). Overall, these results suggest that our hospital image-text data may be less effective for diagnostic grading when the pretraining cohort is limited to OA knees, but can provide a strong signal for prognostic modeling when the downstream task is better aligned with the pretraining data distribution. |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2603_24903 |
| institution | arXiv |
| publishDate | 2026 |
| record_format | arxiv |
| spellingShingle | Self-Supervised Learning for Knee Osteoarthritis: Diagnostic Limitations and Prognostic Value of Hospital Data Rajamohan, Haresh Rengaraj Chen, Yuxuan Cho, Kyunghyun Deniz, Cem M. Computer Vision and Pattern Recognition This study assesses whether self-supervised learning (SSL) improves knee osteoarthritis (OA) modeling for diagnosis and prognosis relative to ImageNet-pretrained initialization. We compared (i) image-only SSL pretrained on knee radiographs from the OAI, MOST, and NYU cohorts, and (ii) multimodal image-text SSL pretrained on hospital knee radiographs paired with radiologist impressions. For diagnostic Kellgren-Lawrence (KL) grade prediction, SSL yielded mixed results. While image-only SSL improved accuracy during linear probing (frozen encoder), it did not outperform ImageNet pretraining during full fine-tuning. Similarly, multimodal SSL failed to improve grading performance. A likely explanation is mismatch between the hospital pretraining corpus and the downstream diagnostic task: the hospital image-text dataset was restricted to knees from patients with clinically identified OA in routine care, rather than a cohort spanning the full spectrum from normal to severe disease needed for balanced KL grading. In addition, radiology impressions do not explicitly encode KL grade, limiting supervision for learning KL-specific decision boundaries. In contrast, this same multimodal initialization significantly improved prognostic modeling. It outperformed ImageNet baselines in predicting 4-year structural incidence and progression, including on external validation (MOST AUROC: 0.701 vs. 0.599 at 10\% labeled data). Overall, these results suggest that our hospital image-text data may be less effective for diagnostic grading when the pretraining cohort is limited to OA knees, but can provide a strong signal for prognostic modeling when the downstream task is better aligned with the pretraining data distribution. |
| title | Self-Supervised Learning for Knee Osteoarthritis: Diagnostic Limitations and Prognostic Value of Hospital Data |
| topic | Computer Vision and Pattern Recognition |
| url | https://arxiv.org/abs/2603.24903 |