Class Imbalanced Medical Image Classification with Complication Data

This paper addresses the task of class-imbalanced medical image classification using complication labels. Medical image classification plays an essential role in improving patient care and reducing the burden on healthcare systems, along with other computer aided diagnosis tasks. However, there are two common obstacles with medical image image classification. One is that there is a high cost of acquiring annotations from doctors/experts. Two is that in many cases there is a differences in the number of incidents that appear per symptom which lead to class-imbalance. The above factors make medical image classification difficult to deal with. Additionally, there are cases where multiple symptoms appear in a mixed manner (complications), such as diabetic complications where both symptoms of infection and ischaemia could appear at the same time, which also could influence the classification result negatively. In this paper, a method that jointly tackles the obstacles mentioned above is presented. First, we conduct extensive experiment with various class-imbalanced learning methods introduced in previous works and also propose a method that improves the baseline class-imbalanced approaches by utilizing complication labels in pre-training. Second, we validate the proposed method with the diabetic foot ulcer dataset introduced in Diabetic Foot Ulcer Challenge 2021.