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arxiv 2508.18613 v1 pith:NTRV7TAA submitted 2025-08-26 eess.IV cs.LG

ModAn-MulSupCon: Modality-and Anatomy-Aware Multi-Label Supervised Contrastive Pretraining for Medical Imaging

classification eess.IV cs.LG
keywords modan-mulsupconmulti-labelpretrainingsupervisedcontrastivefine-tuningmetadatamodality
verification ladder T0 review T1 audit T2 compute T3 formal T4 reserved
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Background and objective: Expert annotations limit large-scale supervised pretraining in medical imaging, while ubiquitous metadata (modality, anatomical region) remain underused. We introduce ModAn-MulSupCon, a modality- and anatomy-aware multi-label supervised contrastive pretraining method that leverages such metadata to learn transferable representations. Method: Each image's modality and anatomy are encoded as a multi-hot vector. A ResNet-18 encoder is pretrained on a mini subset of RadImageNet (miniRIN, 16,222 images) with a Jaccard-weighted multi-label supervised contrastive loss, and then evaluated by fine-tuning and linear probing on three binary classification tasks--ACL tear (knee MRI), lesion malignancy (breast ultrasound), and nodule malignancy (thyroid ultrasound). Result: With fine-tuning, ModAn-MulSupCon achieved the best AUC on MRNet-ACL (0.964) and Thyroid (0.763), surpassing all baselines ($p<0.05$), and ranked second on Breast (0.926) behind SimCLR (0.940; not significant). With the encoder frozen, SimCLR/ImageNet were superior, indicating that ModAn-MulSupCon representations benefit most from task adaptation rather than linear separability. Conclusion: Encoding readily available modality/anatomy metadata as multi-label targets provides a practical, scalable pretraining signal that improves downstream accuracy when fine-tuning is feasible. ModAn-MulSupCon is a strong initialization for label-scarce clinical settings, whereas SimCLR/ImageNet remain preferable for frozen-encoder deployments.

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