Domain Adaptation and Feature Fusion for the Detection of Abnormalities in X-Ray Forearm Images

The main challenge in adopting deep learning models is limited data for training, which can lead to poor generalization and a high risk of overfitting, particularly when detecting forearm abnormalities in X-ray images. Transfer learning from ImageNet is commonly used to address these issues. However, this technique is ineffective for grayscale medical imaging because of a mismatch between the learned features. To mitigate this issue, we propose a domain adaptation deep TL approach that involves training six pre-trained ImageNet models on a large number of X-ray images from various body parts, then fine-tuning the models on a target dataset of forearm X-ray images. Furthermore, the feature fusion technique combines the extracted features with deep neural models to train machine learning classifiers. Gradient-based class activation heat map (Grad CAM) was used to verify the accuracy of our results. This method allows us to see which parts of an image the model uses to make its classification decisions. The statically results and Grad CAM have shown that the proposed TL approach is able to alleviate the domain mismatch problem and is more accurate in their decision-making compared to models that were trained using the ImageNet TL technique, achieving an accuracy of 90.7%, an F1-score of 90.6%, and a Cohen's kappa of 81.3%. These results indicate that the proposed approach effectively improved the performance of the employed models individually and with the fusion technique. It helped to reduce the domain mismatch between the source of TL and the target task.