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Decentralized learning for medical image classification with prototypical contrastive network
Zhantao Cao1,2,3, Yuanbing Shi1,2, Shuli Zhang1
1Institutions for Research, CETC Cyberspace Security Technology CO., LTD., Chengdu, China.
Medical Physics
|March 16, 2025
Summary
This study introduces a novel decentralized learning method using a prototypical contrastive network to improve medical image classification accuracy. The approach effectively addresses challenges posed by non-independent and identically distributed (non-IID) datasets and data imbalance.
Area of Science:
- Artificial Intelligence
- Machine Learning
- Medical Imaging
Background:
- Deep convolutional neural networks (CNNs) show promise in medical image classification.
- Practical application is hindered by non-independent and identically distributed (non-IID) datasets and data imbalance.
- Privacy concerns limit the use of centralized datasets from multiple institutions.
Purpose of the Study:
- To present a novel decentralized learning approach for precise medical image classification.
- To address challenges of non-IID data and data imbalance across different clients.
- To mitigate the non-IID problem using a prototypical contrastive network.
Main Methods:
- Developed a prototype contrastive network to minimize disparities among heterogeneous clients.
- Utilized an approximate global prototype to project data onto a balanced prototype space, alleviating the non-IID problem.
- Validated the algorithm using diverse datasets: EyePACS, APTOS, IDRiD (diabetic retinopathy), and COVIDx (chest X-rays).
Main Results:
- Outperformed FedAvg baseline by 3.7% in accuracy on the EyePACS dataset (balanced IID setting).
- Achieved a 6.6% accuracy enhancement over FedAvg in the Dirichlet non-IID setting on EyePACS.
- Established new state-of-the-art performance on DCC non-IID and COVID-19 datasets across multiple metrics.
Conclusions:
- The prototypical contrastive loss aligns local client data distributions with global distributions.
- An approximate global prototype addresses unbalanced data distribution by projecting data onto a balanced space.
- The model achieved state-of-the-art results on EyePACS, APTOS, IDRiD, and COVIDx datasets.

