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TET Loss: A Temperature-Entropy Calibrated Transfer Loss for Reliable Medical Image Classification.

Weichao Pan1

  • 1School of Computer and Artificial Intelligence, Shandong Jianzhu University, No.1000 Fengming Road, Ganggou Subdistrict, Jinan, Shandong, 250101, People's Republic of China. panweichao01@outlook.com.

Journal of Imaging Informatics in Medicine
|January 6, 2026
PubMed
Summary

TET Loss improves deep learning for medical imaging by calibrating confidence and reducing overconfidence. This novel approach enhances model reliability and interpretability without adding computational cost.

Keywords:
Entropy regularizationImageNetMedical image classificationTemperature scalingTransfer learning

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Area of Science:

  • Artificial Intelligence
  • Medical Imaging Analysis
  • Computer Vision

Background:

  • Deep learning models for medical image classification often suffer from overconfident predictions and domain mismatch from natural image pretraining.
  • This impacts their generalization capabilities and clinical reliability in real-world applications.

Purpose of the Study:

  • To introduce TET Loss (Temperature-Entropy calibrated Transfer Loss Function), a novel objective function designed to enhance the reliability and robustness of deep learning models in medical image classification.
  • To address overconfidence and domain mismatch issues inherent in transfer learning for medical imaging.

Main Methods:

  • Proposes TET Loss, a plug-and-play objective function combining temperature scaling for logit moderation and entropy regularization for uncertainty-aware learning.
  • The method is model-agnostic and adds no inference-time overhead.
  • Evaluated across four public benchmarks (BreastMNIST, DermaMNIST, PneumoniaMNIST, RetinaMNIST) using CNNs, transformers, and hybrid backbones with short 10-epoch fine-tuning.

Main Results:

  • TET Loss consistently improved performance across various architectures and datasets.
  • EfficientViT-M2 on BreastMNIST saw an F1 score increase from 53.9% to 66.7%.
  • BiFormer-Tiny achieved an F1 of 86.1% with an AUC of 94.1% on BreastMNIST.
  • RMT-T3 on PneumoniaMNIST reached an F1 of 96.4% and an AUC of 99.1%, outperforming models trained longer.
  • Grad-CAM visualizations indicated improved lesion localization and reduced spurious activations, suggesting enhanced interpretability.

Conclusions:

  • TET Loss offers a lightweight and effective solution for improving the reliability and robustness of medical imaging systems by calibrating prediction confidence.
  • The method enhances model generalization and interpretability without increasing computational complexity.
  • TET Loss represents a significant advancement towards more trustworthy AI in clinical settings.