Medical hierarchical image classification via dual-geometry image-text learning
Lei Fan1, Arcot Sowmya2, Erik Meijering2
1Centre for Healthy Brain Ageing, Discipline of Psychiatry and Mental Health, School of Clinical Medicine, Faculty of Medicine and Health, UNSW Sydney, Australia; School of Computer Science and Engineering, UNSW Sydney, Australia.
Medical Image Analysis
|May 5, 2026
Summary
This study introduces H2CL, a novel dual-geometry framework for hierarchical image classification in medical analysis. It effectively combines Euclidean and hyperbolic features, significantly improving classification accuracy across diverse datasets.
Area of Science:
- Medical Image Analysis
- Computer Vision
- Machine Learning
Background:
- Hierarchical image classification is crucial for medical image analysis, reflecting biological and clinical relationships.
- Current methods often involve complex model designs and training strategies for multi-task learning and fine-grained detection.
Purpose of the Study:
- To exploit the negative curvature of hyperbolic space for efficient representation of hierarchical structures in medical images.
- To propose a novel dual-geometry image-text framework (H2CL) for improved hierarchical image classification.
Main Methods:
- Developed H2CL, a framework utilizing a lightweight classifier head to extract both Euclidean and hyperbolic features from images.
- Integrated a text branch with entailment loss to model image-text alignment and inter-sample relationships.
- Employed hyperbolic space properties for efficient representation of hierarchical data.
Main Results:
- H2CL consistently outperformed advanced methods on cervical cell, skin lesion, and gallbladder disease datasets.
- Achieved an average accuracy improvement of 7% at the fine-grained level compared to standard Swin Transformer.
- Demonstrated consistent performance gains when integrated with various backbone models.
Conclusions:
- The proposed H2CL framework effectively leverages dual-geometry representations for enhanced hierarchical image classification.
- The integration of image and text features, guided by hyperbolic geometry, offers a promising direction for medical image analysis.
- H2CL provides a robust and efficient solution for complex medical image classification tasks.

