Attention-Based Chaotic Self-Supervision for Medical Image Classification

Self-Supervised Learning (SSL) has emerged as a powerful paradigm to mitigate the reliance on large, annotated datasets, a common bottleneck in medical image analysis. However, standard SSL methods, which rely on simple geometric and color augmentations, may fail to capture the fine-grained, complex textural details necessary for classifying subtle pathologies. This paper introduces Chaos-SSL, a novel two-stage framework for medical image classification. In the first stage, we propose a new self-supervised pre-training strategy that leverages 1D chaotic maps (Logistic, Tent, and Sine) as a complex, non-linear augmentation for contrastive learning. We hypothesize that these chaotic transformations create ``harder'' and more semantically-rich views, forcing a network to learn robust representations of fine-grained medical textures. In the second stage, we introduce an attention-based fusion model that dynamically combines the specialized features from our Chaos-SSL model with the general-purpose features of a larger, ImageNet-pre-trained model. We validate our method on two public datasets: ISIC 2018 (skin lesions) and APTOS 2019 (diabetic retinopathy). Our results demonstrate that the Chaos-SSL model pre-trained with a Tent map for 30 epochs, followed by attention fusion, achieves performance fully competitive with the state-of-the-art, yielding an accuracy of 0.9261 on ISIC 2018 and 0.8726 on APTOS 2019. This significantly outperforms existing SSL methods, including several recent approaches.

Accurate and robust medical image classification is paramount for early disease diagnosis and treatment planning. However, challenges such as limited annotated data, high intra-class variability, and subtle inter-class differences often hinder the performance of deep learning models. This paper introduces a synergistic deep learning framework that leverages the strengths of self-supervised learning and transfer learning for enhanced medical image classification. Our approach employs two distinct ConvNeXt-Tiny models: one pre-trained on a large-scale natural image dataset (ImageNet) and another pre-trained using an entropy-guided Masked Autoencoder (MAE) on the target medical dataset. Both models are then fine-tuned on specific medical image classification tasks. A final ensemble strategy, based on averaging predicted probabilities, is utilized to combine the complementary insights from these two models. Rigorous experimental validation across four diverse medical imaging datasets (Breast Ultrasound Images (BUSI), International Skin Imaging Collaboration (ISIC) 2018, Kvasir, and COVID) demonstrates the superior performance and robustness of our ensemble approach. The MAE pre-training significantly improves feature learning on domain-specific data, while the ImageNet pre-training provides strong generalizable features. The ensemble consistently achieves state-of-the-art results, outperforming individual models and existing methods, highlighting the efficacy of combining diverse pre-training strategies for challenging medical image analysis.

Masked image modeling (MIM) is a highly effective self-supervised learning (SSL) approach to extract useful feature representations from unannotated data. Predominantly used random masking methods make SSL less effective for medical images due to the contextual similarity of neighboring patches, leading to information leakage and SSL simplification. Hierarchical shifted window (Swin) transformer, a highly effective approach for medical images cannot use advanced masking methods as it lacks a global [CLS] token. Hence, we introduced an attention guided masking mechanism for Swin within a co-distillation learning framework to selectively mask semantically co-occurring and discriminative patches, to reduce information leakage and increase the difficulty of SSL pretraining. However, attention guided masking inevitably reduces the diversity of attention heads, which negatively impacts downstream task performance. To address this, we for the first time, integrate a noisy teacher into the co-distillation framework (termed DAGMaN) that performs attentive masking while preserving high attention head diversity. We demonstrate the capability of DAGMaN on multiple tasks including full- and few-shot lung nodule classification, immunotherapy outcome prediction, tumor segmentation, and unsupervised organs clustering.