C2GA: A Class-Controllable Generative Augmentation Framework for Respiratory Sound Classification

Access to sufficiently large biomedical datasets remains a major obstacle for machine learning in Raman spectroscopy-based diagnostics. In particular, for glioma analysis, datasets are typically small and heterogeneous, affected by acquisition-specific variability. This work investigates the utility of deep generative augmentation in such a small-cohort setting. We analyze glioma biopsy spectra acquired from 58 tumor samples and consider both binary IDH-status classification and 6-class methylation subtype classification problems. To address the limited size and imbalance of the dataset, we develop a conditional variational autoencoder ($β$-CVAE) capable of generating class-conditioned synthetic Raman spectra. The generated data are evaluated in Train-on-Synthetic, Test-on-Real (TS/TR) and Train-on-Synthetic+Real, Test-on-Real (TSR/TR) settings under a strict patient-isolated cross-validation protocol. Models trained exclusively on synthetic data underperform models trained on real spectra, indicating a substantial domain gap between synthetic and real distributions. However, augmenting the real training data with synthetic spectra consistently improves classification performance across multiple models. These findings indicate that, even with a limited number of independent patient samples, generative models can capture sufficient structure to provide useful regularization for downstream classifiers. We also investigate a reconstruction-based inference strategy, termed Classification by Reconstruction (CbR), in which class prediction is based on reconstruction error under different class conditions. Overall, the results support the use of deep generative augmentation as a practical strategy for improving machine learning robustness in Raman spectroscopy applications characterized by limited biomedical datasets.

We investigate whether a generative model can supply useful synthetic motor-imagery (MI) electroencephalography (EEG) trials that improve the accuracy of independent downstream classifiers. We train a class-conditional variational autoencoder (CVAE) with an integrated latent classifier on the Zhou motor-imagery dataset, using the learned per-class prior as a generator: sampling the prior for a given label and decoding it into a synthetic, label-consistent signal. A constraint on the covariance matrix of the generated data encourages preservation of covariance structure, and the model is trained with a schedule that alternates ordinary VAE training with a decoder-focused phase that sharpens the generative pathway used for augmentation. We measure the effect of adding synthetic trials to the training set under two evaluation protocols -- within-user (pooled 60/20/20 split across subjects) and cross-user (leave-one-subject-out, LOSO) -- across four representative EEG classification pipelines: Common Spatial Patterns with Linear Discriminant Analysis (CSP+LDA), tangent-space features with a Support Vector Machine (TGSP+SVM), Minimum Distance to Riemannian Mean (MDM), and a neural network based on EEGNetv4 (henceforth EEGNet). Results are aggregated across independent augmentation draws, random seeds (within-user), or leave-one-subject-out folds (cross-user), with uncertainty reported as 95% confidence intervals (Student's $t$-distribution) computed over per-seed/per-fold averages. We find that synthetic EEG from the CVAE is most credible as a source of class-structured, covariance-like data rather than as a substitute for real raw EEG: it can raise the point estimate for MDM, but the broader augmentation claim remains conservative -- observed gains are small and classifier-dependent.

Generative data augmentation is widely used to mitigate class imbalance, yet its theoretical effect on downstream generalization remains poorly understood. In this work, we develop a statistical framework for conditional generative augmentation and analyze its impact on classification risk. We formalize augmentation as a distribution-mixing process and show that the resulting risk distortion is controlled by both the augmentation strength and the class-conditional Wasserstein discrepancy between real and generated distributions. We further derive a capacity-dependent generalization bound based on Rademacher complexity, revealing an explicit trade-off between hypothesis complexity, augmentation intensity, and generative fidelity. Empirically, we evaluate the framework on binary and multiclass imbalanced classification tasks using Conditional GAN and Conditional WGAN-GP augmentation. Across datasets, CWGAN-GP consistently achieves lower Wasserstein discrepancies than CGAN, indicating improved distributional fidelity. However, improved fidelity does not necessarily translate into superior classification performance, with classical oversampling methods often remaining competitive. These findings support the central theoretical prediction that augmentation reliability is governed by distributional approximation error rather than predictive performance alone. Overall, this work establishes generative augmentation as a distributional perturbation process whose reliability can be quantified through Wasserstein-based measures and supported by finite-sample generalization guarantees. The proposed framework provides a principled foundation for evaluating synthetic data quality beyond classification accuracy alone.