Federated Vision Transformer with Adaptive Focal Loss for Medical Image Classification

While deep learning models like Vision Transformer (ViT) have achieved significant advances, they typically require large datasets. With data privacy regulations, access to many original datasets is restricted, especially medical images. Federated learning (FL) addresses this challenge by enabling global model aggregation without data exchange. However, the heterogeneity of the data and the class imbalance that exist in local clients pose challenges for the generalization of the model. This study proposes a FL framework leveraging a dynamic adaptive focal loss (DAFL) and a client-aware aggregation strategy for local training. Specifically, we design a dynamic class imbalance coefficient that adjusts based on each client's sample distribution and class data distribution, ensuring minority classes receive sufficient attention and preventing sparse data from being ignored. To address client heterogeneity, a weighted aggregation strategy is adopted, which adapts to data size and characteristics to better capture inter-client variations. The classification results on three public datasets (ISIC, Ocular Disease and RSNA-ICH) show that the proposed framework outperforms DenseNet121, ResNet50, ViT-S/16, ViT-L/32, FedCLIP, Swin Transformer, CoAtNet, and MixNet in most cases, with accuracy improvements ranging from 0.98\% to 41.69\%. Ablation studies on the imbalanced ISIC dataset validate the effectiveness of the proposed loss function and aggregation strategy compared to traditional loss functions and other FL approaches. The codes can be found at: https://github.com/AIPMLab/ViT-FLDAF.

Enhancing Dual Network Based Semi-Supervised Medical Image Segmentation with Uncertainty-Guided Pseudo-Labeling

Despite the remarkable performance of supervised medical image segmentation models, relying on a large amount of labeled data is impractical in real-world situations. Semi-supervised learning approaches aim to alleviate this challenge using unlabeled data through pseudo-label generation. Yet, existing semi-supervised segmentation methods still suffer from noisy pseudo-labels and insufficient supervision within the feature space. To solve these challenges, this paper proposes a novel semi-supervised 3D medical image segmentation framework based on a dual-network architecture. Specifically, we investigate a Cross Consistency Enhancement module using both cross pseudo and entropy-filtered supervision to reduce the noisy pseudo-labels, while we design a dynamic weighting strategy to adjust the contributions of pseudo-labels using an uncertainty-aware mechanism (i.e., Kullback-Leibler divergence). In addition, we use a self-supervised contrastive learning mechanism to align uncertain voxel features with reliable class prototypes by effectively differentiating between trustworthy and uncertain predictions, thus reducing prediction uncertainty. Extensive experiments are conducted on three 3D segmentation datasets, Left Atrial, NIH Pancreas and BraTS-2019. The proposed approach consistently exhibits superior performance across various settings (e.g., 89.95\% Dice score on left Atrial with 10\% labeled data) compared to the state-of-the-art methods. Furthermore, the usefulness of the proposed modules is further validated via ablation experiments.