Comparative Analysis of Pre-trained Deep Learning Models and DINOv2 for Cushing's Syndrome Diagnosis in Facial Analysis

Cushing's syndrome is a condition caused by excessive glucocorticoid secretion from the adrenal cortex, often manifesting with moon facies and plethora, making facial data crucial for diagnosis. Previous studies have used pre-trained convolutional neural networks (CNNs) for diagnosing Cushing's syndrome using frontal facial images. However, CNNs are better at capturing local features, while Cushing's syndrome often presents with global facial features. Transformer-based models like ViT and SWIN, which utilize self-attention mechanisms, can better capture long-range dependencies and global features. Recently, DINOv2, a foundation model based on visual Transformers, has gained interest. This study compares the performance of various pre-trained models, including CNNs, Transformer-based models, and DINOv2, in diagnosing Cushing's syndrome. We also analyze gender bias and the impact of freezing mechanisms on DINOv2. Our results show that Transformer-based models and DINOv2 outperformed CNNs, with ViT achieving the highest F1 score of 85.74%. Both the pre-trained model and DINOv2 had higher accuracy for female samples. DINOv2 also showed improved performance when freezing parameters. In conclusion, Transformer-based models and DINOv2 are effective for Cushing's syndrome classification.

Seeking Consistent Flat Minima for Better Domain Generalization via Refining Loss Landscapes

Domain generalization aims to learn a model from multiple training domains and generalize it to unseen test domains. Recent theory has shown that seeking the deep models, whose parameters lie in the flat minima of the loss landscape, can significantly reduce the out-of-domain generalization error. However, existing methods often neglect the consistency of loss landscapes in different domains, resulting in models that are not simultaneously in the optimal flat minima in all domains, which limits their generalization ability. To address this issue, this paper proposes an iterative Self-Feedback Training (SFT) framework to seek consistent flat minima that are shared across different domains by progressively refining loss landscapes during training. It alternatively generates a feedback signal by measuring the inconsistency of loss landscapes in different domains and refines these loss landscapes for greater consistency using this feedback signal. Benefiting from the consistency of the flat minima within these refined loss landscapes, our SFT helps achieve better out-of-domain generalization. Extensive experiments on DomainBed demonstrate superior performances of SFT when compared to state-of-the-art sharpness-aware methods and other prevalent DG baselines. On average across five DG benchmarks, SFT surpasses the sharpness-aware minimization by 2.6% with ResNet-50 and 1.5% with ViT-B/16, respectively. The code will be available soon.