Mitigating Overfitting in Medical Imaging: Self-Supervised Pretraining vs. ImageNet Transfer Learning for Dermatological Diagnosis
Journal:
arXiv
Published Date:
May 22, 2025
Abstract
Deep learning has transformed computer vision but relies heavily on large
labeled datasets and computational resources. Transfer learning, particularly
fine-tuning pretrained models, offers a practical alternative; however, models
pretrained on natural image datasets such as ImageNet may fail to capture
domain-specific characteristics in medical imaging. This study introduces an
unsupervised learning framework that extracts high-value dermatological
features instead of relying solely on ImageNet-based pretraining. We employ a
Variational Autoencoder (VAE) trained from scratch on a proprietary
dermatological dataset, allowing the model to learn a structured and clinically
relevant latent space. This self-supervised feature extractor is then compared
to an ImageNet-pretrained backbone under identical classification conditions,
highlighting the trade-offs between general-purpose and domain-specific
pretraining. Our results reveal distinct learning patterns. The self-supervised
model achieves a final validation loss of 0.110 (-33.33%), while the
ImageNet-pretrained model stagnates at 0.100 (-16.67%), indicating overfitting.
Accuracy trends confirm this: the self-supervised model improves from 45% to
65% (+44.44%) with a near-zero overfitting gap, whereas the ImageNet-pretrained
model reaches 87% (+50.00%) but plateaus at 75% (+19.05%), with its overfitting
gap increasing to +0.060. These findings suggest that while ImageNet
pretraining accelerates convergence, it also amplifies overfitting on
non-clinically relevant features. In contrast, self-supervised learning
achieves steady improvements, stronger generalization, and superior
adaptability, underscoring the importance of domain-specific feature extraction
in medical imaging.