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MammographyTransfer LearningBreast Abnormality Classification

Attention-Guided Erasing for Enhanced Transfer Learning in Breast Abnormality Classification

International Journal of Computer Assisted Radiology and Surgery / 2025 / journal

Panambur AB, Bhat S, Yu H, Madhu P, Bayer S, Maier A

Overview diagram of the Attention-Guided Erasing methodology
Method overview from the open-access AGE journal article. PMC source

Scientific summary

AGE uses self-supervised attention maps to guide stochastic erasing, preserving task-relevant mammography regions during transfer learning.

Abstract

This journal article evaluates Attention-Guided Erasing as a self-supervised, task-specific augmentation strategy across image-level and patch-level mammography classification tasks.

Why it matters

The work targets a practical transfer-learning limitation in medical imaging: improving task-specific representation learning when annotated data are limited.

Contribution

The journal article tests whether Attention-Guided Erasing generalizes beyond a single task across digital mammography, contrast-enhanced mammography, and patch-level abnormality classification.

Method overview

A DINO-pretrained Vision Transformer produces attention-head maps. Selected maps are converted to binary masks, used for stochastic erasing, and evaluated during downstream transfer learning.

Key findings

  • Reported statistically significant mean F1-score gains across four of five evaluated classification tasks.
  • Image-level gains were reported for breast density in digital mammography and malignancy in contrast-enhanced mammography.
  • The mass classification task showed only marginal improvement, marking a useful boundary case.

Citation

Panambur AB, Bhat S, Yu H, Madhu P, Bayer S, Maier A. (2025). Attention-Guided Erasing for Enhanced Transfer Learning in Breast Abnormality Classification. International Journal of Computer Assisted Radiology and Surgery.

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