GeMix: Conditional GAN-Based Mixup for Improved Medical Image Augmentation

📅 2025-07-21
📈 Citations: 0
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🤖 AI Summary
Traditional Mixup degrades robustness and clinical reliability in medical image classification due to pixel-level interpolation that produces semantically distorted samples. To address this, we propose a two-stage class-conditional GAN-based mixing augmentation framework. In Stage I, label-aware continuous class manifold interpolation is achieved using a pretrained StyleGAN2-ADA generator guided by soft labels. In Stage II, Dirichlet-prior sampling combined with Beta-distributed mixing coefficients ensures high-fidelity, visually coherent, and semantically plausible synthetic images. The method is plug-and-play—requiring no modification to backbone architectures or training pipelines. Evaluated on the COVIDx-CT-3 dataset across multiple backbones, it consistently improves macro-F1 by an average of +2.1% and reduces false-negative rate by up to 37%, demonstrating strong efficacy and generalizability for high-stakes medical diagnosis tasks.

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📝 Abstract
Mixup has become a popular augmentation strategy for image classification, yet its naive pixel-wise interpolation often produces unrealistic images that can hinder learning, particularly in high-stakes medical applications. We propose GeMix, a two-stage framework that replaces heuristic blending with a learned, label-aware interpolation powered by class-conditional GANs. First, a StyleGAN2-ADA generator is trained on the target dataset. During augmentation, we sample two label vectors from Dirichlet priors biased toward different classes and blend them via a Beta-distributed coefficient. Then, we condition the generator on this soft label to synthesize visually coherent images that lie along a continuous class manifold. We benchmark GeMix on the large-scale COVIDx-CT-3 dataset using three backbones (ResNet-50, ResNet-101, EfficientNet-B0). When combined with real data, our method increases macro-F1 over traditional mixup for all backbones, reducing the false negative rate for COVID-19 detection. GeMix is thus a drop-in replacement for pixel-space mixup, delivering stronger regularization and greater semantic fidelity, without disrupting existing training pipelines. We publicly release our code at https://github.com/hugocarlesso/GeMix to foster reproducibility and further research.
Problem

Research questions and friction points this paper is trying to address.

Improves unrealistic medical images from naive mixup
Uses GANs for label-aware image interpolation
Reduces false negatives in COVID-19 detection
Innovation

Methods, ideas, or system contributions that make the work stand out.

Uses class-conditional GANs for label-aware interpolation
Combines StyleGAN2-ADA with Dirichlet and Beta sampling
Enhances COVID-19 detection with semantic fidelity
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