MIFR: A Modality-Invariant and Fair Representation Framework for Skin Disease Classification
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The paper introduces MIFR, a modality‑invariant and fair representation framework for skin disease classification that jointly processes clinical photographs and dermoscopic images using ViT‑based encoders. It employs a five‑component multi‑objective loss to balance classification accuracy, fairness across skin tones, class alignment, and modality invariance. Experiments on paired and external datasets demonstrate competitive predictive performance and fairness, with t‑SNE visualizations confirming alignment of embeddings from different modalities.
Accurate dermatological diagnosis naturally necessitates equitable performance across diverse populations, yet a systematic lack of expertly annotated images, especially for underrepresented skin tones and rare diseases, impedes progress toward measurably fair methods. We introduce cgDDI (Controllable Generation of Diverse Dermatological Imagery), a hybrid framework that (1) synthesizes realistic healthy skin samples without disturbing other input properties, (2) maps single-sample rare lesions onto novel skin-tones and locations non-parametrically, and (3) allows for efficient parametric generation with as few as 10 training samples.
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