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For medical imaging AI models to be clinically impactful, they must generalize. However, this goal is hindered by (i) diverse types of distribution shifts, such as temporal, demographic, and label shifts, and (ii) limited diversity in datasets that are siloed within single medical institutions. While these limitations have spurred interest in federated learning, current evaluation benchmarks fail to evaluate different shifts simultaneously. However, in real healthcare settings, multiple types of shifts co-exist, yet their impact on medical imaging performance remains unstudied. In response, we introduce FedMedICL, a unified framework and benchmark to holistically evaluate federated medical imaging challenges, simultaneously capturing label, demographic, and temporal distribution shifts. We comprehensively evaluate several popular methods on six diverse medical imaging datasets (totaling 550 GPU hours). Furthermore, we use FedMedICL to simulate COVID-19 propagation across hospitals and evaluate whether methods can adapt to pandemic changes in disease prevalence. We find that a simple batch balancing technique surpasses advanced methods in average performance across FedMedICL experiments. This finding questions the applicability of results from previous, narrow benchmarks in real-world medical settings., Comment: Accepted at MICCAI 2024. Code is available at: https://github.com/m1k2zoo/FedMedICL

In recent years, online distillation has emerged as a powerful technique for adapting real-time deep neural networks on the fly using a slow, but accurate teacher model. However, a major challenge in online distillation is catastrophic forgetting when the domain shifts, which occurs when the student model is updated with data from the new domain and forgets previously learned knowledge. In this paper, we propose a solution to this issue by leveraging the power of continual learning methods to reduce the impact of domain shifts. Specifically, we integrate several state-of-the-art continual learning methods in the context of online distillation and demonstrate their effectiveness in reducing catastrophic forgetting. Furthermore, we provide a detailed analysis of our proposed solution in the case of cyclic domain shifts. Our experimental results demonstrate the efficacy of our approach in improving the robustness and accuracy of online distillation, with potential applications in domains such as video surveillance or autonomous driving. Overall, our work represents an important step forward in the field of online distillation and continual learning, with the potential to significantly impact real-world applications., Comment: Accepted at the 4th Workshop on Continual Learning in Computer Vision (CVPR 2023)

Current evaluations of Continual Learning (CL) methods typically assume that there is no constraint on training time and computation. This is an unrealistic assumption for any real-world setting, which motivates us to propose: a practical real-time evaluation of continual learning, in which the stream does not wait for the model to complete training before revealing the next data for predictions. To do this, we evaluate current CL methods with respect to their computational costs. We conduct extensive experiments on CLOC, a large-scale dataset containing 39 million time-stamped images with geolocation labels. We show that a simple baseline outperforms state-of-the-art CL methods under this evaluation, questioning the applicability of existing methods in realistic settings. In addition, we explore various CL components commonly used in the literature, including memory sampling strategies and regularization approaches. We find that all considered methods fail to be competitive against our simple baseline. This surprisingly suggests that the majority of existing CL literature is tailored to a specific class of streams that is not practical. We hope that the evaluation we provide will be the first step towards a paradigm shift to consider the computational cost in the development of online continual learning methods., Comment: Accepted at CVPR'23 as Highlight (Top 2.5%)