Generalization of deep learning models for hepatic steatosis grading using B-mode ultrasound images
Bibliographic record
Abstract
Grayscale ultrasound remains a key modality for screening of hepatic steatosis due to its non-invasiveness and availability. While neural networks have shown promise in this field, their main drawback lies in their inability to generalize to diverse real-world settings. Variations in equipment, acquisition parameters, or population significantly affect model performance. Test-time adaptation, an unsupervised domain adaptation technique, overcomes these limitations by adjusting trained models during inference. Our retrospective study used two datasets collected in separate populations, with different scanners and protocols. We propose an adaptation method, using test-time batch normalization to selectively adjust BatchNorm layers based on test data for predicting steatosis grades. Comparing the non-adapted and adapted models, the mean absolute error (± standard deviation) in grading four severities of steatosis decreased from 0.92 ± 0.21 to 0.64 ± 0.22 . Specifically, for detection of steatosis the area under the curve increased from 0.76 ± 0.05 to 0.95 ± 0.02 when using the adapted model. Adapted models show promising results in improving performance compared to base models when testing data differ significantly from training data. Results suggest that the proposed method effectively addresses domain shift in diagnosing fatty liver using ultrasound images, reducing risks associated with deploying trained models.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.005 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.000 | 0.001 |
| Bibliometrics | 0.001 | 0.000 |
| Science and technology studies | 0.000 | 0.000 |
| Scholarly communication | 0.001 | 0.001 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.001 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".