HypCBC: Domain-Invariant Hyperbolic Cross-Branch Consistency for Generalizable Medical Image Analysis

📅 2026-02-03
📈 Citations: 0
Influential: 0
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🤖 AI Summary
This work addresses the challenge of distribution shifts in medical image analysis caused by variations in imaging devices, protocols, and patient populations. To enhance model generalizability, the authors propose a novel domain generalization method grounded in hyperbolic geometry, embedding a Vision Transformer within a hyperbolic space to better capture the hierarchical structure inherent in medical images. The approach introduces the first unsupervised domain-invariant cross-branch consistency constraint, enabling the learning of robust and transferable feature representations. This study presents the first systematic validation of hyperbolic representation learning for medical image analysis. Extensive experiments demonstrate that the proposed method significantly outperforms existing Euclidean-based approaches across 11 in-distribution datasets and three domain generalization benchmarks, achieving an average AUC improvement of 2.1% across multimodal and multiscale tasks.

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📝 Abstract
Robust generalization beyond training distributions remains a critical challenge for deep neural networks. This is especially pronounced in medical image analysis, where data is often scarce and covariate shifts arise from different hardware devices, imaging protocols, and heterogeneous patient populations. These factors collectively hinder reliable performance and slow down clinical adoption. Despite recent progress, existing learning paradigms primarily rely on the Euclidean manifold, whose flat geometry fails to capture the complex, hierarchical structures present in clinical data. In this work, we exploit the advantages of hyperbolic manifolds to model complex data characteristics. We present the first comprehensive validation of hyperbolic representation learning for medical image analysis and demonstrate statistically significant gains across eleven in-distribution datasets and three ViT models. We further propose an unsupervised, domain-invariant hyperbolic cross-branch consistency constraint. Extensive experiments confirm that our proposed method promotes domain-invariant features and outperforms state-of-the-art Euclidean methods by an average of $+2.1\%$ AUC on three domain generalization benchmarks: Fitzpatrick17k, Camelyon17-WILDS, and a cross-dataset setup for retinal imaging. These datasets span different imaging modalities, data sizes, and label granularities, confirming generalization capabilities across substantially different conditions. The code is available at https://github.com/francescodisalvo05/hyperbolic-cross-branch-consistency .
Problem

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

domain generalization
medical image analysis
covariate shift
data scarcity
distribution shift
Innovation

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

hyperbolic representation learning
domain generalization
cross-branch consistency
medical image analysis
domain-invariant features
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Francesco Di Salvo
xAILab Bamberg, University of Bamberg, Germany
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Jonas Alle
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