Sebastian Doerrich, Daniel Würtinger, Francesco Di Salvo +2eess.IV cs.CV cs.LG
Adapting deep learning models to profound clinical heterogeneity typically relies on parameter-efficient fine-tuning (PEFT) to avoid the severe overfitting associated with full end-to-end network updates. Although PEFT successfully navigates limited data scenarios, it inherently forces the training of a separate, isolated adapter for every specific diagnostic task. Consolidating these isolated adapters into a single generalist network risks negative transfer, as optimization gradients from conflicting visual domains interfere. To address this, we propose MoPET, a mixture-of-experts (MoE) method that uses a learned sparse router to direct each input through a small subset of low-rank PEFT experts injected into a frozen foundation model, sharing capacity across datasets while limiting cross-domain gradient conflict. Through selected evaluations on the MedMNIST benchmark, we first establish that PEFT outperforms full network updates, improving average accuracy from 86.50% to 88.97%. We then show that a single MoPET model consolidates four heterogeneous datasets into one network, improving average accuracy over the best isolated PEFT adapters (93.46% versus 92.83%). Finally, we show that co-training with auxiliary datasets improves accuracy on data-constrained clinical targets, raising average target accuracy over the strongest isolated adapter from 81.58% to 83.58%. Our source code is publicly available at https://github.com/sdoerrich97/mopet.
Common practice when training Convolutional Neural Networks (CNNs) is to use randomly shuffled mini-batches. This creates two limitations: slower convergence, and a diminishing learning signal, since many samples are quickly classified as easy during training. We address these inefficiencies with A*-Inspired Batch Selection (A*-BS), a lightweight, model-agnostic strategy that formulates mini-batch scheduling as a heuristic search problem. Each batch is treated as a node in a search space and ranked using an A*-like score combining a loss-based difficulty measure with a reuse penalty. This encourages informative gradient updates and batch diversity throughout training, without modifying network architectures or optimization algorithms, so it integrates seamlessly into existing pipelines. We evaluate A*-BS on the twelve 2D classification tasks of the MedMNIST-v2 benchmark, using a deliberately simple architecture of approximately 2.25x10^5 parameters, compared against the ResNet-18 and ResNet-50 baselines reported by the benchmark. On half of these tasks, the lightweight model with A*-BS reaches higher accuracy and AUC than both ResNet baselines, with relative gains of up to 15%. An ablation under identical architecture and hyperparameters shows A*-BS outperforms random batch shuffling on all twelve tasks. Wall-clock measurements further show the lightweight CNN with A*-BS trains substantially faster than ResNet-18 and ResNet-50 on identical hardware. These results indicate that intelligent batch ordering can partially compensate for reduced architectural complexity, offering a computationally efficient alternative to deeper models, with reliability reinforced by strong performance even against deeper, more sophisticated architectures.