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Paper · arXiv

Less Annotation, More Interpretation: Prior-Guided Concept Bottleneck Models for Interpretable Cancer Imaging Diagnosis

Concept bottleneck models (CBMs) can improve the transparency of cancer image diagnostic prediction by expressing predictions through radiological concepts. However, their dependence on instance-level concept annotations limits practical applicability. We propose a prior-guided hybrid CBM that integrates limited concept annotations, class-conditional concept distribution matching on unannotated patients, and prior initialization of the concept-to-diagnosis head. We evaluate the method on CBIS-DDSM mammographic masses and calcifications and LIDC-IDRI pulmonary nodules across 0-100% concept annotation. In the clinically relevant 0-20% annotation regime, the hybrid CBM consistently improves ...

AuthorsBaoqiang Ma, Kenneth Gilhuijs
Primary categorycs.CV
Published13 August 2026
Last updated at source13 August 2026
cs.CV
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