Towards Generalizable Machine Learning for Chest X-ray Diagnosis with Multi-task learning

Clinicians use chest radiography (CXR) to diagnose common pathologies. Automated classification of these diseases can expedite analysis workflow, scale to growing numbers of patients and reduce healthcare costs. While research has produced classification models that perform well on a given dataset, the same models lack generalization on different datasets. This reduces confidence that these models can be reliably deployed across various clinical settings. We propose an approach based on multitask learning to improve model generalization. We demonstrate that learning a (main) pathology together with an auxiliary pathology can significantly impact generalization performance (between -10% and +15% AUC-ROC). A careful choice of auxiliary pathology even yields competitive performance with state-of-the-art models that rely on fine-tuning or ensemble learning, using between 6% and 34% of the training data that these models required. We, further, provide a method to determine what is the best auxiliary task to choose without access to the target dataset. Ultimately, our work makes a big step towards the creation of CXR diagnosis models applicable in the real world, through the evidence that multitask learning can drastically improve generalization