Direkt zum Inhalt

Kumari, Pratibha ; Chauhan, Joohi ; Bozorgpour, Afshin ; Huang, Boqiang ; Azad, Reza ; Merhof, Dorit

Continual learning in medical image analysis: A comprehensive review of recent advancements and future prospects

Kumari, Pratibha , Chauhan, Joohi, Bozorgpour, Afshin , Huang, Boqiang, Azad, Reza and Merhof, Dorit (2025) Continual learning in medical image analysis: A comprehensive review of recent advancements and future prospects. Medical Image Analysis 106, p. 103730.

Date of publication of this fulltext: 06 Aug 2025 07:08
Article
DOI to cite this document: 10.5283/epub.77510


Abstract

Medical image analysis has witnessed remarkable advancements, even surpassing human-level performance in recent years, driven by the rapid development of advanced deep-learning algorithms. However, when the inference dataset slightly differs from what the model has seen during one-time training, the model performance is greatly compromised. The situation requires restarting the training process ...

Medical image analysis has witnessed remarkable advancements, even surpassing human-level performance in recent years, driven by the rapid development of advanced deep-learning algorithms. However, when the inference dataset slightly differs from what the model has seen during one-time training, the model performance is greatly compromised. The situation requires restarting the training process using both the old and the new data, which is computationally costly, does not align with the human learning process, and imposes storage constraints and privacy concerns. Alternatively, continual learning has emerged as a crucial approach for developing unified and sustainable deep models to deal with new classes, tasks, and the drifting nature of data in non-stationary environments for various application areas. Continual learning techniques enable models to adapt and accumulate knowledge over time, which is essential for maintaining performance on evolving datasets and novel tasks. Owing to its popularity and promising performance, it is an active and emerging research topic in the medical field and hence demands a survey and taxonomy to clarify the current research landscape of continual learning in medical image analysis. This systematic review paper provides a comprehensive overview of the state-of-the-art in continual learning techniques applied to medical image analysis. We present an extensive survey of existing research, covering topics including catastrophic forgetting, data drifts, stability, and plasticity requirements. Further, an in-depth discussion of key components of a continual learning framework, such as continual learning scenarios, techniques, evaluation schemes, and metrics, is provided. Continual learning techniques encompass various categories, including rehearsal, regularization, architectural, and hybrid strategies. We assess the popularity and applicability of continual learning categories in various medical sub-fields like radiology and histopathology. Our exploration considers unique challenges in the medical domain, including costly data annotation, temporal drift, and the crucial need for benchmarking datasets to ensure consistent model evaluation. The paper also addresses current challenges and looks ahead to potential future research directions.



Involved Institutions


Details

Item typeArticle
Journal or Publication TitleMedical Image Analysis
Publisher:Elsevier, ScienceDirect
Volume:106
Page Range:p. 103730
Date28 July 2025
InstitutionsInformatics and Data Science > Department Computational Life Science > Chair of Image Analysis and Computer Vision (Prof. Dr.-Ing. Dorit Merhof)
Projects
Funded by: Deutsche Forschungsgemeinschaft (DFG) (445703531)
Funded by: Bundesministerium für Bildung und Forschung (BMBF) (01IS21067A)
Identification Number
ValueType
10.1016/j.media.2025.103730DOI
KeywordsContinual learning, Medical data drift, Domain shift, Concept drift, Medical image analysis Histopathology Radiology
Dewey Decimal Classification000 Computer science, information & general works > 004 Computer science
600 Technology > 610 Medical sciences Medicine
StatusPublished
RefereedYes, this version has been refereed
Created at the University of RegensburgPartially
URN of the UB Regensburgurn:nbn:de:bvb:355-epub-775105
Item ID77510

Export bibliographical data

Owner only: item control page

nach oben