A Thorough Comparison Study on Adversarial Attacks and Defenses for Common Thorax Disease Classification in Chest X-rays

Recently, deep neural networks (DNNs) have made great progress on automated diagnosis with chest X-rays images. However, DNNs are vulnerable to adversarial examples, which may cause misdiagnoses to patients when applying the DNN based methods in disease detection. Recently, there is few comprehensive studies exploring the influence of attack and defense methods on disease detection, especially for the multi-label classification problem. In this paper, we aim to review various adversarial attack and defense methods on chest X-rays. First, the motivations and the mathematical representations of attack and defense methods are introduced in details. Second, we evaluate the influence of several state-of-the-art attack and defense methods for common thorax disease classification in chest X-rays. We found that the attack and defense methods have poor performance with excessive iterations and large perturbations. To address this, we propose a new defense method that is robust to different degrees of perturbations. This study could provide new insights into methodological development for the community.