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#!/usr/bin/env python3
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"""compare_patient_groupings.py
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Compare the three estimated patient groupings of the IQ-OTH/NCCD
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("lung_effnet") dataset against each other:
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siamese -> results/siamese_manifest.csv
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pca50 -> results/simple_patient_manifest.csv (PCA-50 CNN-feature K-means)
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thumbnail -> results/thumbnail_patient_manifest.csv (64x64 grayscale K-means)
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Downstream classification accuracy is affected similarly by all three, so the
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question this answers is: do the three methods actually partition the images
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differently? If they agree closely, the method choice is cosmetic; if they
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diverge, the groupings are genuinely different partitions — which, combined with
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the Task06 ground-truth validation (where siamese scored higher purity/capture),
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is what makes the siamese work worthwhile.
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Metrics are all label-invariant (cluster-id names don't matter):
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ARI - Adjusted Rand Index (chance-corrected pair agreement)
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NMI - Normalized Mutual Information
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V - V-measure (harmonic mean of homogeneity & completeness)
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Outputs:
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results/compare_patient_groupings.json
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plots/analysis/grouping_agreement_heatmap.png
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Usage:
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conda activate fundus_imaging
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python scripts/analysis/compare_patient_groupings.py
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"""
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import os
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import csv
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import json
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from itertools import combinations
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import numpy as np
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import matplotlib
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matplotlib.use("Agg")
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import matplotlib.pyplot as plt
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from sklearn.metrics import (
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adjusted_rand_score,
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normalized_mutual_info_score,
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homogeneity_completeness_v_measure,
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)
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ROOT = os.path.dirname(os.path.dirname(os.path.dirname(os.path.abspath(__file__))))
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RESULTS_DIR = os.path.join(ROOT, "results")
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PLOTS_DIR = os.path.join(ROOT, "plots", "analysis")
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METHODS = {
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"siamese": "siamese_manifest.csv",
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"pca50": "simple_patient_manifest.csv",
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"thumbnail": "thumbnail_patient_manifest.csv",
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}
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METHOD_ORDER = ["siamese", "pca50", "thumbnail"]
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CLASS_OF = {"B": "Benign", "M": "Malignant", "N": "Normal"}
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def load_manifest(path):
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"""Return {image_short_name: group_id} from a manifest CSV."""
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mapping = {}
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with open(path, newline="") as f:
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for row in csv.DictReader(f):
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for img in row["images"].split(";"):
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if img:
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mapping[img] = row["patient_id"]
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return mapping
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def size_stats(labels):
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"""Group-size distribution for one method's label array."""
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_, counts = np.unique(labels, return_counts=True)
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return {
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"n_groups": int(len(counts)),
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"min": int(counts.min()),
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"median": float(np.median(counts)),
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"mean": float(counts.mean()),
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"max": int(counts.max()),
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"singletons": int((counts == 1).sum()),
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}
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def agreement(a, b):
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h, c, v = homogeneity_completeness_v_measure(a, b)
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return {"ARI": float(adjusted_rand_score(a, b)),
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"NMI": float(normalized_mutual_info_score(a, b)),
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"V": float(v)}
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def main():
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maps = {m: load_manifest(os.path.join(RESULTS_DIR, f))
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for m, f in METHODS.items()}
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# Align on images present in all three (should be the full 1,097).
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common = sorted(set.intersection(*[set(mp) for mp in maps.values()]))
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classes = np.array([CLASS_OF.get(img.split("_")[0], "?") for img in common])
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labels = {m: np.array([maps[m][img] for img in common]) for m in METHOD_ORDER}
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print(f"Aligned on {len(common)} images common to all three methods.\n")
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# --- Structural summary --------------------------------------------------
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print("=" * 72)
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print("GROUP STRUCTURE PER METHOD")
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print("=" * 72)
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print(f"{'method':<12s} {'groups':>7s} {'min':>5s} {'median':>7s} "
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f"{'mean':>6s} {'max':>5s} {'singletons':>11s}")
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structure = {}
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for m in METHOD_ORDER:
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s = size_stats(labels[m])
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structure[m] = s
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print(f"{m:<12s} {s['n_groups']:>7d} {s['min']:>5d} {s['median']:>7.1f} "
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f"{s['mean']:>6.1f} {s['max']:>5d} {s['singletons']:>11d}")
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# --- Pairwise agreement --------------------------------------------------
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print("\n" + "=" * 72)
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print("PAIRWISE AGREEMENT (how similarly the methods partition the images)")
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print("=" * 72)
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print(f"{'pair':<24s} {'ARI':>8s} {'NMI':>8s} {'V':>8s}")
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print("-" * 52)
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pairwise = {}
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ari_matrix = np.eye(len(METHOD_ORDER))
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for i, j in combinations(range(len(METHOD_ORDER)), 2):
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a, b = METHOD_ORDER[i], METHOD_ORDER[j]
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g = agreement(labels[a], labels[b])
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pairwise[f"{a}_vs_{b}"] = g
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ari_matrix[i, j] = ari_matrix[j, i] = g["ARI"]
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print(f"{a+' vs '+b:<24s} {g['ARI']:>8.3f} {g['NMI']:>8.3f} {g['V']:>8.3f}")
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# --- Per-class ARI -------------------------------------------------------
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print("\n" + "=" * 72)
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print("PER-CLASS ARI (agreement within each diagnostic class)")
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print("=" * 72)
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print(f"{'pair':<24s} " + " ".join(f"{c:>10s}" for c in ["Benign", "Malignant", "Normal"]))
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print("-" * 60)
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per_class = {}
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for i, j in combinations(range(len(METHOD_ORDER)), 2):
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a, b = METHOD_ORDER[i], METHOD_ORDER[j]
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row = {}
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cells = []
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for c in ["Benign", "Malignant", "Normal"]:
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mask = classes == c
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ari = float(adjusted_rand_score(labels[a][mask], labels[b][mask]))
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row[c] = ari
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cells.append(f"{ari:>10.3f}")
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per_class[f"{a}_vs_{b}"] = row
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print(f"{a+' vs '+b:<24s} " + " ".join(cells))
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# --- Odd-one-out: mean ARI of each method vs the other two ---------------
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print("\n" + "=" * 72)
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print("MEAN ARI OF EACH METHOD VS THE OTHER TWO (lower = most distinct)")
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print("=" * 72)
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mean_ari = {}
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for i, m in enumerate(METHOD_ORDER):
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others = [ari_matrix[i, j] for j in range(len(METHOD_ORDER)) if j != i]
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mean_ari[m] = float(np.mean(others))
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print(f" {m:<12s} {mean_ari[m]:.3f}")
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odd = min(mean_ari, key=mean_ari.get)
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print(f"\n Most distinct grouping: {odd}")
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# --- Save + heatmap ------------------------------------------------------
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out = {
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"n_images": len(common),
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"structure": structure,
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"pairwise": pairwise,
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"per_class_ARI": per_class,
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"mean_ari_vs_others": mean_ari,
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"most_distinct": odd,
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}
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os.makedirs(RESULTS_DIR, exist_ok=True)
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out_path = os.path.join(RESULTS_DIR, "compare_patient_groupings.json")
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with open(out_path, "w") as f:
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json.dump(out, f, indent=2)
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print(f"\nSaved metrics → {out_path}")
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fig, ax = plt.subplots(figsize=(5.5, 4.5))
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im = ax.imshow(ari_matrix, vmin=0, vmax=1, cmap="viridis")
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ax.set_xticks(range(len(METHOD_ORDER)))
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ax.set_yticks(range(len(METHOD_ORDER)))
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ax.set_xticklabels(METHOD_ORDER)
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ax.set_yticklabels(METHOD_ORDER)
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for i in range(len(METHOD_ORDER)):
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for j in range(len(METHOD_ORDER)):
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ax.text(j, i, f"{ari_matrix[i, j]:.2f}", ha="center", va="center",
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color="white" if ari_matrix[i, j] < 0.6 else "black", fontsize=11)
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ax.set_title("Patient-grouping agreement (ARI)\nIQ-OTH/NCCD, 1,097 images")
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fig.colorbar(im, ax=ax, label="Adjusted Rand Index")
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plt.tight_layout()
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os.makedirs(PLOTS_DIR, exist_ok=True)
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plot_path = os.path.join(PLOTS_DIR, "grouping_agreement_heatmap.png")
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plt.savefig(plot_path, dpi=150)
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plt.close()
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print(f"Saved heatmap → {plot_path}")
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if __name__ == "__main__":
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main()
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