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Item Full Training versus Fine Tuning for Radiology Images Concept Detection Task for the ImageCLEF 2019 Challenge(2019) Sinha, Priyanshu; Purkayastha, Saptarshi; Gichoya, Judy; BioHealth Informatics, School of Informatics and ComputingConcept detection from medical images remains a challenging task that limits implementation of clinical ML/AI pipelines because of the scarcity of the highly trained experts to annotate images. There is a need for automated processes that can extract concrete textual information from image data. ImageCLEF 2019 provided us a set of images with labels as UMLS concepts. We participated for the rst time for the concept detection task using transfer learning. Our approach involved an experiment of layerwise ne tuning (full training) versus ne tuning based on previous reported recommendations for training classi cation, detection and segmentation tasks for medical imaging. We ranked number 9 in this year's challenge, with an F1 result of 0.05 after three entries. We had a poor result from performing layerwise tuning (F1 score of 0.014) which is consistent with previous authors who have described the bene t of full training for transfer learning. However when looking at the results by a radiologist, the terms do not make clinical sense and we hypothesize that we can achieve better performance when using medical pretrained image models for example PathNet and utilizing a hierarchical training approach which is the basis of our future work on this dataset.