Abstract
Generative adversarial networks (GANs) are increasingly used to augment medical imaging datasets, but synthetic images do not necessarily provide downstream classification benefits. This study investigates whether class-specific Deep Convolutional Generative Adversarial Network (DCGAN) augmentation improves brain tumor classification when the classifier and evaluation set are held constant. Experiments were conducted on 7,200 brain magnetic resonance imaging (MRI) scans across four classes: glioma, meningioma, pituitary tumor, and no tumor. For each class, 1,400 real images were used for training and 400 were reserved for testing. A baseline Swin Transformer classifier was trained using only the real training images and compared with a second model trained using the same real images augmented with 500 DCGAN-generated images per class. Both conditions were evaluated on the identical held-out test set. The two models achieved the same overall accuracy of 96%, while macro F1 remained effectively unchanged and ROC-AUC decreased slightly from 0.987 to 0.982 after augmentation. Class-level analysis showed small redistributions in errors rather than a consistent performance gain. FID values between real and synthetic images ranged from 209.15 to 314.27, indicating substantial distributional differences under the adopted evaluation setup. These results suggest that synthetic augmentation should not be assumed to improve medical image classification and should instead be evaluated for both distributional fidelity and downstream task utility.
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URL
https://arxiv.org/abs/2609.28508
