PAGE: Domain-Incremental Adaptation with Past-Agnostic Generative Replay for Smart Healthcare

We propose PAGE, a domain-incremental adaptation strategy with past-agnostic generative replay for smart healthcare. PAGE enables generative replay without the aid of any preserved data or information from prior domains. When adapting to a new domain, it exploits real data from the new distribution and the current model to generate synthetic data that retain the learned knowledge of previous domains. By replaying the synthetic data with the new real data during training, PAGE achieves a good balance between domain adaptation and knowledge retention. In addition, we incorporate an extended inductive conformal prediction (EICP) method into PAGE to produce a confidence score and a credibility value for each detection result. This makes the predictions interpretable and provides statistical guarantees for disease detection in smart healthcare applications. We demonstrate PAGE's effectiveness in domain-incremental disease detection with three distinct disease datasets collected from commercially available WMSs. PAGE achieves highly competitive performance against state-of-the-art with superior scalability, data privacy, and feasibility. Furthermore, PAGE can enable up to 75% reduction in clinical workload with the help of EICP.