随机锚点与低秩去相关学习：类增量医学图像分类的极简流程

ICLR 2026 Poster accepted paper at ICLR 2026. Class-incremental learning (CIL) in medical image-guided diagnosis requires models to preserve knowledge of historical disease classes while adapting to emerging categories. Pre-trained models (PTMs) with well-generalized features provide a strong foundation, yet most PTM-based CIL strategies, such as prompt tuning, task-specific adapters and model mixtures, rely on increasingly complex designs. While effective in general-domain benchmarks, these methods falter in medical imaging, where low intra-class variability and high inter-domain shifts (from scanners, protocols and institutions) make CIL particularly prone to representation collapse and domain misalignment. Under such conditions, we find that lightweight representation calibration strategies, often dismissed in general-domain CIL for their modest gains, can be remarkably effective for adapting PTMs in medical settings.