SPECTRAFORGE: Domain-Equalized Frequency-Spatial Fusion for Synthetic Dermatology Detection

Abstract

Spatial deepfake detectors in medical imaging often exploit dataset-level artifacts rather than authentic generative fingerprints, leading to severe performance degradation on unseen generators. We introduce SPECTRAFORGE, a two-stream CNN framework that decouples spatial morphology from frequency-domain synthetic artifacts. A Gaussian-bottlenecked spatial stream captures lesion morphology, while a parallel FFT-magnitude stream targets periodic upsampling artifacts from diffusion decoders. An Extreme Equalizer preprocessing pipeline is used to eliminate spatial dataset leakage before feature extraction. On a controlled 2,000-image forensic cohort, SPECTRAFORGE achieves an AUC of 0.9971 ± 0.0016 and Precision of 0.9931 ± 0.0056. Under cross-checkpoint OOD evaluation, SPECTRAFORGE maintains an AUC of 0.9277 compared with 0.5494 for EfficientNet-B0, demonstrating substantially stronger domain generalization.

Key Methodologies & Contributions

Publication Status

Accepted for Short Oral Presentation at IEEE DSAA, 2026 — CORE A Tier (<25% acceptance rate)

Authors: A. Kumar, L. Chhetri, D. Das

Code & Resources