arXiv Machine Learning

Diagnosing Low-Confidence Patient Profiles via Localized Harmful Covariate Shift Detection

arXiv Machine Learning
2d ago

Local Discrimination of Binary Classifiers via Localized AUC Functional

The paper introduces a new metric called Localized AUC (LAUC), a weighted version of the traditional AUC, to detect performance heterogeneity in risk prediction models. Using LAUC, the authors develop a method named LOCATOR that identifies patient cohorts where the model’s predictions are inaccurate. They validate LOCATOR on both real-world data and simulations and provide a statistical foundation for applying LAUC in this context.

By Wenye Ren, Anna Gy\H{o}rffy-Kerekes, Tancredi Dorsi, Olga Demler
arXiv Machine Learning
Jul 30

CalTwin: Towards Calibrated, Shift-Robust Medical World Models via Fisher-Information Regularisation

arXiv:2607. 26752v1 Announce Type: new Abstract: Medical world models aim to learn a latent state of patient or organ physiology and a transition function that forecasts how that state evolves under interventions, supporting downstream tasks from imaging-based diagnosis to digital-twin treatment planning.

By Behraj Khan, Shabir Ahmad, Syed Ahmad Chan Bukhari, Tahir Qasim Syed
arXiv AI
Aug 11

FoMoH: A clinically meaningful foundation model evaluation for structured electronic health records

arXiv:2505. 16941v4 Announce Type: replace-cross Abstract: Foundation models (FMs) promise to address core limitations of traditional supervised machine learning: (i) reliance on large amounts of labeled data, (ii) task specificity, and (iii) poor transportability.

By Vincent Jeanselme, Zilin Jing, Aparajita Kashyap, Chao Pang, Florent Pollet, Young Sang Choi, Xinzhuo Jiang, Yuta Kobayashi, Yanwei Li, Sara Matijevic, Karthik Natarajan, Shalmali Joshi
arXiv Machine Learning
Oct 12

Hidden Data Challenges in Clinical Machine Learning

The paper highlights hidden data challenges in clinical machine learning, focusing on how commonly reused preprocessing pipelines for electronic health records embed assumptions about data availability, episode definitions, and missingness. Using MIMIC-IV, the authors identify violations in temporal, semantic, and population alignment—leading to temporal leakage, feature-task misalignment, and biased imputation—and show that these ambiguities can alter model signals without affecting overall predictive performance. They provide practical recommendations and open-source code for more temporally valid, clinically aligned, and reproducible preprocessing.

By Carolin Ciss\'ee, Dennis Fast, Raneen Younis, Alexander L\"oser, Wolfgang Nejdl, Zahra Ahmadi
arXiv AI
Sep 3

The Ceiling Is in the Channel: Auditing Learner Gaps and Measurement Frontiers in Clinical Prediction

The paper introduces a framework that distinguishes two causes of saturation in clinical prediction: a learner gap, where the model fails to use available information, and a measurement‑channel ceiling, where the recorded variables limit performance. It provides theoretical characterizations, finite‑sample diagnostics, and empirical audits across three large cohorts, showing that well‑tuned models approach the frontier while deficient learners leave large gaps. A PRISMA‑guided synthesis across 104 tasks reveals consistent channel‑level patterns, suggesting that improving the learner or the measurement channel can audit and potentially lift performance.

By Sayeed Shafayet Chowdhury, Nusrat Jahan, Snehasis Mukhopadhyay, Shiaofen Fang, Vijay R. Ramakrishnan