arXiv Machine Learning

Machine Learning for Live-Birth Prediction After IVF/ICSI From Structured Clinical Data: A Systematic Review, Meta-Analysis, and Critical Appraisal

This systematic review and meta‑analysis examined 48 machine‑learning studies that predict live‑birth outcomes after IVF/ICSI using routine clinical data. The pooled discrimination of internally validated models was an AUC of 0.814, while externally validated models had an AUC of 0.756, with no significant difference between them. Most studies (47/48) were at high or unclear risk of bias, only four assessed calibration, and none demonstrated clinical impact, leading to a low‑to‑very‑low certainty of evidence.

arXiv Machine Learning
Oct 16

Predicting Live Birth After Fresh Embryo Transfer in IVF/ICSI: Differential ICM/Trophectoderm Morphology Encoding and a Hybrid Attention--Logistic Regression Ensemble

The study presents a curated dataset of 616 fresh embryo-transfer cycles and develops a Hybrid Attention Network (HAN) combined with logistic regression to predict live birth after IVF/ICSI. The HAN+LR ensemble achieved the best performance with an AUC‑ROC of 0.710, outperforming both individual components and other machine‑learning baselines. The differentially weighted trophectoderm morphology emerged as the most important predictor across models.

By Abdul Raheem Shahzad, Jinxin Chen, Ming Zhang, Juan Deng
arXiv AI
Aug 28

Standalone LLM and a Pre-specified Agentic Pipeline for Explaining ICU Mortality Predictions: a Feasibility Study on the eICU Demo Dataset

The study evaluates a standalone large language model (LLM) versus a four‑step agentic pipeline for generating explanations of ICU mortality predictions on the eICU Demo dataset. XGBoost achieved an AUROC of 0.855 and an AUPRC of 0.332. In a 38‑case explanation subset, the standalone LLM produced one explanation with outcome leakage, while the agentic pipeline produced none; among 14 overlapping SHAP cases, the standalone LLM had higher SHAP alignment and direction consistency, whereas the agentic pipeline showed better guideline grounding, value specificity, and plausibility.

By Di Zhu, Chen Xie, Haoyun Zhang, Zihan Wei, Ziwei Wang, Jiazhao Shi, Ziyu Wang, Qiyang Xie
arXiv Computation and Language
Sep 11

Target leakage, not model class, explains reported accuracy in survey-based cardiovascular screening: a leakage-tiered audit of glass-box and tabular foundation models

The study audited ten different classifiers—including linear, tree‑ensemble, neural, glass‑box, and tabular foundation models—on national health survey data to predict myocardial infarction. By systematically removing features that could cause target leakage, the authors found that all models’ AUROC scores collapsed into a narrow band, indicating that reported high accuracy in prior work was largely due to leakage rather than model sophistication. The glass‑box explainable boosting machine performed comparably to other models while being much faster, and the authors demonstrated that fairness, calibration, and uncertainty can be audited and repaired without sacrificing performance.

By Raad Bin Tareaf, Murad Al-Rajab, Samia Loucif, Samer Ellaham, Cedric Schmitz
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
arXiv Machine Learning
Sep 18

Machine-Learning Assessment of the Predictive Value of Inflammatory Biomarkers for Cognitive Impairment in an Older Hispanic Adult Cohort

The study evaluates whether inflammatory biomarkers can predict cognitive impairment in older Hispanic adults using interpretable machine learning on a small clinical dataset. A leakage‑safe Bernoulli/Categorical Naive Bayes model was trained on 165 participants from the Panama Aging Research Initiative, with continuous predictors discretized via supervised chi‑square and income treated categorically. The biomarker I‑309 (CCL1) emerged as the sole reliable incremental predictor, boosting ROC‑AUC from 0.630 to 0.740 and achieving statistically significant performance across repeated cross‑validation and random partitions.

By Antony Garcia, Gabrielle Britton, Alcibiades Villarreal, Diana Oviedo, Giselle Rangel, Xinming Huang
arXiv Computation and Language
2d ago

Foundation Models to Unlock Real-World Evidence from Nationwide Medical Claims

ReClaim is a family of generative foundation models trained on 43.8 billion administrative claims from over 200 million enrollees in the MarketScan Research Databases. The models jointly learn diagnoses, procedures, medications, and expenditures, and outperform disease‑specific gradient‑boosted models and transformer baselines in predicting more than 1,000 diseases, forecasting next‑year expenditure, and identifying high‑need, high‑cost enrollees. ReClaim’s representations also improve effect estimates in real‑world evidence studies compared with algorithm‑derived covariates, demonstrating the value of nationwide insurance claims as a scalable substrate for healthcare foundation models.

By Fan Ma, Yuntian Liu, Xiang Lan, Weipeng Zhou, Jun Ni, Mauro Giuffr\`e, Lingfei Qian, Xueqing Peng, Yujia Zhou, Ruey-Ling Weng, Huan He, Lu Li, Huiyuan Wang, Qingyu Chen, Andrew Loza, Laila Rasmy, Degui Zhi, Yuan Lu, Chenjie Zeng, Joshua C Denny, Lee Schwamm, Daniella Meeker, Brian Ondov, Lucila Ohno-Machado, Yong Chen, Hua Xu
arXiv AI
Jul 21

Comprehensive Evaluation of Machine Learning for Type 2 Diabetes Risk Prediction: Large-Scale External Validation and Fairness Analysis

arXiv:2607. 16253v1 Announce Type: cross Abstract: Machine learning-based Type 2 diabetes risk prediction models obtain good internal validation results but lose effectiveness in real-world applications due to deficient external testing and fairness assessment.

By Rajveer Singh Pall, Sameer Yadav, Siddharth Bhalerao, Sourabh Sahu, Ritu Ahluwalia, Bhaskar Awadhiya