The paper introduces FRAME, a two‑step framework for auditing fairness claims in medical imaging. First, it derives a fair‑model reference distribution that captures the portion of subgroup performance differences attributable to sampling variation. Second, it tests the remaining difference using operators in representation space to assess whether demographic information or disease entanglement drives the bias. Across a large dataset of 702,206 images and 36 encoders, the reference explains a substantial median share of race and age differences, while interventions such as injecting demographic decodability or entangling disease direction have limited impact on the residual bias.
By Mahshad Lotfinia, Daniel Truhn, Andreas Maier, Soroosh Tayebi Arasteh
Subgroup performance differences are the standard evidence for fairness bias in medical imaging, and the usual response removes the demographic information that a model encodes. Here we introduce Fair...
arXiv:2604. 16450v2 Announce Type: replace-cross Abstract: Intersectional biases in healthcare data can produce compound disparities in clinical machine learning models, yet most fairness evaluations assess demographic attributes independently.
By Nick Souligne, Vignesh Subbian
The paper proposes Causal Evidentiary Governance (CEG), a framework that requires regulated institutions to maintain a versioned directed acyclic graph (DAG) separating allowable from disallowed causal pathways in high‑risk machine learning systems. CEG introduces the Causal Harm Rate to quantify prediction variation due to disallowed pathways and pairs each decision with a signed Decision‑Evidence Packet (DEP) that cryptographically links the prediction to the DAG and path‑specific attributions, enabling efficient inclusion proofs via a Merkle tree. Empirical validation on synthetic credit data and the German Credit dataset demonstrates that CEG more clearly isolates causal effects than traditional fairness metrics and that a proof‑of‑concept implementation shows operational feasibility with manageable performance tradeoffs.
By Samah Kareem, Bar{\i}\c{s} \c{C}elikta\c{s}
arXiv:2506. 23033v5 Announce Type: replace Abstract: Fairness audits are a key component of responsible machine-learning deployment.
By Yash Vardhan Tomar
arXiv:2607. 14984v1 Announce Type: new Abstract: Per-subgroup fairness audits of medical image classifiers face a sample-size problem: minority subgroups in held-out test sets have so few samples that the resulting confidence intervals on per-subgroup performance are wider than the bias the audit is meant to detect.
By Mahmoud Ibrahim, Bart Elen, Chang Sun, Gokhan Ertaylan, Michel Dumontier
arXiv:2608.30846v1 Announce Type: new
Abstract: Fairness audits in clinical Artificial Intelligence convert continuous fairness metrics into binary pass-or-fail verdicts against operational threshold...
By Md Jannatul Rakib Joy, Viet Vo, Caslon Chua
The paper introduces a label‑free method called AURCC for selecting the best foundational model for medical image classification when the target domain lacks labels. AURCC uses a pseudo‑label discrepancy computed by the SUDO framework to score models without fine‑tuning. Experiments on chest X‑ray data across three inter‑hospital shifts show that AURCC closely matches the true model ranking, outperforming simple source‑accuracy baselines especially when source data are limited.
By Juan I\~naki Larrea, Lucas Mansilla, Enzo Ferrante
arXiv:2607. 08953v1 Announce Type: new Abstract: Algorithmic fairness methods are increasingly used to identify and mitigate bias in machine learning models, yet most approaches are evaluated in isolation and along single demographic axes.
By Nick Souligne, Isabella Mixton-Garcia, Vignesh Subbian
arXiv:2605. 02942v2 Announce Type: replace Abstract: Fairness studies of medical imaging AI often explain subgroup performance gaps through under-representation in the training data.
By Aya Elgebaly, Joris Fournel, Benjamin Laine J{\o}nch Jurgensen, Kamil Mikolaj, Anders Christensen, Martin Tolsgaard, Claes Ladefoged, Aasa Feragen
arXiv:2608. 16709v1 Announce Type: cross Abstract: A radiologist reading a model's output faces two problems.
By Vignesh Nagarajan, Sriram Venkatapathy
arXiv:2407. 14766v4 Announce Type: replace-cross Abstract: This paper presents a philosophical and experimental study of fairness interventions in AI classification, centered on the explainability and transparency of corrective methods, and on the opposition between two fairness criteria, namely Demographic Parity and Equalized Odds.
By Thomas Souverain, Paul \'Egr\'e