arXiv AI

DuetMoE: Coupling Inter- and Intra-Subgroup Robustness for Fair Medical Image Analysis

arXiv AI
Jun 10

People-Centred Medical Image Analysis via Fairness-Aware Human-AI Cooperation

arXiv:2604. 26991v2 Announce Type: replace-cross Abstract: Machine learning models for medical image analysis often exhibit subgroup-dependent performance, which impacts how decisions should be allocated between automated systems and human experts under limited resources.

By Zheng Zhang, Milad Masroor, Cuong Nguyen, Tahir Hassan, Yuanhong Chen, David Rosewarne, Kevin Wells, Thanh-Toan Do, Gustavo Carneiro
arXiv Computer Vision
Aug 31

Medical Imaging AI Competitions Lack Fairness

Benchmarking competitions are central to AI development in medical imaging, but it is unclear if they provide representative, accessible, and reusable data for clinical relevance. This study systematically examined 249 challenges (458 tasks) across 19 imaging modalities, finding limited geographic, modality, and problem-type representation. Additionally, many datasets suffer from restrictive access, ambiguous licensing, and poor documentation, hindering reproducibility and long-term reuse.

By Annika Reinke, Evangelia Christodoulou, Sthuthi Sadananda, A. Emre Kavur, Khrystyna Faryna, Daan Schouten, Bennett A. Landman, Carole Sudre, Olivier Colliot, Nick Heller, Sophie Loizillon, Martin Ma\v{s}ka, Ma\"elys Solal, Arya Yazdan-Panah, Vilma Bozgo, \"Omer S\"umer, Siem de Jong, Sophie Fischer, Michal Kozubek, Tim R\"adsch, Nadim Hammoud, Fruzsina Moln\'ar-G\'abor, Steven Hicks, Michael A. Riegler, Anindo Saha, Vajira Thambawita, Pal Halvorsen, Amelia Jim\'enez-S\'anchez, Qingyang Yang, Veronika Cheplygina, Sabrina Bottazzi, Alexander Seitel, Spyridon Bakas, Alexandros Karargyris, Kiran Vaidhya Venkadesh, Bram van Ginneken, Lena Maier-Hein
arXiv AI
Sep 16

Fairness at Every Intersection: Uncovering and Mitigating Intersectional Biases in Multimodal Clinical Predictions

The paper investigates intersectional biases in multimodal clinical predictions using Electronic Healthcare Records (EHR). It introduces datasets MIMIC-Eye1 and MIMIC-IV ED, applies unified text representations from pre‑trained clinical language models, and benchmarks bias mitigation at the intersectional subgroup level. Results show that subgroup‑specific mitigation is robust across datasets, subgroups, and embeddings, effectively addressing intersectional biases in multimodal settings.

By Ayaazuddin Mohammad, Kishore Sampath, Resmi Ramachandranpillai
arXiv Machine Learning
Jul 31

TIER-MoE: Trust-Informed Expert Routing via Conditional Modality Risk for Multimodal Fusion in Biomedical Classification

arXiv:2607. 27289v1 Announce Type: new Abstract: The promise of multimodal fusion lies in combining complementary sources of evidence, yet more evidence does not always yield a better prediction.

By Yu Chang, Anzhe Cheng, Chenwei Wu, Zhuoran Wang, Jiahao Chen, Tamoghna Chattopadhyay, Sophia I. Thomopoulos, Paul M. Thompson, Liyue Shen, Paul Bogdan
arXiv Machine Learning
Aug 27

FRAME: separating sampling variation from representational cause in medical imaging fairness

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
arXiv AI
Jul 17

Demographically-Conditioned Synthetic Medical Images for Bias Mitigation and Bias Detection in Disease Classifiers

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 Computer Vision
Aug 21

MOSAIC: Modality-agnostic Spectral Alignment for Federated Image-level Weakly Supervised Tumor Segmentation under Client-specific Missing Modalities

arXiv:2608. 19788v1 Announce Type: cross Abstract: Trustworthy multimodal fusion in clinical settings requires handling incomplete and heterogeneous modality subsets across institutions, where privacy constraints prohibit centralized data sharing.

By Tarun Kumar Garg, Vaanathi Sundaresan