arXiv:2607. 05613v1 Announce Type: new Abstract: Clinical care often relies on key laboratory indicators, yet real-world patient visits are sparse and tests are ordered irregularly, leading to pervasive missingness.
By Xinrui He, Mengting Ai, Junting Wang, Curtiss B. Cook, Jingrui He
arXiv:2605. 12895v2 Announce Type: replace-cross Abstract: Clinical decision-support systems are expert systems whose recommendations clinicians act on directly, yet they are usually cleared on one aggregate accuracy number from a held-out test set.
By Rohith Reddy Bellibatlu, Manpreet Singh, Yash Jajoo, Shyamal Lakhanpal, Abhishek Israni
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:2608.29301v1 Announce Type: new
Abstract: Predicting future organ dysfunction in Intensive Care Unit (ICU) patients is critical for early clinical intervention, yet existing machine learning ap...
By Razan Albouq, Asra Aslam
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
The paper introduces a missingness‑aware conformal calibration method for mortality prediction that accounts for cross‑hospital distribution shifts. By selecting a measurement on an independent sample, grouping patients by whether that measurement is recorded, and applying Mondrian calibration within each group, the method avoids reusing calibration outcomes. Experiments on eICU and MIMIC‑IV data show that, compared to pooled calibration, it reduces the worst‑group coverage gap by a median of 1.9 percentage points across six settings, though the benefit varies with predictor and hospital.
By Liang You, Dongwen Ou, Hengyu Shi, Siyuan Dai