arXiv Computer Vision By Alicem Koyun

PRISM: Pathology Reliability In Scarce-label Medicine. A Tile-level Benchmark of Pathology Foundation Models

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PRISM is a tile‑level benchmark for pathology foundation models that evaluates reliability across four dimensions: model choice, label fraction, calibration, and out‑of‑distribution transfer. It tests eight models on six datasets at six label fractions (1%–100%) with 864 linear probe runs, plus a five‑hospital Camelyon17 transfer study. The benchmark reveals four key phenomena, including the changing relationship between AUROC and calibration at low labels, collapse of linear probes on harder datasets, the impact of source‑domain labels on target calibration, and limitations of temperature scaling.

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