Caslon Chua | Searcharxiv

arXiv2026

VFR-Audit: Verdict-Level Reliability for Fairness Audits in Hospital Length-of-Stay Prediction

Fairness audits in clinical Artificial Intelligence convert continuous fairness metrics into binary pass-or-fail verdicts against operational thresholds, where hospital governance boards, payers, and regulators act on the resulting verdicts. Such audits are repeated over time and across hospital sites, thus the same verdict can flip between pass and fail across audits. Existing uncertainty methods such as Bayesian posteriors, bootstrap confidence intervals, and permutation tests address verdict instability only at the continuous-metric level. Converting metric-level uncertainty into a verdict-stability claim remains a manual step that scales poorly across the (model, metric, attribute) cells an audit covers. Existing uncertainty methods also leave open whether bias-mitigation steps, such as reweighing or per-group threshold shifts, yield a stable passing verdict at the cost of model discrimination measured as AUROC or AUPRC.To address this verdict-stability gap, we propose VFR-Audit, a framework built around the Verdict Flip Rate (VFR), a scalar bounded between 0 and 0.5 that measures the probability of verdict reversal under stratified bootstrap resampling. VFR-Audit reports VFR alongside three reliability axes, namely within-cohort resampling stability, audit-size sensitivity, and cross-hospital verdict agreement via Fleiss' kappa.

cs.AI↗

arXiv2024

RetSeg: Retention-based Colorectal Polyps Segmentation Network

Vision Transformers (ViTs) have revolutionized medical imaging analysis, showcasing superior efficacy compared to conventional Convolutional Neural Networks (CNNs) in vital tasks such as polyp classification, detection, and segmentation. Leveraging attention mechanisms to focus on specific image regions, ViTs exhibit contextual awareness in processing visual data, culminating in robust and precise predictions, even for intricate medical images. Moreover, the inherent self-attention mechanism in Transformers accommodates varying input sizes and resolutions, granting an unprecedented flexibility absent in traditional CNNs. However, Transformers grapple with challenges like excessive memory usage and limited training parallelism due to self-attention, rendering them impractical for real-time disease detection on resource-constrained devices. In this study, we address these hurdles by investigating the integration of the recently introduced retention mechanism into polyp segmentation, introducing RetSeg, an encoder-decoder network featuring multi-head retention blocks. Drawing inspiration from Retentive Networks (RetNet), RetSeg is designed to bridge the gap between precise polyp segmentation and resource utilization, particularly tailored for colonoscopy images. We train and validate RetSeg for polyp segmentation employing two publicly available datasets: Kvasir-SEG and CVC-ClinicDB. Additionally, we showcase RetSeg's promising performance across diverse public datasets, including CVC-ColonDB, ETIS-LaribPolypDB, CVC-300, and BKAI-IGH NeoPolyp. While our work represents an early-stage exploration, further in-depth studies are imperative to advance these promising findings.

eess.IV↗