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arXiv 2512.19091cs.CVcs.LG

对医疗AI挑战中显著性、指标选择和人口公平性的审计

Auditing Significance, Metric Choice, and Demographic Fairness in Medical AI Challenges

Johns Hopkins University(约翰霍普金斯大学)

Ariel Lubonja, Pedro R. A. S. Bassi, Wenxuan Li, Hualin Qiao, Randal Burns, Alan L. Yuille, Zongwei Zhou

AI总结:

RankInsight工具包通过计算显著性图、重新计算排行榜和审计交叉公平性,解决医疗AI挑战中的显著性、指标选择和人口公平性问题。

摘要:

开放性挑战已成为医疗AI方法比较排名的的事实标准。尽管其重要性,医疗AI排行榜却存在三个持续存在的局限性:(1)分数差距很少被测试统计显著性,因此排名稳定性未知;(2)单个平均指标被应用于每个器官,隐藏了临床重要的边界误差;(3)在交叉人口群体中的表现很少被报告,掩盖了公平性和公平性差距。我们介绍了RankInsight,一个开源工具包,旨在解决这些局限性。RankInsight(1)计算成对显著性图,显示nnU-Net家族在视觉-语言和MONAI提交中以高统计确定性表现优异;(2)重新计算排行榜,使用器官适当的指标,当Dice被NSD替代用于管状结构时,前四名模型的顺序被逆转;(3)审计交叉公平性,揭示了超过一半的MONAI基础条目在我们专有的约翰霍普金斯医院数据集上具有最大的性别-种族差异。RankInsight工具包已公开发布,可直接应用于过去、正在进行和未来的挑战。它使组织者和参与者能够发布统计上可靠、临床意义重大且人口公平的排名。

英文摘要:

Open challenges have become the de facto standard for comparative ranking of medical AI methods. Despite their importance, medical AI leaderboards exhibit three persistent limitations: (1) score gaps are rarely tested for statistical significance, so rank stability is unknown; (2) single averaged metrics are applied to every organ, hiding clinically important boundary errors; (3) performance across intersecting demographics is seldom reported, masking fairness and equity gaps. We introduce RankInsight, an open-source toolkit that seeks to address these limitations. RankInsight (1) computes pair-wise significance maps that show the nnU-Net family outperforms Vision-Language and MONAI submissions with high statistical certainty; (2) recomputes leaderboards with organ-appropriate metrics, reversing the order of the top four models when Dice is replaced by NSD for tubular structures; and (3) audits intersectional fairness, revealing that more than half of the MONAI-based entries have the largest gender-race discrepancy on our proprietary Johns Hopkins Hospital dataset. The RankInsight toolkit is publicly released and can be directly applied to past, ongoing, and future challenges. It enables organizers and participants to publish rankings that are statistically sound, clinically meaningful, and demographically fair.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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