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Clinical prediction models estimate an individual's risk of a particular health outcome, conditional on their values of multiple predictors. A developed model is a consequence of the development dataset and the chosen model building…

Methodology · Statistics 2024-07-15 Richard D Riley , Gary S Collins

While it has been well known in the ML community that deep learning models suffer from instability, the consequences for healthcare deployments are under characterised. We study the stability of different model architectures trained on…

Background: Clinical prediction models for a health condition are commonly evaluated regarding performance for a population, although decisions are made for individuals. The classic view relates uncertainty in risk estimates for individuals…

Clinical prediction models are increasingly used to support patient care, yet many deep learning-based approaches remain unstable, as their predictions can vary substantially when trained on different samples from the same population. Such…

Machine Learning · Computer Science 2026-02-13 Sara Matijevic , Christopher Yau

Deep Neural Networks (DNNs) are becoming integral components of real world services relied upon by millions of users. Unfortunately, architects of these systems can find it difficult to ensure reliable performance as irrelevant details like…

Machine Learning · Computer Science 2023-05-22 Arghya Datta , Subhrangshu Nandi , Jingcheng Xu , Greg Ver Steeg , He Xie , Anoop Kumar , Aram Galstyan

As artificial intelligence systems move toward clinical deployment, ensuring reliable prediction behavior is fundamental for safety-critical decision-making tasks. One proposed safeguard is selective prediction, where models can defer…

Machine Learning · Computer Science 2026-05-25 L. Julián Lechuga López , Farah E. Shamout , Tim G. J. Rudner

Model multiplicity refers to the existence of multiple machine learning models that describe the data equally well but may produce different predictions on individual samples. In medicine, these models can admit conflicting predictions for…

In medical settings, Individual Variation (IV) refers to variation that is due not to population differences or errors, but rather to within-subject variation, that is the intrinsic and characteristic patterns of variation pertaining to a…

Machine Learning · Computer Science 2022-10-12 Andrea Campagner , Lorenzo Famiglini , Anna Carobene , Federico Cabitza

The increasing deployment of artificial intelligence (AI) in clinical settings challenges foundational assumptions underlying traditional frameworks of medical evidence. Classical statistical approaches, centered on randomized controlled…

Methodology · Statistics 2026-01-07 Richik Chakraborty

Artificial Intelligence and Machine Learning (AI/ML) models used in clinical settings are increasingly deployed to support clinical decision-making. However, when training data become stale due to changes in demographics, environment, or…

Artificial Intelligence · Computer Science 2026-04-28 Ioannis Bilionis , Ricardo C. Berrios , Luis Fernandez-Luque , Carlos Castillo

Evaluations of large language models (LLMs) suffer from instability, where small changes of random factors such as few-shot examples can lead to drastic fluctuations of scores and even model rankings. Moreover, different LLMs can have…

Machine Learning · Computer Science 2025-09-17 Yiyang Li , Yonghuang Wu , Ying Luo , Liangtai Sun , Zishu Qin , Lin Qiu , Xuezhi Cao , Xunliang Cai

Machine learning models only provide probabilistic guarantees on the expected loss of random samples from the distribution represented by their training data. As a result, a model with high accuracy, may or may not be reliable for…

Databases · Computer Science 2024-04-12 Nima Shahbazi , Abolfazl Asudeh

Deep neural networks has been increasingly applied in fault diagnostics, where it uses historical data to capture systems behavior, bypassing the need for high-fidelity physical models. However, despite their competence in prediction tasks,…

Machine Learning · Computer Science 2025-09-24 Arman Mohammadi , Mattias Krysander , Daniel Jung , Erik Frisk

We consider a patient risk models which has access to patient features such as vital signs, lab values, and prior history but does not have access to a patient's diagnosis. For example, this occurs in a model deployed at intake time for…

Artificial Intelligence · Computer Science 2023-07-03 Alexander Peysakhovich , Rich Caruana , Yin Aphinyanaphongs

Machine Learning (ML) algorithms are vital for supporting clinical decision-making in biomedical informatics. However, their predictive performance can vary across demographic groups, often due to the underrepresentation of historically…

Machine Learning · Computer Science 2025-03-04 Ioannis Bilionis , Ricardo C. Berrios , Luis Fernandez-Luque , Carlos Castillo

Machine learning models are often used to inform real world risk assessment tasks: predicting consumer default risk, predicting whether a person suffers from a serious illness, or predicting a person's risk to appear in court. Given…

Machine Learning · Computer Science 2023-06-27 Jamelle Watson-Daniels , David C. Parkes , Berk Ustun

Nondeterminism in neural network optimization produces uncertainty in performance, making small improvements difficult to discern from run-to-run variability. While uncertainty can be reduced by training multiple model copies, doing so is…

Machine Learning · Computer Science 2021-07-13 Cecilia Summers , Michael J. Dinneen

This paper investigates a unexplored yet impactful vulnerability in AI explainability used in intrusion detection (IDS): multicollinearity-induced instability. Despite extensive reliance on post-hoc explainability tools such as SHAP or…

Machine Learning · Computer Science 2026-05-22 Ioannis J. Vourganas , Anna Lito Michala

The use of deep learning for medical imaging has seen tremendous growth in the research community. One reason for the slow uptake of these systems in the clinical setting is that they are complex, opaque and tend to fail silently. Outside…

Computer Vision and Pattern Recognition · Computer Science 2018-07-03 Terrance DeVries , Graham W. Taylor

The same machine learning model running on different edge devices may produce highly-divergent outputs on a nearly-identical input. Possible reasons for the divergence include differences in the device sensors, the device's signal…

Machine Learning · Computer Science 2020-10-20 Eyal Cidon , Evgenya Pergament , Zain Asgar , Asaf Cidon , Sachin Katti
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