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AI models miss rare diseases in chest X-rays, especially in subgroups

A new study published on arXiv investigates fairness in chest X-ray (CXR) classification models, focusing on how rare conditions and specific patient subgroups are missed. The research highlights that even models with acceptable overall performance can fail to identify rare diseases, particularly in demographic subgroups. By analyzing datasets like VinDr-CXR and MIMIC-CXR/CXR-LT, the study proposes methods involving subgroup-aware weighting and tail-aware thresholding to reduce false negatives for rare conditions and specific groups. AI

IMPACT Highlights critical fairness issues in medical AI, potentially impacting deployment and requiring new auditing methods for rare conditions and subgroups.

RANK_REASON Academic paper on AI fairness in medical imaging. [lever_c_demoted from research: ic=1 ai=1.0]

Read on arXiv cs.LG →

AI-generated summary · Google Gemini · from 1 sources. How we write summaries →

AI models miss rare diseases in chest X-rays, especially in subgroups

COVERAGE [1]

  1. arXiv cs.LG TIER_1 English(EN) · Ha-Hieu Pham, Hai-Dang Nguyen, Dang P. M. Cao, Thanh-Huy Nguyen, Min Xu, Trung-Nghia Le, Ulas Bagci, Huy-Hieu Pham ·

    Who Gets Missed in the Tail? Thresholded Subgroup Underdiagnosis in Long-Tailed Chest X-ray Classification

    arXiv:2607.07717v1 Announce Type: new Abstract: In chest X-ray (CXR) classification, acceptable ranking performance can still leave rare-positive patients below threshold, especially within subgroups. We study this pre-deployment fairness problem as an audit question: after a lon…