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Paper · arXiv

CIV-DG: Conditional Instrumental Variables for Domain Generalization in Medical Imaging

Cross-site generalizability in medical AI is fundamentally compromised by selection bias, a structural mechanism where patient demographics (e.g., age, severity) non-randomly dictate hospital assignment. Conventional Domain Generalization (DG) paradigms, which predominantly target image-level distribution shifts, fail to address the resulting spurious correlations between site-specific variations and diagnostic labels. To surmount this identifiability barrier, we propose CIV-DG, a causal framework that leverages Conditional Instrumental Variables to disentangle pathological semantics from scanner-induced artifacts. By relaxing the strict random assignment assumption of standard IV methods...

AuthorsShaojin Bai, Yuting Su, Weizhi Nie
Primary categorycs.CV
Published26 March 2026
Last updated at source26 March 2026
cs.CVcs.MM
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