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Paper · arXiv

Good Rankings, Wrong Probabilities: A Calibration Audit of Multimodal Cancer Survival Models

Multimodal deep learning models that fuse whole-slide histopathology images with genomic data have achieved strong discriminative performance for cancer survival prediction, as measured by the concordance index. Yet whether the survival probabilities derived from these models - either directly from native outputs or via standard post-hoc reconstruction - are calibrated remains largely unexamined. We conduct, to our knowledge, the first systematic fold-level 1-calibration audit of multimodal WSI-genomics survival architectures, evaluating native discrete-time survival outputs (Experiment A: 3 models on TCGA-BRCA) and Breslow-reconstructed survival curves from scalar risk scores (Experiment...

AuthorsSajad Ghawami
Primary categorycs.LG
Published5 April 2026
Last updated at source5 April 2026
cs.LGcs.AIq-bio.QM
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