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Paper · arXiv

Worst-Group Equalized Odds Regularization for Multi-Attribute Fair Medical Image Classification

Diagnostic performance in medical AI varies systematically across demographic groups, yet subgroup AUC can mask clinically important disparities. At a fixed inference-time operating point, some groups may exhibit over-diagnostic behaviour, characterized by elevated true and false positive rates, while others show under-diagnostic patterns with reduced true and false positive rates. These opposing tendencies can cancel in aggregate AUCs while producing meaningful inequities in clinical decision-making. Motivated by the need to assess and mitigate such disparities at the operating point and across multiple demographic attributes simultaneously, we propose a worst-group equalized-odds margin...

AuthorsNikhil Cherian Kurian, Victor Caquilpan Parra, Abin Shoby et al.
Primary categorycs.LG
Published19 May 2026
Last updated at source19 May 2026
cs.LGcs.CV
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