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Paper · arXiv

SCALE: Synthetic Calibration via Agreement Labeling in Embedding Space

Foundation models for computational pathology are usually evaluated using AUC and accuracy, while calibration is often left untested. This matters because a model can be accurate on average but still assign overly confident probabilities to cases that are difficult even for pathologists. We study calibration across eight pathology foundation models. Using pathologist agreement as a measure of diagnostic difficulty, we find that calibration error is consistently higher on low-agreement cases than on high-agreement cases. This pattern is not apparent from aggregate expected calibration error (ECE) alone. We then propose synthetic agreement calibration, a method for improving calibration wit...

AuthorsWenjun Liu, Saeed Hassanpour
Primary categorycs.CV
Published30 September 2026
Last updated at source30 September 2026
cs.CV
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