Yang Chen

Jingsong Liu, Han Li, Chen Yang et al.

Domain shift is a critical problem for pathology AI as pathology data is heavily influenced by center-specific conditions. Current pathology domain adaptation methods focus on image patches rather than WSI, thus failing to capture global WSI features required in typical clinical scenarios. In this work, we address the challenges of slide-level domain shift by proposing a Hierarchical Adaptation framework for Slide-level Domain-shift (HASD). HASD achieves multi-scale feature consistency and computationally efficient slide-level domain adaptation through two key components: (1) a hierarchical adaptation framework that integrates a Domain-level Alignment Solver for feature alignment, a Slide-level Geometric Invariance Regularization to preserve the morphological structure, and a Patch-level Attention Consistency Regularization to maintain local critical diagnostic cues; and (2) a prototype selection mechanism that reduces computational overhead. We validate our method on two slide-level tasks across five datasets, achieving a 4.1\% AUROC improvement in a Breast Cancer HER2 Grading cohort and a 3.9\% C-index gain in a UCEC survival prediction cohort. Our method provides a practical and reliable slide-level domain adaption solution for pathology institutions, minimizing both computational and annotation costs.

Chen Yang, Zheng Cui, Daniel Zhuoyu Long et al.

Classification models play a critical role in data-driven decision-making applications such as medical diagnosis, user profiling, recommendation systems, and default detection. Traditional performance metrics, such as accuracy, focus on overall error rates but fail to account for the confidence of incorrect predictions, thereby overlooking the risk of confident misjudgments. This risk is particularly significant in cost-sensitive and safety-critical domains like medical diagnosis and autonomous driving, where overconfident false predictions may cause severe consequences. To address this issue, we introduce the Fragility Index (FI), a novel metric that evaluates classification performance from a risk-averse perspective by explicitly capturing the tail risk of confident misjudgments. To enhance generalizability, we define FI within the robust satisficing (RS) framework, incorporating data uncertainty. We further develop a model training approach that optimizes FI while maintaining tractability for common loss functions. Specifically, we derive exact reformulations for cross-entropy loss, hinge-type loss, and Lipschitz loss, and extend the approach to deep learning models. Through synthetic experiments and real-world medical diagnosis tasks, we demonstrate that FI effectively identifies misjudgment risk and FI-based training improves model robustness and generalizability. Finally, we extend our framework to deep neural network training, further validating its effectiveness in enhancing deep learning models.