Abstract:Different predictors often excel on different inputs, so picking the best one per instance promises higher accuracy than committing to a single model. In practice, selectors trained from logged data routinely fail to beat the strongest single predictor. Three causes typically go unseparated before more tuning is applied: a mismatched learner, a state that does not predict which model wins, or buffer-to-deployment label shift. A three-stage diagnostic rules them out on a shared buffer. Stage~1 estimates a local ceiling on oracle recovery from $k$-NN label consistency. Stage~2 asks whether paired BC and offline-RL learners (BC, DQN, and CQL across penalty weights) reach that ceiling. Stage~3 ablates the selector state to test whether richer features would raise it. The combined verdict points to the most promising next step: tuning the learner, redesigning the state, or collecting new data. We apply it to selecting among five dropout-prediction models on edX clickstream data. Across 16 windows, the oracle beats the strongest single base model by 9.7 accuracy points on average, yet BC, DQN, and CQL land in the same test-accuracy band below it (robust to a tenfold buffer sweep and $N{=}2{,}000$ held-out examples). The bottleneck is local representational ambiguity: CQL closes the imitation gap without a deployment gain (not conservatism), regret clusters tightly across learners (not tie-breaking), and the three learners converge on test accuracy (not shift). The next iteration should change the state or collect new data, not tune the offline learner further.
Abstract:Despite continuous advancements in cancer treatment, brain metastatic disease remains a significant complication of primary cancer and is associated with an unfavorable prognosis. One approach for improving diagnosis, management, and outcomes is to implement algorithms based on artificial intelligence for the automated segmentation of both pre- and post-treatment MRI brain images. Such algorithms rely on volumetric criteria for lesion identification and treatment response assessment, which are still not available in clinical practice. Therefore, it is critical to establish tools for rapid volumetric segmentations methods that can be translated to clinical practice and that are trained on high quality annotated data. The BraTS-METS 2025 Lighthouse Challenge aims to address this critical need by establishing inter-rater and intra-rater variability in dataset annotation by generating high quality annotated datasets from four individual instances of segmentation by neuroradiologists while being recorded on video (two instances doing "from scratch" and two instances after AI pre-segmentation). This high-quality annotated dataset will be used for testing phase in 2025 Lighthouse challenge and will be publicly released at the completion of the challenge. The 2025 Lighthouse challenge will also release the 2023 and 2024 segmented datasets that were annotated using an established pipeline of pre-segmentation, student annotation, two neuroradiologists checking, and one neuroradiologist finalizing the process. It builds upon its previous edition by including post-treatment cases in the dataset. Using these high-quality annotated datasets, the 2025 Lighthouse challenge plans to test benchmark algorithms for automated segmentation of pre-and post-treatment brain metastases (BM), trained on diverse and multi-institutional datasets of MRI images obtained from patients with brain metastases.