False Promises in Medical Imaging AI? Assessing Validity of Outperformance Claims

Performance comparisons are fundamental in medical imaging Artificial Intelligence (AI) research, often driving claims of superiority based on relative improvements in common performance metrics. However, such claims frequently rely solely on empirical mean performance. In this paper, we investigate whether newly proposed methods genuinely outperform the state of the art by analyzing a representative cohort of medical imaging papers. We quantify the probability of false claims based on a Bayesian approach that leverages reported results alongside empirically estimated model congruence to estimate whether the relative ranking of methods is likely to have occurred by chance. According to our results, the majority (>80%) of papers claims outperformance when introducing a new method. Our analysis further revealed a high probability (>5%) of false outperformance claims in 86% of classification papers and 53% of segmentation papers. These findings highlight a critical flaw in current benchmarking practices: claims of outperformance in medical imaging AI are frequently unsubstantiated, posing a risk of misdirecting future research efforts.

TabICL: A Tabular Foundation Model for In-Context Learning on Large Data

The long-standing dominance of gradient-boosted decision trees on tabular data is currently challenged by tabular foundation models using In-Context Learning (ICL): setting the training data as context for the test data and predicting in a single forward pass without parameter updates. While the very recent TabPFNv2 foundation model (2025) excels on tables with up to 10K samples, its alternating column- and row-wise attentions make handling large training sets computationally prohibitive. So, can ICL be effectively scaled and deliver a benefit for larger tables? We introduce TabICL, a tabular foundation model for classification, pretrained on synthetic datasets with up to 60K samples and capable of handling 500K samples on affordable resources. This is enabled by a novel two-stage architecture: a column-then-row attention mechanism to build fixed-dimensional embeddings of rows, followed by a transformer for efficient ICL. Across 200 classification datasets from the TALENT benchmark, TabICL is on par with TabPFNv2 while being systematically faster (up to 10 times), and significantly outperforms all other approaches. On 56 datasets with over 10K samples, TabICL surpasses both TabPFNv2 and CatBoost, demonstrating the potential of ICL for large data.

International AI Safety Report

The first International AI Safety Report comprehensively synthesizes the current evidence on the capabilities, risks, and safety of advanced AI systems. The report was mandated by the nations attending the AI Safety Summit in Bletchley, UK. Thirty nations, the UN, the OECD, and the EU each nominated a representative to the report's Expert Advisory Panel. A total of 100 AI experts contributed, representing diverse perspectives and disciplines. Led by the report's Chair, these independent experts collectively had full discretion over the report's content.

Survival Models: Proper Scoring Rule and Stochastic Optimization with Competing Risks

When dealing with right-censored data, where some outcomes are missing due to a limited observation period, survival analysis -- known as time-to-event analysis -- focuses on predicting the time until an event of interest occurs. Multiple classes of outcomes lead to a classification variant: predicting the most likely event, a less explored area known as competing risks. Classic competing risks models couple architecture and loss, limiting scalability.To address these issues, we design a strictly proper censoring-adjusted separable scoring rule, allowing optimization on a subset of the data as each observation is evaluated independently. The loss estimates outcome probabilities and enables stochastic optimization for competing risks, which we use for efficient gradient boosting trees. SurvivalBoost not only outperforms 12 state-of-the-art models across several metrics on 4 real-life datasets, both in competing risks and survival settings, but also provides great calibration, the ability to predict across any time horizon, and computation times faster than existing methods.

Confidence intervals uncovered: Are we ready for real-world medical imaging AI?

Medical imaging is spearheading the AI transformation of healthcare. Performance reporting is key to determine which methods should be translated into clinical practice. Frequently, broad conclusions are simply derived from mean performance values. In this paper, we argue that this common practice is often a misleading simplification as it ignores performance variability. Our contribution is threefold. (1) Analyzing all MICCAI segmentation papers (n = 221) published in 2023, we first observe that more than 50% of papers do not assess performance variability at all. Moreover, only one (0.5%) paper reported confidence intervals (CIs) for model performance. (2) To address the reporting bottleneck, we show that the unreported standard deviation (SD) in segmentation papers can be approximated by a second-order polynomial function of the mean Dice similarity coefficient (DSC). Based on external validation data from 56 previous MICCAI challenges, we demonstrate that this approximation can accurately reconstruct the CI of a method using information provided in publications. (3) Finally, we reconstructed 95% CIs around the mean DSC of MICCAI 2023 segmentation papers. The median CI width was 0.03 which is three times larger than the median performance gap between the first and second ranked method. For more than 60% of papers, the mean performance of the second-ranked method was within the CI of the first-ranked method. We conclude that current publications typically do not provide sufficient evidence to support which models could potentially be translated into clinical practice.

What is the Role of Small Models in the LLM Era: A Survey

Large Language Models (LLMs) have made significant progress in advancing artificial general intelligence (AGI), leading to the development of increasingly large models such as GPT-4 and LLaMA-405B. However, scaling up model sizes results in exponentially higher computational costs and energy consumption, making these models impractical for academic researchers and businesses with limited resources. At the same time, Small Models (SMs) are frequently used in practical settings, although their significance is currently underestimated. This raises important questions about the role of small models in the era of LLMs, a topic that has received limited attention in prior research. In this work, we systematically examine the relationship between LLMs and SMs from two key perspectives: Collaboration and Competition. We hope this survey provides valuable insights for practitioners, fostering a deeper understanding of the contribution of small models and promoting more efficient use of computational resources. The code is available at https://github.com/tigerchen52/role_of_small_models

Imputation for prediction: beware of diminishing returns

Missing values are prevalent across various fields, posing challenges for training and deploying predictive models. In this context, imputation is a common practice, driven by the hope that accurate imputations will enhance predictions. However, recent theoretical and empirical studies indicate that simple constant imputation can be consistent and competitive. This empirical study aims at clarifying if and when investing in advanced imputation methods yields significantly better predictions. Relating imputation and predictive accuracies across combinations of imputation and predictive models on 20 datasets, we show that imputation accuracy matters less i) when using expressive models, ii) when incorporating missingness indicators as complementary inputs, iii) matters much more for generated linear outcomes than for real-data outcomes. Interestingly, we also show that the use of the missingness indicator is beneficial to the prediction performance, even in MCAR scenarios. Overall, on real-data with powerful models, improving imputation only has a minor effect on prediction performance. Thus, investing in better imputations for improved predictions often offers limited benefits.

Teaching Models To Survive: Proper Scoring Rule and Stochastic Optimization with Competing Risks

When data are right-censored, i.e. some outcomes are missing due to a limited period of observation, survival analysis can compute the "time to event". Multiple classes of outcomes lead to a classification variant: predicting the most likely event, known as competing risks, which has been less studied. To build a loss that estimates outcome probabilities for such settings, we introduce a strictly proper censoring-adjusted separable scoring rule that can be optimized on a subpart of the data because the evaluation is made independently of observations. It enables stochastic optimization for competing risks which we use to train gradient boosting trees. Compared to 11 state-of-the-art models, this model, MultiIncidence, performs best in estimating the probability of outcomes in survival and competing risks. It can predict at any time horizon and is much faster than existing alternatives.

CARTE: pretraining and transfer for tabular learning

Pretrained deep-learning models are the go-to solution for images or text. However, for tabular data the standard is still to train tree-based models. Pre-training or transfer is a huge challenge as in general tables have columns about different quantities and naming conventions that vary vastly across sources. Data integration tackles correspondences across multiple sources: schema matching for columns, and entity matching for entries. We propose a neural architecture that does not need such matches. As a result, we can pretrain it on background data that has not been matched. The architecture - CARTE for Context Aware Representation of Table Entries - uses a graph representation of tabular (or relational) data to process tables with different columns, string embeddings of entries and columns names to model an open vocabulary, and a graph-attentional network to contextualize entries with column names and neighboring entries. An extensive benchmark shows that CARTE facilitates learning, outperforming a solid set of baselines including the best tree-based models. CARTE also enables joint learning across tables with unmatched columns, enhancing a small table with bigger ones. CARTE opens the door to large pretrained models embarking information for tabular data.

Reconfidencing LLMs from the Grouping Loss Perspective

Large Language Models (LLMs), including ChatGPT and LLaMA, are susceptible to generating hallucinated answers in a confident tone. While efforts to elicit and calibrate confidence scores have proven useful, recent findings show that controlling uncertainty must go beyond calibration: predicted scores may deviate significantly from the actual posterior probabilities due to the impact of grouping loss. In this work, we construct a new evaluation dataset derived from a knowledge base to assess confidence scores given to answers of Mistral and LLaMA. Experiments show that they tend to be overconfident. Further, we show that they are more overconfident on some answers than others, \emph{eg} depending on the nationality of the person in the query. In uncertainty-quantification theory, this is grouping loss. To address this, we propose a solution to reconfidence LLMs, canceling not only calibration but also grouping loss. The LLMs, after the reconfidencing process, indicate improved confidence alignment with the accuracy of their responses.