FAST-CAD: A Fairness-Aware Framework for Non-Contact Stroke Diagnosis

Stroke is an acute cerebrovascular disease, and timely diagnosis significantly improves patient survival. However, existing automated diagnosis methods suffer from fairness issues across demographic groups, potentially exacerbating healthcare disparities. In this work we propose FAST-CAD, a theoretically grounded framework that combines domain-adversarial training (DAT) with group distributionally robust optimization (Group-DRO) for fair and accurate non-contact stroke diagnosis. Our approach is built on domain adaptation and minimax fairness theory and provides convergence guarantees and fairness bounds. We curate a multimodal dataset covering 12 demographic subgroups defined by age, gender, and posture. FAST-CAD employs self-supervised encoders with adversarial domain discrimination to learn demographic-invariant representations, while Group-DRO optimizes worst-group risk to ensure robust performance across all subgroups. Extensive experiments show that our method achieves superior diagnostic performance while maintaining fairness across demographic groups, and our theoretical analysis supports the effectiveness of the unified DAT + Group-DRO framework. This work provides both practical advances and theoretical insights for fair medical AI systems.

ATOM: A Framework of Detecting Query-Based Model Extraction Attacks for Graph Neural Networks

Graph Neural Networks (GNNs) have gained traction in Graph-based Machine Learning as a Service (GMLaaS) platforms, yet they remain vulnerable to graph-based model extraction attacks (MEAs), where adversaries reconstruct surrogate models by querying the victim model. Existing defense mechanisms, such as watermarking and fingerprinting, suffer from poor real-time performance, susceptibility to evasion, or reliance on post-attack verification, making them inadequate for handling the dynamic characteristics of graph-based MEA variants. To address these limitations, we propose ATOM, a novel real-time MEA detection framework tailored for GNNs. ATOM integrates sequential modeling and reinforcement learning to dynamically detect evolving attack patterns, while leveraging $k$-core embedding to capture the structural properties, enhancing detection precision. Furthermore, we provide theoretical analysis to characterize query behaviors and optimize detection strategies. Extensive experiments on multiple real-world datasets demonstrate that ATOM outperforms existing approaches in detection performance, maintaining stable across different time steps, thereby offering a more effective defense mechanism for GMLaaS environments.