Perils of Label Indeterminacy: A Case Study on Prediction of Neurological Recovery After Cardiac Arrest

Fuente: arXiv
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Autori principali: Schoeffer, Jakob, De-Arteaga, Maria, Elmer, Jonathan
Natura: Preprint
Pubblicazione: 2025
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author Schoeffer, Jakob
De-Arteaga, Maria
Elmer, Jonathan
author_facet Schoeffer, Jakob
De-Arteaga, Maria
Elmer, Jonathan
contents The design of AI systems to assist human decision-making typically requires the availability of labels to train and evaluate supervised models. Frequently, however, these labels are unknown, and different ways of estimating them involve unverifiable assumptions or arbitrary choices. In this work, we introduce the concept of label indeterminacy and derive important implications in high-stakes AI-assisted decision-making. We present an empirical study in a healthcare context, focusing specifically on predicting the recovery of comatose patients after resuscitation from cardiac arrest. Our study shows that label indeterminacy can result in models that perform similarly when evaluated on patients with known labels, but vary drastically in their predictions for patients where labels are unknown. After demonstrating crucial ethical implications of label indeterminacy in this high-stakes context, we discuss takeaways for evaluation, reporting, and design.
format Preprint
id arxiv_https___arxiv_org_abs_2504_04243
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Perils of Label Indeterminacy: A Case Study on Prediction of Neurological Recovery After Cardiac Arrest
Schoeffer, Jakob
De-Arteaga, Maria
Elmer, Jonathan
Machine Learning
Artificial Intelligence
Human-Computer Interaction
Methodology
The design of AI systems to assist human decision-making typically requires the availability of labels to train and evaluate supervised models. Frequently, however, these labels are unknown, and different ways of estimating them involve unverifiable assumptions or arbitrary choices. In this work, we introduce the concept of label indeterminacy and derive important implications in high-stakes AI-assisted decision-making. We present an empirical study in a healthcare context, focusing specifically on predicting the recovery of comatose patients after resuscitation from cardiac arrest. Our study shows that label indeterminacy can result in models that perform similarly when evaluated on patients with known labels, but vary drastically in their predictions for patients where labels are unknown. After demonstrating crucial ethical implications of label indeterminacy in this high-stakes context, we discuss takeaways for evaluation, reporting, and design.
title Perils of Label Indeterminacy: A Case Study on Prediction of Neurological Recovery After Cardiac Arrest
topic Machine Learning
Artificial Intelligence
Human-Computer Interaction
Methodology
url https://arxiv.org/abs/2504.04243