Hierarchical biomarker thresholding: a model-agnostic framework for stability
Fuente:
arXiv
Saved in:
| Main Author: | |
|---|---|
| Format: | Preprint |
| Published: |
2025
|
| Subjects: | |
| Online Access: | |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1866918214927122432 |
|---|---|
| author | Debeaupuis, O. |
| author_facet | Debeaupuis, O. |
| contents | Many biomarker pipelines require patient-level decisions aggregated from instance-level (cell/patch) scores. Thresholds tuned on pooled instances often fail across sites due to hierarchical dependence, prevalence shift, and score-scale mismatch. We present a selection-honest framework for hierarchical thresholding that makes patient-level decisions reproducible and more defensible. At its core is a risk decomposition theorem for selection-honest thresholds. The theorem separates contributions from (i) internal fit and patient-level generalization, (ii) operating-point shift reflecting prevalence and shape changes, and (iii) a stability term that penalizes sensitivity to threshold perturbations. The stability component is computable via patient-block bootstraps mapped through a monotone modulus of risk. This framework is model-agnostic, reconciles heterogeneous decision rules on a quantile scale, and yields monotone-invariant ensembles and reportable diagnostics (e.g. flip-rate, operating-point shift). |
| format | Preprint |
| id |
arxiv_https___arxiv_org_abs_2511_18030 |
| institution | arXiv |
| publishDate | 2025 |
| record_format | arxiv |
| spellingShingle | Hierarchical biomarker thresholding: a model-agnostic framework for stability Debeaupuis, O. Methodology Artificial Intelligence Statistics Theory Many biomarker pipelines require patient-level decisions aggregated from instance-level (cell/patch) scores. Thresholds tuned on pooled instances often fail across sites due to hierarchical dependence, prevalence shift, and score-scale mismatch. We present a selection-honest framework for hierarchical thresholding that makes patient-level decisions reproducible and more defensible. At its core is a risk decomposition theorem for selection-honest thresholds. The theorem separates contributions from (i) internal fit and patient-level generalization, (ii) operating-point shift reflecting prevalence and shape changes, and (iii) a stability term that penalizes sensitivity to threshold perturbations. The stability component is computable via patient-block bootstraps mapped through a monotone modulus of risk. This framework is model-agnostic, reconciles heterogeneous decision rules on a quantile scale, and yields monotone-invariant ensembles and reportable diagnostics (e.g. flip-rate, operating-point shift). |
| title | Hierarchical biomarker thresholding: a model-agnostic framework for stability |
| topic | Methodology Artificial Intelligence Statistics Theory |
| url | https://arxiv.org/abs/2511.18030 |