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Main Authors: Li, Chengze, Liu, Xiao, Zhang, Hanrong, Peng, Haiyang, Ruan, Yanghao, Ma, Huanhuan, Miao, Chunyu, Zhou, Qichao, Qi, Xiangrong, Yu, Philip
Format: Preprint
Published: 2026
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Online Access:https://arxiv.org/abs/2605.20956
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author Li, Chengze
Liu, Xiao
Zhang, Hanrong
Peng, Haiyang
Ruan, Yanghao
Ma, Huanhuan
Miao, Chunyu
Zhou, Qichao
Qi, Xiangrong
Yu, Philip
author_facet Li, Chengze
Liu, Xiao
Zhang, Hanrong
Peng, Haiyang
Ruan, Yanghao
Ma, Huanhuan
Miao, Chunyu
Zhou, Qichao
Qi, Xiangrong
Yu, Philip
contents Conformal triage converts predictive scores into deployment actions that either release a case, flag it for urgent attention, or defer it to human review. Under prevalence shift, however, the usual summaries of marginal coverage and human-review rate can miss the safety-critical question of whether patients who truly experience the target event are released without review. To address this gap, we introduce a leakage-aware deployment audit for release-side conformal triage. It first assigns target subjects to three non-overlapping roles: prevalence correction, conformal calibration, and held-out release-safety evaluation. This separation then lets the audit evaluate release directly: how many event-positive patients are cleared without review, whether the pilot has enough event labels for calibration, and how the safety-review trade-off shifts. Applying this audit to a retrospective NSCLC pilot shows why lower review can be misleading: after prevalence correction, the pooled conformal branch lowers review by releasing more patients, some of whom are event-positive. Within the audit, the classwise branch acts as a scarcity diagnostic: the pilot has too few event labels to certify safe low-review release.
format Preprint
id arxiv_https___arxiv_org_abs_2605_20956
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle A Deployment Audit of Release-Side Risk in Conformal Triage under Prevalence Shift
Li, Chengze
Liu, Xiao
Zhang, Hanrong
Peng, Haiyang
Ruan, Yanghao
Ma, Huanhuan
Miao, Chunyu
Zhou, Qichao
Qi, Xiangrong
Yu, Philip
Machine Learning
Computers and Society
Conformal triage converts predictive scores into deployment actions that either release a case, flag it for urgent attention, or defer it to human review. Under prevalence shift, however, the usual summaries of marginal coverage and human-review rate can miss the safety-critical question of whether patients who truly experience the target event are released without review. To address this gap, we introduce a leakage-aware deployment audit for release-side conformal triage. It first assigns target subjects to three non-overlapping roles: prevalence correction, conformal calibration, and held-out release-safety evaluation. This separation then lets the audit evaluate release directly: how many event-positive patients are cleared without review, whether the pilot has enough event labels for calibration, and how the safety-review trade-off shifts. Applying this audit to a retrospective NSCLC pilot shows why lower review can be misleading: after prevalence correction, the pooled conformal branch lowers review by releasing more patients, some of whom are event-positive. Within the audit, the classwise branch acts as a scarcity diagnostic: the pilot has too few event labels to certify safe low-review release.
title A Deployment Audit of Release-Side Risk in Conformal Triage under Prevalence Shift
topic Machine Learning
Computers and Society
url https://arxiv.org/abs/2605.20956