Evidence map›Paper›PMID 33196064›Full record

ArticleProceedings of the ACM Conference on Health, Inference, and Learning2020

Hidden Stratification Causes Clinically Meaningful Failures in Machine Learning for Medical Imaging.

Luke Oakden-Rayner, Jared Dunnmon, Gustavo Carneiro, Christopher Ré

Open access · greenAbstract read
In one paragraph

Article in Proceedings of the ACM Conference on Health, Inference, and Learning, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 154 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
154citing papers in PubMed, 3 pooled it
2.7field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

154 citing papers in PubMed, 3 syntheses or guidelines pooled it, 30 citations in OpenAlex.

  1. Pooled it
  2. Guideline
  3. Guideline
  4. Review
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
  12. Review
  13. Review
  14. There is no free benchmark: An institutional view of legal AI benchmarking.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  15. Article
  16. Observational
  17. Article
  18. Article
  19. Article
  20. Article

94 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors at 2 institutions in 2 countries.

Luke Oakden-RaynerAustralian Institute for Machine Learning, University of Adelaide, Adelaide, Australia.
Jared DunnmonDepartment of Computer Science, Stanford University, Stanford, California, USA.
Gustavo CarneiroAustralian Institute for Machine Learning, University of Adelaide, Adelaide, Australia.
Christopher RéDepartment of Computer Science, Stanford University, Stanford, California, USA.
Australian Centre for Robotic Vision · AUStanford University · US

Funding

Training CoreU54EB020405 · NIBIB · STANFORD UNIVERSITY · PI DELP, SCOTT L · 2014 to 2018
$11.6M
NIBIB NIH HHS U54 EB020405
6 · The paper itself

Abstract

Machine learning models for medical image analysis often suffer from poor performance on important subsets of a population that are not identified during training or testing. For example, overall performance of a cancer detection model may be high, but the model may still consistently miss a rare but aggressive cancer subtype. We refer to this problem as

Indexed as

Computing methodologies → Machine learningconvolutional neural networkshidden stratificationmachine learning

Identifiers

PMID33196064
PMCPMC7665161
OpenAlexW2975035192

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.