# Uncertainty-Calibrated Prediction of Randomly-Timed Biomarker Trajectories with Conformal Bands

arXiv: https://arxiv.org/abs/2511.13911 · HTML: https://mlsanity.com/paper/2511.13911/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 17 of its 55 references that are in the map.
- First posted on arXiv 17 Nov 2025.

## Builds on (most cited first, 17 of 17)

- [Dropout as a Bayesian Approximation: Representing Model Uncertainty in Deep Learning](https://mlsanity.com/paper/1506.02142/) (2015)
- [Conformal Prediction Under Covariate Shift](https://mlsanity.com/paper/1904.06019/) (2019)
- [Deep Kernel Learning](https://mlsanity.com/paper/1511.02222/) (2015)
- [Adaptive Conformal Inference Under Distribution Shift](https://mlsanity.com/paper/2106.00170/) (2021)
- [Conformal Inference for Online Prediction with Arbitrary Distribution Shifts](https://mlsanity.com/paper/2208.08401/) (2022)
- [Safe Planning in Dynamic Environments using Conformal Prediction](https://mlsanity.com/paper/2210.10254/) (2022)
- [Conformal PID Control for Time Series Prediction](https://mlsanity.com/paper/2307.16895/) (2023)
- [Sequential Predictive Conformal Inference for Time Series](https://mlsanity.com/paper/2212.03463/) (2022)
- [Conformal Decision Theory: Safe Autonomous Decisions from Imperfect Predictions](https://mlsanity.com/paper/2310.05921/) (2023)
- [Conformal Prediction Regions for Time Series using Linear Complementarity Programming](https://mlsanity.com/paper/2304.01075/) (2023)
- [Copula Conformal Prediction for Multi-step Time Series Forecasting](https://mlsanity.com/paper/2212.03281/) (2022)
- [Conformal Prediction with Temporal Quantile Adjustments](https://mlsanity.com/paper/2205.09940/) (2022)
- [Deep Mixed Effect Model using Gaussian Processes: A Personalized and Reliable Prediction for Healthcare](https://mlsanity.com/paper/1806.01551/) (2018)
- [Signal Temporal Logic Control Synthesis among Uncontrollable Dynamic Agents with Conformal Prediction](https://mlsanity.com/paper/2312.04242/) (2023)
- [Recursively Feasible Shrinking-Horizon MPC in Dynamic Environments with Conformal Prediction Guarantees](https://mlsanity.com/paper/2405.10875/) (2024)
- [Meta-Weighted Gaussian Process Experts for Personalized Forecasting of AD Cognitive Changes](https://mlsanity.com/paper/1904.09370/) (2019)
- [Adaptive Shrinkage Estimation For Personalized Deep Kernel Regression In Modeling Brain Trajectories](https://mlsanity.com/paper/2504.08840/) (2025)

## Built on by (most cited first, 1 of 1)

- [When Is a Conformal Guarantee Fair? Auditing Silent Subgroup Under-Coverage in Alzheimer's Disease Longitudinal Prediction](https://mlsanity.com/paper/2608.04254/) (2026)

## Abstract (arXiv)

Despite recent progress in predicting biomarker trajectories from real clinical data, uncertainty in the predictions poses high-stakes risks (e.g., misdiagnosis) that limit their clinical deployment. To enable safe and reliable use of such predictions in healthcare, we introduce a conformal method for uncertainty-calibrated prediction of biomarker trajectories resulting from randomly-timed clinical visits of patients. Our approach extends conformal prediction to the setting of randomly-timed trajectories via a novel nonconformity score that produces prediction bands guaranteed to cover the unknown biomarker trajectories with a user-prescribed probability. We apply our method across a wide range of standard and state-of-the-art predictors for two well-established brain biomarkers of Alzheimer's disease, using neuroimaging data from real clinical studies. We observe that our conformal prediction bands consistently achieve the desired coverage, while also being tighter than baseline prediction bands. To further account for population heterogeneity, we develop group-conditional conformal bands and test their coverage guarantees across various demographic and clinically relevant subpopulations. Moreover, we demonstrate the clinical utility of our conformal bands in identifying subjects at high risk of progression to Alzheimer's disease. Specifically, we introduce an uncertainty-calibrated risk score that enables the identification of 17.5% more high-risk subjects compared to standard risk scores, highlighting the value of uncertainty calibration in real-world clinical decision making. Our code is available at github.com/vatass/ConformalBiomarkerTrajectories.
