# EcoFair: Energy-Efficient Inference Routing for Edge AI under Data Degradation

arXiv: https://arxiv.org/abs/2603.26483 · HTML: https://mlsanity.com/paper/2603.26483/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 23 of its 44 references that are in the map.
- First posted on arXiv 27 Mar 2026.

## Builds on (most cited first, 23 of 23)

- [On Calibration of Modern Neural Networks](https://mlsanity.com/paper/1706.04599/) (2017)
- [Dropout as a Bayesian Approximation: Representing Model Uncertainty in Deep Learning](https://mlsanity.com/paper/1506.02142/) (2015)
- [Equality of Opportunity in Supervised Learning](https://mlsanity.com/paper/1610.02413/) (2016)
- [A Survey on Bias and Fairness in Machine Learning](https://mlsanity.com/paper/1908.09635/) (2019)
- [The Future of Digital Health with Federated Learning](https://mlsanity.com/paper/2003.08119/) (2020)
- [BranchyNet: Fast Inference via Early Exiting from Deep Neural Networks](https://mlsanity.com/paper/1709.01686/) (2017)
- [Dynamic Neural Networks: A Survey](https://mlsanity.com/paper/2102.04906/) (2021)
- [A Survey on Explainable Artificial Intelligence (XAI): Towards Medical XAI](https://mlsanity.com/paper/1907.07374/) (2019)
- [Split learning for health: Distributed deep learning without sharing raw patient data](https://mlsanity.com/paper/1812.00564/) (2018)
- [Neurosymbolic AI: The 3rd Wave](https://mlsanity.com/paper/2012.05876/) (2020)
- [BCN20000: Dermoscopic Lesions in the Wild](https://mlsanity.com/paper/1908.02288/) (2019)
- [Hidden Stratification Causes Clinically Meaningful Failures in Machine Learning for Medical Imaging](https://mlsanity.com/paper/1909.12475/) (2019)
- [What Do Compressed Deep Neural Networks Forget?](https://mlsanity.com/paper/1911.05248/) (2019)
- [Edge AI: On-Demand Accelerating Deep Neural Network Inference via Edge Computing](https://mlsanity.com/paper/1910.05316/) (2019)
- [Disparities in Dermatology AI: Assessments Using Diverse Clinical Images](https://mlsanity.com/paper/2111.08006/) (2021)
- [Convergence of Edge Computing and Deep Learning: A Comprehensive Survey](https://mlsanity.com/paper/1907.08349/) (2019)
- [PAD-UFES-20: a skin lesion dataset composed of patient data and clinical images collected from smartphones](https://mlsanity.com/paper/2007.00478/) (2020)
- [Ethical Machine Learning in Health Care](https://mlsanity.com/paper/2009.10576/) (2020)
- [Vertical Federated Learning: Concepts, Advances and Challenges](https://mlsanity.com/paper/2211.12814/) (2022)
- [Zeus: Understanding and Optimizing GPU Energy Consumption of DNN Training](https://mlsanity.com/paper/2208.06102/) (2022)
- [Detailed comparison of communication efficiency of split learning and federated learning](https://mlsanity.com/paper/1909.09145/) (2019)
- [Building Trustworthy NeuroSymbolic AI Systems: Consistency, Reliability, Explainability, and Safety](https://mlsanity.com/paper/2312.06798/) (2023)
- [Skewness-Guided Pruning of Multimodal Swin Transformers for Federated Skin Lesion Classification on Edge Devices](https://mlsanity.com/paper/2512.08751/) (2025)

## Abstract (arXiv)

Medical edge-AI systems must operate under a difficult tension: delivering reliable diagnostic inference while running on devices with limited battery capacity, memory, and compute. In dermatology, this problem is amplified by real-world image degradation caused by smartphone capture, poor lighting, blur, compression, and heterogeneous edge sensors. To handle these degraded inputs, deploying a heavyweight model can improve reliability, but it rapidly increases the energy burden on resource-constrained devices. Conversely, always using a lightweight model saves energy but may be less reliable on ambiguous or degraded inputs. This paper introduces EcoFair, a vertically partitioned inference framework for dermatology classification in which image and tabular inputs remain local to edge clients while only learned modality-specific representations are transmitted for server-side fusion. EcoFair first processes each sample using a lightweight image encoder and then decides whether additional heavyweight computation is necessary. Escalation is triggered when the lightweight prediction exhibits high uncertainty, a narrow separation between safe and high-risk classes, or elevated metadata-derived risk from patient age and lesion location. Across HAM10000, BCN20000, and PAD-UFES-20, EcoFair is evaluated using multiple lightweight--heavy backbone pairings to quantify the trade-off between energy consumption, diagnostic performance, and worst-group malignant-case recall. Results show that EcoFair can reduce per-sample image-inference energy by up to 68% relative to always using the heavyweight encoder, while selectively allocating additional computation under difficult data regimes to support inference reliability. Group-level analysis further shows configuration-dependent effects, with improvements in selected model--dataset settings and mixed behaviour in others.