# When Oracle Conditioning Misleads Deployment: Conditioning-Availability Bias in Echocardiographic Segmentation

arXiv: https://arxiv.org/abs/2608.03342 · HTML: https://mlsanity.com/paper/2608.03342/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 10 of its 18 references that are in the map.
- First posted on arXiv 4 Aug 2026.

## Builds on (most cited first, 10 of 10)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Classifier-Free Diffusion Guidance](https://mlsanity.com/paper/2207.12598/) (2022)
- [FiLM: Visual Reasoning with a General Conditioning Layer](https://mlsanity.com/paper/1709.07871/) (2017)
- [Shortcut Learning in Deep Neural Networks](https://mlsanity.com/paper/2004.07780/) (2020)
- [Group Normalization](https://mlsanity.com/paper/1803.08494/) (2018)
- [Domain Randomization for Transferring Deep Neural Networks from Simulation to the Real World](https://mlsanity.com/paper/1703.06907/) (2017)
- [Deep Learning for Segmentation using an Open Large-Scale Dataset in 2D Echocardiography](https://mlsanity.com/paper/1908.06948/) (2019)
- [Unifying distillation and privileged information](https://mlsanity.com/paper/1511.03643/) (2015)
- [A Lifelong Learning Approach to Brain MR Segmentation Across Scanners and Protocols](https://mlsanity.com/paper/1805.10170/) (2018)
- [How I failed machine learning in medical imaging -- shortcomings and recommendations](https://mlsanity.com/paper/2103.10292/) (2021)

## Abstract (arXiv)

Conditional segmentation models may be trained and evaluated with auxiliary signals cleaner than those available at deployment. We study this protocol-level manifestation of shortcut learning and auxiliary-variable shift in phase-conditioned echocardiographic segmentation. The complementary gap pair measures loss on the deployable oracle-estimated pathway and probes sensitivity on the oracle-random pathway. On held-out CAMUS data, one strong-cyclic, oracle-selected run fails severely with estimated phase, while sensitivity to incorrect phase persists across three runs. On EchoNet-Dynamic, the current estimator remains usable, but random-phase testing reveals strong latent sensitivity. Deployment-aware checkpoint selection and phase perturbation reduce both gaps with little change in mean Dice. Exploratory subgroup analyses quantify variation across measured strata, and a downstream ejection fraction (EF) audit shows that recovering segmentation does not necessarily recover EF error or signed bias. Together, the gaps test whether oracle-conditioned performance survives the inference pathway actually available at deployment.