Prevalence calibration as shortcut mitigation
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Abstract (arXiv)
Shortcut learning denotes the widespread situation in which a classifier exploits spurious correlations rather than diagnostic features. Existing mitigation strategies mostly aim to learn shortcut-invariant representations; their empirical success is limited and they cannot be applied to classifiers using frozen foundation model encoders. We propose to reframe shortcut learning as fundamentally a calibration problem: unconstrained learning implicitly calibrates each shortcut group to its training set disease prevalence, rendering the resulting classifier necessarily over-confident in one group and under-confident in the other. Building on this insight, we prevalence-equalize calibration between shortcut groups through two encoder-agnostic methods, an in-processing regularizer and a post-hoc prevalence-equalized recalibration step. Across chest-drain-pneumothorax benchmarks on CheXpert and SIIM-ACR, spanning fine-tuned CNNs and frozen foundation-model backbones, both methods substantially outperform all baselines. Post-hoc recalibration of a standard ERM-trained DenseNet raises misaligned-group AUROC from 0.23 to 0.73, indicating that shortcut reliance degrades the classification head rather than the underlying representation. Besides two new state-of-the-art shortcut mitigation approaches, our findings more fundamentally connect shortcut learning to calibration theory and algorithmic fairness.
Key facts. Cited by 1 paper in the map (data through 14 Oct 2026). Builds on 21 of its 35 references that are in the map. First posted on arXiv 7 Sep 2026.
Builds on
21 of 35 references.
References · 21
- 2019Optuna: A Next-generation Hyperparameter Optimization Frameworkcited by 2,501
- 2016Equality of Opportunity in Supervised Learningcited by 2,007
- 2020Shortcut Learning in Deep Neural Networkscited by 1,969
- 2019CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparisoncited by 1,423
- 2016Inherent Trade-Offs in the Fair Determination of Risk Scorescited by 586
- 2021Just Train Twice: Improving Group Robustness without Training Group Informationcited by 523
- 2025MedGemma Technical Reportcited by 436
- 2017On Fairness and Calibrationcited by 406
- 2022Last Layer Re-Training is Sufficient for Robustness to Spurious Correlationscited by 381
- 2019Hidden Stratification Causes Clinically Meaningful Failures in Machine Learning for Medical Imagingcited by 216
- 2021Reading Race: AI Recognises Patient's Racial Identity In Medical Imagescited by 156
- 2021Counterfactual Invariance to Spurious Correlations: Why and How to Pass Stress Testscited by 77
9 more
- 2021Omnipredictorscited by 74
- 2022MEDFAIR: Benchmarking Fairness for Medical Imagingcited by 68
- 2021Causally motivated Shortcut Removal Using Auxiliary Labelscited by 55
- 2022Detecting Shortcut Learning for Fair Medical AI using Shortcut Testingcited by 52
- 2024MedImageInsight: An Open-Source Embedding Model for General Domain Medical Imagingcited by 46
- 2022Detecting Shortcuts in Medical Images -- A Case Study in Chest X-rayscited by 20
- 2023Causal Context Connects Counterfactual Fairness to Robust Prediction and Group Fairnesscited by 17
- 2024Slicing Through Bias: Explaining Performance Gaps in Medical Image Analysis using Slice Discovery Methodscited by 14
- 2023Are Sex-based Physiological Differences the Cause of Gender Bias for Chest X-ray Diagnosis?cited by 13
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Citing papers per year: 2026: 1.
1 paper.