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MEDA: Metric-Conditioned Decision Adaptation for Multi-Target CT Recognition

MEDA pipeline

MEDA is a lightweight decision-adaptation framework for multi-target CT recognition. It keeps a shared 3D CT representation fixed and learns target-specific decision rules by selecting both a scoring function and an operating threshold for each diagnostic endpoint.

17 CT targets0.738 mean balanced accuracy0.746 mean AUROC15/17 targets improved by operating-point calibration

Results

MEDA results

Region Targets Validation N Positives BalAcc AUROC
Abdomen 15 1,634 817 0.742 0.750
Chest 2 264 132 0.708 0.715
Overall 17 1,898 949 0.738 0.746

Operating-point calibration improved mean balanced accuracy from 0.635 to 0.738, with gains in 15/17 targets.

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MEDA is a lightweight decision-adaptation framework for multi-target CT recognition. It keeps a shared 3D CT representation fixed and learns target-specific decision rules by selecting both a scoring function and an operating threshold for each diagnostic endpoint.

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