A Study of Age and Sex Bias in Multiple Instance Learning Based Classification of Acute Myeloid Leukemia Subtypes

Ario Sadafi, Matthias Hehr, Nassir Navab, Carsten Marr

Research output: Chapter in Book/Report/Conference proceedingConference contributionpeer-review

Abstract

Accurate classification of Acute Myeloid Leukemia (AML) subtypes is crucial for clinical decision-making and patient care. In this study, we investigate the potential presence of age and sex bias in AML subtype classification using Multiple Instance Learning (MIL) architectures. To that end, we train multiple MIL models using different levels of sex imbalance in the training set and excluding certain age groups. To assess the sex bias, we evaluate the performance of the models on male and female test sets. For age bias, models are tested against underrepresented age groups in the training data. We find a significant effect of sex and age bias on the performance of the model for AML subtype classification. Specifically, we observe that females are more likely to be affected by sex imbalance dataset and certain age groups, such as patients with 72 to 86 years of age with the RUNX1::RUNX1T1 genetic subtype, are significantly affected by an age bias present in the training data. Ensuring inclusivity in the training data is thus essential for generating reliable and equitable outcomes in AML genetic subtype classification, ultimately benefiting diverse patient populations.

Original languageEnglish
Title of host publicationClinical Image-Based Procedures, Fairness of AI in Medical Imaging, and Ethical and Philosophical Issues in Medical Imaging - 12th International Workshop, CLIP 2023 1st International Workshop, FAIMI 2023 and 2nd International Workshop, EPIMI 2023, Proceedings
EditorsStefan Wesarg, Cristina Oyarzun Laura, Esther Puyol Antón, Andrew P. King, John S.H. Baxter, Marius Erdt, Klaus Drechsler, Moti Freiman, Yufei Chen, Islem Rekik, Roy Eagleson, Aasa Feragen, Veronika Cheplygina, Melani Ganz-Benjaminsen, Enzo Ferrante, Ben Glocker, Daniel Moyer, Eikel Petersen
PublisherSpringer Science and Business Media Deutschland GmbH
Pages256-265
Number of pages10
ISBN (Print)9783031452482
DOIs
StatePublished - 2023
Event12th International Workshop on Clinical Image-Based Procedures, CLIP 2023, 1st MICCAI Workshop on Fairness of AI in Medical Imaging, FAIMI 2023, held in conjunction with MICCAI 2023 and 2nd MICCAI Workshop on the Ethical and Philosophical Issues in Medical Imaging, EPIMI 2023 - Vancouver, Canada
Duration: 12 Oct 202312 Oct 2023

Publication series

NameLecture Notes in Computer Science (including subseries Lecture Notes in Artificial Intelligence and Lecture Notes in Bioinformatics)
Volume14242 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

Conference12th International Workshop on Clinical Image-Based Procedures, CLIP 2023, 1st MICCAI Workshop on Fairness of AI in Medical Imaging, FAIMI 2023, held in conjunction with MICCAI 2023 and 2nd MICCAI Workshop on the Ethical and Philosophical Issues in Medical Imaging, EPIMI 2023
Country/TerritoryCanada
CityVancouver
Period12/10/2312/10/23

Keywords

  • Acute Myeloid Leukemia
  • Age Bias
  • Fairness
  • Multiple Instance Learning
  • Sex Bias

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