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CalCErt: Bin-wise Certification of Confidence Calibration in Medical Image Classification

  • Leo Fillioux
  • , Stergios Christodoulidis
  • , Paul Henry Cournède
  • , Maria Vakalopoulou
  • , Jose Dolz
  • Université Paris-Saclay

Research output: Contribution to Book/Report types › Contribution to conference proceedings › peer-review

Abstract

Deep neural networks remain vulnerable to adversarial perturbations, which can distort not only predictions but also confidence scores, undermining uncertainty calibration. While existing certification methods focus on preserving the predicted category, providing guarantees on how calibration behaves under adversarial attacks remains overlooked. In this work, we introduce CalCErt, a simple and efficient post-hoc strategy that certifies bin-wise confidence calibration for any pretrained differentiable classifier. Our approach combines empirical calibration estimates, statistical concentration bounds, and local Lipschitz estimates of the confidence function to derive data-dependent upper bounds on worst-case miscalibration within an ℓ2-ball of radius R. We evaluate CalCErt across 11 medical image classification tasks and multiple adversarial perturbations, demonstrating substantially higher certified coverage than baseline strategies while maintaining competitive tightness. Our code is available at github.com/leofillioux/calcert.

Original languageEnglish
Title of host publicationMedical Image Computing and Computer Assisted Intervention - MICCAI 2026 - 29th International Conference, 2026, Proceedings
EditorsGuang Yang, Ehsan Adeli, Marleen de Bruijne, Marleen de Bruijne, Bartlomiej W. Papiez, Stefanie Speidel, Pallavi Tiwari, Guoyan Zheng, Mohammad Yaqub, Qi Dou, Islem Rekik
PublisherSpringer Science and Business Media Deutschland GmbH
Pages35-45
Number of pages11
ISBN (Print)9783032380784
DOIs
Publication statusPublished - 2027
Event29th International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2026 - Strasbourg, France
Duration: 27 Sept 2026 → 1 Oct 2026

Publication series

NameLecture Notes in Computer Science
Volume16882 LNCS
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349

Conference

Conference29th International Conference on Medical Image Computing and Computer Assisted Intervention, MICCAI 2026
Country/TerritoryFrance
CityStrasbourg
Period27/09/26 → 1/10/26

!!!Keywords

  • Certification
  • Confidence calibration
  • Medical Imaging

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