S5 — Fairness and Bias in Biomedical AI/ML¶
Full session title: Fairness and Bias in Biomedical AI/ML: Defining Goals and Putting Them Into Practice Papers: 5 (pp. 524–595) Session introduction: Martinez-Martin N. et al., pp. 520–523 · PDF · PMID 41758165
Organizers — all four from the Center for Biomedical Ethics, Stanford University School of Medicine:
- Nicole Martinez-Martin
- Mildred K. Cho
- Abdoul Jalil Djiberou Mahamadou
- Madalena Ng (rendered "Magdalena Ng" in the session-intro byline)
Invited talk: Katie Shilton (Wed Jan 7, 8:50 a.m.) — affiliation not printed in the schedule.
Reading this session¶
The subtitle carries the argument: defining goals and putting them into practice. The session is deliberately weighted toward operational work rather than critique — three of the five papers are tools or protocols.
Auditing at scale. Ansari et al. use LLMs to audit healthcare model biases — turning the model class that creates the problem into part of the detection apparatus, which is either elegant or circular depending on how the evaluation is set up. Worth reading closely.
Detection to mitigation. Mottez et al. work on bias in deep learning for chest X-ray diagnosis. This pairs directly with S4's Automated Chest X-ray Report Generation Remains Unsolved — same substrate, two different failure analyses, in adjacent sessions at the same meeting.
Empirical disparity. Coggan et al. examine how demographic factors influence the treatment of pediatric patients in the emergency department — the measurement paper the rest of the session is arguing about.
Study-design ethics. Sun et al. document barriers to designing inclusive ecological-momentary-assessment and wearable protocols for AI-driven substance-use monitoring in Hawai'i — a study sited where the meeting was held. Foti et al. deliver a practical tool for identifying key decision points in building fair and trustworthy biomedical AI.
Papers¶
| Title | First author | Pages | PMID | |
|---|---|---|---|---|
| Using Large Language Models to Audit Model Healthcare Biases | Zara N. Ansari | 524–537 | ansari.pdf | 41758166 |
| From Detection to Mitigation: Addressing Bias in Deep Learning Models for Chest X-Ray Diagnosis | Clemence Mottez | 538–550 | mottez.pdf | 41758167 |
| Deciphering the Influence of Demographic Factors on the Treatment of Pediatric Patients in the Emergency Department | Helena Coggan | 551–565 | coggan.pdf | 41758168 |
| Barriers to Designing Inclusive Ecological Momentary Assessment and Wearable Data Collection Protocols for AI-Driven Substance Use Monitoring in Hawai'i | Yinan Sun | 566–579 | sun.pdf | 41758169 |
| Building Fair and Trustworthy Biomedical AI: A Tool for Identifying Key Decision Points | Nicole Foti | 580–595 | foti.pdf | 41758170 |
Connections to the corpus¶
- Chest X-ray bias ↔ chest X-ray benchmark failure. Read
mottez.pdfnext tozhang_x.pdfin S4; together they are a compact case that imaging-AI evaluation is under-specified in two independent directions. - Equity in precision medicine is a thread the corpus already touches at AACR — see the "Precision for All" session in
aacr-2026/sessions/. - This session has no direct oncology content, but the audit and decision-point tooling applies to any clinical-biomarker deployment the corpus tracks.
Sources¶
- Session introduction: https://psb.stanford.edu/psb-online/proceedings/psb26/intro_fairness.pdf
- Proceedings TOC: https://psb.stanford.edu/psb-online/proceedings/psb26/