arXiv:2610.39065 · v1
Tabular foundation models are not a shortcut to calibrated clinical risk prediction: a pre-registered simulation against the true risk
摘要
Tabular foundation models are pretrained networks that predict risk from a table without fitting a model. Whether their risks are correct (calibrated) has been judged on real data, where true risk is unknown. In a pre-registered simulation with known true risks, we compared TabPFN-3.5, TabICLv2 and Mitra-v2 with Firth logistic regression with intercept correction (FLIC) in 58 scenarios and 1,000 random designs, then on four clinical data sets. Foundation models were not a shortcut to calibration. Their calibration slope matched FLIC's within the pre-registered margin in 36 or 37 of 48 core scenarios and was better only at n = 200 with a 3% event rate. Even 3,000 patients were often not enough: with FLIC, TabPFN-3.5 or Mitra-v2, 63%-83% of samples gave risks close to the truth in average, intercept and slope at event rates of 10% and 30%, and 35%-50% at 3%. TabICLv2 did worse (8%-39% and 1%-3%). Across the random designs, foundation models had a lower true calibration error than FLIC beyond the margin in 25%-38% and a higher one in none, though small losses were predicted at n = 3000. On real data, no model resisted a change in event rate between populations; recalibration on 500 local patients largely repaired it.
作者备注：37 pages, 7 figures, 1 table; Supplementary Information (55 pages) as an ancillary file. Pre-registered on OSF Registries (doi:10.17605/OSF.IO/8HMTZ). Code: doi:10.5281/zenodo.23737378; benchmark data: doi:10.5281/zenodo.23737416