Cited by 212Machine Learning and Data ClassificationArtificial Intelligence in HealthcareImbalanced Data Classification Techniques

Overfitting, underfitting and general model overconfidence and under-performance pitfalls and best practices in machine learning and AI

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Aliferis, Constantin, Simon, Gyorgy·2024·Health Informatics

Abstract

Avoiding over and under fitted analyses (OF, UF) and models is critical for ensuring as high generalization performance as possible and is of profound importance for the success of ML/AI modeling. In modern ML/AI practice OF/UF are typically interacting with error estimator procedures and model selection, as well as with sampling and reporting biases and thus need be considered together in context. The more general situations of over confidence (OC) about models and/or under-performing (UP) models can occur in many subtle and not so subtle ways especially in the presence of high-dimensional data, modest or small sample sizes, powerful learners and imperfect data designs. Because over/under confidence about models are closely related to model complexity, model selection, error estimation and sampling (as part of data design) we connect these concepts with the material of chapters “An Appraisal and Operating Characteristics of Major ML Methods Applicable in Healthcare and Health Science,” “Data Design,” and “Evaluation”. These concepts are also closely related to statistical significance and scientific reproducibility. We examine several common scenarios where over confidence in model performance and/or model under performance occur as well as detailed practices for preventing, testing and correcting them.

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Crossref · 10.1007/978-3-031-39355-6_10

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Authors
Aliferis, C., & Simon, G.
Affiliations
University of Minnesota (US)
Corresponding author
Aliferis, Constantin
Venue
Health Informatics
Published
2024
Pages
477-524
ISSN
  • 2197-3733 (ISSN-L)
  • 1431-1917
  • 2197-3741
OpenAlex
W4392404623
Cited by
212
References
2
Citations by year
2026: 86 · 2025: 105 · 2024: 20 · 2022: 1
FWCI
138.86
Type
book chapter
Language
en
Open access
Locations
Health informatics (publishedVersion, cc-by)
Topics
  • Physical Sciences › Computer Science › Artificial Intelligence › Machine Learning and Data Classification
  • Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
  • Physical Sciences › Computer Science › Artificial Intelligence › Imbalanced Data Classification Techniques
Keywords
overfitting, underfitting, generalization, model selection, error estimation, sampling bias, reporting bias, high-dimensional data, small sample size, model complexity, statistical significance, reproducibility, machine learning in healthcare

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