How and why does deep ensemble coupled with transfer learning increase performance in bipolar disorder and schizophrenia classification?

This paper tackles visible challenges in deep ensemble learning, where deep neural networks serve as ensemble members: training and storage burdens, and robustness of cautious (set-valued) predictions targeting multiple utilities, which may involve reward-sensitivity. To mitigate the training and storage burdens, we propose to employ compact ensembles, such as Bayesian Neural Networks and Convolutional Neural Networks with the Monte-Carlo dropout prediction option, to produce probabilistic predictions. For each query instance, these probabilistic predictions are then used to define a representative distribution optimizing some statistical distance. The representative distribution is then employed to define the Bayes-optimal prediction (BOP) of any utility. To address the potential unrobustness of singleton prediction making, we propose a family of set-utilities satisfying some desirable properties and whose set-valued BOPs can be found efficiently. Empirical evidence is then given to illustrate the potential (dis)advantages of the proposed ensemble learning framework.

As AI models move toward clinical decision-making and personalized treatment, understanding what a model learns is important beyond predictive accuracy alone. We investigate whether personalized latent dynamics reveal clinically associated differences even when predictive fit is similar. A lightweight CNN--Transformer EEG foundation model pretrained on the Temple University EEG Corpus (TUEG) extracts segment-level representations. Using the Temple University Epilepsy Corpus (TUEP), representations are mapped to a shared latent-state space, and sparse multinomial logistic transition distributions (mLTD) are fit independently to each subject to obtain personalized transition-dependency graphs $W_n$. Analyses include $n{=}198$ subjects (99 epilepsy / 99 non-epilepsy). At $k{=}4$, epilepsy subjects exhibit substantially denser learned dependency structure ($p{=}1.1\times10^{-7}$), with the same pattern at $k{=}6$ (19.90 vs. 13.46; $p{=}5.2\times10^{-5}$). Graph-derived features provide moderate group discrimination under 5-fold subject-wise cross-validation (AUROC 0.68 at $k{=}4$; 0.65 at $k{=}6$). In contrast, held-out log-likelihood is nearly identical between groups at $k{=}4$ ($-0.992$ vs. $-0.991$; $p{=}0.95$), with similarly matched next-state prediction (AUROC 0.855 vs. 0.861; $p{=}0.54$). Thus, similar predictive fit does not imply similar learned dynamics: groups can be comparably predictable while differing substantially in the internal dynamical structure learned by personalized models. This distinction motivates evaluating learned structure alongside predictive performance in personalized clinical models.

Neural network classifiers trained with cross-entropy loss achieve strong predictive accuracy but lack the capability to provide inherent predictive uncertainty estimates, thus requiring external techniques to obtain these estimates. In addition, softmax scores for the true class can vary substantially across independent training runs, which limits the reliability of uncertainty-based decisions in downstream tasks. Evidential Deep Learning aims to address these limitations by producing uncertainty estimates in a single pass, but evidential training is highly sensitive to design choices including loss formulation, prior regularization, and activation functions. Therefore, this work introduces an alternative Dirichlet parameter estimation strategy by applying a method of moments estimator to ensembles of softmax outputs, with an optional maximum-likelihood refinement step. This ensemble-based construction decouples uncertainty estimation from the fragile evidential loss design while also mitigating the variability of single-run cross-entropy training, producing explicit Dirichlet predictive distributions. Across multiple datasets, we show that the improved stability and predictive uncertainty behavior of these ensemble-derived Dirichlet estimates translate into stronger performance in downstream uncertainty-guided applications such as prediction confidence scoring and selective classification.