Understanding the Impact of Model Pruning on Long-Tail Forgetting and Explanation Reliability in Medical Imaging
Model compression is standard practice in medical deployment, but this paper shows the cost is higher than accuracy metrics reveal: rare diseases matter clinically and pruning hits them hardest. If you're shipping a medical model, pruning audits need to stratify by condition frequency and validate explanations separately from predictions. The finding applies broadly anywhere rare-class reliability matters.