arXiv:2609.17545v1 Announce Type: new Abstract: Deep learning models for cervical cytology are almost always evaluated as if every prediction must be acted upon, yet a screening system deployed alongside a cytopathologist need not classify every slide: it can defer the cases it is least certain about. Evaluating such a system requires asking not only how often it is correct, but whether its confidence ranks its errors to the bottom. This paper studies selective prediction and uncertainty-aware referral on the Herlev Pap smear dataset under a binary Normal-versus-Abnormal formulation. Two lightweight transformer backbones (Swin-Tiny, TinyViT-5M) are fine-tuned on Herlev from ImageNet-pretrained weights with weighted random sampling, calibrated by post-hoc temperature scaling fit on a held-out calibration subset, and compared against a soft-voting ensemble of both models. Discrimination is reported alongside expected calibration error (ECE) and, as the primary endpoint, the area under th...
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