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This paper presents the winning entry for the MoCha 2026 Benchmark on Parkinsonian Gait, demonstrating that significant performance gains come from subject-level posterior aggregation and transductive calibration rather than fine-tuning frozen encoders. By averaging per-walk posteriors and calibrating decision operating points without labels, the system achieved a macro-F1 of 0.6945, outperforming both the runner-up and the organizers' baseline on unseen clinical sites. The study highlights that rigorous cross-validation strategies and careful handling of data grouping are critical bottlenecks in medical AI benchmarks, offering a clear methodological roadmap for improving generalization in domain-specific health applications.
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Aggregate, Don't Adapt: Subject-Level Posterior Aggregation and Transductive Calibration for Cross-Site Parkinsonian Gait Severity

arXiv2 min read

arXiv:2608.20587v1 Announce Type: cross Abstract: We describe the winning entry to the MoCha 2026 Benchmark and Challenge on Parkinsonian Gait, which predicts MDS-UPDRS gait severity from canonicalized SMPL motion recorded at clinical sites unseen during training. The system reaches 0.6945 macro-F1 on the hidden test and ranked first of 58 entries, ahead of the runner-up at 0.5807 and the organizers' baseline at 0.4289, on a frozen public motion encoder with a single $4\times512$ linear layer. Nearly all of the margin comes from three stages usually treated as bookkeeping: reproducing the reference benchmark's exact head recipe, averaging per-walk posteriors within the subject grouping the organizers ship, and a label-free transductive calibration of the feature mean and the decision operating point. Fine-tuning the encoder lost in four distinct forms, and ten alternative encoders were worse. Every ablation number is a paid read on the hidden test, because our own leave-two-cohort-out cross-validation proved anti-correlated with the deciding score over eleven configurations. We give the negative record in full, and identify our largest gain, subject-level aggregation, as the binding ceiling on this benchmark.

Abstract:We describe the winning entry to the MoCha 2026 Benchmark and Challenge on Parkinsonian Gait, which predicts MDS-UPDRS gait severity from canonicalized SMPL motion recorded at clinical sites unseen during training. The system reaches 0.6945 macro-F1 on the hidden test and ranked first of 58 entries, ahead of the runner-up at 0.5807 and the organizers' baseline at 0.4289, on a frozen public motion encoder with a single $4\times512$ linear layer. Nearly all of the margin comes from three stages usually treated as bookkeeping: reproducing the reference benchmark's exact head recipe, averaging per-walk posteriors within the subject grouping the organizers ship, and a label-free transductive calibration of the feature mean and the decision operating point. Fine-tuning the encoder lost in four distinct forms, and ten alternative encoders were worse. Every ablation number is a paid read on the hidden test, because our own leave-two-cohort-out cross-validation proved anti-correlated with the deciding score over eleven configurations. We give the negative record in full, and identify our largest gain, subject-level aggregation, as the binding ceiling on this benchmark.

Computer Vision and Pattern Recognition (cs.CV); Artificial Intelligence (cs.AI)

arXiv:2608.20587 [cs.CV]

(or arXiv:2608.20587v1 [cs.CV] for this version)

https://doi.org/10.48550/arXiv.2608.20587 Focus to learn more arXiv-issued DOI via DataCite (pending registration)

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Full text under the publisher's open licence · 274 words

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