Knowing When to Defer: Trustworthy Multimodal AI for BI-RADS-Derived Management Using Paired Mammography and Ultrasound
Background: Breast imaging ends in a management decision, from routine return to biopsy, yet most models are evaluated by accuracy alone and say nothing about when they may be wrong. We present a trust-aware multimodal model that reads paired mammography and ultrasound, recommends one of three BI-RADS-derived managemen...