Picking the Right Image to Classify: Reliable-Input Selection in Teledermatology
This study addresses misclassification in teledermatology caused by distribution shifts and formally defines the Reliable Input Selection task with a comprehensive benchmark. By integrating training-free metrics—including embedding norms, neighborhood consensus, and prediction confidence—the proposed method selects optimal images from candidate sets to enhance the diagnostic performance of frozen models. Empirical results reveal a substantial gap between current approaches and the theoretical upper bound; while an ideal selector improves the weighted F1-score by approximately 20%, existing training-free strategies recover only partial gains. This work establishes a novel paradigm for mitigating acquisition discrepancies in remote dermatological diagnosis and identifies critical directions for future optimization in reliable input selection under domain shift conditions.