GRAFT: Decoupling Ranking and Calibration for Survival Analysis

πŸ“… 2026-02-08
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This work proposes GRAFT, a novel model addressing the challenges of censored data, high-dimensional features, and nonlinear interactions in survival analysis. GRAFT is the first method to decouple prognostic ranking from risk calibration within the accelerated failure time (AFT) framework, combining a linear AFT backbone with a nonlinear residual network. It introduces a stochastic gating mechanism for end-to-end sparse feature selection and incorporates two key innovations: a differentiable C-index alignment loss to optimize ranking performance and a stochastic conditional imputation strategy based on local Kaplan–Meier estimates to handle censoring. Extensive experiments demonstrate that GRAFT significantly outperforms existing approaches across multiple public benchmarks, achieving state-of-the-art performance in discrimination, calibration, and robustness to high noise with sparse features.

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πŸ“ Abstract
Survival analysis is complicated by censored data, high-dimensional features, and non-linear interactions. Classical models are interpretable but restrictive, while deep learning models are flexible but often non-interpretable and sensitive to noise. We propose GRAFT (Gated Residual Accelerated Failure Time), a novel AFT model that decouples prognostic ranking from calibration. GRAFT's hybrid architecture combines a linear AFT model with a non-linear residual neural network, and it also integrates stochastic gates for automatic, end-to-end feature selection. The model is trained by directly optimizing a differentiable, C-index-aligned ranking loss using stochastic conditional imputation from local Kaplan-Meier estimators. In public benchmarks, GRAFT outperforms baselines in discrimination and calibration, while remaining robust and sparse in high-noise settings.
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Research questions and friction points this paper is trying to address.

Survival Analysis
Censored Data
High-dimensional Features
Model Calibration
Interpretability
Innovation

Methods, ideas, or system contributions that make the work stand out.

decoupled ranking and calibration
gated residual network
stochastic feature selection
differentiable C-index loss
survival analysis
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