Abstract
Early detection and diagnosis of pathology are essential for efficient treatment and therapeutic … (see more)interventions. The emergence of Artificial Intelligence (AI) and deep machine learning techniques have demonstrated the promising capability of brain imaging data to predict various pathological diseases. However, plenty of diseases have imbalanced distribution across different sexes. Furthermore, the impact of sex-specific patterns and biomarkers in predicting diseases has remained unexplored as a fundamental subject matter to inform the treatment paradigms. This paper underscored the generalization and transferability of sex-related patterns in functional data, specifically Electroencephalogram (EEG) signals through Artificial Deep Neural Networks. We conducted training on a broad spectrum of EEG recordings involving participants ranging from 221 to 12,000, including healthy and pathological subjects. Our evaluation leveraged datasets from various sources and participant groups, featuring distribution shifts. While the artificial models demonstrated accurate sex detection on datasets without fine-tuning, their performance declined with significant distribution shifts. Furthermore, we explored the relationship between sex and pathology by visualizing salient features for target detection in distinct subgroups. Our findings revealed unprecedented insights into the negligible role of sex-specific patterns in pathology detection despite the presence of prominent and consistent patterns within sex groups. These results are essential for developing more robust and unbiased AI models for disease prediction and informing the treatment paradigms.