In the data-driven era, large-scale datasets are routinely collected and analyzed using machine learning (ML) and artificial intelligence (AI) to inform decisions in high-stakes domains such as healthcare, employment, and criminal justice, raising concerns about the fairness behavior of these systems. Existing works in fair ML cover tasks such as bias detection, fair prediction, and fair decision-making, but largely focus on static settings. At the same time, fairness in temporal contexts, particularly survival/time-to-event (TTE) analysis, remains relatively underexplored, with current approaches to fair survival analysis adopting statistical fairness definitions, which, even with unlimited data, cannot disentangle the causal mechanisms that generate disparities. To address this gap, we develop a causal framework for fairness in TTE analysis, enabling the decomposition of disparities in survival into contributions from direct, indirect, and spurious pathways. This provides a human-understandable explanation of why disparities arise and how they evolve over time. Our non-parametric approach proceeds in four steps: (1) formalizing the necessary assumptions about censoring and lack of confounding using a graphical model; (2) recovering the conditional survival function given covariates; (3) applying the Causal Reduction Theorem to reframe the problem in a form amenable to causal pathway decomposition; (4) estimating the effects efficiently. Finally, our approach is used to analyze the temporal evolution of racial disparities in outcome after admission to an intensive care unit (ICU).

Score-based generative models (SGMs) aim at generating samples from a target distribution by approximating the reverse-time dynamics of a stochastic differential equation. Despite their strong empirical performance, classical samplers initialized from a Gaussian distribution require a long time horizon noising typically inducing a large number of discretization steps and high computational cost. In this work, we present a Kullback-Leibler convergence analysis of Variance Exploding diffusion samplers that highlights the critical role of the backward process initialization. Based on this result, we propose a theoretically grounded sampling strategy that learns the reverse-time initialization, directly minimizing the initialization error. The resulting procedure is independent of the specific score training procedure, network architecture, and discretization scheme. Experiments on toy distributions and benchmark datasets demonstrate competitive or improved generative quality while using significantly fewer sampling steps.

The lack of interpretability in the field of medical image analysis has significant ethical and legal implications.

In this work, we study the relationship between these objectives.