为质谱分子结构检索设计可信度评估机制，只信任高置信预测。

Machine learning methods for identifying molecular structures from tandem mass spectra (MS/MS) have advanced rapidly, yet current approaches still exhibit significant error rates. In high-stakes applications such as clinical metabolomics and environmental screening, incorrect annotations can have serious consequences, making it essential to determine when a prediction can be trusted. In this work, we introduce a selective prediction framework for molecular structure retrieval from MS/MS spectra, separating low-risk predictions automatically from lower-confidence predictions. We formulate the problem within the risk-coverage tradeoff framework and systematically evaluate uncertainty quantification strategies at three levels: input-level distance in the learned representation, fingerprint-level uncertainty over predicted molecular fingerprint bits, and retrieval-level uncertainty over candidate rankings. We compare scoring functions including first-order confidence measures, aleatoric and epistemic uncertainty estimates from second-order distributions, as well as distance-based measures in the latent space. All experiments are conducted on the MassSpecGym benchmark. Our analysis reveals that while fingerprint-level uncertainty scores are poor proxies for retrieval success, retrieval-level total uncertainty provides the overall strongest rejection criterion, and first-order confidence measures are computationally inexpensive, strong baselines. We demonstrate that by applying distribution-free risk control via generalisation bounds, practitioners can specify a tolerable error rate and obtain a subset of annotations satisfying that constraint with high probability.