Research Papers

Explainable Artificial Intelligence (XAI) is central to the debate on integrating Artificial Intelligence (AI) and Machine Learning (ML) algorithms into clinical practice. High-performing AI/ML models, such as ensemble learners and deep neural networks, often lack interpretability, hampering clinicians' trust in their predictions. To address this, XAI techniques are being developed to describe AI/ML predictions in human-understandable terms. One promising direction is the adaptation of sensitivity analysis (SA) and global sensitivity analysis (GSA), which inherently rank model inputs by their impact on predictions. Here, we introduce a novel delta-XAI method that provides local explanations of ML model predictions by extending the delta index, a GSA metric. The delta-XAI index assesses the impact of each feature's value on the predicted output for individual instances in both regression and classification problems. We formalize the delta-XAI index and provide code for its implementation. The delta-XAI method was evaluated on simulated scenarios using linear regression models, with Shapley values serving as a benchmark. Results showed that the delta-XAI index is generally consistent with Shapley values, with notable discrepancies in models with highly impactful or extreme feature values. The delta-XAI index demonstrated higher sensitivity in detecting dominant features and handling extreme feature values. Qualitatively, the delta-XAI provides intuitive explanations by leveraging probability density functions, making feature rankings clearer and more explainable for practitioners. Overall, the delta-XAI method appears promising for robustly obtaining local explanations of ML model predictions. Further investigations in real-world clinical settings will be conducted to evaluate its impact on AI-assisted clinical workflows.

In this paper we investigate the explainability of transformer models and their plausibility for hate speech and counter speech detection. We compare representatives of four different explainability approaches, i.e., gradient-based, perturbation-based, attention-based, and prototype-based approaches, and analyze them quantitatively with an ablation study and qualitatively in a user study. Results show that perturbation-based explainability performs best, followed by gradient-based and attention-based explainability. Prototypebased experiments did not yield useful results. Overall, we observe that explainability strongly supports the users in better understanding the model predictions.

Antimicrobial Resistance represents a significant challenge in the Intensive Care Unit (ICU), where patients are at heightened risk of Multidrug-Resistant (MDR) infections-pathogens resistant to multiple antimicrobial agents. This study introduces a novel methodology that integrates Gated Recurrent Units (GRUs) with advanced intrinsic and post-hoc interpretability techniques for detecting the onset of MDR in patients across time. Within interpretability methods, we propose Explainable Artificial Intelligence (XAI) approaches to handle irregular Multivariate Time Series (MTS), introducing Irregular Time Shapley Additive Explanations (IT-SHAP), a modification of Shapley Additive Explanations designed for irregular MTS with Recurrent Neural Networks focused on temporal outputs. Our methodology aims to identify specific risk factors associated with MDR in ICU patients. GRU with Hadamard's attention demonstrated high initial specificity and increasing sensitivity over time, correlating with increased nosocomial infection risks during prolonged ICU stays. XAI analysis, enhanced by Hadamard attention and IT-SHAP, identified critical factors such as previous non-resistant cultures, specific antibiotic usage patterns, and hospital environment dynamics. These insights suggest that early detection of at-risk patients can inform interventions such as preventive isolation and customized treatments, significantly improving clinical outcomes. The proposed GRU model for temporal classification achieved an average Receiver Operating Characteristic Area Under the Curve of 78.27 +- 1.26 over time, indicating strong predictive performance. In summary, this study highlights the clinical utility of our methodology, which combines predictive accuracy with interpretability, thereby facilitating more effective healthcare interventions by professionals.

Dementia, a debilitating neurological condition affecting millions worldwide, presents significant diagnostic challenges. In this work, we introduce DEFORMISE, a novel DEep learning Framework for dementia diagnOsis of eldeRly patients using 3D brain Magnetic resonance Imaging (MRI) scans with Optimized Slice sElection. Our approach features a unique technique for selectively processing MRI slices, focusing on the most relevant brain regions and excluding less informative sections. This methodology is complemented by a confidence-based classification committee composed of three novel deep learning models. Tested on the Open OASIS datasets, our method achieved an impressive accuracy of 94.12%, surpassing existing methodologies. Furthermore, validation on the ADNI dataset confirmed the robustness and generalizability of our approach. The use of explainable AI (XAI) techniques and comprehensive ablation studies further substantiate the effectiveness of our techniques, providing insights into the decision-making process and the importance of our methodology. This research offers a significant advancement in dementia diagnosis, providing a highly accurate and efficient tool for clinical applications.

Explaining Decisions in ML Models: a Parameterized Complexity Analysis

Sebastian Ordyniak, Giacomo Paesani, Mateusz Rychlicki +1

This paper presents a comprehensive theoretical investigation into the parameterized complexity of explanation problems in various machine learning (ML) models. Contrary to the prevalent black-box perception, our study focuses on models with transparent internal mechanisms. We address two principal types of explanation problems: abductive and contrastive, both in their local and global variants. Our analysis encompasses diverse ML models, including Decision Trees, Decision Sets, Decision Lists, Ordered Binary Decision Diagrams, Random Forests, and Boolean Circuits, and ensembles thereof, each offering unique explanatory challenges. This research fills a significant gap in explainable AI (XAI) by providing a foundational understanding of the complexities of generating explanations for these models. This work provides insights vital for further research in the domain of XAI, contributing to the broader discourse on the necessity of transparency and accountability in AI systems.

Explaining Deep Neural Networks by Leveraging Intrinsic Methods

Biagio La Rosa

Despite their impact on the society, deep neural networks are often regarded as black-box models due to their intricate structures and the absence of explanations for their decisions. This opacity poses a significant challenge to AI systems wider adoption and trustworthiness. This thesis addresses this issue by contributing to the field of eXplainable AI, focusing on enhancing the interpretability of deep neural networks. The core contributions lie in introducing novel techniques aimed at making these networks more interpretable by leveraging an analysis of their inner workings. Specifically, the contributions are threefold. Firstly, the thesis introduces designs for self-explanatory deep neural networks, such as the integration of external memory for interpretability purposes and the usage of prototype and constraint-based layers across several domains. Secondly, this research delves into novel investigations on neurons within trained deep neural networks, shedding light on overlooked phenomena related to their activation values. Lastly, the thesis conducts an analysis of the application of explanatory techniques in the field of visual analytics, exploring the maturity of their adoption and the potential of these systems to convey explanations to users effectively.

Understanding the Dependence of Perception Model Competency on Regions in an Image

Sara Pohland, Claire Tomlin

While deep neural network (DNN)-based perception models are useful for many applications, these models are black boxes and their outputs are not yet well understood. To confidently enable a real-world, decision-making system to utilize such a perception model without human intervention, we must enable the system to reason about the perception model's level of competency and respond appropriately when the model is incompetent. In order for the system to make an intelligent decision about the appropriate action when the model is incompetent, it would be useful for the system to understand why the model is incompetent. We explore five novel methods for identifying regions in the input image contributing to low model competency, which we refer to as image cropping, segment masking, pixel perturbation, competency gradients, and reconstruction loss. We assess the ability of these five methods to identify unfamiliar objects, recognize regions associated with unseen classes, and identify unexplored areas in an environment. We find that the competency gradients and reconstruction loss methods show great promise in identifying regions associated with low model competency, particularly when aspects of the image that are unfamiliar to the perception model are causing this reduction in competency. Both of these methods boast low computation times and high levels of accuracy in detecting image regions that are unfamiliar to the model, allowing them to provide potential utility in decision-making pipelines. The code for reproducing our methods and results is available on GitHub: https://github.com/sarapohland/explainable-competency.

The imperative to comprehend the behaviors of deep learning models is of utmost importance. In this realm, Explainable Artificial Intelligence (XAI) has emerged as a promising avenue, garnering increasing interest in recent years. Despite this, most existing methods primarily depend on gradients or input perturbation, which often fails to embed explanations directly within the model's decision-making process. Addressing this gap, we introduce ESCOUTER, a visually explainable classifier based on the modified slot attention mechanism. ESCOUTER distinguishes itself by not only delivering high classification accuracy but also offering more transparent insights into the reasoning behind its decisions. It differs from prior approaches in two significant aspects: (a) ESCOUTER incorporates explanations into the final confidence scores for each category, providing a more intuitive interpretation, and (b) it offers positive or negative explanations for all categories, elucidating "why an image belongs to a certain category" or "why it does not." A novel loss function specifically for ESCOUTER is designed to fine-tune the model's behavior, enabling it to toggle between positive and negative explanations. Moreover, an area loss is also designed to adjust the size of the explanatory regions for a more precise explanation. Our method, rigorously tested across various datasets and XAI metrics, outperformed previous state-of-the-art methods, solidifying its effectiveness as an explanatory tool.

Convolutional Neural Networks (CNNs) are known for their ability to learn hierarchical structures, naturally developing detectors for objects, and semantic concepts within their deeper layers. Activation maps (AMs) reveal these saliency regions, which are crucial for many Explainable AI (XAI) methods. However, the direct exploitation of raw AMs in CNNs for feature attribution remains underexplored in literature. This work revises Class Activation Map (CAM) methods by introducing the Label-free Activation Map (LaFAM), a streamlined approach utilizing raw AMs for feature attribution without reliance on labels. LaFAM presents an efficient alternative to conventional CAM methods, demonstrating particular effectiveness in saliency map generation for self-supervised learning while maintaining applicability in supervised learning scenarios.

The interpretability of machine learning models has gained increasing attention, particularly in scientific domains where high precision and accountability are crucial. This research focuses on distinguishing between two critical data patterns -- sensitive patterns (model-related) and decisive patterns (task-related) -- which are commonly used as model interpretations but often lead to confusion. Specifically, this study compares the effectiveness of two main streams of interpretation methods: post-hoc methods and self-interpretable methods, in detecting these patterns. Recently, geometric deep learning (GDL) has shown superior predictive performance in various scientific applications, creating an urgent need for principled interpretation methods. Therefore, we conduct our study using several representative GDL applications as case studies. We evaluate thirteen interpretation methods applied to three major GDL backbone models, using four scientific datasets to assess how well these methods identify sensitive and decisive patterns. Our findings indicate that post-hoc methods tend to provide interpretations better aligned with sensitive patterns, whereas certain self-interpretable methods exhibit strong and stable performance in detecting decisive patterns. Additionally, our study offers valuable insights into improving the reliability of these interpretation methods. For example, ensembling post-hoc interpretations from multiple models trained on the same task can effectively uncover the task's decisive patterns.

Explainable artificial intelligence (XAI) methods have been proposed to interpret model decisions in classification and, more recently, in semantic segmentation. However, instance-level XAI for semantic segmentation, namely explanations focused on a single object among multiple instances of the same class, remains largely unexplored. Such explanations are particularly important in multi-lesional diseases to understand what drives the detection and contouring of a specific lesion. We propose instance-level explanation maps for semantic segmentation by extending SmoothGrad and Grad-CAM++ to obtain quantitative instance saliency. These methods were applied to the segmentation of white matter lesions (WMLs), a magnetic resonance imaging biomarker in multiple sclerosis. We used 4023 FLAIR and MPRAGE MRI scans from 687 patients collected at the University Hospital of Basel, Switzerland, with WML masks annotated by four expert clinicians. Three deep learning architectures, a 3D U-Net, nnU-Net, and Swin UNETR, were trained and evaluated, achieving normalized Dice scores of 0.71, 0.78, and 0.80, respectively. Instance saliency maps showed that the models relied primarily on FLAIR rather than MPRAGE for WML segmentation, with positive saliency inside lesions and negative saliency in their immediate neighborhood, consistent with clinical practice. Peak saliency values differed significantly across correct and incorrect predictions, suggesting that quantitative instance saliency may help identify segmentation errors. In conclusion, we introduce two architecture-agnostic XAI methods that provide quantitative instance-level explanations for semantic segmentation and support clinically meaningful interpretation of model decisions.

This paper presents a novel approach to Explainable AI (XAI) that combines contrastive explanations with differential privacy for clustering algorithms. Focusing on k-median and k-means problems, we calculate contrastive explanations as the utility difference between original clustering and clustering with a centroid fixed to a specific data point. This method provides personalized insights into centroid placement. Our key contribution is demonstrating that these differentially private explanations achieve essentially the same utility bounds as non-private explanations. Experiments across various datasets show that our approach offers meaningful, privacy-preserving, and individually relevant explanations without significantly compromising clustering utility. This work advances privacy-aware machine learning by balancing data protection, explanation quality, and personalization in clustering tasks.