Research Papers

To Trust or to Think: Cognitive Forcing Functions Can Reduce Overreliance on AI in AI-assisted Decision-making

Zana Buçinca, Maja Barbara Malaya, Krzysztof Z. Gajos

People supported by AI-powered decision support tools frequently overrely on the AI: they accept an AI's suggestion even when that suggestion is wrong. Adding explanations to the AI decisions does not appear to reduce the overreliance and some studies suggest that it might even increase it. Informed by the dual-process theory of cognition, we posit that people rarely engage analytically with each individual AI recommendation and explanation, and instead develop general heuristics about whether and when to follow the AI suggestions. Building on prior research on medical decision-making, we designed three cognitive forcing interventions to compel people to engage more thoughtfully with the AI-generated explanations. We conducted an experiment (N=199), in which we compared our three cognitive forcing designs to two simple explainable AI approaches and to a no-AI baseline. The results demonstrate that cognitive forcing significantly reduced overreliance compared to the simple explainable AI approaches. However, there was a trade-off: people assigned the least favorable subjective ratings to the designs that reduced the overreliance the most. To audit our work for intervention-generated inequalities, we investigated whether our interventions benefited equally people with different levels of Need for Cognition (i.e., motivation to engage in effortful mental activities). Our results show that, on average, cognitive forcing interventions benefited participants higher in Need for Cognition more. Our research suggests that human cognitive motivation moderates the effectiveness of explainable AI solutions.

FUTURE-AI: International consensus guideline for trustworthy and deployable artificial intelligence in healthcare

Karim Lekadir, Aasa Feragen, Abdul Joseph Fofanah +117

Despite major advances in artificial intelligence (AI) for medicine and healthcare, the deployment and adoption of AI technologies remain limited in real-world clinical practice. In recent years, concerns have been raised about the technical, clinical, ethical and legal risks associated with medical AI. To increase real world adoption, it is essential that medical AI tools are trusted and accepted by patients, clinicians, health organisations and authorities. This work describes the FUTURE-AI guideline as the first international consensus framework for guiding the development and deployment of trustworthy AI tools in healthcare. The FUTURE-AI consortium was founded in 2021 and currently comprises 118 inter-disciplinary experts from 51 countries representing all continents, including AI scientists, clinicians, ethicists, and social scientists. Over a two-year period, the consortium defined guiding principles and best practices for trustworthy AI through an iterative process comprising an in-depth literature review, a modified Delphi survey, and online consensus meetings. The FUTURE-AI framework was established based on 6 guiding principles for trustworthy AI in healthcare, i.e. Fairness, Universality, Traceability, Usability, Robustness and Explainability. Through consensus, a set of 28 best practices were defined, addressing technical, clinical, legal and socio-ethical dimensions. The recommendations cover the entire lifecycle of medical AI, from design, development and validation to regulation, deployment, and monitoring. FUTURE-AI is a risk-informed, assumption-free guideline which provides a structured approach for constructing medical AI tools that will be trusted, deployed and adopted in real-world practice. Researchers are encouraged to take the recommendations into account in proof-of-concept stages to facilitate future translation towards clinical practice of medical AI.

Opportunities and Challenges in Explainable Artificial Intelligence (XAI): A Survey

Arun Das, Paul Rad

Nowadays, deep neural networks are widely used in mission critical systems such as healthcare, self-driving vehicles, and military which have direct impact on human lives. However, the black-box nature of deep neural networks challenges its use in mission critical applications, raising ethical and judicial concerns inducing lack of trust. Explainable Artificial Intelligence (XAI) is a field of Artificial Intelligence (AI) that promotes a set of tools, techniques, and algorithms that can generate high-quality interpretable, intuitive, human-understandable explanations of AI decisions. In addition to providing a holistic view of the current XAI landscape in deep learning, this paper provides mathematical summaries of seminal work. We start by proposing a taxonomy and categorizing the XAI techniques based on their scope of explanations, methodology behind the algorithms, and explanation level or usage which helps build trustworthy, interpretable, and self-explanatory deep learning models. We then describe the main principles used in XAI research and present the historical timeline for landmark studies in XAI from 2007 to 2020. After explaining each category of algorithms and approaches in detail, we then evaluate the explanation maps generated by eight XAI algorithms on image data, discuss the limitations of this approach, and provide potential future directions to improve XAI evaluation.

From Anecdotal Evidence to Quantitative Evaluation Methods: A Systematic Review on Evaluating Explainable AI

Meike Nauta, Jan Trienes, Shreyasi Pathak +6

The rising popularity of explainable artificial intelligence (XAI) to understand high-performing black boxes raised the question of how to evaluate explanations of machine learning (ML) models. While interpretability and explainability are often presented as a subjectively validated binary property, we consider it a multi-faceted concept. We identify 12 conceptual properties, such as Compactness and Correctness, that should be evaluated for comprehensively assessing the quality of an explanation. Our so-called Co-12 properties serve as categorization scheme for systematically reviewing the evaluation practices of more than 300 papers published in the last 7 years at major AI and ML conferences that introduce an XAI method. We find that 1 in 3 papers evaluate exclusively with anecdotal evidence, and 1 in 5 papers evaluate with users. This survey also contributes to the call for objective, quantifiable evaluation methods by presenting an extensive overview of quantitative XAI evaluation methods. Our systematic collection of evaluation methods provides researchers and practitioners with concrete tools to thoroughly validate, benchmark and compare new and existing XAI methods. The Co-12 categorization scheme and our identified evaluation methods open up opportunities to include quantitative metrics as optimization criteria during model training in order to optimize for accuracy and interpretability simultaneously.

The past decade has seen significant progress in artificial intelligence (AI), which has resulted in algorithms being adopted for resolving a variety of problems. However, this success has been met by increasing model complexity and employing black-box AI models that lack transparency. In response to this need, Explainable AI (XAI) has been proposed to make AI more transparent and thus advance the adoption of AI in critical domains. Although there are several reviews of XAI topics in the literature that identified challenges and potential research directions in XAI, these challenges and research directions are scattered. This study, hence, presents a systematic meta-survey for challenges and future research directions in XAI organized in two themes: (1) general challenges and research directions in XAI and (2) challenges and research directions in XAI based on machine learning life cycle's phases: design, development, and deployment. We believe that our meta-survey contributes to XAI literature by providing a guide for future exploration in the XAI area.

Most traditional AI safety research has approached AI models as machines and centered on algorithm-focused attacks developed by security experts. As large language models (LLMs) become increasingly common and competent, non-expert users can also impose risks during daily interactions. This paper introduces a new perspective to jailbreak LLMs as human-like communicators, to explore this overlooked intersection between everyday language interaction and AI safety. Specifically, we study how to persuade LLMs to jailbreak them. First, we propose a persuasion taxonomy derived from decades of social science research. Then, we apply the taxonomy to automatically generate interpretable persuasive adversarial prompts (PAP) to jailbreak LLMs. Results show that persuasion significantly increases the jailbreak performance across all risk categories: PAP consistently achieves an attack success rate of over $92\%$ on Llama 2-7b Chat, GPT-3.5, and GPT-4 in $10$ trials, surpassing recent algorithm-focused attacks. On the defense side, we explore various mechanisms against PAP and, found a significant gap in existing defenses, and advocate for more fundamental mitigation for highly interactive LLMs

The role of explainability in creating trustworthy artificial intelligence for health care: a comprehensive survey of the terminology, design choices, and evaluation strategies

Aniek F. Markus, Jan A. Kors, Peter R. Rijnbeek

Artificial intelligence (AI) has huge potential to improve the health and well-being of people, but adoption in clinical practice is still limited. Lack of transparency is identified as one of the main barriers to implementation, as clinicians should be confident the AI system can be trusted. Explainable AI has the potential to overcome this issue and can be a step towards trustworthy AI. In this paper we review the recent literature to provide guidance to researchers and practitioners on the design of explainable AI systems for the health-care domain and contribute to formalization of the field of explainable AI. We argue the reason to demand explainability determines what should be explained as this determines the relative importance of the properties of explainability (i.e. interpretability and fidelity). Based on this, we propose a framework to guide the choice between classes of explainable AI methods (explainable modelling versus post-hoc explanation; model-based, attribution-based, or example-based explanations; global and local explanations). Furthermore, we find that quantitative evaluation metrics, which are important for objective standardized evaluation, are still lacking for some properties (e.g. clarity) and types of explanations (e.g. example-based methods). We conclude that explainable modelling can contribute to trustworthy AI, but the benefits of explainability still need to be proven in practice and complementary measures might be needed to create trustworthy AI in health care (e.g. reporting data quality, performing extensive (external) validation, and regulation).

The rapid development of Artificial Intelligence (AI) technology has enabled the deployment of various systems based on it. However, many current AI systems are found vulnerable to imperceptible attacks, biased against underrepresented groups, lacking in user privacy protection. These shortcomings degrade user experience and erode people's trust in all AI systems. In this review, we provide AI practitioners with a comprehensive guide for building trustworthy AI systems. We first introduce the theoretical framework of important aspects of AI trustworthiness, including robustness, generalization, explainability, transparency, reproducibility, fairness, privacy preservation, and accountability. To unify currently available but fragmented approaches toward trustworthy AI, we organize them in a systematic approach that considers the entire lifecycle of AI systems, ranging from data acquisition to model development, to system development and deployment, finally to continuous monitoring and governance. In this framework, we offer concrete action items for practitioners and societal stakeholders (e.g., researchers, engineers, and regulators) to improve AI trustworthiness. Finally, we identify key opportunities and challenges for the future development of trustworthy AI systems, where we identify the need for a paradigm shift toward comprehensively trustworthy AI systems.

Formalizing Trust in Artificial Intelligence: Prerequisites, Causes and Goals of Human Trust in AI

Alon Jacovi, Ana Marasović, Tim Miller +1

Trust is a central component of the interaction between people and AI, in that 'incorrect' levels of trust may cause misuse, abuse or disuse of the technology. But what, precisely, is the nature of trust in AI? What are the prerequisites and goals of the cognitive mechanism of trust, and how can we promote them, or assess whether they are being satisfied in a given interaction? This work aims to answer these questions. We discuss a model of trust inspired by, but not identical to, sociology's interpersonal trust (i.e., trust between people). This model rests on two key properties of the vulnerability of the user and the ability to anticipate the impact of the AI model's decisions. We incorporate a formalization of 'contractual trust', such that trust between a user and an AI is trust that some implicit or explicit contract will hold, and a formalization of 'trustworthiness' (which detaches from the notion of trustworthiness in sociology), and with it concepts of 'warranted' and 'unwarranted' trust. We then present the possible causes of warranted trust as intrinsic reasoning and extrinsic behavior, and discuss how to design trustworthy AI, how to evaluate whether trust has manifested, and whether it is warranted. Finally, we elucidate the connection between trust and XAI using our formalization.

Explainable Artificial Intelligence (XAI) is an emerging research topic of machine learning aimed at unboxing how AI systems' black-box choices are made. This research field inspects the measures and models involved in decision-making and seeks solutions to explain them explicitly. Many of the machine learning algorithms can not manifest how and why a decision has been cast. This is particularly true of the most popular deep neural network approaches currently in use. Consequently, our confidence in AI systems can be hindered by the lack of explainability in these black-box models. The XAI becomes more and more crucial for deep learning powered applications, especially for medical and healthcare studies, although in general these deep neural networks can return an arresting dividend in performance. The insufficient explainability and transparency in most existing AI systems can be one of the major reasons that successful implementation and integration of AI tools into routine clinical practice are uncommon. In this study, we first surveyed the current progress of XAI and in particular its advances in healthcare applications. We then introduced our solutions for XAI leveraging multi-modal and multi-centre data fusion, and subsequently validated in two showcases following real clinical scenarios. Comprehensive quantitative and qualitative analyses can prove the efficacy of our proposed XAI solutions, from which we can envisage successful applications in a broader range of clinical questions.

Trustworthy Artificial Intelligence (AI) is based on seven technical requirements sustained over three main pillars that should be met throughout the system's entire life cycle: it should be (1) lawful, (2) ethical, and (3) robust, both from a technical and a social perspective. However, attaining truly trustworthy AI concerns a wider vision that comprises the trustworthiness of all processes and actors that are part of the system's life cycle, and considers previous aspects from different lenses. A more holistic vision contemplates four essential axes: the global principles for ethical use and development of AI-based systems, a philosophical take on AI ethics, a risk-based approach to AI regulation, and the mentioned pillars and requirements. The seven requirements (human agency and oversight; robustness and safety; privacy and data governance; transparency; diversity, non-discrimination and fairness; societal and environmental wellbeing; and accountability) are analyzed from a triple perspective: What each requirement for trustworthy AI is, Why it is needed, and How each requirement can be implemented in practice. On the other hand, a practical approach to implement trustworthy AI systems allows defining the concept of responsibility of AI-based systems facing the law, through a given auditing process. Therefore, a responsible AI system is the resulting notion we introduce in this work, and a concept of utmost necessity that can be realized through auditing processes, subject to the challenges posed by the use of regulatory sandboxes. Our multidisciplinary vision of trustworthy AI culminates in a debate on the diverging views published lately about the future of AI. Our reflections in this matter conclude that regulation is a key for reaching a consensus among these views, and that trustworthy and responsible AI systems will be crucial for the present and future of our society.

Expanding Explainability: Towards Social Transparency in AI systems

Upol Ehsan, Q. Vera Liao, Michael Muller +2

As AI-powered systems increasingly mediate consequential decision-making, their explainability is critical for end-users to take informed and accountable actions. Explanations in human-human interactions are socially-situated. AI systems are often socio-organizationally embedded. However, Explainable AI (XAI) approaches have been predominantly algorithm-centered. We take a developmental step towards socially-situated XAI by introducing and exploring Social Transparency (ST), a sociotechnically informed perspective that incorporates the socio-organizational context into explaining AI-mediated decision-making. To explore ST conceptually, we conducted interviews with 29 AI users and practitioners grounded in a speculative design scenario. We suggested constitutive design elements of ST and developed a conceptual framework to unpack ST's effect and implications at the technical, decision-making, and organizational level. The framework showcases how ST can potentially calibrate trust in AI, improve decision-making, facilitate organizational collective actions, and cultivate holistic explainability. Our work contributes to the discourse of Human-Centered XAI by expanding the design space of XAI.