Research Papers

This study developed an accurate artificial intelligence model for predicting future height in children and adolescents using anthropometric and body composition data from the GP Cohort Study (588,546 measurements from 96,485 children aged 7-18). The model incorporated anthropometric measures, body composition, standard deviation scores, and growth velocity parameters, with performance evaluated using RMSE, MAE, and MAPE. Results showed high accuracy with males achieving average RMSE, MAE, and MAPE of 2.51 cm, 1.74 cm, and 1.14%, and females showing 2.28 cm, 1.68 cm, and 1.13%, respectively. Explainable AI approaches identified height SDS, height velocity, and soft lean mass velocity as crucial predictors. The model generated personalized growth curves by estimating individual-specific height trajectories, offering a robust tool for clinical decision support, early identification of growth disorders, and optimization of growth outcomes.

Improving energy efficiency in residential buildings is critical to combating climate change and reducing greenhouse gas emissions. Retrofitting existing buildings, which contribute a significant share of energy use, is therefore a key priority, especially in regions with outdated building stock. Artificial Intelligence (AI) and Machine Learning (ML) can automate retrofit decision-making and find retrofit strategies. However, their use faces challenges of data availability, model transparency, and compliance with national and EU AI regulations including the AI act, ethics guidelines and the ALTAI. This paper presents a trustworthy-by-design ML-based decision support framework that recommends energy efficiency strategies for residential buildings using minimal user-accessible inputs. The framework merges Conditional Tabular Generative Adversarial Networks (CTGAN) to augment limited and imbalanced data with a neural network-based multi-label classifier that predicts potential combinations of retrofit actions. To support explanation and trustworthiness, an Explainable AI (XAI) layer using SHapley Additive exPlanations (SHAP) clarifies the rationale behind recommendations and guides feature engineering. Two case studies validate performance and generalization: the first leveraging a well-established, large EPC dataset for England and Wales; the second using a small, imbalanced post-retrofit dataset from Latvia (RETROFIT-LAT). Results show that the framework can handle diverse data conditions and improve performance up to 53% compared to the baseline. Overall, the proposed framework provides a feasible, interpretable, and trustworthy AI system for building retrofit decision support through assured performance, usability, and transparency to aid stakeholders in prioritizing effective energy investments and support regulation-compliant, data-driven innovation in sustainable energy transition.

Background: Artificial Intelligence (AI) clinical decision support (CDS) systems have the potential to augment surgical risk assessments, but successful adoption depends on an understanding of end-user needs and current workflows. This study reports the initial co-design of MySurgeryRisk, an AI CDS tool to predict the risk of nine post-operative complications in surgical patients. Methods: Semi-structured focus groups and interviews were held as co-design sessions with perioperative physicians at a tertiary academic hospital in the Southeastern United States. Participants were read a surgical vignette and asked questions to elicit an understanding of their current decision-making practices before being introduced to the MySurgeryRisk prototype web interface. They were asked to provide feedback on the user interface and system features. Session transcripts were qualitatively coded, after which thematic analysis took place. Results: Data saturation was reached after 20 surgeons and anesthesiologists from varying career stages participated across 11 co-design sessions. Thematic analysis resulted in five themes: (1) decision-making cognitive processes, (2) current approach to decision-making, (3) future approach to decision-making with MySurgeryRisk, (4) feedback on current MySurgeryRisk prototype, and (5) trustworthy considerations. Conclusion: Clinical providers perceived MySurgeryRisk as a promising CDS tool that factors in a large volume of data and is computed in real-time without any need for manual input. Participants provided feedback on the design of the interface and imaged applications of the tool in the clinical workflow. However, its successful implementation will depend on its actionability and explainability of model outputs, integration into current electronic systems, and calibration of trust among end-users.

Out-of-Distribution (OOD) detection is a critical task in machine learning, particularly in safety-sensitive applications where model failures can have serious consequences. However, current OOD detection methods often suffer from restrictive distributional assumptions, limited scalability, and a lack of interpretability. To address these challenges, we propose STOOD-X, a two-stage methodology that combines a Statistical nonparametric Test for OOD Detection with eXplainability enhancements. In the first stage, STOOD-X uses feature-space distances and a Wilcoxon-Mann-Whitney test to identify OOD samples without assuming a specific feature distribution. In the second stage, it generates user-friendly, concept-based visual explanations that reveal the features driving each decision, aligning with the BLUE XAI paradigm. Through extensive experiments on benchmark datasets and multiple architectures, STOOD-X achieves competitive performance against state-of-the-art post hoc OOD detectors, particularly in high-dimensional and complex settings. In addition, its explainability framework enables human oversight, bias detection, and model debugging, fostering trust and collaboration between humans and AI systems. The STOOD-X methodology therefore offers a robust, explainable, and scalable solution for real-world OOD detection tasks.

The lack of interpretability is a major barrier that limits the practical usage of AI models. Several eXplainable AI (XAI) techniques (e.g., SHAP, LIME) have been employed to interpret these models' performance. However, users often face challenges when leveraging these techniques in real-world scenarios and thus submit questions in technical Q&A forums like Stack Overflow (SO) to resolve these challenges. We conducted an exploratory study to expose these challenges, their severity, and features that can make XAI techniques more accessible and easier to use. Our contributions to this study are fourfold. First, we manually analyzed 663 SO questions that discussed challenges related to XAI techniques. Our careful investigation produced a catalog of seven challenges (e.g., disagreement issues). We then analyzed their prevalence and found that model integration and disagreement issues emerged as the most prevalent challenges. Second, we attempt to estimate the severity of each XAI challenge by determining the correlation between challenge types and answer metadata (e.g., the presence of accepted answers). Our analysis suggests that model integration issues is the most severe challenge. Third, we attempt to perceive the severity of these challenges based on practitioners' ability to use XAI techniques effectively in their work. Practitioners' responses suggest that disagreement issues most severely affect the use of XAI techniques. Fourth, we seek agreement from practitioners on improvements or features that could make XAI techniques more accessible and user-friendly. The majority of them suggest consistency in explanations and simplified integration. Our study findings might (a) help to enhance the accessibility and usability of XAI and (b) act as the initial benchmark that can inspire future research.

Since mpox can spread from person to person, it is a zoonotic viral illness that poses a significant public health concern. It is difficult to make an early clinical diagnosis because of how closely its symptoms match those of measles and chickenpox. Medical imaging combined with deep learning (DL) techniques has shown promise in improving disease detection by analyzing affected skin areas. Our study explore the feasibility to train deep learning and vision transformer-based models from scratch with publicly available skin lesion image dataset. Our experimental results show dataset limitation as a major drawback to build better classifier models trained from scratch. We used transfer learning with the help of pre-trained models to get a better classifier. The MobileNet-v2 outperformed other state of the art pre-trained models with 93.15% accuracy and 93.09% weighted average F1 score. ViT B16 and ResNet-50 also achieved satisfactory performance compared to already available studies with accuracy 92.12% and 86.21% respectively. To further validate the performance of the models, we applied explainable AI techniques.

This paper introduces a novel framework that accelerates the discovery of actionable relationships in high-dimensional temporal data by integrating machine learning (ML), explainable AI (XAI), and natural language processing (NLP) to enhance data quality and streamline workflows. Traditional methods often fail to recognize complex temporal relationships, leading to noisy, redundant, or biased datasets. Our approach combines ML-driven pruning to identify and mitigate low-quality samples, XAI-based interpretability to validate critical feature interactions, and NLP for future contextual validation, reducing the time required to uncover actionable insights by 40-60%. Evaluated on real-world agricultural and synthetic datasets, the framework significantly improves performance metrics (e.g., MSE, R2, MAE) and computational efficiency, with hardware-agnostic scalability across diverse platforms. While long-term real-world impacts (e.g., cost savings, sustainability gains) are pending, this methodology provides an immediate pathway to accelerate data-centric AI in dynamic domains like agriculture and energy, enabling faster iteration cycles for domain experts.

A Systematic Decade Review of Trip Route Planning with Travel Time Estimation based on User Preferences and Behavior

Nikil Jayasuriya, Deshan Sumanathilaka

This paper systematically explores the advancements in adaptive trip route planning and travel time estimation (TTE) through Artificial Intelligence (AI). With the increasing complexity of urban transportation systems, traditional navigation methods often struggle to accommodate dynamic user preferences, real-time traffic conditions, and scalability requirements. This study explores the contributions of established AI techniques, including Machine Learning (ML), Reinforcement Learning (RL), and Graph Neural Networks (GNNs), alongside emerging methodologies like Meta-Learning, Explainable AI (XAI), Generative AI, and Federated Learning. In addition to highlighting these innovations, the paper identifies critical challenges such as ethical concerns, computational scalability, and effective data integration, which must be addressed to advance the field. The paper concludes with recommendations for leveraging AI to build efficient, transparent, and sustainable navigation systems.

Achieving Socio-Economic Parity through the Lens of EU AI Act

Arjun Roy, Stavroula Rizou, Symeon Papadopoulos +1

Unfair treatment and discrimination are critical ethical concerns in AI systems, particularly as their adoption expands across diverse domains. Addressing these challenges, the recent introduction of the EU AI Act establishes a unified legal framework to ensure legal certainty for AI innovation and investment while safeguarding public interests, such as health, safety, fundamental rights, democracy, and the rule of law (Recital 8). The Act encourages stakeholders to initiate dialogue on existing AI fairness notions to address discriminatory outcomes of AI systems. However, these notions often overlook the critical role of Socio-Economic Status (SES), inadvertently perpetuating biases that favour the economically advantaged. This is concerning, given that principles of equalization advocate for equalizing resources or opportunities to mitigate disadvantages beyond an individual's control. While provisions for discrimination are laid down in the AI Act, specialized directions should be broadened, particularly in addressing economic disparities perpetuated by AI systems. In this work, we explore the limitations of popular AI fairness notions using a real-world dataset (Adult), highlighting their inability to address SES-driven disparities. To fill this gap, we propose a novel fairness notion, Socio-Economic Parity (SEP), which incorporates SES and promotes positive actions for underprivileged groups while accounting for factors within an individual's control, such as working hours, which can serve as a proxy for effort. We define a corresponding fairness measure and optimize a model constrained by SEP to demonstrate practical utility. Our results show the effectiveness of SEP in mitigating SES-driven biases. By analyzing the AI Act alongside our method, we lay a foundation for aligning AI fairness with SES factors while ensuring legal compliance.

Evaluating the value alignment of large language models (LLMs) has traditionally relied on single-sentence adversarial prompts, which directly probe models with ethically sensitive or controversial questions. However, with the rapid advancements in AI safety techniques, models have become increasingly adept at circumventing these straightforward tests, limiting their effectiveness in revealing underlying biases and ethical stances. To address this limitation, we propose an upgraded value alignment benchmark that moves beyond single-sentence prompts by incorporating multi-turn dialogues and narrative-based scenarios. This approach enhances the stealth and adversarial nature of the evaluation, making it more robust against superficial safeguards implemented in modern LLMs. We design and implement a dataset that includes conversational traps and ethically ambiguous storytelling, systematically assessing LLMs' responses in more nuanced and context-rich settings. Experimental results demonstrate that this enhanced methodology can effectively expose latent biases that remain undetected in traditional single-shot evaluations. Our findings highlight the necessity of contextual and dynamic testing for value alignment in LLMs, paving the way for more sophisticated and realistic assessments of AI ethics and safety.

As large language models (LLMs) increasingly function as human-like assistants exhibiting human-like personality traits, understanding their behavioral characteristics becomes essential for responsible AI development. However, existing evaluation efforts, which often adapt human psychological assessments such as the Big Five Inventory (BFI), face two significant limitations. First, these approaches often lack reliability, as minor prompt variations can lead to inconsistent test results. Second, the theoretical foundations of these tools, rooted in human studies, are misaligned with the computational nature of LLMs, thereby limiting their validity in predicting real-world model behavior. To address these limitations, we introduce the Core Sentiment Inventory (CSI), a novel personality trait evaluation instrument designed from the ground up and specifically tailored to the unique characteristics of LLMs. CSI covers both English and Chinese, that implicitly evaluates models' personality traits, providing insightful psychological portraits of LLMs. Extensive experiments demonstrate that: (1) CSI effectively captures nuanced behavioral patterns, revealing significant behavioral variations in LLMs across different languages and contexts; (2) Compared to current evaluation tools, CSI significantly improves reliability, yielding more consistent and robust results; and (3) The correlation between CSI scores and LLMs' real-world outputs exceeds 0.85, demonstrating its strong validity in predicting LLM behavior.

A multi-model approach using XAI and anomaly detection to predict asteroid hazards

Amit Kumar Mondal, Nafisha Aslam, Prasenjit Maji +1

The potential for catastrophic collision makes near-Earth asteroids (NEAs) a serious concern. Planetary defense depends on accurately classifying potentially hazardous asteroids (PHAs), however the complexity of the data hampers conventional techniques. This work offers a sophisticated method for accurately predicting hazards by combining machine learning, deep learning, explainable AI (XAI), and anomaly detection. Our approach extracts essential parameters like size, velocity, and trajectory from historical and real-time asteroid data. A hybrid algorithm improves prediction accuracy by combining several cutting-edge models. A forecasting module predicts future asteroid behavior, and Monte Carlo simulations evaluate the likelihood of collisions. Timely mitigation is made possible by a real-time alarm system that notifies worldwide monitoring stations. This technique enhances planetary defense efforts by combining real-time alarms with sophisticated predictive modeling.