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arXiv 2205.04599cs.LGcs.AI
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感知对齐的人工智能输出:临床决策中用于不确定性通信的端到端视觉预测

Perception-Aligned AI Outputs: End-to-End Visual Prediction for Uncertainty Communication in Clinical Decision-Making

Harvard Ophthalmology AI Lab(哈佛眼科人工智能实验室);Schepens Eye Research Institute of Massachusetts Eye and Ear(马萨诸塞眼耳医院施佩恩眼科研究所);Harvard Medical School(哈佛医学院);Center for Advanced Technology and Education(先进教育技术中心);Florida International University(佛罗里达国际大学);Dartmouth Institute for Health Policy and Clinical Practice(达特茅斯健康政策与临床实践研究所);Dartmouth College(达特茅斯学院);Computer Aided Medical Procedures(医学辅助程序);Technical University of Munich(慕尼黑技术大学);Singapore Eye Research Institute(新加坡眼科研究所);Singapore National Eye Centre(新加坡国家眼科中心);Department of Ophthalmology, Byers Eye Institute, Stanford University(眼科部门,比尔斯眼科研究所,斯坦福大学)
Mohammad Eslami, Solale Tabarestani, Saber Kazeminasab, Ehsan Adeli, Glyn Elwyn, Tobias Elze, Mengyu Wang, Nazlee Zebardast, Lucia Sobrin, Nassir Navab, Daniel … 展开作者

Mohammad Eslami, Solale Tabarestani, Saber Kazeminasab, Ehsan Adeli, Glyn Elwyn, Tobias Elze, Mengyu Wang, Nazlee Zebardast, Lucia Sobrin, Nassir Navab, Daniel Shu Wei Ting, Malek Adjouadi

AI总结:

研究针对医疗保健中可解释人工智能的问题,提出以人为本的机器学习可视化学习框架VL4ML,通过直观视觉表示传达模型预测与不确定性,经多临床任务验证及评估,结果显示其能有效支持临床决策,具有广泛可及性。

摘要:

可解释人工智能(XAI)对医疗保健领域中可靠的人工智能至关重要,但现有许多方法依赖于临床医生和患者难以理解的技术解释。我们引入了机器学习可视化学习(VL4ML),这是一个以人为本的可解释性框架,通过直观的视觉表示而非数值或事后解释来传达模型预测和不确定性。通过在颜色、图案和空间结构中编码诊断信息,VL4ML使用户无需了解模型内部或统计专业知识就能解释预测。我们在包括分类、回归、纵向预测和多模态分析等多个临床任务中展示了该框架。通过一项涉及158名参与者(39.2%为临床专业人员)的以人为本的研究和专家可解释性评估对其有效性进行了评估。超过79%的参与者在评估维度上对视觉解释给予了积极评价,84.0%的人认为它们比数字输出更令人难忘,76.9%的人报告决策更快。超过82%的人在没有事先统计训练的情况下成功感知到视觉表示中嵌入的不确定性。临床医生和非临床医生之间以及男性和女性参与者之间没有观察到显著差异,表明其具有广泛的可及性。这些结果表明,VL4ML通过提供直观、普遍可解释的视觉解释来补充现有的XAI和不确定性量化方法,支持透明和可靠的临床决策。

英文摘要:

Explainable Artificial Intelligence (XAI) is essential for trustworthy AI in healthcare, yet many existing methods rely on technical explanations that are difficult for clinicians and patients to interpret. We introduce Visualized Learning for Machine Learning (VL4ML), a human-centered explainability framework that communicates model predictions and uncertainty through intuitive visual representations rather than numerical or post-hoc explanations. By encoding diagnostic information in colors, patterns, and spatial structures, VL4ML enables users to interpret predictions without requiring knowledge of model internals or statistical expertise. We demonstrate the framework across multiple clinical tasks, including classification, regression, longitudinal prediction, and multimodal analysis. Its effectiveness was evaluated through a human-centered study involving 158 participants (39.2% clinical professionals) and an expert interpretability assessment. More than 79% of participants positively rated the visual explanations across evaluation dimensions, 84.0% found them more memorable than numeric outputs, and 76.9% reported faster decision-making. Over 82% successfully perceived uncertainty embedded in the visual representations without prior statistical training. No significant differences were observed between clinicians and non-clinicians or between male and female participants, indicating broad accessibility. These results suggest that VL4ML complements existing XAI and uncertainty quantification methods by providing intuitive, universally interpretable visual explanations that support transparent and trustworthy clinical decision-making.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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