Clinical decision support using deep neural networks has become a topic of steadily growing interest. While recent work has repeatedly demonstrated that deep learning offers major advantages for medical image classification over traditional methods, clinicians are often hesitant to adopt the technology because its underlying decision-making process is considered to be intransparent and difficult to comprehend. In recent years, this has been addressed by a variety of approaches that have successfully contributed to providing deeper insight. Most notably, additive feature attribution methods are able to propagate decisions back into the input space by creating a saliency map which allows the practitioner to "see what the network sees." However, the quality of the generated maps can become poor and the images noisy if only limited data is available - a typical scenario in clinical contexts. We propose a novel decision explanation scheme based on CycleGAN activation maximization which generates high-quality visualizations of classifier decisions even in smaller data sets. We conducted a user study in which we evaluated our method on the LIDC dataset for lung lesion malignancy classification, the BreastMNIST dataset for ultrasound image breast cancer detection, as well as two subsets of the CIFAR-10 dataset for RBG image object recognition. Within this user study, our method clearly outperformed existing approaches on the medical imaging datasets and ranked second in the natural image setting. With our approach we make a significant contribution towards a better understanding of clinical decision support systems based on deep neural networks and thus aim to foster overall clinical acceptance.
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Adopting a good health information system (HIS) is essential for providing high-quality healthcare. With rapid advances in technology in the healthcare industry in recent years, healthcare providers seek effective options to deal with numerous diseases and a growing number of patients, adopting advanced HIS such as for clinical decision support. While the clinical decision support systems (CDSS) can help medical personnel make better decisions, they may bring negative results due to a lack of understanding of the elements that influence GP's adoption of CDSS. This paper focuses on discovering obstacles that may contribute to the problems surrounding CDSS adoption. Thirty general practitioners were interviewed from different primary health centers in Saudi Arabia in order to determine the challenges and obstacles in the sector. While the outcome confirms that there are obstacles that affect the aspects, such as time risk, quality of the system used, slow Internet speed, user interface, lack of training, high costs, patient satisfaction, multiple systems used, technical support, computer skills, lack of flexibility, system update, professional skills and knowledge, computer efficiency and quality and accuracy of data.
Causal effect estimation from observational data is a challenging problem, especially with high dimensional data and in the presence of unobserved variables. The available data-driven methods for tackling the problem either provide an estimation of the bounds of a causal effect (i.e. nonunique estimation) or have low efficiency. The major hurdle for achieving high efficiency while trying to obtain unique and unbiased causal effect estimation is how to find a proper adjustment set for confounding control in a fast way, given the huge covariate space and considering unobserved variables. In this paper, we approach the problem as a local search task for finding valid adjustment sets in data. We establish the theorems to support the local search for adjustment sets, and we show that unique and unbiased estimation can be achieved from observational data even when there exist unobserved variables. We then propose a data-driven algorithm that is fast and consistent under mild assumptions. We also make use of a frequent pattern mining method to further speed up the search of minimal adjustment sets for causal effect estimation. Experiments conducted on extensive synthetic and real-world datasets demonstrate that the proposed algorithm outperforms the state-of-the-art criteria/estimators in both accuracy and time-efficiency.
Deep learning plays a more and more important role in our daily life due to its competitive performance in multiple industrial application domains. As the core of DL-enabled systems, deep neural networks automatically learn knowledge from carefully collected and organized training data to gain the ability to predict the label of unseen data. Similar to the traditional software systems that need to be comprehensively tested, DNNs also need to be carefully evaluated to make sure the quality of the trained model meets the demand. In practice, the de facto standard to assess the quality of DNNs in industry is to check their performance (accuracy) on a collected set of labeled test data. However, preparing such labeled data is often not easy partly because of the huge labeling effort, i.e., data labeling is labor-intensive, especially with the massive new incoming unlabeled data every day. Recent studies show that test selection for DNN is a promising direction that tackles this issue by selecting minimal representative data to label and using these data to assess the model. However, it still requires human effort and cannot be automatic. In this paper, we propose a novel technique, named Aries, that can estimate the performance of DNNs on new unlabeled data using only the information obtained from the original test data. The key insight behind our technique is that the model should have similar prediction accuracy on the data which have similar distances to the decision boundary. We performed a large-scale evaluation of our technique on 13 types of data transformation methods. The results demonstrate the usefulness of our technique that the estimated accuracy by Aries is only 0.03% -- 2.60% (on average 0.61%) off the true accuracy. Besides, Aries also outperforms the state-of-the-art selection-labeling-based methods in most (96 out of 128) cases.
The value of uncertainty quantification on predictions for trained neural networks (NNs) on quantum chemical reference data is quantitatively explored. For this, the architecture of the PhysNet NN was suitably modified and the resulting model was evaluated with different metrics to quantify calibration, quality of predictions, and whether prediction error and the predicted uncertainty can be correlated. The results from training on the QM9 database and evaluating data from the test set within and outside the distribution indicate that error and uncertainty are not linearly related. The results clarify that noise and redundancy complicate property prediction for molecules even in cases for which changes - e.g. double bond migration in two otherwise identical molecules - are small. The model was then applied to a real database of tautomerization reactions. Analysis of the distance between members in feature space combined with other parameters shows that redundant information in the training dataset can lead to large variances and small errors whereas the presence of similar but unspecific information returns large errors but small variances. This was, e.g., observed for nitro-containing aliphatic chains for which predictions were difficult although the training set contained several examples for nitro groups bound to aromatic molecules. This underlines the importance of the composition of the training data and provides chemical insight into how this affects the prediction capabilities of a ML model. Finally, the approach put forward can be used for information-based improvement of chemical databases for target applications through active learning optimization.
Formal XAI (explainable AI) is a growing area that focuses on computing explanations with mathematical guarantees for the decisions made by ML models. Inside formal XAI, one of the most studied cases is that of explaining the choices taken by decision trees, as they are traditionally deemed as one of the most interpretable classes of models. Recent work has focused on studying the computation of "sufficient reasons", a kind of explanation in which given a decision tree $T$ and an instance $x$, one explains the decision $T(x)$ by providing a subset $y$ of the features of $x$ such that for any other instance $z$ compatible with $y$, it holds that $T(z) = T(x)$, intuitively meaning that the features in $y$ are already enough to fully justify the classification of $x$ by $T$. It has been argued, however, that sufficient reasons constitute a restrictive notion of explanation, and thus the community has started to study their probabilistic counterpart, in which one requires that the probability of $T(z) = T(x)$ must be at least some value $\delta \in (0, 1]$, where $z$ is a random instance that is compatible with $y$. Our paper settles the computational complexity of $\delta$-sufficient-reasons over decision trees, showing that both (1) finding $\delta$-sufficient-reasons that are minimal in size, and (2) finding $\delta$-sufficient-reasons that are minimal inclusion-wise, do not admit polynomial-time algorithms (unless P=NP). This is in stark contrast with the deterministic case ($\delta = 1$) where inclusion-wise minimal sufficient-reasons are easy to compute. By doing this, we answer two open problems originally raised by Izza et al. On the positive side, we identify structural restrictions of decision trees that make the problem tractable, and show how SAT solvers might be able to tackle these problems in practical settings.
The remarkable success of deep learning has prompted interest in its application to medical diagnosis. Even tough state-of-the-art deep learning models have achieved human-level accuracy on the classification of different types of medical data, these models are hardly adopted in clinical workflows, mainly due to their lack of interpretability. The black-box-ness of deep learning models has raised the need for devising strategies to explain the decision process of these models, leading to the creation of the topic of eXplainable Artificial Intelligence (XAI). In this context, we provide a thorough survey of XAI applied to medical diagnosis, including visual, textual, and example-based explanation methods. Moreover, this work reviews the existing medical imaging datasets and the existing metrics for evaluating the quality of the explanations . Complementary to most existing surveys, we include a performance comparison among a set of report generation-based methods. Finally, the major challenges in applying XAI to medical imaging are also discussed.
Neural architecture-based recommender systems have achieved tremendous success in recent years. However, when dealing with highly sparse data, they still fall short of expectation. Self-supervised learning (SSL), as an emerging technique to learn with unlabeled data, recently has drawn considerable attention in many fields. There is also a growing body of research proceeding towards applying SSL to recommendation for mitigating the data sparsity issue. In this survey, a timely and systematical review of the research efforts on self-supervised recommendation (SSR) is presented. Specifically, we propose an exclusive definition of SSR, on top of which we build a comprehensive taxonomy to divide existing SSR methods into four categories: contrastive, generative, predictive, and hybrid. For each category, the narrative unfolds along its concept and formulation, the involved methods, and its pros and cons. Meanwhile, to facilitate the development and evaluation of SSR models, we release an open-source library SELFRec, which incorporates multiple benchmark datasets and evaluation metrics, and has implemented a number of state-of-the-art SSR models for empirical comparison. Finally, we shed light on the limitations in the current research and outline the future research directions.
Self-supervised learning has been widely used to obtain transferrable representations from unlabeled images. Especially, recent contrastive learning methods have shown impressive performances on downstream image classification tasks. While these contrastive methods mainly focus on generating invariant global representations at the image-level under semantic-preserving transformations, they are prone to overlook spatial consistency of local representations and therefore have a limitation in pretraining for localization tasks such as object detection and instance segmentation. Moreover, aggressively cropped views used in existing contrastive methods can minimize representation distances between the semantically different regions of a single image. In this paper, we propose a spatially consistent representation learning algorithm (SCRL) for multi-object and location-specific tasks. In particular, we devise a novel self-supervised objective that tries to produce coherent spatial representations of a randomly cropped local region according to geometric translations and zooming operations. On various downstream localization tasks with benchmark datasets, the proposed SCRL shows significant performance improvements over the image-level supervised pretraining as well as the state-of-the-art self-supervised learning methods.
This paper focuses on the expected difference in borrower's repayment when there is a change in the lender's credit decisions. Classical estimators overlook the confounding effects and hence the estimation error can be magnificent. As such, we propose another approach to construct the estimators such that the error can be greatly reduced. The proposed estimators are shown to be unbiased, consistent, and robust through a combination of theoretical analysis and numerical testing. Moreover, we compare the power of estimating the causal quantities between the classical estimators and the proposed estimators. The comparison is tested across a wide range of models, including linear regression models, tree-based models, and neural network-based models, under different simulated datasets that exhibit different levels of causality, different degrees of nonlinearity, and different distributional properties. Most importantly, we apply our approaches to a large observational dataset provided by a global technology firm that operates in both the e-commerce and the lending business. We find that the relative reduction of estimation error is strikingly substantial if the causal effects are accounted for correctly.
With the rapid increase of large-scale, real-world datasets, it becomes critical to address the problem of long-tailed data distribution (i.e., a few classes account for most of the data, while most classes are under-represented). Existing solutions typically adopt class re-balancing strategies such as re-sampling and re-weighting based on the number of observations for each class. In this work, we argue that as the number of samples increases, the additional benefit of a newly added data point will diminish. We introduce a novel theoretical framework to measure data overlap by associating with each sample a small neighboring region rather than a single point. The effective number of samples is defined as the volume of samples and can be calculated by a simple formula $(1-\beta^{n})/(1-\beta)$, where $n$ is the number of samples and $\beta \in [0,1)$ is a hyperparameter. We design a re-weighting scheme that uses the effective number of samples for each class to re-balance the loss, thereby yielding a class-balanced loss. Comprehensive experiments are conducted on artificially induced long-tailed CIFAR datasets and large-scale datasets including ImageNet and iNaturalist. Our results show that when trained with the proposed class-balanced loss, the network is able to achieve significant performance gains on long-tailed datasets.
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