HCJun 27, 2023
Next Steps for Human-Centered Generative AI: A Technical PerspectiveXiang 'Anthony' Chen, Jeff Burke, Ruofei Du et al. · microsoft-research, salesforce
Through iterative, cross-disciplinary discussions, we define and propose next-steps for Human-centered Generative AI (HGAI). We contribute a comprehensive research agenda that lays out future directions of Generative AI spanning three levels: aligning with human values; assimilating human intents; and augmenting human abilities. By identifying these next-steps, we intend to draw interdisciplinary research teams to pursue a coherent set of emergent ideas in HGAI, focusing on their interested topics while maintaining a coherent big picture of the future work landscape.
CLNov 9, 2022
Discord Questions: A Computational Approach To Diversity Analysis in News CoveragePhilippe Laban, Chien-Sheng Wu, Lidiya Murakhovs'ka et al. · microsoft-research, salesforce
There are many potential benefits to news readers accessing diverse sources. Modern news aggregators do the hard work of organizing the news, offering readers a plethora of source options, but choosing which source to read remains challenging. We propose a new framework to assist readers in identifying source differences and gaining an understanding of news coverage diversity. The framework is based on the generation of Discord Questions: questions with a diverse answer pool, explicitly illustrating source differences. To assemble a prototype of the framework, we focus on two components: (1) discord question generation, the task of generating questions answered differently by sources, for which we propose an automatic scoring method, and create a model that improves performance from current question generation (QG) methods by 5%, (2) answer consolidation, the task of grouping answers to a question that are semantically similar, for which we collect data and repurpose a method that achieves 81% balanced accuracy on our realistic test set. We illustrate the framework's feasibility through a prototype interface. Even though model performance at discord QG still lags human performance by more than 15%, generated questions are judged to be more interesting than factoid questions and can reveal differences in the level of detail, sentiment, and reasoning of sources in news coverage.
HCFeb 17, 2023
Designing and Evaluating Interfaces that Highlight News Coverage Diversity Using Discord QuestionsPhilippe Laban, Chien-Sheng Wu, Lidiya Murakhovs'ka et al. · microsoft-research, salesforce
Modern news aggregators do the hard work of organizing a large news stream, creating collections for a given news story with tens of source options. This paper shows that navigating large source collections for a news story can be challenging without further guidance. In this work, we design three interfaces -- the Annotated Article, the Recomposed Article, and the Question Grid -- aimed at accompanying news readers in discovering coverage diversity while they read. A first usability study with 10 journalism experts confirms the designed interfaces all reveal coverage diversity and determine each interface's potential use cases and audiences. In a second usability study, we developed and implemented a reading exercise with 95 novice news readers to measure exposure to coverage diversity. Results show that Annotated Article users are able to answer questions 34% more completely than with two existing interfaces while finding the interface equally easy to use.
92.2CYMar 11
Beyond Explainable AI (XAI): An Overdue Paradigm Shift and Post-XAI Research DirectionsSaleh Afroogh, Seyd Ishtiaque Ahmed, Petra Ahrweiler et al. · cmu
This study provides a cross-disciplinary examination of Explainable Artificial Intelligence (XAI) approaches-focusing on deep neural networks (DNNs) and large language models (LLMs)-and identifies empirical and conceptual limitations in current XAI. We discuss critical symptoms that stem from deeper root causes (i.e., two paradoxes, two conceptual confusions, and five false assumptions). These fundamental problems within the current XAI research field reveal three insights: experimentally, XAI exhibits significant flaws; conceptually, it is paradoxical; and pragmatically, further attempts to reform the paradoxical XAI might exacerbate its confusion-demanding fundamental shifts and new research directions. To move beyond XAI's limitations, we propose a four-pronged synthesized paradigm shift toward reliable and certified AI development. These four components include: verification-focused Interactive AI (IAI) to establish scientific community protocols for certifying AI system performance rather than attempting post-hoc explanations, AI Epistemology for rigorous scientific foundations, User-Sensible AI to create context-aware systems tailored to specific user communities, and Model-Centered Interpretability for faithful technical analysis-together offering comprehensive post-XAI research directions.
CVSep 27, 2023
Domain generalization across tumor types, laboratories, and species -- insights from the 2022 edition of the Mitosis Domain Generalization ChallengeMarc Aubreville, Nikolas Stathonikos, Taryn A. Donovan et al.
Recognition of mitotic figures in histologic tumor specimens is highly relevant to patient outcome assessment. This task is challenging for algorithms and human experts alike, with deterioration of algorithmic performance under shifts in image representations. Considerable covariate shifts occur when assessment is performed on different tumor types, images are acquired using different digitization devices, or specimens are produced in different laboratories. This observation motivated the inception of the 2022 challenge on MItosis Domain Generalization (MIDOG 2022). The challenge provided annotated histologic tumor images from six different domains and evaluated the algorithmic approaches for mitotic figure detection provided by nine challenge participants on ten independent domains. Ground truth for mitotic figure detection was established in two ways: a three-expert consensus and an independent, immunohistochemistry-assisted set of labels. This work represents an overview of the challenge tasks, the algorithmic strategies employed by the participants, and potential factors contributing to their success. With an $F_1$ score of 0.764 for the top-performing team, we summarize that domain generalization across various tumor domains is possible with today's deep learning-based recognition pipelines. However, we also found that domain characteristics not present in the training set (feline as new species, spindle cell shape as new morphology and a new scanner) led to small but significant decreases in performance. When assessed against the immunohistochemistry-assisted reference standard, all methods resulted in reduced recall scores, but with only minor changes in the order of participants in the ranking.
HCJul 17, 2022
GANzilla: User-Driven Direction Discovery in Generative Adversarial NetworksNoyan Evirgen, Xiang 'Anthony' Chen
Generative Adversarial Network (GAN) is widely adopted in numerous application areas, such as data preprocessing, image editing, and creativity support. However, GAN's 'black box' nature prevents non-expert users from controlling what data a model generates, spawning a plethora of prior work that focused on algorithm-driven approaches to extract editing directions to control GAN. Complementarily, we propose a GANzilla: a user-driven tool that empowers a user with the classic scatter/gather technique to iteratively discover directions to meet their editing goals. In a study with 12 participants, GANzilla users were able to discover directions that (i) edited images to match provided examples (closed-ended tasks) and that (ii) met a high-level goal, e.g., making the face happier, while showing diversity across individuals (open-ended tasks).
CVAug 26, 2022
Detecting Mitoses with a Convolutional Neural Network for MIDOG 2022 ChallengeHongyan Gu, Mohammad Haeri, Shuo Ni et al.
This work presents a mitosis detection method with only one vanilla Convolutional Neural Network (CNN). Our method consists of two steps: given an image, we first apply a CNN using a sliding window technique to extract patches that have mitoses; we then calculate each extracted patch's class activation map to obtain the mitosis's precise location. To increase the model performance on high-domain-variance pathology images, we train the CNN with a data augmentation pipeline, a noise-tolerant loss that copes with unlabeled images, and a multi-rounded active learning strategy. In the MIDOG 2022 challenge, our approach, with an EfficientNet-b3 CNN model, achieved an overall F1 score of 0.7323 in the preliminary test phase, and 0.6847 in the final test phase (task 1). Our approach sheds light on the broader applicability of class activation maps for object detections in pathology images.
HCJan 31, 2023
GANravel: User-Driven Direction Disentanglement in Generative Adversarial NetworksNoyan Evirgen, Xiang 'Anthony' Chen
Generative adversarial networks (GANs) have many application areas including image editing, domain translation, missing data imputation, and support for creative work. However, GANs are considered 'black boxes'. Specifically, the end-users have little control over how to improve editing directions through disentanglement. Prior work focused on new GAN architectures to disentangle editing directions. Alternatively, we propose GANravel a user-driven direction disentanglement tool that complements the existing GAN architectures and allows users to improve editing directions iteratively. In two user studies with 16 participants each, GANravel users were able to disentangle directions and outperformed the state-of-the-art direction discovery baselines in disentanglement performance. In the second user study, GANravel was used in a creative task of creating dog memes and was able to create high-quality edited images and GIFs.
87.8LGApr 24Code
C-MORAL: Controllable Multi-Objective Molecular Optimization with Reinforcement Alignment for LLMsRui Gao, Youngseung Jeon, Swastik Roy et al.
Large language models (LLMs) show promise for molecular optimization, but aligning them with selective and competing drug-design constraints remains challenging. We propose C-Moral, a reinforcement learning post-training framework for controllable multi-objective molecular optimization. C-Moral combines group-based relative optimization, property score alignment for heterogeneous objectives, and continuous non-linear reward aggregation to improve stability across competing properties. Experiments on the C-MuMOInstruct benchmark show that C-Moral consistently outperforms state-of-the-art models across both in-domain and out-of-domain settings, achieving the best Success Optimized Rate (SOR) of 48.9% on IND tasks and 39.5% on OOD tasks, while largely preserving scaffold similarity. These results suggest that RL post-training is an effective way to align molecular language models with continuous molecular design objectives. Our code and models are publicly available at https://github.com/Rwigie/C-MORAL.
72.9HCApr 21
OOPrompt: Reifying Intents into Structured Artifacts for Modular and Iterative PromptingTengyou Xu, Detao Ma, Xiang 'Anthony' Chen
The rise of large language models (LLMs) has given rise to a class of prompt-based interactive systems where users primarily express their input in natural language. However, composing a prompt as a linear text string becomes unwieldy when capturing users' multifaceted intents. We present Object-Oriented Prompting (OOPrompt), an emergent interaction paradigm that enables users to create, edit, iterate, and reuse prompts as structured, manipulable artifacts, unifying and generalizing several existing point systems. We first outlined a design space from existing work and built an early prototype, which we deployed as a probe in a formative study with 20 participants. Their feedback informed an expanded OOPrompt design space. We then developed the full OOPrompt prototype and conducted a validation study to further understand OOPrompt's added values and trade-offs. We expect the OOPrompt design space to provide theoretical and empirical guidance to the design and engineering of prompt-based, LLM-enabled interactive systems.
QMJan 24, 2025
GraPPI: A Retrieve-Divide-Solve GraphRAG Framework for Large-scale Protein-protein Interaction ExplorationZiwen Li, Xiang 'Anthony' Chen, Youngseung Jeon
Drug discovery (DD) has tremendously contributed to maintaining and improving public health. Hypothesizing that inhibiting protein misfolding can slow disease progression, researchers focus on target identification (Target ID) to find protein structures for drug binding. While Large Language Models (LLMs) and Retrieval-Augmented Generation (RAG) frameworks have accelerated drug discovery, integrating models into cohesive workflows remains challenging. We conducted a user study with drug discovery researchers to identify the applicability of LLMs and RAGs in Target ID. We identified two main findings: 1) an LLM should provide multiple Protein-Protein Interactions (PPIs) based on an initial protein and protein candidates that have a therapeutic impact; 2) the model must provide the PPI and relevant explanations for better understanding. Based on these observations, we identified three limitations in previous approaches for Target ID: 1) semantic ambiguity, 2) lack of explainability, and 3) short retrieval units. To address these issues, we propose GraPPI, a large-scale knowledge graph (KG)-based retrieve-divide-solve agent pipeline RAG framework to support large-scale PPI signaling pathway exploration in understanding therapeutic impacts by decomposing the analysis of entire PPI pathways into sub-tasks focused on the analysis of PPI edges.
CLMay 28, 2025
RAGPPI: RAG Benchmark for Protein-Protein Interactions in Drug DiscoveryYoungseung Jeon, Ziwen Li, Thomas Li et al.
Retrieving the biological impacts of protein-protein interactions (PPIs) is essential for target identification (Target ID) in drug development. Given the vast number of proteins involved, this process remains time-consuming and challenging. Large Language Models (LLMs) and Retrieval-Augmented Generation (RAG) frameworks have supported Target ID; however, no benchmark currently exists for identifying the biological impacts of PPIs. To bridge this gap, we introduce the RAG Benchmark for PPIs (RAGPPI), a factual question-answer benchmark of 4,420 question-answer pairs that focus on the potential biological impacts of PPIs. Through interviews with experts, we identified criteria for a benchmark dataset, such as a type of QA and source. We built a gold-standard dataset (500 QA pairs) through expert-driven data annotation. We developed an ensemble auto-evaluation LLM that reflected expert labeling characteristics, which facilitates the construction of a silver-standard dataset (3,720 QA pairs). We are committed to maintaining RAGPPI as a resource to support the research community in advancing RAG systems for drug discovery QA solutions.
IVJan 27, 2025
Z-Stack Scanning can Improve AI Detection of Mitosis: A Case Study of MeningiomasHongyan Gu, Ellie Onstott, Wenzhong Yan et al.
Z-stack scanning is an emerging whole slide imaging technology that captures multiple focal planes alongside the z-axis of a glass slide. Because z-stacking can offer enhanced depth information compared to the single-layer whole slide imaging, this technology can be particularly useful in analyzing small-scaled histopathological patterns. However, its actual clinical impact remains debated with mixed results. To clarify this, we investigate the effect of z-stack scanning on artificial intelligence (AI) mitosis detection of meningiomas. With the same set of 22 Hematoxylin and Eosin meningioma glass slides scanned by three different digital pathology scanners, we tested the performance of three AI pipelines on both single-layer and z-stacked whole slide images (WSIs). Results showed that in all scanner-AI combinations, z-stacked WSIs significantly increased AI's sensitivity (+17.14%) on the mitosis detection with only a marginal impact on precision. Our findings provide quantitative evidence that highlights z-stack scanning as a promising technique for AI mitosis detection, paving the way for more reliable AI-assisted pathology workflows, which can ultimately benefit patient management.
CVApr 2, 2024
Supporting Mitosis Detection AI Training with Inter-Observer Eye-Gaze ConsistenciesHongyan Gu, Zihan Yan, Ayesha Alvi et al.
The expansion of artificial intelligence (AI) in pathology tasks has intensified the demand for doctors' annotations in AI development. However, collecting high-quality annotations from doctors is costly and time-consuming, creating a bottleneck in AI progress. This study investigates eye-tracking as a cost-effective technology to collect doctors' behavioral data for AI training with a focus on the pathology task of mitosis detection. One major challenge in using eye-gaze data is the low signal-to-noise ratio, which hinders the extraction of meaningful information. We tackled this by levering the properties of inter-observer eye-gaze consistencies and creating eye-gaze labels from consistent eye-fixations shared by a group of observers. Our study involved 14 non-medical participants, from whom we collected eye-gaze data and generated eye-gaze labels based on varying group sizes. We assessed the efficacy of such eye-gaze labels by training Convolutional Neural Networks (CNNs) and comparing their performance to those trained with ground truth annotations and a heuristic-based baseline. Results indicated that CNNs trained with our eye-gaze labels closely followed the performance of ground-truth-based CNNs, and significantly outperformed the baseline. Although primarily focused on mitosis, we envision that insights from this study can be generalized to other medical imaging tasks.
HCNov 22, 2025
AnimAgents: Coordinating Multi-Stage Animation Pre-Production with Human-Multi-Agent CollaborationWen-Fan Wang, Chien-Ting Lu, Jin Ping Ng et al.
Animation pre-production lays the foundation of an animated film by transforming initial concepts into a coherent blueprint across interdependent stages such as ideation, scripting, design, and storyboarding. While generative AI tools are increasingly adopted in this process, they remain isolated, requiring creators to juggle multiple systems without integrated workflow support. Our formative study with 12 professional creative directors and independent animators revealed key challenges in their current practice: Creators must manually coordinate fragmented outputs, manage large volumes of information, and struggle to maintain continuity and creative control between stages. Based on the insights, we present AnimAgents, a human-multi-agent collaborative system that coordinates complex, multi-stage workflows through a core agent and specialized agents, supported by dedicated boards for the four major stages of pre-production. AnimAgents enables stage-aware orchestration, stage-specific output management, and element-level refinement, providing an end-to-end workflow tailored to professional practice. In a within-subjects summative study with 16 professional creators, AnimAgents significantly outperformed a strong single-agent baseline that equipped with advanced parallel image generation in coordination, consistency, information management, and overall satisfaction (p < .01). A field deployment with 4 creators further demonstrated AnimAgents' effectiveness in real-world projects.
IVAug 29, 2025
Team Westwood Solution for MIDOG 2025 Challenge: An Ensemble-CNN-Based Approach For Mitosis Detection And ClassificationTengyou Xu, Haochen Yang, Xiang 'Anthony' Chen et al.
This abstract presents our solution (Team Westwood) for mitosis detection and atypical mitosis classification in the MItosis DOmain Generalization (MIDOG) 2025 challenge. For mitosis detection, we trained an nnUNetV2 for initial mitosis candidate screening with high sensitivity, followed by a random forest classifier ensembling predictions of three convolutional neural networks (CNNs): EfficientNet-b3, EfficientNet-b5, and EfficientNetV2-s. For the atypical mitosis classification, we trained another random forest classifier ensembling the predictions of three CNNs: EfficientNet-b3, EfficientNet-b5, and InceptionV3. On the preliminary test set, our solution achieved an F1 score of 0.7450 for track 1 mitosis detection, and a balanced accuracy of 0.8722 for track 2 atypical mitosis classification. On the final test set, our solution achieved an F1 score of 0.6972 for track 1 mitosis detection, and a balanced accuracy of 0.8242 for track 2 atypical mitosis classification.
HCApr 11, 2025
Voice Interaction With Conversational AI Could Facilitate Thoughtful Reflection and Substantive Revision in WritingJiho Kim, Philippe Laban, Xiang 'Anthony' Chen et al.
Writing well requires not only expressing ideas but also refining them through revision, a process facilitated by reflection. Prior research suggests that feedback delivered through dialogues, such as those in writing center tutoring sessions, can help writers reflect more thoughtfully on their work compared to static feedback. Recent advancements in multi-modal large language models (LLMs) now offer new possibilities for supporting interactive and expressive voice-based reflection in writing. In particular, we propose that LLM-generated static feedback can be repurposed as conversation starters, allowing writers to seek clarification, request examples, and ask follow-up questions, thereby fostering deeper reflection on their writing. We argue that voice-based interaction can naturally facilitate this conversational exchange, encouraging writers' engagement with higher-order concerns, facilitating iterative refinement of their reflections, and reduce cognitive load compared to text-based interactions. To investigate these effects, we propose a formative study exploring how text vs. voice input influence writers' reflection and subsequent revisions. Findings from this study will inform the design of intelligent and interactive writing tools, offering insights into how voice-based interactions with LLM-powered conversational agents can support reflection and revision.
HCDec 31, 2020
OralViewer: 3D Demonstration of Dental Surgeries for Patient Education with Oral Cavity Reconstruction from a 2D Panoramic X-rayYuan Liang, Liang Qiu, Tiancheng Lu et al.
Patient's understanding on forthcoming dental surgeries is required by patient-centered care and helps reduce fear and anxiety. Due to the gap of expertise between patients and dentists, conventional techniques of patient education are usually not effective for explaining surgical steps. In this paper, we present \textit{OralViewer} -- the first interactive application that enables dentist's demonstration of dental surgeries in 3D to promote patients' understanding. \textit{OralViewer} takes a single 2D panoramic dental X-ray to reconstruct patient-specific 3D teeth structures, which are then assembled with registered gum and jaw bone models for complete oral cavity modeling. During the demonstration, \textit{OralViewer} enables dentists to show surgery steps with virtual dental instruments that can animate effects on a 3D model in real-time. A technical evaluation shows our deep learning based model achieves a mean Intersection over Union (IoU) of 0.771 for 3D teeth reconstruction. A patient study with 12 participants shows \textit{OralViewer} can improve patients' understanding of surgeries. An expert study with 3 board-certified dentists further verifies the clinical validity of our system.
HCAug 4, 2020
FaceOff: Detecting Face Touching with a Wrist-Worn AccelerometerXiang 'Anthony' Chen
According to the CDC, one key step of preventing oneself from contracting coronavirus (COVID-19) is to avoid touching eyes, nose, and mouth with unwashed hands. However, touching one's face is a frequent and spontaneous behavior---one study observed subjects touching their faces on average 23 times per hour. Creative solutions have emerged amongst some recent commercial and hobbyists' projects, yet most either are closed-source or lack validation in performance. We develop FaceOff---a sensing technique using a commodity wrist-worn accelerometer to detect face-touching behavior based on the specific motion pattern of raising one's hand towards the face. We report a survey (N=20) that elicits different ways people touch their faces, an algorithm that temporally ensembles data-driven models to recognize when a face touching behavior occurs and results from a preliminary user testing (N=3 for a total of about 90 minutes).
HCJul 22, 2020
Romeo: A Design Tool for Embedding Transformable Parts in 3D Models to Robotically Augment Default FunctionalitiesJiahao Li, Meilin Cui, Jeeeun Kim et al.
Reconfiguring shapes of objects enables transforming existing passive objects with robotic functionalities, e.g., a transformable coffee cup holder can be attached to a chair's armrest, a piggy bank can reach out an arm to 'steal' coins. Despite the advance in end-user 3D design and fabrication, it remains challenging for non-experts to create such 'transformables' using existing tools due to the requirement of specific engineering knowledge such as mechanisms and robotic design. We present Romeo -- a design tool for creating transformables to robotically augment objects' default functionalities. Romeo allows users to transform an object into a robotic arm by expressing at a high level what type of task is expected. Users can select which part of the object to be transformed, specify motion points in space for the transformed part to follow and the corresponding action to be taken. Romeo then automatically generates a robotic arm embedded in the transformable part ready for fabrication. A design session validated this tool where participants used Romeo to accomplish controlled design tasks and to open-endedly create coin-stealing piggy banks by transforming 3D objects of their own choice.
HCJul 19, 2020
Geno: A Developer Tool for Authoring Multimodal Interaction on Existing Web ApplicationsRitam Jyoti Sarmah, Yunpeng Ding, Di Wang et al.
Supporting voice commands in applications presents significant benefits to users. However, adding such support to existing GUI-based web apps is effort-consuming with a high learning barrier, as shown in our formative study, due to the lack of unified support for creating multimodal interfaces. We present Geno---a developer tool for adding the voice input modality to existing web apps without requiring significant NLP expertise. Geno provides a high-level workflow for developers to specify functionalities to be supported by voice (intents), create language models for detecting intents and the relevant information (parameters) from user utterances, and fulfill the intents by either programmatically invoking the corresponding functions or replaying GUI actions on the web app. Geno further supports multimodal references to GUI context in voice commands (e.g. "move this [event] to next week" while pointing at an event with the cursor). In a study, developers with little NLP expertise were able to add multimodal voice command support for two existing web apps using Geno.
HCJul 14, 2020
XAlgo: a Design Probe of Explaining Algorithms' Internal States via Question-AnsweringJuan Rebanal, Yuqi Tang, Jordan Combitsis et al.
Algorithms often appear as 'black boxes' to non-expert users. While prior work focuses on explainable representations and expert-oriented exploration, we propose and study an interactive approach using question answering to explain deterministic algorithms to non-expert users who need to understand the algorithms' internal states (e.g., students learning algorithms, operators monitoring robots, admins troubleshooting network routing). We construct XAlgo -- a formal model that first classifies the type of question based on a taxonomy and generates an answer based on a set of rules that extract information from representations of an algorithm's internal states, e.g., the pseudocode. A design probe in an algorithm learning scenario with 18 participants (9 for a Wizard-of-Oz XAlgo and 9 as a control group) reports findings and design implications based on what kinds of questions people ask, how well XAlgo responds, and what remain as challenges to bridge users' gulf of understanding algorithms.
HCJun 23, 2020
Lessons Learned from Designing an AI-Enabled Diagnosis Tool for PathologistsHongyan Gu, Jingbin Huang, Lauren Hung et al.
Despite the promises of data-driven artificial intelligence (AI), little is known about how we can bridge the gulf between traditional physician-driven diagnosis and a plausible future of medicine automated by AI. Specifically, how can we involve AI usefully in physicians' diagnosis workflow given that most AI is still nascent and error-prone (e.g., in digital pathology)? To explore this question, we first propose a series of collaborative techniques to engage human pathologists with AI given AI's capabilities and limitations, based on which we prototype Impetus - a tool where an AI takes various degrees of initiatives to provide various forms of assistance to a pathologist in detecting tumors from histological slides. We summarize observations and lessons learned from a study with eight pathologists and discuss recommendations for future work on human-centered medical AI systems.
HCJun 23, 2020
Improving Workflow Integration with xPath: Design and Evaluation of a Human-AI Diagnosis System in PathologyHongyan Gu, Yuan Liang, Yifan Xu et al.
Recent developments in AI have provided assisting tools to support pathologists' diagnoses. However, it remains challenging to incorporate such tools into pathologists' practice; one main concern is AI's insufficient workflow integration with medical decisions. We observed pathologists' examination and discovered that the main hindering factor to integrate AI is its incompatibility with pathologists' workflow. To bridge the gap between pathologists and AI, we developed a human-AI collaborative diagnosis tool -- xPath -- that shares a similar examination process to that of pathologists, which can improve AI's integration into their routine examination. The viability of xPath is confirmed by a technical evaluation and work sessions with twelve medical professionals in pathology. This work identifies and addresses the challenge of incorporating AI models into pathology, which can offer first-hand knowledge about how HCI researchers can work with medical professionals side-by-side to bring technological advances to medical tasks towards practical applications.
HCJan 15, 2020
CheXplain: Enabling Physicians to Explore and UnderstandData-Driven, AI-Enabled Medical Imaging AnalysisYao Xie, Melody Chen, David Kao et al.
The recent development of data-driven AI promises to automate medical diagnosis; however, most AI functions as 'black boxes' to physicians with limited computational knowledge. Using medical imaging as a point of departure, we conducted three iterations of design activities to formulate CheXplain---a system that enables physicians to explore and understand AI-enabled chest X-ray analysis: (1) a paired survey between referring physicians and radiologists reveals whether, when, and what kinds of explanations are needed; (2) a low-fidelity prototype co-designed with three physicians formulates eight key features; and (3) a high-fidelity prototype evaluated by another six physicians provides detailed summative insights on how each feature enables the exploration and understanding of AI. We summarize by discussing recommendations for future work to design and implement explainable medical AI systems that encompass four recurring themes: motivation, constraint, explanation, and justification.
HCFeb 16, 2019
Outlining the Design Space of Explainable Intelligent Systems for Medical DiagnosisYao Xie, Ge Gao, Xiang 'Anthony' Chen
The adoption of intelligent systems creates opportunities as well as challenges for medical work. On the positive side, intelligent systems have the potential to compute complex data from patients and generate automated diagnosis recommendations for doctors. However, medical professionals often perceive such systems as black boxes and, therefore, feel concerned about relying on system generated results to make decisions. In this paper, we contribute to the ongoing discussion of explainable artificial intelligence (XAI) by exploring the concept of explanation from a human-centered perspective. We hypothesize that medical professionals would perceive a system as explainable if the system was designed to think and act like doctors. We report a preliminary interview study that collected six medical professionals' reflection of how they interact with data for diagnosis and treatment purposes. Our data reveals when and how doctors prioritize among various types of data as a central part of their diagnosis process. Based on these findings, we outline future directions regarding the design of XAI systems in the medical context.