Rina Khan

Rina Khan, Annabelle Sauve, Imaan Bayoumi et al.

Artificial intelligence (AI) in healthcare has led to many promising developments; however, increasingly, AI research is funded by the private sector leading to potential trade-offs between benefits to patients and benefits to industry. Health AI practitioners should prioritize successful adaptation into clinical practice in order to provide meaningful benefits to patients, but translation usually requires collaboration with industry. We discuss three features of AI studies that hamper the integration of AI into clinical practice from the perspective of researchers and clinicians. These include lack of clinically relevant metrics, lack of clinical trials and longitudinal studies to validate results, and lack of patient and physician involvement in the development process. For partnerships between industry and health research to be sustainable, a balance must be established between patient and industry benefit. We propose three approaches for addressing this gap: improved transparency and explainability of AI models, fostering relationships with industry partners that have a reputation for centering patient benefit in their practices, and prioritization of overall healthcare benefits. With these priorities, we can sooner realize meaningful AI technologies used by clinicians where mutua

Rina Khan, Catherine Stinson

Facial expression recognition (FER) algorithms classify facial expressions into emotions such as happy, sad, or angry. An evaluative challenge facing FER algorithms is the fall in performance when detecting spontaneous expressions compared to posed expressions. An ethical (and evaluative) challenge facing FER algorithms is that they tend to perform poorly for people of some races and skin colors. These challenges are linked to the data collection practices employed in the creation of FER datasets. In this study, we audit two state-of-the-art FER datasets. We take random samples from each dataset and examine whether images are spontaneous or posed. In doing so, we propose a methodology for identifying spontaneous or posed images. We discover a significant number of images that were posed in the datasets purporting to consist of in-the-wild images. Since performance of FER models vary between spontaneous and posed images, the performance of models trained on these datasets will not represent the true performance if such models were to be deployed in in-the-wild applications. We also observe the skin color of individuals in the samples, and test three models trained on each of the datasets to predict facial expressions of people from various races and skin tones. We find that the FER models audited were more likely to predict people labeled as not white or determined to have dark skin as showing a negative emotion such as anger or sadness even when they were smiling. This bias makes such models prone to perpetuate harm in real life applications.