Feng Tian

Shilin Sun, Wenbin An, Feng Tian et al.

Artificial intelligence (AI) has rapidly developed through advancements in computational power and the growth of massive datasets. However, this progress has also heightened challenges in interpreting the "black-box" nature of AI models. To address these concerns, eXplainable AI (XAI) has emerged with a focus on transparency and interpretability to enhance human understanding and trust in AI decision-making processes. In the context of multimodal data fusion and complex reasoning scenarios, the proposal of Multimodal eXplainable AI (MXAI) integrates multiple modalities for prediction and explanation tasks. Meanwhile, the advent of Large Language Models (LLMs) has led to remarkable breakthroughs in natural language processing, yet their complexity has further exacerbated the issue of MXAI. To gain key insights into the development of MXAI methods and provide crucial guidance for building more transparent, fair, and trustworthy AI systems, we review the MXAI methods from a historical perspective and categorize them across four eras: traditional machine learning, deep learning, discriminative foundation models, and generative LLMs. We also review evaluation metrics and datasets used in MXAI research, concluding with a discussion of future challenges and directions. A project related to this review has been created at https://github.com/ShilinSun/mxai_review.

Qidong Liu, Xian Wu, Xiangyu Zhao et al.

The recommendation of medication is a vital aspect of intelligent healthcare systems, as it involves prescribing the most suitable drugs based on a patient's specific health needs. Unfortunately, many sophisticated models currently in use tend to overlook the nuanced semantics of medical data, while only relying heavily on identities. Furthermore, these models face significant challenges in handling cases involving patients who are visiting the hospital for the first time, as they lack prior prescription histories to draw upon. To tackle these issues, we harness the powerful semantic comprehension and input-agnostic characteristics of Large Language Models (LLMs). Our research aims to transform existing medication recommendation methodologies using LLMs. In this paper, we introduce a novel approach called Large Language Model Distilling Medication Recommendation (LEADER). We begin by creating appropriate prompt templates that enable LLMs to suggest medications effectively. However, the straightforward integration of LLMs into recommender systems leads to an out-of-corpus issue specific to drugs. We handle it by adapting the LLMs with a novel output layer and a refined tuning loss function. Although LLM-based models exhibit remarkable capabilities, they are plagued by high computational costs during inference, which is impractical for the healthcare sector. To mitigate this, we have developed a feature-level knowledge distillation technique, which transfers the LLM's proficiency to a more compact model. Extensive experiments conducted on two real-world datasets, MIMIC-III and MIMIC-IV, demonstrate that our proposed model not only delivers effective results but also is efficient. To ease the reproducibility of our experiments, we release the implementation code online.