16.5HCAug 8, 2023
Understanding the Effect of Counterfactual Explanations on Trust and Reliance on AI for Human-AI Collaborative Clinical Decision MakingMin Hun Lee, Chong Jun Chew
Artificial intelligence (AI) is increasingly being considered to assist human decision-making in high-stake domains (e.g. health). However, researchers have discussed an issue that humans can over-rely on wrong suggestions of the AI model instead of achieving human AI complementary performance. In this work, we utilized salient feature explanations along with what-if, counterfactual explanations to make humans review AI suggestions more analytically to reduce overreliance on AI and explored the effect of these explanations on trust and reliance on AI during clinical decision-making. We conducted an experiment with seven therapists and ten laypersons on the task of assessing post-stroke survivors' quality of motion, and analyzed their performance, agreement level on the task, and reliance on AI without and with two types of AI explanations. Our results showed that the AI model with both salient features and counterfactual explanations assisted therapists and laypersons to improve their performance and agreement level on the task when `right' AI outputs are presented. While both therapists and laypersons over-relied on `wrong' AI outputs, counterfactual explanations assisted both therapists and laypersons to reduce their over-reliance on `wrong' AI outputs by 21\% compared to salient feature explanations. Specifically, laypersons had higher performance degrades by 18.0 f1-score with salient feature explanations and 14.0 f1-score with counterfactual explanations than therapists with performance degrades of 8.6 and 2.8 f1-scores respectively. Our work discusses the potential of counterfactual explanations to better estimate the accuracy of an AI model and reduce over-reliance on `wrong' AI outputs and implications for improving human-AI collaborative decision-making.
MedSAD-CLIP: Supervised CLIP with Token-Patch Cross-Attention for Medical Anomaly Detection and SegmentationThuy Truong Tran, Minh Kha Do, Phuc Nguyen Duy et al.
Medical anomaly detection (MAD) and segmentation play a critical role in assisting clinical diagnosis by identifying abnormal regions in medical images and localizing pathological regions. Recent CLIP-based studies are promising for anomaly detection in zero-/few-shot settings, and typically rely on global representations and weak supervision, often producing coarse localization and limited segmentation quality. In this work, we study supervised adaptation of CLIP for MAD under a realistic clinical setting where a limited yet meaningful amount of labeled abnormal data is available. Our model MedSAD-CLIP leverages fine-grained text-visual cues via the Token-Patch Cross-Attention(TPCA) to improve lesion localization while preserving the generalization capability of CLIP representations. Lightweight image adapters and learnable prompt tokens efficiently adapt the pretrained CLIP encoder to the medical domain while preserving its rich semantic alignment. Furthermore, a Margin-based image-text Contrastive Loss is designed to enhance global feature discrimination between normal and abnormal representations. Extensive experiments on four diverse benchmarks-Brain, Retina, Lung, and Breast datasets-demonstrate the effectiveness of our approach, achieving superior performance in both pixel-level segmentation and image-level classification over state-of-the-art methods. Our results highlight the potential of supervised CLIP adaptation as a unified and scalable paradigm for medical anomaly understanding. Code will be made available at https://github.com/thuy4tbn99/MedSAD-CLIP
6.5CVMay 18, 2024
Towards Gradient-based Time-Series Explanations through a SpatioTemporal Attention NetworkMin Hun Lee
In this paper, we explore the feasibility of using a transformer-based, spatiotemporal attention network (STAN) for gradient-based time-series explanations. First, we trained the STAN model for video classifications using the global and local views of data and weakly supervised labels on time-series data (i.e. the type of an activity). We then leveraged a gradient-based XAI technique (e.g. saliency map) to identify salient frames of time-series data. According to the experiments using the datasets of four medically relevant activities, the STAN model demonstrated its potential to identify important frames of videos.
11.5HCMay 23, 2025
Towards Uncertainty Aware Task Delegation and Human-AI Collaborative Decision-MakingMin Hun Lee, Martyn Zhe Yu Tok
Despite the growing promise of artificial intelligence (AI) in supporting decision-making across domains, fostering appropriate human reliance on AI remains a critical challenge. In this paper, we investigate the utility of exploring distance-based uncertainty scores for task delegation to AI and describe how these scores can be visualized through embedding representations for human-AI decision-making. After developing an AI-based system for physical stroke rehabilitation assessment, we conducted a study with 19 health professionals and 10 students in medicine/health to understand the effect of exploring distance-based uncertainty scores on users' reliance on AI. Our findings showed that distance-based uncertainty scores outperformed traditional probability-based uncertainty scores in identifying uncertain cases. In addition, after exploring confidence scores for task delegation and reviewing embedding-based visualizations of distance-based uncertainty scores, participants achieved an 8.20% higher rate of correct decisions, a 7.15% higher rate of changing their decisions to correct ones, and a 7.14% lower rate of incorrect changes after reviewing AI outputs than those reviewing probability-based uncertainty scores ($p<0.01$). Our findings highlight the potential of distance-based uncertainty scores to enhance decision accuracy and appropriate reliance on AI while discussing ongoing challenges for human-AI collaborative decision-making.
6.2CVMar 13, 2025
A Multimodal Fusion Model Leveraging MLP Mixer and Handcrafted Features-based Deep Learning Networks for Facial Palsy DetectionHeng Yim Nicole Oo, Min Hun Lee, Jeong Hoon Lim
Algorithmic detection of facial palsy offers the potential to improve current practices, which usually involve labor-intensive and subjective assessments by clinicians. In this paper, we present a multimodal fusion-based deep learning model that utilizes an MLP mixer-based model to process unstructured data (i.e. RGB images or images with facial line segments) and a feed-forward neural network to process structured data (i.e. facial landmark coordinates, features of facial expressions, or handcrafted features) for detecting facial palsy. We then contribute to a study to analyze the effect of different data modalities and the benefits of a multimodal fusion-based approach using videos of 20 facial palsy patients and 20 healthy subjects. Our multimodal fusion model achieved 96.00 F1, which is significantly higher than the feed-forward neural network trained on handcrafted features alone (82.80 F1) and an MLP mixer-based model trained on raw RGB images (89.00 F1).
4.1HCJan 30, 2025
Investigating an Intelligent System to Monitor \& Explain Abnormal Activity Patterns of Older AdultsMin Hun Lee, Daniel P. Siewiorek, Alexandre Bernardino
Despite the growing potential of older adult care technologies, the adoption of these technologies remains challenging. In this work, we conducted a focus-group session with family caregivers to scope designs of the older adult care technology. We then developed a high-fidelity prototype and conducted its qualitative study with professional caregivers and older adults to understand their perspectives on the system functionalities. This system monitors abnormal activity patterns of older adults using wireless motion sensors and machine learning models and supports interactive dialogue responses to explain abnormal activity patterns of older adults to caregivers and allow older adults proactively sharing their status with caregivers for an adequate intervention. Both older adults and professional caregivers appreciated that our system can provide a faster, personalized service while proactively controlling what information is to be shared through interactive dialogue responses. We further discuss other considerations to realize older adult technology in practice.
5.3LGMay 8, 2023
Exploring a Gradient-based Explainable AI Technique for Time-Series Data: A Case Study of Assessing Stroke Rehabilitation ExercisesMin Hun Lee, Yi Jing Choy
Explainable artificial intelligence (AI) techniques are increasingly being explored to provide insights into why AI and machine learning (ML) models provide a certain outcome in various applications. However, there has been limited exploration of explainable AI techniques on time-series data, especially in the healthcare context. In this paper, we describe a threshold-based method that utilizes a weakly supervised model and a gradient-based explainable AI technique (i.e. saliency map) and explore its feasibility to identify salient frames of time-series data. Using the dataset from 15 post-stroke survivors performing three upper-limb exercises and labels on whether a compensatory motion is observed or not, we implemented a feed-forward neural network model and utilized gradients of each input on model outcomes to identify salient frames that involve compensatory motions. According to the evaluation using frame-level annotations, our approach achieved a recall of 0.96 and an F2-score of 0.91. Our results demonstrated the potential of a gradient-based explainable AI technique (e.g. saliency map) for time-series data, such as highlighting the frames of a video that therapists should focus on reviewing and reducing the efforts on frame-level labeling for model training.
13.5SDSep 20, 2016
An Approach for Self-Training Audio Event Detectors Using Web DataBenjamin Elizalde, Ankit Shah, Siddharth Dalmia et al.
Audio Event Detection (AED) aims to recognize sounds within audio and video recordings. AED employs machine learning algorithms commonly trained and tested on annotated datasets. However, available datasets are limited in number of samples and hence it is difficult to model acoustic diversity. Therefore, we propose combining labeled audio from a dataset and unlabeled audio from the web to improve the sound models. The audio event detectors are trained on the labeled audio and ran on the unlabeled audio downloaded from YouTube. Whenever the detectors recognized any of the known sounds with high confidence, the unlabeled audio was use to re-train the detectors. The performance of the re-trained detectors is compared to the one from the original detectors using the annotated test set. Results showed an improvement of the AED, and uncovered challenges of using web audio from videos.