Hsiao-Ying Lu

Yuhua Huang, Hsiao-Ying Lu, Kwan-Liu Ma

Cancer care requires a longitudinal approach in which treatments are planned and delivered over time according to the needs of each individual patient. While prior research has thoroughly explored how clinical and demographic factors, such as comorbidities and age, inform treatment planning, far less attention has been devoted to the delivery phase of care. Yet planning and delivery are both team-based processes that depend on coordinated efforts among multiple healthcare professionals (HCPs). As such, the human factors embedded in these collaborative practices are crucial to optimizing patient outcomes. Despite this importance, the existing literature on human factors in cancer care is limited, and very few studies have investigated how collaboration within care teams evolves over the course of treatment. To fill this gap, this work examine how HCPs' collaboration, captured through electronic health record (EHR) systems, affects cancer patient outcomes, with particular emphasis on teamwork dynamics. We represent EHR-mediated HCP interactions as networks and apply machine learning methods to identify predictive signals of patient survival embedded in these collaborative structures. We further interpret model predictions by pinpointing network characteristics and dynamic patterns associated with particular outcomes. We evaluate our model through robustness analyses to ensure that the findings are stable and not driven by stochastic variation in training. Additionally, our insights align with hypotheses proposed in the medical literature, and our results provide the empirical, data-driven evidence supporting these claims. Overall, our work contributes a practical workflow for leveraging digital traces of collaboration to evaluate and strengthen longitudinal team-based healthcare, offering actionable insights to guide data-informed interventions in healthcare delivery.

Hsiao-Ying Lu, Takanori Fujiwara, Ming-Yi Chang et al.

Multivariate networks are commonly found in real-world data-driven applications. Uncovering and understanding the relations of interest in multivariate networks is not a trivial task. This paper presents a visual analytics workflow for studying multivariate networks to extract associations between different structural and semantic characteristics of the networks (e.g., what are the combinations of attributes largely relating to the density of a social network?). The workflow consists of a neural-network-based learning phase to classify the data based on the chosen input and output attributes, a dimensionality reduction and optimization phase to produce a simplified set of results for examination, and finally an interpreting phase conducted by the user through an interactive visualization interface. A key part of our design is a composite variable construction step that remodels nonlinear features obtained by neural networks into linear features that are intuitive to interpret. We demonstrate the capabilities of this workflow with multiple case studies on networks derived from social media usage and also evaluate the workflow with qualitative feedback from experts.

Hsiao-Ying Lu, Kwan-Liu Ma

Cancer treatment outcomes are influenced not only by clinical and demographic factors but also by the collaboration of healthcare teams. However, prior work has largely overlooked the potential role of human collaboration in shaping patient survival. This paper presents an applied AI approach to uncovering the impact of healthcare professionals' (HCPs) collaboration-captured through electronic health record (EHR) systems-on cancer patient outcomes. We model EHR-mediated HCP interactions as networks and apply machine learning techniques to detect predictive signals of patient survival embedded in these collaborations. Our models are cross validated to ensure generalizability, and we explain the predictions by identifying key network traits associated with improved outcomes. Importantly, clinical experts and literature validate the relevance of the identified crucial collaboration traits, reinforcing their potential for real-world applications. This work contributes to a practical workflow for leveraging digital traces of collaboration and AI to assess and improve team-based healthcare. The approach is potentially transferable to other domains involving complex collaboration and offers actionable insights to support data-informed interventions in healthcare delivery.

Hsiao-Ying Lu, Yiran Li, Ujwal Pratap Krishna Kaluvakolanu Thyagarajan et al.

Graph Neural Networks (GNNs) achieve outstanding performance across graph-based tasks but remain difficult to interpret. In this paper, we revisit foundational assumptions underlying model-level explanation methods for GNNs, namely: (1) maximizing classification confidence yields representative explanations, (2) a single explanation suffices for an entire class of graphs, and (3) explanations are inherently trustworthy. We identify pitfalls resulting from these assumptions: methods that optimize for classification confidence may overlook partially learned patterns; topological diversity across graph subsets within the same class is often underrepresented; and explanations alone offer limited support for building user trust when applied to new datasets or models. This paper introduces GNNAnatomy, a distillation-based method designed to generate explanations while avoiding these pitfalls. GNNAnatomy first characterizes graph topology using graphlets, a set of fundamental substructures. We then train a transparent multilayer perceptron surrogate to directly approximate GNN predictions based on the graphlet representations. By analyzing the weights assigned to each graphlet, we identify the most discriminative topologies, which serve as GNN explanations. To account for structural diversity within a class, GNNAnatomy generates explanations at the required granularity through an interface that supports human-AI teaming. This interface helps users identify subsets of graphs where distinct critical substructures drive class differentiation, enabling multi-grained explanations. Additionally, by enabling exploration and linking explanations back to input graphs, the interface fosters greater transparency and trust. We evaluate GNNAnatomy on both synthetic and real-world datasets through quantitative metrics and qualitative comparisons with state-of-the-art model-level explainable GNN methods.

Hsiao-Ying Lu, Yiran Li, Kwan-Liu Ma

Communication among healthcare professionals (HCPs) is crucial for the quality of patient treatment. Surrounding each patient's treatment, communication among HCPs can be examined as temporal networks, constructed from Electronic Health Record (EHR) access logs. This paper introduces a visual analytics system designed to study the effectiveness and efficiency of temporal communication networks mediated by the EHR system. We present a method that associates network measures with patient survival outcomes and devises effectiveness metrics based on these associations. To analyze communication efficiency, we extract the latencies and frequencies of EHR accesses. Our visual analytics system is designed to assist in inspecting and understanding the composed communication effectiveness metrics and to enable the exploration of communication efficiency by encoding latencies and frequencies in an information flow diagram. We demonstrate and evaluate our system through multiple case studies and an expert review.