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Updated: Sep 11, 2025

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
Published on: June 13, 2025
Ensuring medical AI safety: interpretability-driven detection and mitigation of spurious model behavior and
Frederik Pahde1, Thomas Wiegand1,2,3, Sebastian Lapuschkin1,4
1Fraunhofer Heinrich Hertz Institute, 10587 Berlin, Germany.
This study enhances the Reveal2Revise framework for medical AI safety, introducing semi-automated bias annotation to improve deep neural network robustness against spurious correlations in healthcare applications.
Area of Science:
- Artificial Intelligence
- Medical Informatics
- Computer Vision
Background:
- Deep neural networks (DNNs) are vital in medical applications but prone to shortcut learning from spurious correlations.
- Existing methods often address bias detection or mitigation separately, not comprehensively.
- Addressing these biases typically demands extensive expert labeling.
Purpose of the Study:
- To review and enhance the Reveal2Revise bias mitigation framework.
- To integrate semi-automated interpretability-based bias annotation capabilities.
- To improve the robustness and reliability of DNNs in medical tasks.
Main Methods:
- Enhanced Reveal2Revise framework with sample- and feature-level bias annotation.
- Utilized interpretability methods for semi-automated bias identification.
- Tested on four medical datasets across two modalities with controlled and real-world biases.
- Applied to VGG16, ResNet50, and Vision Transformer models.
Main Results:
- Successfully identified and mitigated biases in DNNs.
- Demonstrated improved model robustness and applicability for real-world medical tasks.
- Validated the framework's effectiveness on diverse medical data.
Conclusions:
- The enhanced Reveal2Revise framework effectively addresses shortcut learning in medical AI.
- Semi-automated bias annotation reduces reliance on extensive expert labeling.
- The approach increases the safety and trustworthiness of DNNs in clinical settings.
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