使用EMR开发的预测模型的解释中的阐明差异
Aida Brankovic1, Wenjie Huang2, David Cook1,3
1CSIRO Australian e-Health Research Centre, Brisbane, QLD 4029, Australia.
Studies in health technology and informatics
|January 25, 2024
概括
可解释的人工智能 (XAI) 方法在电子医疗记录 (EMR) 决策支持中与专家临床知识的协议有限. 解决差异对于可信的临床AI采用至关重要.
科学领域:
- 人工智能在医学中的应用
- 临床决策支持系统 临床决策支持系统
- 机器学习的可解释性
背景情况:
- 机器学习 (ML) 在医疗保健中的采用受到缺乏透明度和可解释性的限制.
- 可解释的人工智能 (XAI) 提供了潜在的解决方案,但其与临床专业知识的一致性尚未得到充分研究.
研究的目的:
- 评估最先进的XAI方法与专家临床知识之间的一致性.
- 分析基于电子医疗记录 (EMR) 的决策支持算法中XAI解释和临床见解之间的差异.
- 确定在临床环境中开发可信的XAI至关重要的因素.
主要方法:
- 在EMR数据中使用的ML算法应用当前XAI技术.
- 分析XAI输出与专家临床判断之间的一致性.
- 讨论导致观察到的差异的临床和技术因素.
主要成果:
- 确定了XAI生成的解释和专家临床知识之间的显著差异.
- 强调需要更深入地了解这些差异的原因.
- 强调了XAI方法临床验证的重要性.
结论:
- 目前的XAI方法可能与临床推理不完全一致,这对可靠的采用构成了挑战.
- 解决技术可解释性和临床专业知识之间的差距对于可靠的临床决策支持至关重要.
- 未来的研究应该专注于开发XAI解决方案,这些解决方案在技术上是合理的,在临床上也是相关的.
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