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Dec 29

CardioForest: An Explainable Ensemble Learning Model for Automatic Wide QRS Complex Tachycardia Diagnosis from ECG

This study aims to develop and evaluate an ensemble machine learning-based framework for the automatic detection of Wide QRS Complex Tachycardia (WCT) from ECG signals, emphasizing diagnostic accuracy and interpretability using Explainable AI. The proposed system integrates ensemble learning techniques, i.e., an optimized Random Forest known as CardioForest, and models like XGBoost and LightGBM. The models were trained and tested on ECG data from the publicly available MIMIC-IV dataset. The testing was carried out with the assistance of accuracy, balanced accuracy, precision, recall, F1 score, ROC-AUC, and error rate (RMSE, MAE) measures. In addition, SHAP (SHapley Additive exPlanations) was used to ascertain model explainability and clinical relevance. The CardioForest model performed best on all metrics, achieving a test accuracy of 94.95%, a balanced accuracy of 88.31%, and high precision and recall metrics. SHAP analysis confirmed the model's ability to rank the most relevant ECG features, such as QRS duration, in accordance with clinical intuitions, thereby fostering trust and usability in clinical practice. The findings recognize CardioForest as an extremely dependable and interpretable WCT detection model. Being able to offer accurate predictions and transparency through explainability makes it a valuable tool to help cardiologists make timely and well-informed diagnoses, especially for high-stakes and emergency scenarios.

  • 7 authors
·
Sep 30

Mask of truth: model sensitivity to unexpected regions of medical images

The development of larger models for medical image analysis has led to increased performance. However, it also affected our ability to explain and validate model decisions. Models can use non-relevant parts of images, also called spurious correlations or shortcuts, to obtain high performance on benchmark datasets but fail in real-world scenarios. In this work, we challenge the capacity of convolutional neural networks (CNN) to classify chest X-rays and eye fundus images while masking out clinically relevant parts of the image. We show that all models trained on the PadChest dataset, irrespective of the masking strategy, are able to obtain an Area Under the Curve (AUC) above random. Moreover, the models trained on full images obtain good performance on images without the region of interest (ROI), even superior to the one obtained on images only containing the ROI. We also reveal a possible spurious correlation in the Chaksu dataset while the performances are more aligned with the expectation of an unbiased model. We go beyond the performance analysis with the usage of the explainability method SHAP and the analysis of embeddings. We asked a radiology resident to interpret chest X-rays under different masking to complement our findings with clinical knowledge. Our code is available at https://github.com/TheoSourget/MMC_Masking and https://github.com/TheoSourget/MMC_Masking_EyeFundus

  • 5 authors
·
Dec 5, 2024

Evaluating Large Language Models for Phishing Detection, Self-Consistency, Faithfulness, and Explainability

Phishing attacks remain one of the most prevalent and persistent cybersecurity threat with attackers continuously evolving and intensifying tactics to evade the general detection system. Despite significant advances in artificial intelligence and machine learning, faithfully reproducing the interpretable reasoning with classification and explainability that underpin phishing judgments remains challenging. Due to recent advancement in Natural Language Processing, Large Language Models (LLMs) show a promising direction and potential for improving domain specific phishing classification tasks. However, enhancing the reliability and robustness of classification models requires not only accurate predictions from LLMs but also consistent and trustworthy explanations aligning with those predictions. Therefore, a key question remains: can LLMs not only classify phishing emails accurately but also generate explanations that are reliably aligned with their predictions and internally self-consistent? To answer these questions, we have fine-tuned transformer based models, including BERT, Llama models, and Wizard, to improve domain relevance and make them more tailored to phishing specific distinctions, using Binary Sequence Classification, Contrastive Learning (CL) and Direct Preference Optimization (DPO). To that end, we examined their performance in phishing classification and explainability by applying the ConsistenCy measure based on SHAPley values (CC SHAP), which measures prediction explanation token alignment to test the model's internal faithfulness and consistency and uncover the rationale behind its predictions and reasoning. Overall, our findings show that Llama models exhibit stronger prediction explanation token alignment with higher CC SHAP scores despite lacking reliable decision making accuracy, whereas Wizard achieves better prediction accuracy but lower CC SHAP scores.

  • 3 authors
·
Jun 16

Long-context Non-factoid Question Answering in Indic Languages

Question Answering (QA) tasks, which involve extracting answers from a given context, are relatively straightforward for modern Large Language Models (LLMs) when the context is short. However, long contexts pose challenges due to the quadratic complexity of the self-attention mechanism. This challenge is compounded in Indic languages, which are often low-resource. This study explores context-shortening techniques, including Open Information Extraction (OIE), coreference resolution, Answer Paragraph Selection (APS), and their combinations, to improve QA performance. Compared to the baseline of unshortened (long) contexts, our experiments on four Indic languages (Hindi, Tamil, Telugu, and Urdu) demonstrate that context-shortening techniques yield an average improvement of 4\% in semantic scores and 47\% in token-level scores when evaluated on three popular LLMs without fine-tuning. Furthermore, with fine-tuning, we achieve an average increase of 2\% in both semantic and token-level scores. Additionally, context-shortening reduces computational overhead. Explainability techniques like LIME and SHAP reveal that when the APS model confidently identifies the paragraph containing the answer, nearly all tokens within the selected text receive high relevance scores. However, the study also highlights the limitations of LLM-based QA systems in addressing non-factoid questions, particularly those requiring reasoning or debate. Moreover, verbalizing OIE-generated triples does not enhance system performance. These findings emphasize the potential of context-shortening techniques to improve the efficiency and effectiveness of LLM-based QA systems, especially for low-resource languages. The source code and resources are available at https://github.com/ritwikmishra/IndicGenQA.

  • 3 authors
·
Apr 18