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Counterfactual Explanations for Survival Prediction of Cardiovascular ICU Patients
Stockholm University, Faculty of Social Sciences, Department of Computer and Systems Sciences.ORCID iD: 0000-0002-8575-421x
Stockholm University, Faculty of Social Sciences, Department of Computer and Systems Sciences.ORCID iD: 0000-0002-3056-6801
Stockholm University, Faculty of Social Sciences, Department of Computer and Systems Sciences.ORCID iD: 0000-0002-4632-4815
2021 (English)In: Artificial Intelligence in Medicine: 19th International Conference on Artificial Intelligence in Medicine, AIME 2021, Virtual Event, June 15–18, 2021, Proceedings / [ed] Allan Tucker; Pedro Henriques Abreu; Jaime Cardoso; Pedro Pereira Rodrigues; David Riaño, Cham: Springer, 2021, p. 338-348Conference paper, Published paper (Refereed)
Abstract [en]

In recent years, machine learning methods have been rapidly implemented in the medical domain. However, current state-of-the-art methods usually produce opaque, black-box models. To address the lack of model transparency, substantial attention has been given to develop interpretable machine learning methods. In the medical domain, counterfactuals can provide example-based explanations for predictions, and show practitioners the modifications required to change a prediction from an undesired to a desired state. In this paper, we propose a counterfactual explanation solution for predicting the survival of cardiovascular ICU patients, by representing their electronic health record as a sequence of medical events, and generating counterfactuals by adopting and employing a text style-transfer technique. Experimental results on the MIMIC-III dataset strongly suggest that text style-transfer methods can be effectively adapted for the problem of counterfactual explanations in healthcare applications and can achieve competitive performance in terms of counterfactual validity, BLEU-4 and local outlier metrics. 

Place, publisher, year, edition, pages
Cham: Springer, 2021. p. 338-348
Series
Lecture Notes in Artificial Intelligence, ISSN 0302-9743, E-ISSN 1611-3349 ; 12721
Keywords [en]
Counterfactual explanations, Survival prediction, Explainable models, Deep learning
National Category
Computer Sciences
Research subject
Computer and Systems Sciences
Identifiers
URN: urn:nbn:se:su:diva-200373DOI: 10.1007/978-3-030-77211-6_38ISBN: 978-3-030-77210-9 (print)ISBN: 978-3-030-77211-6 (electronic)OAI: oai:DiVA.org:su-200373DiVA, id: diva2:1624557
Conference
19th International Conference on Artificial Intelligence in Medicine (AIME 2021), virtual, June 15-18, 2021
Available from: 2022-01-04 Created: 2022-01-04 Last updated: 2024-10-16Bibliographically approved
In thesis
1. Constrained Counterfactual Explanations for Temporal Data
Open this publication in new window or tab >>Constrained Counterfactual Explanations for Temporal Data
2024 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

Recent advancements in machine learning models for temporal data have demonstrated high performance in predictive tasks like time series prediction and event sequence classification, yet these models often remain opaque. Counterfactual explanations offer actionable insights into these opaque models by suggesting input modifications to achieve desired predictive outcomes. In the context of explainable machine learning methods, there is a challenge in applying counterfactual explanation techniques to temporal data, as most previous research has focused on image or tabular data classification. Moreover, there is a growing need to extend counterfactual constraints to critical domains like healthcare, where it is crucial to incorporate clinical considerations.

To address these challenges, this thesis proposes novel machine learning models to generate counterfactual explanations for temporal data prediction, along with incorporating additional counterfactual constraints. In particular, this thesis focuses on three types of predictive models: (1) event sequence classification, (2) time series classification, and (3) time series forecasting. Furthermore, the integration of local temporal constraints and domain-specific constraints is proposed to emphasize the importance of temporal features and the relevance of application domains through extensive experimentation. 

This thesis is organized into three parts. The first part presents a counterfactual explanation method for medical event sequences, using style-transfer techniques and incorporating additional medical knowledge in modelling. The second part of the thesis focuses on univariate time series classification, proposing a novel solution that utilizes either latent representation or feature space perturbations, additionally incorporating temporal constraints to guide the counterfactual generation. The third part introduces the problem of counterfactual explanations for time series forecasting, proposes a gradient-based method, and extends to integrating domain-specific constraints for diabetes patients. The conclusion of this thesis summarizes the empirical findings and discusses future directions for applying counterfactual methods in real-world scenarios.

Place, publisher, year, edition, pages
Stockholm: Department of Computer and Systems Sciences, Stockholm University, 2024. p. 84
Series
Report Series / Department of Computer & Systems Sciences, ISSN 1101-8526 ; 24-015
Keywords
Counterfactual explanations; Deep learning; Explainable machine learning; Healthcare
National Category
Computer Sciences
Research subject
Computer and Systems Sciences
Identifiers
urn:nbn:se:su:diva-234540 (URN)978-91-8014-979-2 (ISBN)978-91-8014-980-8 (ISBN)
Public defence
2024-12-04, L50, NOD-huset, Borgarfjordsgatan 12, Kista, Stockholm, 09:00 (English)
Opponent
Supervisors
Available from: 2014-11-11 Created: 2024-10-16 Last updated: 2024-10-29Bibliographically approved

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Wang, ZhendongSamsten, IsakPapapetrou, Panagiotis

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