Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Style-transfer counterfactual explanations: An application to mortality prevention of 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. University of Vienna, Vienna, Austria.ORCID iD: 0000-0002-0172-6917
Stockholm University, Faculty of Social Sciences, Department of Computer and Systems Sciences.ORCID iD: 0000-0002-4632-4815
2023 (English)In: Artificial Intelligence in Medicine, ISSN 0933-3657, E-ISSN 1873-2860, Vol. 135, article id 102457Article in journal (Refereed) Published
Abstract [en]

In recent years, machine learning methods have been rapidly adopted in the medical domain. However, current state-of-the-art medical mining methods usually produce opaque, black-box models. To address the lack of model transparency, substantial attention has been given to developing interpretable machine learning models. 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 solution MedSeqCF for preventing the mortality of three cohorts of ICU patients, by representing their electronic health records as medical event sequences, and generating counterfactuals by adopting and employing a text style-transfer technique. We propose three model augmentations for MedSeqCF to integrate additional medical knowledge for generating more trustworthy counterfactuals. Experimental results on the MIMIC-III dataset strongly suggest that augmented style-transfer methods can be effectively adapted for the problem of counterfactual explanations in healthcare applications and can further improve the model performance in terms of validity, BLEU-4, local outlier factor, and edit distance. In addition, our qualitative analysis of the results by consultation with medical experts suggests that our style-transfer solutions can generate clinically relevant and actionable counterfactual explanations.

Place, publisher, year, edition, pages
2023. Vol. 135, article id 102457
National Category
Information Systems
Research subject
Computer and Systems Sciences
Identifiers
URN: urn:nbn:se:su:diva-212771DOI: 10.1016/j.artmed.2022.102457ISI: 000897143800009PubMedID: 36628793Scopus ID: 2-s2.0-85143973748OAI: oai:DiVA.org:su-212771DiVA, id: diva2:1718417
Available from: 2022-12-12 Created: 2022-12-12 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

Open Access in DiVA

No full text in DiVA

Other links

Publisher's full textPubMedScopus

Authority records

Wang, ZhendongSamsten, IsakKougia, VasilikiPapapetrou, Panagiotis

Search in DiVA

By author/editor
Wang, ZhendongSamsten, IsakKougia, VasilikiPapapetrou, Panagiotis
By organisation
Department of Computer and Systems Sciences
In the same journal
Artificial Intelligence in Medicine
Information Systems

Search outside of DiVA

GoogleGoogle Scholar

doi
pubmed
urn-nbn

Altmetric score

doi
pubmed
urn-nbn
Total: 140 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf