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COMET: Constrained Counterfactual Explanations for Patient Glucose Multivariate Forecasting
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: 0000-0002-1357-1967
Stockholm University, Faculty of Social Sciences, Department of Computer and Systems Sciences.ORCID iD: 0000-0002-4632-4815
Number of Authors: 42024 (English)In: Annual IEEE Symposium on Computer-Based Medical Systems: 2024 IEEE 37th International Symposium on Computer-Based Medical Systems (CBMS), 26-28 June 2024, IEEE (Institute of Electrical and Electronics Engineers) , 2024, p. 502-507Conference paper, Published paper (Refereed)
Abstract [en]

Applying deep learning models for healthcare-related forecasting applications has been widely adopted, such as leveraging glucose monitoring data of diabetes patients to predict hyperglycaemic or hypoglycaemic events. However, most deep learning models are considered black-boxes; hence, the model predictions are not interpretable and may not offer actionable insights into medical practitioners’ decisions. Previous work has shown that counterfactual explanations can be applied in forecasting tasks by suggesting counterfactual changes in time series inputs to achieve the desired forecasting outcome. This study proposes a generalized multivariate forecasting setup of counterfactual generation by introducing a novel approach, COMET, which imposes three domain-specific constraint mechanisms to provide counterfactual explanations for glucose forecasting. Moreover, we conduct the experimental evaluation using two diabetes patient datasets to demonstrate the effectiveness of our proposed approach in generating realistic counterfactual changes in comparison with a baseline approach. Our qualitative analysis evaluates examples to validate that the counterfactual samples are clinically relevant and can effectively lead the patients to achieve a normal range of predicted glucose levels by suggesting changes to the treatment variables.

Place, publisher, year, edition, pages
IEEE (Institute of Electrical and Electronics Engineers) , 2024. p. 502-507
Series
IEEE International Symposium on Computer-Based Medical Systems, ISSN 2372-918X, E-ISSN 2372-9198
Keywords [en]
Comet, Deep learning, Patents, Time series analysis, Predictive models, Glucose, Diabetes, time series forecasting, blood glucose prediction, counterfactual explanations, deep learning
National Category
Computer Sciences
Research subject
Computer and Systems Sciences
Identifiers
URN: urn:nbn:se:su:diva-233744DOI: 10.1109/CBMS61543.2024.00089ISI: 001284700700038Scopus ID: 2-s2.0-85200437241OAI: oai:DiVA.org:su-233744DiVA, id: diva2:1900693
Conference
2024 IEEE 37th International Symposium on Computer-Based Medical Systems (CBMS), 26-28 June 2024, Guadalajara, Mexico.
Available from: 2024-09-24 Created: 2024-09-24 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, IsakMiliou, IoannaPapapetrou, Panagiotis

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