Diagnosis
Preliminary Evaluation of an Ultrasound-Guided Robotic System for Autonomous Percutaneous Intervention
Mohan, Pratima, Agrawal, Aayush, Patel, Niravkumar A.
Cancer cases have been rising globally, resulting in nearly 10 million deaths in 2023. Biopsy, crucial for diagnosis, is often performed under ultrasound (US) guidance, demanding precise hand coordination and cognitive decision-making. Robot-assisted interventions have shown improved accuracy in lesion targeting by addressing challenges such as noisy 2D images and maintaining consistent probe-to-surface contact. Recent research has focused on fully autonomous robotic US systems to enable standardized diagnostic procedures and reproducible US-guided therapy. This study presents a fully autonomous system for US-guided needle placement capable of performing end-to-end clinical workflow. The system autonomously: 1) identifies the liver region on the patient's abdomen surface, 2) plans and executes the US scanning path using impedance control, 3) localizes lesions from the US images in real-time, and 4) targets the identified lesions, all without human intervention. This study evaluates both position and impedance-controlled systems. Validation on agar phantoms demonstrated a targeting error of 5.74 +- 2.70 mm, highlighting its potential for accurately targeting tumors larger than 5 mm. Achieved results show its potential for a fully autonomous system for US-guided biopsies.
Decision trees as partitioning machines to characterize their generalization properties
Decision trees are popular machine learning models that are simple to build and easy to interpret. Even though algorithms to learn decision trees date back to almost 50 years, key properties affecting their generalization error are still weakly bounded. Hence, we revisit binary decision trees on real-valued features from the perspective of partitions of the data. We introduce the notion of partitioning function, and we relate it to the growth function and to the VC dimension. Using this new concept, we are able to find the exact VC dimension of decision stumps, which is given by the largest integer d such that 2\ell \ge \binom{d}{\floor{\frac{d}{2}}}, where \ell is the number of real-valued features.
Exploring the Whole Rashomon Set of Sparse Decision Trees
In any given machine learning problem, there may be many models that could explain the data almost equally well. However, most learning algorithms return only one of these models, leaving practitioners with no practical way to explore alternative models that might have desirable properties beyond what could be expressed within a loss function. The Rashomon set is the set of these all almost-optimal models. Rashomon sets can be extremely complicated, particularly for highly nonlinear function classes that allow complex interaction terms, such as decision trees. We provide the first technique for completely enumerating the Rashomon set for sparse decision trees; in fact, our work provides the first complete enumeration of any Rashomon set for a non-trivial problem with a highly nonlinear discrete function class.
Tree in Tree: from Decision Trees to Decision Graphs
Decision trees have been widely used as classifiers in many machine learning applications thanks to their lightweight and interpretable decision process. This paper introduces Tree in Tree decision graph (TnT), a framework that extends the conventional decision tree to a more generic and powerful directed acyclic graph. The time complexity of TnT is linear to the number of nodes in the graph, therefore it can construct decision graphs on large datasets. Compared to decision trees, we show that TnT achieves better classification performance with reduced model size, both as a stand-alone classifier and as a base-estimator in bagging/AdaBoost ensembles. Our proposed model is a novel, more efficient and accurate alternative to the widely-used decision trees.
Statistical Undecidability in Linear, Non-Gaussian Causal Models in the Presence of Latent Confounders
If causal relationships are linear and acyclic and noise terms are independent and Gaussian, causal orientation is not identified from observational data --- even if faithfulness is satisfied (Spirtes et al., 2002). Shimizu et al. (2006) showed that acyclic, linear, {\bf non}-Gaussian (LiNGAM) causal models {\em are} identified from observational data, so long as no latent confounders are present. That holds even when faithfulness fails. Genin and Mayo-Wilson (2020) refine that result: not only are causal relationships identified, but causal orientation is {\em statistically decidable}. That means that for every \epsilon 0, there is a method that converges in probability to the correct orientation and, at every sample size, outputs an incorrect orientation with probability less than \epsilon.
Decision Trees with Short Explainable Rules
Decision trees are widely used in many settings where interpretable models are preferred or required. There is indeed a vast literature on the design and analysis of decision tree algorithms that aim at optimizing these parameters.This paper contributes to this important line of research: we propose as a novel criterion of measuring the interpretability of a decision tree, the sparsity of the set of attributes that are (on average) required to explain the classification of the examples. We give a tight characterization of the best possible guarantees achievable by a decision tree built to optimize both our newmeasure (which we call the {\em explanation size}) and the more classical measures of worst-case and average depth. In particular, we give an algorithm that guarantees O(\ln n) -approximation (hence optimal if P eq NP) for the minimization of both the average/worst-case explanation size and the average/worst-case depth. In addition to our theoretical contributions, experiments with 20 real datasets show that our algorithm has accuracy competitive with CART while producing trees that allow for much simpler explanations.
Gradient Boosting Decision Trees on Medical Diagnosis over Tabular Data
Yฤฑldฤฑz, A. Yarkฤฑn, Kalayci, Asli
Medical diagnosis is a crucial task in the medical field, in terms of providing accurate classification and respective treatments. Having near-precise decisions based on correct diagnosis can affect a patient's life itself, and may extremely result in a catastrophe if not classified correctly. Several traditional machine learning (ML), such as support vector machines (SVMs) and logistic regression, and state-of-the-art tabular deep learning (DL) methods, including TabNet and TabTransformer, have been proposed and used over tabular medical datasets. Additionally, due to the superior performances, lower computational costs, and easier optimization over different tasks, ensemble methods have been used in the field more recently. They offer a powerful alternative in terms of providing successful medical decision-making processes in several diagnosis tasks. In this study, we investigated the benefits of ensemble methods, especially the Gradient Boosting Decision Tree (GBDT) algorithms in medical classification tasks over tabular data, focusing on XGBoost, CatBoost, and LightGBM. The experiments demonstrate that GBDT methods outperform traditional ML and deep neural network architectures and have the highest average rank over several benchmark tabular medical diagnosis datasets. Furthermore, they require much less computational power compared to DL models, creating the optimal methodology in terms of high performance and lower complexity.
Safety Verification of Decision-Tree Policies in Continuous Time
Decision trees have gained popularity as interpretable surrogate models for learning-based control policies. However, providing safety guarantees for systems controlled by decision trees is an open challenge. We show that the problem is undecidable even for systems with the simplest dynamics, and PSPACE-complete for finite-horizon properties. The latter can be verified for discrete-time systems via bounded model checking. However, for continuous-time systems, such an approach requires discretization, thereby weakening the guarantees for the original system. This paper presents the first algorithm to directly verify decision-tree controlled system in continuous time.
Optimal Sparse Decision Trees
Decision tree algorithms have been among the most popular algorithms for interpretable (transparent) machine learning since the early 1980's. The problem that has plagued decision tree algorithms since their inception is their lack of optimality, or lack of guarantees of closeness to optimality: decision tree algorithms are often greedy or myopic, and sometimes produce unquestionably suboptimal models. Hardness of decision tree optimization is both a theoretical and practical obstacle, and even careful mathematical programming approaches have not been able to solve these problems efficiently. This work introduces the first practical algorithm for optimal decision trees for binary variables. The algorithm is a co-design of analytical bounds that reduce the search space and modern systems techniques, including data structures and a custom bit-vector library.
The Case for Evaluating Causal Models Using Interventional Measures and Empirical Data
Causal inference is central to many areas of artificial intelligence, including complex reasoning, planning, knowledge-base construction, robotics, explanation, and fairness. An active community of researchers develops and enhances algorithms that learn causal models from data, and this work has produced a series of impressive technical advances. However, evaluation techniques for causal modeling algorithms have remained somewhat primitive, limiting what we can learn from experimental studies of algorithm performance, constraining the types of algorithms and model representations that researchers consider, and creating a gap between theory and practice. We argue for more frequent use of evaluation techniques that examine interventional measures rather than structural or observational measures, and that evaluate those measures on empirical data rather than synthetic data. We survey the current practice in evaluation and show that the techniques we recommend are rarely used in practice. We show that such techniques are feasible and that data sets are available to conduct such evaluations.