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A Systematic Review of User-Centred Evaluation of Explainable AI in Healthcare

arXiv.org Artificial Intelligence

Despite promising developments in Explainable Artificial Intelligence, the practical value of XAI methods remains under-explored and insufficiently validated in real-world settings. Robust and context-aware evaluation is essential, not only to produce understandable explanations but also to ensure their trustworthiness and usability for intended users, but tends to be overlooked because of no clear guidelines on how to design an evaluation with users. This study addresses this gap with two main goals: (1) to develop a framework of well-defined, atomic properties that characterise the user experience of XAI in healthcare; and (2) to provide clear, context-sensitive guidelines for defining evaluation strategies based on system characteristics. We conducted a systematic review of 82 user studies, sourced from five databases, all situated within healthcare settings and focused on evaluating AI-generated explanations. The analysis was guided by a predefined coding scheme informed by an existing evaluation framework, complemented by inductive codes developed iteratively. The review yields three key contributions: (1) a synthesis of current evaluation practices, highlighting a growing focus on human-centred approaches in healthcare XAI; (2) insights into the interrelations among explanation properties; and (3) an updated framework and a set of actionable guidelines to support interdisciplinary teams in designing and implementing effective evaluation strategies for XAI systems tailored to specific application contexts.


Enhancing Symbolic Machine Learning by Subsymbolic Representations

arXiv.org Artificial Intelligence

The goal of neuro-symbolic AI is to integrate symbolic and subsymbolic AI approaches, to overcome the limitations of either. Prominent systems include Logic Tensor Networks (LTN) or DeepProbLog, which offer neural predicates and end-to-end learning. The versatility of systems like LTNs and DeepProbLog, however, makes them less efficient in simpler settings, for instance, for discriminative machine learning, in particular in domains with many constants. Therefore, we follow a different approach: We propose to enhance symbolic machine learning schemes by giving them access to neural embeddings. In the present paper, we show this for TILDE and embeddings of constants used by TILDE in similarity predicates. The approach can be fine-tuned by further refining the embeddings depending on the symbolic theory. In experiments in three real-world domain, we show that this simple, yet effective, approach outperforms all other baseline methods in terms of the F1 score. The approach could be useful beyond this setting: Enhancing symbolic learners in this way could be extended to similarities between instances (effectively working like kernels within a logical language), for analogical reasoning, or for propositionalization. Keywords: Neuro-symbolic AI TILDE Inductive Logic Programming Neural Embeddings Logic Tensor Networks


Automated Decision-Making on Networks with LLMs through Knowledge-Guided Evolution

arXiv.org Artificial Intelligence

Effective decision-making on networks often relies on learning from graph-structured data, where Graph Neural Networks (GNNs) play a central role, but they take efforts to configure and tune. In this demo, we propose LLMNet, showing how to design GNN automated through Large Language Models. Our system develops a set of agents that construct graph-related knowlege bases and then leverages Retrieval-Augmented Generation (RAG) to support automated configuration and refinement of GNN models through a knowledge-guided evolution process. These agents, equipped with specialized knowledge bases, extract insights into tasks and graph structures by interacting with the knowledge bases. Empirical results show LLMNet excels in twelve datasets across three graph learning tasks, validating its effectiveness of GNN model designing.


RAW-Explainer: Post-hoc Explanations of Graph Neural Networks on Knowledge Graphs

arXiv.org Machine Learning

Graph neural networks have demonstrated state-of-the-art performance on knowledge graph tasks such as link prediction. However, interpreting GNN predictions remains a challenging open problem. While many GNN explainability methods have been proposed for node or graph-level tasks, approaches for generating explanations for link predictions in heterogeneous settings are limited. In this paper, we propose RAW-Explainer, a novel framework designed to generate connected, concise, and thus interpretable subgraph explanations for link prediction. Our method leverages the heterogeneous information in knowledge graphs to identify connected subgraphs that serve as patterns of factual explanation via a random walk objective. Unlike existing methods tailored to knowledge graphs, our approach employs a neural network to parameterize the explanation generation process, which significantly speeds up the production of collective explanations. Furthermore, RAW-Explainer is designed to overcome the distribution shift issue when evaluating the quality of an explanatory subgraph which is orders of magnitude smaller than the full graph, by proposing a robust evaluator that generalizes to the subgraph distribution. Extensive quantitative results on real-world knowledge graph datasets demonstrate that our approach strikes a balance between explanation quality and computational efficiency.


Datrics Text2SQL: A Framework for Natural Language to SQL Query Generation

arXiv.org Artificial Intelligence

Text-to-SQL systems enable users to query databases using natural language, democratizing access to data analytics. However, they face challenges in understanding ambiguous phrasing, domain-specific vocabulary, and complex schema relationships. This paper introduces Datrics Text2SQL, a Retrieval-Augmented Generation (RAG)-based framework designed to generate accurate SQL queries by leveraging structured documentation, example-based learning, and domain-specific rules. The system builds a rich Knowledge Base from database documentation and question-query examples, which are stored as vector embeddings and retrieved through semantic similarity. It then uses this context to generate syntactically correct and semantically aligned SQL code. The paper details the architecture, training methodology, and retrieval logic, highlighting how the system bridges the gap between user intent and database structure without requiring SQL expertise.


Lingshu: A Generalist Foundation Model for Unified Multimodal Medical Understanding and Reasoning

arXiv.org Artificial Intelligence

Multimodal Large Language Models (MLLMs) have demonstrated impressive capabilities in understanding common visual elements, largely due to their large-scale datasets and advanced training strategies. However, their effectiveness in medical applications remains limited due to the inherent discrepancies between data and tasks in medical scenarios and those in the general domain. Concretely, existing medical MLLMs face the following critical limitations: (1) limited coverage of medical knowledge beyond imaging, (2) heightened susceptibility to hallucinations due to suboptimal data curation processes, (3) lack of reasoning capabilities tailored for complex medical scenarios. To address these challenges, we first propose a comprehensive data curation procedure that (1) efficiently acquires rich medical knowledge data not only from medical imaging but also from extensive medical texts and general-domain data; and (2) synthesizes accurate medical captions, visual question answering (VQA), and reasoning samples. As a result, we build a multimodal dataset enriched with extensive medical knowledge. Building on the curated data, we introduce our medical-specialized MLLM: Lingshu. Lingshu undergoes multi-stage training to embed medical expertise and enhance its task-solving capabilities progressively. Besides, we preliminarily explore the potential of applying reinforcement learning with verifiable rewards paradigm to enhance Lingshu's medical reasoning ability. Additionally, we develop MedEvalKit, a unified evaluation framework that consolidates leading multimodal and textual medical benchmarks for standardized, fair, and efficient model assessment. We evaluate the performance of Lingshu on three fundamental medical tasks, multimodal QA, text-based QA, and medical report generation. The results show that Lingshu consistently outperforms the existing open-source multimodal models on most tasks ...


MANBench: Is Your Multimodal Model Smarter than Human?

arXiv.org Artificial Intelligence

The rapid advancement of Multimodal Large Language Models (MLLMs) has ignited discussions regarding their potential to surpass human performance in multimodal tasks. In response, we introduce MANBench (Multimodal Ability Norms Benchmark), a bilingual benchmark (English and Chinese) comprising 1,314 questions across nine tasks, spanning knowledge-based and non-knowledge-based domains. MANBench emphasizes intuitive reasoning, seamless cross-modal integration, and real-world complexity, providing a rigorous evaluation framework. Through extensive human experiments involving diverse participants, we compared human performance against state-of-the-art MLLMs. The results indicate that while MLLMs excel in tasks like Knowledge and Text-Image Understanding, they struggle with deeper cross-modal reasoning tasks such as Transmorphic Understanding, Image Consistency, and Multi-image Understanding. Moreover, both humans and MLLMs face challenges in highly complex tasks like Puzzles and Spatial Imagination. MANBench highlights the strengths and limitations of MLLMs, revealing that even advanced models fall short of achieving human-level performance across many domains. We hope MANBench will inspire efforts to bridge the gap between MLLMs and human multimodal capabilities. The code and dataset are available at https://github.com/micdz/MANBench.


Re-ranking Reasoning Context with Tree Search Makes Large Vision-Language Models Stronger

arXiv.org Artificial Intelligence

Recent advancements in Large Vision Language Models (LVLMs) have significantly improved performance in Visual Question Answering (VQA) tasks through multimodal Retrieval-Augmented Generation (RAG). However, existing methods still face challenges, such as the scarcity of knowledge with reasoning examples and erratic responses from retrieved knowledge. To address these issues, in this study, we propose a multimodal RAG framework, termed RCTS, which enhances LVLMs by constructing a Reasoning Context-enriched knowledge base and a Tree Search re-ranking method. Specifically, we introduce a self-consistent evaluation mechanism to enrich the knowledge base with intrinsic reasoning patterns. We further propose a Monte Carlo Tree Search with Heuristic Rewards (MCTS-HR) to prioritize the most relevant examples. This ensures that LVLMs can leverage high-quality contextual reasoning for better and more consistent responses. Extensive experiments demonstrate that our framework achieves state-of-the-art performance on multiple VQA datasets, significantly outperforming In-Context Learning (ICL) and Vanilla-RAG methods. It highlights the effectiveness of our knowledge base and re-ranking method in improving LVLMs. Our code is available at https://github.com/yannqi/RCTS-RAG.


Mixture Experts with Test-Time Self-Supervised Aggregation for Tabular Imbalanced Regression

arXiv.org Artificial Intelligence

Tabular data serve as a fundamental and ubiquitous representation of structured information in numerous real-world applications, e.g., finance and urban planning. In the realm of tabular imbalanced applications, data imbalance has been investigated in classification tasks with insufficient instances in certain labels, causing the model's ineffective generalizability. However, the imbalance issue of tabular regression tasks is underexplored, and yet is critical due to unclear boundaries for continuous labels and simplifying assumptions in existing imbalance regression work, which often rely on known and balanced test distributions. Such assumptions may not hold in practice and can lead to performance degradation. To address these issues, we propose MATI: Mixture Experts with Test-Time Self-Supervised Aggregation for Tabular Imbalance Regression, featuring two key innovations: (i) the Region-Aware Mixture Expert, which adopts a Gaussian Mixture Model to capture the underlying related regions. The statistical information of each Gaussian component is then used to synthesize and train region-specific experts to capture the unique characteristics of their respective regions. (ii) Test-Time Self-Supervised Expert Aggregation, which dynamically adjusts region expert weights based on test data features to reinforce expert adaptation across varying test distributions. We evaluated MATI on four real-world tabular imbalance regression datasets, including house pricing, bike sharing, and age prediction. To reflect realistic deployment scenarios, we adopted three types of test distributions: a balanced distribution with uniform target frequencies, a normal distribution that follows the training data, and an inverse distribution that emphasizes rare target regions. On average across these three test distributions, MATI achieved a 7.1% improvement in MAE compared to existing methods.


ExplainBench: A Benchmark Framework for Local Model Explanations in Fairness-Critical Applications

arXiv.org Artificial Intelligence

As machine learning systems are increasingly deployed in high-stakes domains such as criminal justice, finance, and healthcare, the demand for interpretable and trustworthy models has intensified. Despite the proliferation of local explanation techniques, including SHAP, LIME, and counterfactual methods, there exists no standardized, reproducible framework for their comparative evaluation, particularly in fairness-sensitive settings. We introduce ExplainBench, an open-source benchmarking suite for systematic evaluation of local model explanations across ethically consequential datasets. ExplainBench provides unified wrappers for popular explanation algorithms, integrates end-to-end pipelines for model training and explanation generation, and supports evaluation via fidelity, sparsity, and robustness metrics. The framework includes a Streamlit-based graphical interface for interactive exploration and is packaged as a Python module for seamless integration into research workflows. We demonstrate ExplainBench on datasets commonly used in fairness research, such as COMPAS, UCI Adult Income, and LendingClub, and showcase how different explanation methods behave under a shared experimental protocol. By enabling reproducible, comparative analysis of local explanations, ExplainBench advances the methodological foundations of interpretable machine learning and facilitates accountability in real-world AI systems.