The field of artificial intelligence (AI) is rapidly influencing health and healthcare, but bias and poor performance persists for populations who face widespread structural oppression. Previous work has clearly outlined the need for more rigorous attention to data representativeness and model performance to advance equity and reduce bias. However, there is an opportunity to also improve the explainability of AI by leveraging best practices of social epidemiology and health equity to help us develop hypotheses for associations found. In this paper, we focus on explainable AI (XAI) and describe a framework for interdisciplinary expert panel review to discuss and critically assess AI model explanations from multiple perspectives and identify areas of bias and directions for future research. We emphasize the importance of the interdisciplinary expert panel to produce more accurate, equitable interpretations which are historically and contextually informed. Interdisciplinary panel discussions can help reduce bias, identify potential confounders, and identify opportunities for additional research where there are gaps in the literature. In turn, these insights can suggest opportunities for AI model improvement.

Reinforcement Learning from Human Feedback (RLHF) has become the standard approach for aligning Large Language Models (LLMs) with human preferences, allowing LLMs to demonstrate remarkable abilities in various tasks. Existing methods work by emulating the preferences at the single decision (turn) level, limiting their capabilities in settings that require planning or multi-turn interactions to achieve a long-term goal. In this paper, we address this issue by developing novel methods for Reinforcement Learning (RL) from preference feedback between two full multi-turn conversations. In the tabular setting, we present a novel mirror-descent-based policy optimization algorithm for the general multi-turn preference-based RL problem, and prove its convergence to Nash equilibrium. To evaluate performance, we create a new environment, Education Dialogue, where a teacher agent guides a student in learning a random topic, and show that a deep RL variant of our algorithm outperforms RLHF baselines. Finally, we show that in an environment with explicit rewards, our algorithm recovers the same performance as a reward-based RL baseline, despite relying solely on a weaker preference signal.

Automatically determining whether a text and a corresponding image are semantically aligned is a significant challenge for vision-language models, with applications in generative text-to-image and image-to-text tasks. In this work, we study methods for automatic text-image alignment evaluation. We first introduce SeeTRUE: a comprehensive evaluation set, spanning multiple datasets from both text-to-image and image-to-text generation tasks, with human judgements for whether a given text-image pair is semantically aligned. We then describe two automatic methods to determine alignment: the first involving a pipeline based on question generation and visual question answering models, and the second employing an end-to-end classification approach by finetuning multimodal pretrained models. Both methods surpass prior approaches in various text-image alignment tasks, with significant improvements in challenging cases that involve complex composition or unnatural images. Finally, we demonstrate how our approaches can localize specific misalignments between an image and a given text, and how they can be used to automatically re-rank candidates in text-to-image generation.

This report introduces a new family of multimodal models, Gemini, that exhibit remarkable capabilities across image, audio, video, and text understanding. The Gemini family consists of Ultra, Pro, and Nano sizes, suitable for applications ranging from complex reasoning tasks to on-device memory-constrained use-cases. Evaluation on a broad range of benchmarks shows that our most-capable Gemini Ultra model advances the state of the art in 30 of 32 of these benchmarks - notably being the first model to achieve human-expert performance on the well-studied exam benchmark MMLU, and improving the state of the art in every one of the 20 multimodal benchmarks we examined. We believe that the new capabilities of Gemini models in cross-modal reasoning and language understanding will enable a wide variety of use cases and we discuss our approach toward deploying them responsibly to users.

AI models have shown promise in many medical imaging tasks. However, our ability to explain what signals these models have learned is severely lacking. Explanations are needed in order to increase the trust in AI-based models, and could enable novel scientific discovery by uncovering signals in the data that are not yet known to experts. In this paper, we present a method for automatic visual explanations leveraging team-based expertise by generating hypotheses of what visual signals in the images are correlated with the task. We propose the following 4 steps: (i) Train a classifier to perform a given task (ii) Train a classifier guided StyleGAN-based image generator (StylEx) (iii) Automatically detect and visualize the top visual attributes that the classifier is sensitive towards (iv) Formulate hypotheses for the underlying mechanisms, to stimulate future research. Specifically, we present the discovered attributes to an interdisciplinary panel of experts so that hypotheses can account for social and structural determinants of health. We demonstrate results on eight prediction tasks across three medical imaging modalities: retinal fundus photographs, external eye photographs, and chest radiographs. We showcase examples of attributes that capture clinically known features, confounders that arise from factors beyond physiological mechanisms, and reveal a number of physiologically plausible novel attributes. Our approach has the potential to enable researchers to better understand, improve their assessment, and extract new knowledge from AI-based models. Importantly, we highlight that attributes generated by our framework can capture phenomena beyond physiology or pathophysiology, reflecting the real world nature of healthcare delivery and socio-cultural factors. Finally, we intend to release code to enable researchers to train their own StylEx models and analyze their predictive tasks.

Image classification models can depend on multiple different semantic attributes of the image. An explanation of the decision of the classifier needs to both discover and visualize these properties. Here we present StylEx, a method for doing this, by training a generative model to specifically explain multiple attributes that underlie classifier decisions. A natural source for such attributes is the StyleSpace of StyleGAN, which is known to generate semantically meaningful dimensions in the image. However, because standard GAN training is not dependent on the classifier, it may not represent these attributes which are important for the classifier decision, and the dimensions of StyleSpace may represent irrelevant attributes. To overcome this, we propose a training procedure for a StyleGAN, which incorporates the classifier model, in order to learn a classifier-specific StyleSpace. Explanatory attributes are then selected from this space. These can be used to visualize the effect of changing multiple attributes per image, thus providing image-specific explanations. We apply StylEx to multiple domains, including animals, leaves, faces and retinal images. For these, we show how an image can be modified in different ways to change its classifier output. Our results show that the method finds attributes that align well with semantic ones, generate meaningful image-specific explanations, and are human-interpretable as measured in user-studies.