Despite major advances in artificial intelligence (AI) for medicine and healthcare, the deployment and adoption of AI technologies remain limited in real-world clinical practice. In recent years, concerns have been raised about the technical, clinical, ethical and legal risks associated with medical AI. To increase real world adoption, it is essential that medical AI tools are trusted and accepted by patients, clinicians, health organisations and authorities. This work describes the FUTURE-AI guideline as the first international consensus framework for guiding the development and deployment of trustworthy AI tools in healthcare. The FUTURE-AI consortium was founded in 2021 and currently comprises 118 inter-disciplinary experts from 51 countries representing all continents, including AI scientists, clinicians, ethicists, and social scientists. Over a two-year period, the consortium defined guiding principles and best practices for trustworthy AI through an iterative process comprising an in-depth literature review, a modified Delphi survey, and online consensus meetings. The FUTURE-AI framework was established based on 6 guiding principles for trustworthy AI in healthcare, i.e. Fairness, Universality, Traceability, Usability, Robustness and Explainability. Through consensus, a set of 28 best practices were defined, addressing technical, clinical, legal and socio-ethical dimensions. The recommendations cover the entire lifecycle of medical AI, from design, development and validation to regulation, deployment, and monitoring. FUTURE-AI is a risk-informed, assumption-free guideline which provides a structured approach for constructing medical AI tools that will be trusted, deployed and adopted in real-world practice. Researchers are encouraged to take the recommendations into account in proof-of-concept stages to facilitate future translation towards clinical practice of medical AI.

We describe a method for approximating a single-variable function $f$ using persistence diagrams of sublevel sets of $f$ from height functions in different directions. We provide algorithms for the piecewise linear case and for the smooth case. Three directions suffice to locate all local maxima and minima of a piecewise linear continuous function from its collection of directional persistence diagrams, while five directions are needed in the case of smooth functions with non-degenerate critical points. Our approximation of functions by means of persistence diagrams is motivated by a study of importance attribution in machine learning, where one seeks to reduce the number of critical points of signal functions without a significant loss of information for a neural network classifier.

Differential replication through copying refers to the process of replicating the decision behavior of a machine learning model using another model that possesses enhanced features and attributes. This process is relevant when external constraints limit the performance of an industrial predictive system. Under such circumstances, copying enables the retention of original prediction capabilities while adapting to new demands. Previous research has focused on the single-pass implementation for copying. This paper introduces a novel sequential approach that significantly reduces the amount of computational resources needed to train or maintain a copy, leading to reduced maintenance costs for companies using machine learning models in production. The effectiveness of the sequential approach is demonstrated through experiments with synthetic and real-world datasets, showing significant reductions in time and resources, while maintaining or improving accuracy. Keywords: Sustainable AI, transfer learning, environmental adaptation, optimization, and model enhancement.

We propose and implement a method to analyze time series with a neural network using a matrix of area-normalized persistence landscapes obtained through topological data analysis. We include a gating layer in the network's architecture that is able to identify the most relevant landscape levels for the classification task, thus working as an importance attribution system. Next, we perform a matching between the selected landscape functions and the corresponding critical points of the original time series. From this matching we are able to reconstruct an approximate shape of the time series that gives insight into the classification decision. We test this technique with input data from a dataset of electrocardiographic signals.

When deployed in the wild, machine learning models are usually confronted with data and requirements that constantly vary, either because of changes in the generating distribution or because external constraints change the environment where the model operates. To survive in such an ecosystem, machine learning models need to adapt to new conditions by evolving over time. The idea of model adaptability has been studied from different perspectives. In this paper, we propose a solution based on reusing the knowledge acquired by the already deployed machine learning models and leveraging it to train future generations. This is the idea behind differential replication of machine learning models. "If during the long course of ages and under varying conditions of life, organic beings vary at all in the several parts of their organization, [...] I think it would be a most extraordinary fact if no variation ever had occurred useful to each being's own welfare, in the same way as so many variations have occurred useful to man. But if variations useful to any organic being do occur, assuredly individuals thus characterized will have the best chance of being preserved in the struggle for life; and from the strong principle of inheritance they will tend to produce offspring similarly characterized. This principle of preservation, I have called, for the sake of brevity, Natural Selection."

Copies have been proposed as a viable alternative to endow machine learning models with properties and features that adapt them to changing needs. A fundamental step of the copying process is generating an unlabelled set of points to explore the decision behavior of the targeted classifier throughout the input space. In this article we propose two sampling strategies to produce such sets. We validate them in six well-known problems and compare them with two standard methods. We evaluate our proposals in terms of both their accuracy performance and their computational cost.

We study model-agnostic copies of machine learning classifiers. We develop the theory behind the problem of copying, highlighting its differences with that of learning, and propose a framework to copy the functionality of any classifier using no prior knowledge of its parameters or training data distribution. We identify the different sources of loss and provide guidelines on how best to generate synthetic sets for the copying process. We further introduce a set of metrics to evaluate copies in practice. We validate our framework through extensive experiments using data from a series of well-known problems. We demonstrate the value of copies in use cases where desiderata such as interpretability, fairness or productivization constrains need to be addressed. Results show that copies can be exploited to enhance existing solutions and improve them adding new features and characteristics.

In this paper we propose a method to obtain global explanations for trained black-box classifiers by sampling their decision function to learn alternative interpretable models. The envisaged approach provides a unified solution to approximate non-linear decision boundaries with simpler classifiers while retaining the original classification accuracy. We use a private residential mortgage default dataset as a use case to illustrate the feasibility of this approach to ensure the decomposability of attributes during pre-processing.