We adopted the existing code from Amersfoort et al. to train the DUQ models. DIP/INR and the proposed manifold consistency, it can still be challenging to avoid trivial solutions. However, given the large solution space, this often leads to unrealistic images. For this experiment, we used the CelebA faces dataset and considered the baldness attribute. Figure 1: Examples of counterfactuals generated for the baldness and age attributes using DISC.

We adopted the existing code from Amersfoort et al. to train the DUQ models. DIP/INR and the proposed manifold consistency, it can still be challenging to avoid trivial solutions. However, given the large solution space, this often leads to unrealistic images. For this experiment, we used the CelebA faces dataset and considered the baldness attribute. Figure 1: Examples of counterfactuals generated for the baldness and age attributes using DISC.

Recent advancements in Large Language Models (LLMs) have catalyzed a paradigm shift from static prediction systems to agentic AI agents capable of reasoning, interacting with tools, and adapting to complex tasks. While LLM-based agentic systems have shown promise across many domains, their application to medical imaging remains in its infancy. In this work, we introduce AURA, the first visual linguistic explainability agent designed specifically for comprehensive analysis, explanation, and evaluation of medical images. By enabling dynamic interactions, contextual explanations, and hypothesis testing, AURA represents a significant advancement toward more transparent, adaptable, and clinically aligned AI systems. We highlight the promise of agentic AI in transforming medical image analysis from static predictions to interactive decision support. Leveraging Qwen-32B, an LLM-based architecture, AURA integrates a modular toolbox comprising: (i) a segmentation suite with phase grounding, pathology segmentation, and anatomy segmentation to localize clinically meaningful regions; (ii) a counterfactual image-generation module that supports reasoning through image-level explanations; and (iii) a set of evaluation tools including pixel-wise difference-map analysis, classification, and advanced state-of-the-art components to assess diagnostic relevance and visual interpretability.

Explainable artificial intelligence (XAI) has become increasingly important in decision-critical domains such as healthcare, finance, and law. Counterfactual (CF) explanations, a key approach in XAI, provide users with actionable insights by suggesting minimal modifications to input features that lead to different model outcomes. Despite significant advancements, existing CF generation methods often struggle to balance proximity, diversity, and robustness, limiting their real-world applicability. A widely adopted framework, Diverse Counterfactual Explanations (DiCE), emphasizes diversity but lacks robustness, making CF explanations sensitive to perturbations and domain constraints. To address these challenges, we introduce DiCE-Extended, an enhanced CF explanation framework that integrates multi-objective optimization techniques to improve robustness while maintaining interpretability. Our approach introduces a novel robustness metric based on the Dice-Sørensen coefficient, enabling stability under small input variations. Additionally, we refine CF generation using weighted loss components (lambda_p, lambda_d, lambda_r) to balance proximity, diversity, and robustness. We empirically validate DiCE-Extended on benchmark datasets (COMPAS, Lending Club, German Credit, Adult Income) across multiple ML backends (Scikit-learn, PyTorch, TensorFlow). Results demonstrate improved CF validity, stability, and alignment with decision boundaries compared to standard DiCE-generated explanations. Our findings highlight the potential of DiCE-Extended in generating more reliable and interpretable CFs for high-stakes applications. Future work could explore adaptive optimization techniques and domain-specific constraints to further enhance CF generation in real-world scenarios

Counterfactual explanations (CFE) are methods that explain a machine learning model by giving an alternate class prediction of a data point with some minimal changes in its features. It helps the users to identify their data attributes that caused an undesirable prediction like a loan or credit card rejection. We describe an efficient and an actionable counterfactual (CF) generation method based on particle swarm optimization (PSO). We propose a simple objective function for the optimization of the instance-centric CF generation problem. The PSO brings in a lot of flexibility in terms of carrying out multi-objective optimization in large dimensions, capability for multiple CF generation, and setting box constraints or immutability of data attributes. An algorithm is proposed that incorporates these features and it enables greater control over the proximity and sparsity properties over the generated CFs. The proposed algorithm is evaluated with a set of action-ability metrics in real-world datasets, and the results were superior compared to that of the state-of-the-arts.