Concept Bottleneck Models (CBMs) use a set of human-interpretable concepts to predict the final task label, enabling domain experts to not only validate the CBM's predictions, but also intervene on incorrect concepts at test time. However, these interventions fail to address systemic misalignment between the CBM and the expert's reasoning, such as when the model learns shortcuts from biased data. To address this, we present a general interpretable debugging framework for CBMs that follows a two-step process of Removal and Retraining. In the Removal step, experts use concept explanations to identify and remove any undesired concepts. In the Retraining step, we introduce CBDebug, a novel method that leverages the interpretability of CBMs as a bridge for converting concept-level user feedback into sample-level auxiliary labels. These labels are then used to apply supervised bias mitigation and targeted augmentation, reducing the model's reliance on undesired concepts. We evaluate our framework with both real and automated expert feedback, and find that CBDebug significantly outperforms prior retraining methods across multiple CBM architectures (PIP-Net, Post-hoc CBM) and benchmarks with known spurious correlations.

Multimodal Large Language Models (MLLMs) have shown promise in visual-textual reasoning, with Multimodal Chain-of-Thought (MCoT) prompting significantly enhancing interpretability. However, existing MCoT methods rely on rationale-rich datasets and largely focus on inter-object reasoning, overlooking the intra-object understanding crucial for image classification. To address this gap, we propose WISE, a Weak-supervision-guided Step-by-step Explanation method that augments any image classification dataset with MCoTs by reformulating the concept-based representations from Concept Bottleneck Models (CBMs) into concise, interpretable reasoning chains under weak supervision. Experiments across ten datasets show that our generated MCoTs not only improve interpretability by 37% but also lead to gains in classification accuracy when used to fine-tune MLLMs. Our work bridges concept-based interpretability and generative MCoT reasoning, providing a generalizable framework for enhancing MLLMs in fine-grained visual understanding.

Concept Bottleneck Models (CBMs) decompose image classification into a process governed by interpretable, human-readable concepts. Recent advances in CBMs have used Large Language Models (LLMs) to generate candidate concepts. However, a critical question remains: What is the optimal number of concepts to use? Current concept banks suffer from redundancy or insufficient coverage. To address this issue, we introduce a dynamic, agent-based approach that adjusts the concept bank in response to environmental feedback, optimizing the number of concepts for sufficiency yet concise coverage. Moreover, we propose Conditional Concept Bottleneck Models (CoCoBMs) to overcome the limitations in traditional CBMs' concept scoring mechanisms. It enhances the accuracy of assessing each concept's contribution to classification tasks and feature an editable matrix that allows LLMs to correct concept scores that conflict with their internal knowledge. Our evaluations across 6 datasets show that our method not only improves classification accuracy by 6% but also enhances interpretability assessments by 30%.

Recent advancements in deep learning have shown significant potential for classifying retinal diseases using color fundus images. However, existing works predominantly rely exclusively on image data, lack interpretability in their diagnostic decisions, and treat medical professionals primarily as annotators for ground truth labeling. To fill this gap, we implement two key strategies: extracting interpretable concepts of retinal diseases using the knowledge base of GPT models and incorporating these concepts as a language component in prompt-learning to train vision-language (VL) models with both fundus images and their associated concepts. Our method not only improves retinal disease classification but also enriches few-shot and zero-shot detection (novel disease detection), while offering the added benefit of concept-based model interpretability. Our extensive evaluation across two diverse retinal fundus image datasets illustrates substantial performance gains in VL-model based few-shot methodologies through our concept integration approach, demonstrating an average improvement of approximately 5.8\% and 2.7\% mean average precision for 16-shot learning and zero-shot (novel class) detection respectively. Our method marks a pivotal step towards interpretable and efficient retinal disease recognition for real-world clinical applications.

Concept bottleneck models (CBMs) are inherently interpretable and intervenable neural network models, which explain their final label prediction by the intermediate prediction of high-level semantic concepts. However, they require target task training to learn input-to-concept and concept-to-label mappings, incurring target dataset collections and training resources. In this paper, we present \textit{zero-shot concept bottleneck models} (Z-CBMs), which predict concepts and labels in a fully zero-shot manner without training neural networks. Z-CBMs utilize a large-scale concept bank, which is composed of millions of vocabulary extracted from the web, to describe arbitrary input in various domains. For the input-to-concept mapping, we introduce concept retrieval, which dynamically finds input-related concepts by the cross-modal search on the concept bank. In the concept-to-label inference, we apply concept regression to select essential concepts from the retrieved concepts by sparse linear regression. Through extensive experiments, we confirm that our Z-CBMs provide interpretable and intervenable concepts without any additional training. Code will be available at https://github.com/yshinya6/zcbm.

Concept Bottleneck Models (CBMs) map the black-box visual representations extracted by deep neural networks onto a set of interpretable concepts and use the concepts to make predictions, enhancing the transparency of the decision-making process. Multimodal pre-trained models can match visual representations with textual concept embeddings, allowing for obtaining the interpretable concept bottleneck without the expertise concept annotations. Recent research has focused on the concept bank establishment and the high-quality concept selection. However, it is challenging to construct a comprehensive concept bank through humans or large language models, which severely limits the performance of CBMs. In this work, we propose the Incremental Residual Concept Bottleneck Model (Res-CBM) to address the challenge of concept completeness. Specifically, the residual concept bottleneck model employs a set of optimizable vectors to complete missing concepts, then the incremental concept discovery module converts the complemented vectors with unclear meanings into potential concepts in the candidate concept bank. Our approach can be applied to any user-defined concept bank, as a post-hoc processing method to enhance the performance of any CBMs. Furthermore, to measure the descriptive efficiency of CBMs, the Concept Utilization Efficiency (CUE) metric is proposed. Experiments show that the Res-CBM outperforms the current state-of-the-art methods in terms of both accuracy and efficiency and achieves comparable performance to black-box models across multiple datasets.

Diagnosing rare diseases presents a common challenge in clinical practice, necessitating the expertise of specialists for accurate identification. The advent of machine learning offers a promising solution, while the development of such technologies is hindered by the scarcity of data on rare conditions and the demand for models that are both interpretable and trustworthy in a clinical context. Interpretable AI, with its capacity for human-readable outputs, can facilitate validation by clinicians and contribute to medical education. In the current work, we focus on choroid neoplasias, the most prevalent form of eye cancer in adults, albeit rare with 5.1 per million. We built the so-far largest dataset consisting of 750 patients, incorporating three distinct imaging modalities collected from 2004 to 2022. Our work introduces a concept-based interpretable model that distinguishes between three types of choroidal tumors, integrating insights from domain experts via radiological reports. Remarkably, this model not only achieves an F1 score of 0.91, rivaling that of black-box models, but also boosts the diagnostic accuracy of junior doctors by 42%. This study highlights the significant potential of interpretable machine learning in improving the diagnosis of rare diseases, laying a groundwork for future breakthroughs in medical AI that could tackle a wider array of complex health scenarios.

Deep neural networks often rely on spurious correlations to make predictions, which hinders generalization beyond training environments. For instance, models that associate cats with bed backgrounds can fail to predict the existence of cats in other environments without beds. Mitigating spurious correlations is crucial in building trustworthy models. However, the existing works lack transparency to offer insights into the mitigation process. In this work, we propose an interpretable framework, Discover and Cure (DISC), to tackle the issue. With human-interpretable concepts, DISC iteratively 1) discovers unstable concepts across different environments as spurious attributes, then 2) intervenes on the training data using the discovered concepts to reduce spurious correlation. Across systematic experiments, DISC provides superior generalization ability and interpretability than the existing approaches. Specifically, it outperforms the state-of-the-art methods on an object recognition task and a skin-lesion classification task by 7.5% and 9.6%, respectively. Additionally, we offer theoretical analysis and guarantees to understand the benefits of models trained by DISC. Code and data are available at https://github.com/Wuyxin/DISC.