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Towards the Use of Saliency Maps for Explaining Low-Quality Electrocardiograms to End Users

Created by
  • Haebom

Author

Ana Lucic, Sheeraz Ahmad, Amanda Furtado Brinhosa, Vera Liao, Himani Agrawal, Umang Bhatt, Krishnaram Kenthapadi, Alice Xiang, Maarten de Rijke, Nicholas Drabowski

Outline

This paper presents a study on the development of an AI system for real-time flagging and annotating of low-quality medical images in a telemedicine environment at Portal Telemedicina, a Brazilian digital healthcare organization. Specifically, we report (i) the development of an AI system for real-time flagging and annotating of low-quality medical images, (ii) an interview study to understand the explanation needs of AI system users, and (iii) the design of a longitudinal user study to examine the impact of including explanations on the workflow of technicians. This study is expected to be the first longitudinal study to evaluate the effectiveness of XAI methods for users (stakeholders) of AI systems without AI expertise.

Takeaways, Limitations

Takeaways:
Development and application of an AI system that can reduce the need for reexamination due to low-quality medical images in a remote medical environment.
Presentation of a design and evaluation method for XAI (Explainable AI) systems that considers the needs of AI system users (non-experts).
Presentation of a study design to evaluate the long-term impact of XAI methods on real-world users' workflows.
Limitations:
This is an ongoing study and no final conclusions can be drawn regarding its actual effectiveness or impact.
We are requesting feedback and suggestions on the research design, and verification of the completeness and reliability of the research is necessary.
Because the study results were limited to the environment of a specific digital healthcare organization, generalizability to other environments may be limited.
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