arXiv Machine Learning

Trustworthy AI in Digital Health: A Comprehensive Review of Robustness and Explainability

arXiv:2608. 02238v1 Announce Type: cross Abstract: Ensuring trust in AI systems is essential for the safe and ethical integration of machine learning systems into high-stakes domains such as digital health.

arXiv Machine Learning
Aug 31

Explainable Uncertainty Estimation for Reliable Medical AI

The paper introduces egRUE, an explainable uncertainty estimation method that merges uncertainty quantification with feature‑level explanations for medical AI predictions. egRUE incorporates prediction explanations into its uncertainty calculation and decomposes uncertainty into contributions from individual features. Experiments and a user study with medical experts show that egRUE improves reliability, interpretability, and calibrated trust compared to existing methods.

By Li Rong Wang, Jamie Duell, Xinran Xu, Thomas C. Henderson, Yu Yue Hew, Pik Wan Erica Chiang, Xiao Wei Alstar Ang, Bingwen Eugene Fan, Xiuyi Fan
arXiv AI
Jul 17

Towards a Unified Multidimensional Explainability Metric: Evaluating Trustworthiness in AI Models

arXiv:2607. 14315v1 Announce Type: cross Abstract: In this paper, we present a comprehensive framework for assessing the explainability of various XAI methods, such as LIME and SHAP, across multiple datasets and machine learning models, with the ultimate goal of creating a unified multidimensional explainability score.

By Georgios Makridis, Georgios Fatouros, Athanasios Kiourtis, Dimitrios Kotios, Vasileios Koukos, Dimosthenis Kyriazis, Jonh Soldatos
arXiv AI
Aug 11

Ethical Framework for Responsible Foundational Models in Medical Imaging

arXiv:2406. 11868v2 Announce Type: replace-cross Abstract: The emergence of foundational models represents a paradigm shift in medical imaging, offering extraordinary capabilities in disease detection, diagnosis, and treatment planning.

By Debesh Jha, Gorkem Durak, Abhijit Das, Jasmer Sanjotra, Onkar Susladkar, Suramyaa Sarkar, Ashish Rauniyar, Nikhil Kumar Tomar, Linkai Peng, Sirui Li, Koushik Biswas, Ertugrul Aktas, Elif Keles, Matthew Antalek, Zheyuan Zhang, Bin Wang, Xin Zhu, Hongyi Pan, Deniz Seyithanoglu, Alpay Medetalibeyoglu, Vanshali Sharma, Vedat Cicek, Amir A. Rahsepar, Rutger Hendrix, A. Enis Cetin, Bulent Aydogan, Mohamed Abazeed, Frank H. Miller, Rajesh N. Keswani, Hatice Savas, Sachin Jambawalikar, Daniela P. Ladner, Amir A. Borhani, Concetto Spampinato, Michael B. Wallace, Ulas Bagci
arXiv AI
Aug 24

Prediction certification cannot replace explanation certification: a competence envelope for trustworthy AI under compound stress

The paper argues that prediction‑based certifications—such as accuracy, calibration, and conformal coverage—are insufficient to guarantee trustworthy AI. It proves a separation theorem showing that a model can appear reliable under all prediction‑side certificates yet differ arbitrarily in explanation fidelity and deployment behaviour. The authors propose a competence envelope framework that combines both prediction and explanation certification to detect such hidden failures.

By Nataliya Shakhovska, Ivan Izonin, Stergios-Aristoteles Mitoulis
arXiv AI
Aug 18

ETHOS: Towards a Modular Ethics Framework for Clinical Multi-Agent Systems

arXiv:2608. 15424v1 Announce Type: cross Abstract: The rapid adoption of large language models has enabled the development of clinical multi-agent systems (MAS) capable of integrating multimodal patient data and supporting increasingly complex clinical decision-making.

By Rakesh Sharma, Sydney Pugh, Cameron Beeche, Pankhuri Singhal, Rachel Wu, Margaret Eby, Jeffrey Duda, James Gee, Kyra O'Brien, Hersh Sagreiya, Marina Serper, Victoria Gershuni, Angela Bradbury, Anurag Verma, Eric Eaton, Kevin B. Johnson, Walter Witschey
arXiv Computation and Language
Sep 1

CARE: Privacy-Compliant Agentic Reasoning with Evidence Discordance

The paper introduces MIMIC-DOS, a dataset derived from MIMIC-IV that focuses on ICU cases where patient symptoms and medical signs are discordant. It presents CARE, a privacy‑compliant multi‑stage agentic reasoning framework that uses a proprietary LLM to generate structured categories and transitions, while a local LLM performs evidence acquisition and decision‑making. In retrospective evaluations on MIMIC‑DOS, CARE outperforms other LLMs and agentic workflows, demonstrating stronger handling of conflicting clinical evidence while preserving patient privacy.

By Haochen Liu, Weien Li, Rui Song, Zeyu Li, Chun Jason Xue, Xiao-Yang Liu, Sam Nallaperuma-Herzberg, Xue Liu, Ye Yuan