Jessica Schrouff
Jessica is a research scientist at DeepMind, working on responsible AI. Previously, she was at Google Research where she investigated responsible machine learning for healthcare. Before joining Alphabet in 2019, she was a Marie Curie post-doctoral fellow at University College London (UK) and Stanford University (USA), developing machine learning techniques for neuroscience discovery and clinical predictions. Throughout her career, Jessica's interests have lied not only in the technical advancement of machine learning methods, but also in critical aspects of their deployment such as their credibility, fairness, robustness or interpretability. She is also involved in DEI initiatives, such as Women in Machine Learning (WiML) and founded the Women in Neuroscience Repository.
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Detecting shortcut learning for fair medical AI using shortcut testing
Alexander Brown
Nenad Tomašev
Jan Freyberg
Nature Communications (2023)
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Machine learning (ML) holds great promise for improving healthcare, but it is critical to ensure that its use will not propagate or amplify health disparities. An important step is to characterize the (un)fairness of ML models—their tendency to perform differently across subgroups of the population—and to understand its underlying mechanisms. One potential driver of algorithmic unfairness, shortcut learning, arises when ML models base predictions on improper correlations in the training data. Diagnosing this phenomenon is difficult as sensitive attributes may be causally linked with disease. Using multitask learning, we propose a method to directly test for the presence of shortcut learning in clinical ML systems and demonstrate its application to clinical tasks in radiology and dermatology. Finally, our approach reveals instances when shortcutting is not responsible for unfairness, highlighting the need for a holistic approach to fairness mitigation in medical AI.
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Diagnosing failures of fairness transfer across distribution shift in real-world medical settings
Sanmi Koyejo
Eva Schnider
Krista Opsahl-Ong
Alex Brown
Christina Chen
Silvia Chiappa
Proceedings of Neural Information Processing Systems 2022 (2022)
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Diagnosing and mitigating changes in model fairness under distribution shift is an important component of the safe deployment of machine learning in healthcare settings. Importantly, the success of any mitigation strategy strongly depends on the structure of the shift. Despite this, there has been little discussion of how to empirically assess the structure of a distribution shift that one is encountering in practice. In this work, we adopt a causal framing to motivate conditional independence tests as a key tool for characterizing distribution shifts. Using our approach in two medical applications, we show that this knowledge can help diagnose failures of fairness transfer, including cases where real-world shifts are more complex than is often assumed in the literature. Based on these results, we discuss potential remedies at each step of the machine learning pipeline.
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We propose a novel reduction-to-binary (R2B) approach that enforces demographic parity for multiclass classification with non-binary sensitive attributes via a reduction to a sequence of binary debiasing tasks. We prove that R2B satisfies optimality and bias guarantees and demonstrate empirically that it can lead to an improvement over two baselines: (1) treating multiclass problems as multi-label by debiasing labels independently and (2) transforming the features instead of the labels. Surprisingly, we also demonstrate that independent label debiasing yields competitive results in most (but not all) settings. We validate these conclusions on synthetic and real-world datasets from social science, computer vision, and healthcare.
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Healthsheet: development of a transparency artifact for health datasets
Lauren Wilcox
Razvan Adrian Amironesei
Nyalleng Moorosi
ACM FAccT Conference 2022, ACM (2022)
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Machine learning (ML) approaches have demonstrated promising results in a wide range of healthcare applications. Data plays a crucial role in developing ML-based healthcare systems that directly affect people’s lives. Many of the ethical issues surrounding the use of ML in healthcare stem from structural inequalities underlying the way we collect, use, and handle data. Developing guidelines to improve documentation practices regarding the creation, use, and maintenance of ML healthcare datasets is therefore of critical importance. In this work, we introduce Healthsheet, a contextualized adaptation of the original datasheet questionnaire for health-specific applications. Through a series of semi-structured interviews, we adapt the datasheets for healthcare data documentation. As part of the Healthsheet development process and to understand the obstacles researchers face in creating datasheets, we worked with three publicly-available healthcare datasets as our case studies, each with different types of structured data: Electronic health Records (EHR), clinical trial study data, and smartphone-based performance outcome measures. Our findings from the interviewee study and case studies show 1) that datasheets should be contextualized for healthcare, 2) that despite incentives to adopt accountability practices such as datasheets, there is a lack of consistency in the broader use of these practices 3) how the ML for health community views datasheets and particularly Healthsheets as diagnostic tool to surface the limitations and strength of datasets and 4) the relative importance of different fields in the datasheet to healthcare concerns.
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Best of both worlds: local and global explanations with human-understandable concepts
Sebastien Baur
Shaobo Hou
Eric Loreaux
Ralph Blanes
(2021)
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Interpretability techniques aim to provide the rationale behind a model's decision, typically by explaining either an individual prediction (local explanation, e.g. `why is this patient diagnosed with this condition') or a class of predictions (global explanation, e.g. `why is this set of patients diagnosed with this condition in general'). While there are many methods focused on either one, few frameworks can provide both local and global explanations in a consistent manner. In this work, we combine two powerful existing techniques, one local (Integrated Gradients, IG) and one global (Testing with Concept Activation Vectors), to provide local and global concept-based explanations. We first sanity check our idea using two synthetic datasets with a known ground truth, and further demonstrate with a benchmark natural image dataset. We test our method with various concepts, target classes, model architectures and IG parameters (e.g. baselines). We show that our method improves global explanations over vanilla TCAV when compared to ground truth, and provides useful local insights. Finally, a user study demonstrates the usefulness of the method compared to no or global explanations only. We hope our work provides a step towards building bridges between many existing local and global methods to get the best of both worlds.
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Multi-task prediction of organ dysfunction in the ICU using sequential sub-network routing
Eric Loreaux
Anne Mottram
Hugh Montgomery
Ali Connell
Nenad Tomašev
Martin Seneviratne
Journal of the American Medical Informatics Association (JAMIA) (2021)
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Introduction:
Multi-task learning (MTL) using electronic health records (EHRs) allows concurrent prediction of multiple endpoints. MTL has shown promise in improving model performance and training efficiency; however it often suffers from negative transfer - impaired learning if tasks are not appropriately selected. We introduce a sequential sub-network routing (SeqSNR) architecture which uses soft parameter sharing to find related tasks and encourage cross-learning between them.
Materials and Methods:
Using the Medical Information Mart for Intensive Care (MIMIC-III) dataset, we train deep neural network models to predict the onset of six endpoints including specific organ dysfunctions and general clinical outcomes: acute kidney injury, continuous renal replacement therapy, mechanical ventilation, vasoactive medications, mortality, and length of stay. We compare single task models (ST) with naive multi-task (shared bottom, SB) and SeqSNR in terms of discriminative performance and label efficiency.
Results:
SeqSNR showed a modest yet statistically significant performance boost across at least 4 out of 6 tasks compared to SB and ST. When the size of the training dataset was reduced for a given task, SeqSNR outperformed ST for all cases showing an average AU PRC boost of 2.1%, 2.9%, and 2.1% for tasks using 1%, 5%, and 10% of labels respectively.
Discussion and Conclusion:
Multi-task learning has variable performance compared to single-task learning, with the possibility for negative transfer. The SeqSNR architecture outperforms SB and ST in discriminative performance and shows superior performance in terms of label efficiency. SeqSNR should be considered for multi-task predictive modeling using EHR data.
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Concept-based model explanations for Electronic Health Records
Eric Loreaux
Shaobo Hou
Sebastien Baur
Martin G Seneviratne
Anne Mottram
Nenad Tomasev
Association for Computing Machinery, New York, NY, USA (2021), 36–46
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Recurrent Neural Networks (RNNs) are often used for sequential modeling of adverse outcomes in electronic health records (EHRs) due to their ability to encode past clinical states. These deep, recurrent architectures have displayed increased performance compared to other modeling approaches in a number of tasks, fueling the interest in deploying deep models in clinical settings. One of the key elements in ensuring safe model deployment and building user trust is model explainability. Testing with Concept Activation Vectors (TCAV) has recently been introduced as a way of providing human-understandable explanations by comparing high-level concepts to the network's gradients. While the technique has shown promising results in real-world imaging applications, it has not been applied to structured temporal inputs. To enable an application of TCAV to sequential predictions in the EHR, we propose an extension of the method to time series data. We evaluate the proposed approach on an open EHR benchmark from the intensive care unit, as well as synthetic data where we are able to better isolate individual effects.
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Underspecification Presents Challenges for Credibility in Modern Machine Learning
Dan Moldovan
Babak Alipanahi
Alex Beutel
Christina Chen
Jon Deaton
Shaobo Hou
Ghassen Jerfel
Yian Ma
Akinori Mitani
Andrea Montanari
Christopher Nielsen
Thomas Osborne
Rajiv Raman
Kim Ramasamy
Martin Gamunu Seneviratne
Shannon Sequeira
Harini Suresh
Victor Veitch
Journal of Machine Learning Research (2020)
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ML models often exhibit unexpectedly poor behavior when they are deployed in real-world domains. We identify underspecification as a key reason for these failures. An ML pipeline is underspecified when it can return many predictors with equivalently strong held-out performance in the training domain. Underspecification is common in modern ML pipelines, such as those based on deep learning. Predictors returned by underspecified pipelines are often treated as equivalent based on their training domain performance, but we show here that such predictors can behave very differently in deployment domains. This ambiguity can lead to instability and poor model behavior in practice, and is a distinct failure mode from previously identified issues arising from structural mismatch between training and deployment domains. We show that this problem appears in a wide variety of practical ML pipelines, using examples from computer vision, medical imaging, natural language processing, clinical risk prediction based on electronic health records, and medical genomics. Our results show the need to explicitly account for underspecification in modeling pipelines that are intended for real-world deployment in any domain.
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