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Main Authors: Gu, Hongyan, Yang, Chunxu, Magaki, Shino, Zarrin-Khameh, Neda, Lakis, Nelli S., Cobos, Inma, Khanlou, Negar, Zhang, Xinhai R., Assi, Jasmeet, Byers, Joshua T., Hamza, Ameer, Han, Karam, Meyer, Anders, Mirbaha, Hilda, Mohila, Carrie A., Stevens, Todd M., Stone, Sara L., Yan, Wenzhong, Haeri, Mohammad, Chen, Xiang 'Anthony'
Format: Preprint
Published: 2024
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Online Access:https://arxiv.org/abs/2404.04485
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author Gu, Hongyan
Yang, Chunxu
Magaki, Shino
Zarrin-Khameh, Neda
Lakis, Nelli S.
Cobos, Inma
Khanlou, Negar
Zhang, Xinhai R.
Assi, Jasmeet
Byers, Joshua T.
Hamza, Ameer
Han, Karam
Meyer, Anders
Mirbaha, Hilda
Mohila, Carrie A.
Stevens, Todd M.
Stone, Sara L.
Yan, Wenzhong
Haeri, Mohammad
Chen, Xiang 'Anthony'
author_facet Gu, Hongyan
Yang, Chunxu
Magaki, Shino
Zarrin-Khameh, Neda
Lakis, Nelli S.
Cobos, Inma
Khanlou, Negar
Zhang, Xinhai R.
Assi, Jasmeet
Byers, Joshua T.
Hamza, Ameer
Han, Karam
Meyer, Anders
Mirbaha, Hilda
Mohila, Carrie A.
Stevens, Todd M.
Stone, Sara L.
Yan, Wenzhong
Haeri, Mohammad
Chen, Xiang 'Anthony'
contents As Artificial Intelligence (AI) making advancements in medical decision-making, there is a growing need to ensure doctors develop appropriate reliance on AI to avoid adverse outcomes. However, existing methods in enabling appropriate AI reliance might encounter challenges while being applied in the medical domain. With this regard, this work employs and provides the validation of an alternative approach -- majority voting -- to facilitate appropriate reliance on AI in medical decision-making. This is achieved by a multi-institutional user study involving 32 medical professionals with various backgrounds, focusing on the pathology task of visually detecting a pattern, mitoses, in tumor images. Here, the majority voting process was conducted by synthesizing decisions under AI assistance from a group of pathology doctors (pathologists). Two metrics were used to evaluate the appropriateness of AI reliance: Relative AI Reliance (RAIR) and Relative Self-Reliance (RSR). Results showed that even with groups of three pathologists, majority-voted decisions significantly increased both RAIR and RSR -- by approximately 9% and 31%, respectively -- compared to decisions made by one pathologist collaborating with AI. This increased appropriateness resulted in better precision and recall in the detection of mitoses. While our study is centered on pathology, we believe these insights can be extended to general high-stakes decision-making processes involving similar visual tasks.
format Preprint
id arxiv_https___arxiv_org_abs_2404_04485
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Majority Voting of Doctors Improves Appropriateness of AI Reliance in Pathology
Gu, Hongyan
Yang, Chunxu
Magaki, Shino
Zarrin-Khameh, Neda
Lakis, Nelli S.
Cobos, Inma
Khanlou, Negar
Zhang, Xinhai R.
Assi, Jasmeet
Byers, Joshua T.
Hamza, Ameer
Han, Karam
Meyer, Anders
Mirbaha, Hilda
Mohila, Carrie A.
Stevens, Todd M.
Stone, Sara L.
Yan, Wenzhong
Haeri, Mohammad
Chen, Xiang 'Anthony'
Human-Computer Interaction
As Artificial Intelligence (AI) making advancements in medical decision-making, there is a growing need to ensure doctors develop appropriate reliance on AI to avoid adverse outcomes. However, existing methods in enabling appropriate AI reliance might encounter challenges while being applied in the medical domain. With this regard, this work employs and provides the validation of an alternative approach -- majority voting -- to facilitate appropriate reliance on AI in medical decision-making. This is achieved by a multi-institutional user study involving 32 medical professionals with various backgrounds, focusing on the pathology task of visually detecting a pattern, mitoses, in tumor images. Here, the majority voting process was conducted by synthesizing decisions under AI assistance from a group of pathology doctors (pathologists). Two metrics were used to evaluate the appropriateness of AI reliance: Relative AI Reliance (RAIR) and Relative Self-Reliance (RSR). Results showed that even with groups of three pathologists, majority-voted decisions significantly increased both RAIR and RSR -- by approximately 9% and 31%, respectively -- compared to decisions made by one pathologist collaborating with AI. This increased appropriateness resulted in better precision and recall in the detection of mitoses. While our study is centered on pathology, we believe these insights can be extended to general high-stakes decision-making processes involving similar visual tasks.
title Majority Voting of Doctors Improves Appropriateness of AI Reliance in Pathology
topic Human-Computer Interaction
url https://arxiv.org/abs/2404.04485