Dermatologist-like explainable AI enhances melanoma diagnosis accuracy: eye-tracking study

Fuente: arXiv
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Hauptverfasser: Chanda, Tirtha, Haggenmueller, Sarah, Bucher, Tabea-Clara, Holland-Letz, Tim, Kittler, Harald, Tschandl, Philipp, Heppt, Markus V., Berking, Carola, Utikal, Jochen S., Schilling, Bastian, Buerger, Claudia, Navarrete-Dechent, Cristian, Goebeler, Matthias, Kather, Jakob Nikolas, Schneider, Carolin V., Durani, Benjamin, Durani, Hendrike, Jansen, Martin, Wacker, Juliane, Wacker, Joerg, Consortium, Reader Study, Brinker, Titus J.
Format: Preprint
Veröffentlicht: 2024
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author Chanda, Tirtha
Haggenmueller, Sarah
Bucher, Tabea-Clara
Holland-Letz, Tim
Kittler, Harald
Tschandl, Philipp
Heppt, Markus V.
Berking, Carola
Utikal, Jochen S.
Schilling, Bastian
Buerger, Claudia
Navarrete-Dechent, Cristian
Goebeler, Matthias
Kather, Jakob Nikolas
Schneider, Carolin V.
Durani, Benjamin
Durani, Hendrike
Jansen, Martin
Wacker, Juliane
Wacker, Joerg
Consortium, Reader Study
Brinker, Titus J.
author_facet Chanda, Tirtha
Haggenmueller, Sarah
Bucher, Tabea-Clara
Holland-Letz, Tim
Kittler, Harald
Tschandl, Philipp
Heppt, Markus V.
Berking, Carola
Utikal, Jochen S.
Schilling, Bastian
Buerger, Claudia
Navarrete-Dechent, Cristian
Goebeler, Matthias
Kather, Jakob Nikolas
Schneider, Carolin V.
Durani, Benjamin
Durani, Hendrike
Jansen, Martin
Wacker, Juliane
Wacker, Joerg
Consortium, Reader Study
Brinker, Titus J.
contents Artificial intelligence (AI) systems have substantially improved dermatologists' diagnostic accuracy for melanoma, with explainable AI (XAI) systems further enhancing clinicians' confidence and trust in AI-driven decisions. Despite these advancements, there remains a critical need for objective evaluation of how dermatologists engage with both AI and XAI tools. In this study, 76 dermatologists participated in a reader study, diagnosing 16 dermoscopic images of melanomas and nevi using an XAI system that provides detailed, domain-specific explanations. Eye-tracking technology was employed to assess their interactions. Diagnostic performance was compared with that of a standard AI system lacking explanatory features. Our findings reveal that XAI systems improved balanced diagnostic accuracy by 2.8 percentage points relative to standard AI. Moreover, diagnostic disagreements with AI/XAI systems and complex lesions were associated with elevated cognitive load, as evidenced by increased ocular fixations. These insights have significant implications for clinical practice, the design of AI tools for visual tasks, and the broader development of XAI in medical diagnostics.
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id arxiv_https___arxiv_org_abs_2409_13476
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Dermatologist-like explainable AI enhances melanoma diagnosis accuracy: eye-tracking study
Chanda, Tirtha
Haggenmueller, Sarah
Bucher, Tabea-Clara
Holland-Letz, Tim
Kittler, Harald
Tschandl, Philipp
Heppt, Markus V.
Berking, Carola
Utikal, Jochen S.
Schilling, Bastian
Buerger, Claudia
Navarrete-Dechent, Cristian
Goebeler, Matthias
Kather, Jakob Nikolas
Schneider, Carolin V.
Durani, Benjamin
Durani, Hendrike
Jansen, Martin
Wacker, Juliane
Wacker, Joerg
Consortium, Reader Study
Brinker, Titus J.
Artificial Intelligence
Computer Vision and Pattern Recognition
Human-Computer Interaction
Artificial intelligence (AI) systems have substantially improved dermatologists' diagnostic accuracy for melanoma, with explainable AI (XAI) systems further enhancing clinicians' confidence and trust in AI-driven decisions. Despite these advancements, there remains a critical need for objective evaluation of how dermatologists engage with both AI and XAI tools. In this study, 76 dermatologists participated in a reader study, diagnosing 16 dermoscopic images of melanomas and nevi using an XAI system that provides detailed, domain-specific explanations. Eye-tracking technology was employed to assess their interactions. Diagnostic performance was compared with that of a standard AI system lacking explanatory features. Our findings reveal that XAI systems improved balanced diagnostic accuracy by 2.8 percentage points relative to standard AI. Moreover, diagnostic disagreements with AI/XAI systems and complex lesions were associated with elevated cognitive load, as evidenced by increased ocular fixations. These insights have significant implications for clinical practice, the design of AI tools for visual tasks, and the broader development of XAI in medical diagnostics.
title Dermatologist-like explainable AI enhances melanoma diagnosis accuracy: eye-tracking study
topic Artificial Intelligence
Computer Vision and Pattern Recognition
Human-Computer Interaction
url https://arxiv.org/abs/2409.13476