Tackling prediction uncertainty in machine learning for healthcare.

Journal: Nature biomedical engineering
Published Date:

Abstract

Predictive machine-learning systems often do not convey the degree of confidence in the correctness of their outputs. To prevent unsafe prediction failures from machine-learning models, the users of the systems should be aware of the general accuracy of the model and understand the degree of confidence in each individual prediction. In this Perspective, we convey the need of prediction-uncertainty metrics in healthcare applications, with a focus on radiology. We outline the sources of prediction uncertainty, discuss how to implement prediction-uncertainty metrics in applications that require zero tolerance to errors and in applications that are error-tolerant, and provide a concise framework for understanding prediction uncertainty in healthcare contexts. For machine-learning-enabled automation to substantially impact healthcare, machine-learning models with zero tolerance for false-positive or false-negative errors must be developed intentionally.

Authors

  • Michelle Chua
    Department of Radiology, Laboratory of Medical Imaging and Computation, Massachusetts General Brigham and Harvard Medical School, Boston, MA, USA.
  • Doyun Kim
    Department of Emergency Medicine, Seoul National University Bundang Hospital, 82, Gumi-ro 173 Beon-gil, Bundang-gu, Seongnam-si, Gyeonggi-do 13620, Republic of Korea.
  • Jongmun Choi
    Department of Radiology, Laboratory of Medical Imaging and Computation, Massachusetts General Brigham and Harvard Medical School, Boston, MA, USA; Department of Laboratory Medicine, Hanyang University College of Medicine, Seoul, South Korea; GC Genome, GC Laboratories, Yong-in, South Korea.
  • Nahyoung G Lee
    Department of Ophthalmology, Massachusetts Eye and Ear Infirmary, Boston, MA, USA.
  • Vikram Deshpande
    Department of Pathology, Massachusetts General Hospital, Boston, MA, USA.
  • Joseph Schwab
    Department of Orthopedic Surgery, Musculoskeletal Oncology Service, Massachusetts General Hospital, Harvard Medical School, Boston, Massachusetts, USA.
  • Michael H Lev
    Department of Radiology, Massachusetts General Hospital, Boston, MA, USA.
  • Ramon G Gonzalez
    Department of Radiology, Massachusetts General Hospital, Boston, MA, USA.
  • Michael S Gee
    Department of Radiology, Massachusetts General Hospital, Boston, MA, USA.
  • Synho Do
    Department of Radiology, Massachusetts General Hospital, Boston, MA, USA. sdo@mgh.harvard.edu.