A Human-AI interaction paradigm and its application to rhinocytology.

Journal: Artificial intelligence in medicine
PMID:

Abstract

This article explores Human-Centered Artificial Intelligence (HCAI) in medical cytology, with a focus on enhancing the interaction with AI. It presents a Human-AI interaction paradigm that emphasizes explainability and user control of AI systems. It is an iterative negotiation process based on three interaction strategies aimed to (i) elaborate the system outcomes through iterative steps (Iterative Exploration), (ii) explain the AI system's behavior or decisions (Clarification), and (iii) allow non-expert users to trigger simple retraining of the AI model (Reconfiguration). This interaction paradigm is exploited in the redesign of an existing AI-based tool for microscopic analysis of the nasal mucosa. The resulting tool is tested with rhinocytologists. The article discusses the analysis of the results of the conducted evaluation and outlines lessons learned that are relevant for AI in medicine.

Authors

  • Giuseppe Desolda
    Department of Computer Science, University of Bari Aldo Moro, Via E. Orabona 4, 70125, Bari, Italy.
  • Giovanni Dimauro
    Dipartimento di Informatica, Università degli Studi di Bari 'Aldo Moro', Bari, Italy.
  • Andrea Esposito
    Department of Computer Science, University of Bari Aldo Moro, Via E. Orabona 4, 70125, Bari, Italy. andrea.esposito@uniba.it.
  • Rosa Lanzilotti
    Department of Computer Science, University of Bari Aldo Moro, Via E. Orabona 4, 70125, Bari, Italy.
  • Maristella Matera
    Dipartimento di Elettronica, Informazione e Bioingegneria, Politecnico di Milano, Via Ponzio 34/5, Milan, 20133, Italy. Electronic address: maristella.matera@polimi.it.
  • Massimo Zancanaro
    Department of Psychology and Cognitive Science, University of Trento, Corso Bettini 31, Rovereto, 38068, Italy; Fondazione Bruno Kessler, Povo, Trento, 38123, Italy. Electronic address: massimo.zancanaro@unitn.it.