Background Computer Aided Diagnostics (CAD) can support medical practitioners to make critical decisions about their patients’ disease conditions. Practitioners require access to the chain of reasoning behind CAD to build trust in the CAD advice and to supplement their own expertise. Yet, CAD systems might be based on black box machine learning models and high dimensional data sources such as electronic health records, magnetic resonance imaging scans, cardiotocograms, etc. These foundations make interpretation and explanation of the CAD advice very challenging. This challenge is recognised throughout the machine learning research community. eXplainable Artificial Intelligence (XAI) is emerging as one of the most important research areas of recent years because it addresses the interpretability and trust concerns of critical decision makers, including those in clinical and medical practice. Methods In this work, we focus on AdaBoost, a black box model that has been widely adopted in the CAD literature. We address the challenge – to explain AdaBoost classification – with a novel algorithm that extracts simple, logical rules from AdaBoost models. Our algorithm, Adaptive-Weighted High Importance Path Snippets (Ada-WHIPS), makes use of AdaBoost’s adaptive classifier weights. Using a novel formulation, Ada-WHIPS uniquely redistributes the weights among individual decision nodes of the internal decision trees of the AdaBoost model. Then, a simple heuristic search of the weighted nodes finds a single rule that dominated the model’s decision. We compare the explanations generated by our novel approach with the state of the art in an experimental study. We evaluate the derived explanations with simple statistical tests of well-known quality measures, precision and coverage, and a novel measure stability that is better suited to the XAI setting. Results Experiments on 9 CAD-related data sets showed that Ada-WHIPS explanations consistently generalise better (mean coverage 15%-68%) than the state of the art while remaining competitive for specificity (mean precision 80%-99%). A very small trade-off in specificity is shown to guard against over-fitting which is a known problem in the state of the art methods. Conclusions The experimental results demonstrate the benefits of using our novel algorithm for explaining CAD AdaBoost classifiers widely found in the literature. Our tightly coupled, AdaBoost-specific approach outperforms model-agnostic explanation methods and should be considered by practitioners looking for an XAI solution for this class of models.

The work of A. Dridi was supported by the Faculty of Computing, Engineering and Built Environment, Birmingham City University, through a Full Bursary Ph.D. Scholarship.

Modern machine learning methods typically produce “black box” models that are opaque to interpretation. Yet, their demand has been increasing in the Human-in-the-Loop processes, that is, those processes that require a human agent to verify, approve or reason about the automated decisions before they can be applied. To facilitate this interpretation, we propose Collection of High Importance Random Path Snippets (CHIRPS); a novel algorithm for explaining random forest classification per data instance. CHIRPS extracts a decision path from each tree in the forest that contributes to the majority classification, and then uses frequent pattern mining to identify the most commonly occurring split conditions. Then a simple, conjunctive form rule is constructed where the antecedent terms are derived from the attributes that had the most influence on the classification. This rule is returned alongside estimates of the rule’s precision and coverage on the training data along with counter-factual details. An experimental study involving nine data sets shows that classification rules returned by CHIRPS have a precision at least as high as the state of the art when evaluated on unseen data (0.91–0.99) and offer a much greater coverage (0.04–0.54). Furthermore, CHIRPS uniquely controls against under- and over-fitting solutions by maximising novel objective functions that are better suited to the local (per instance) explanation setting.

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