An Annotated Corpus of Textual Explanations for Clinical Decision Support

Abstract

In recent years, machine learning for clinical decision support has gained more and more attention. In order to introduce such applications into clinical practice, a good performance might be essential, however, the aspect of trust should not be underestimated. For the treating physician using such a system and being (legally) responsible for the decision made, it is particularly important to understand the system’s recommendation. To provide insights into a model’s decision, various techniques from the field of explainability (XAI) have been proposed whose output is often enough not targeted to the domain experts that want to use the model. To close this gap, in this work, we explore how explanations could possibly look like in future. To this end, this work presents a dataset of textual explanations in context of decision support. Within a reader study, human physicians estimated the likelihood of possible negative patient outcomes in the near future and justified each decision with a few sentences. Using those sentences, we created a novel corpus, annotated with different semantic layers. Moreover, we provide an analysis of how those explanations are constructed, and how they change depending on physician, on the estimated risk and also in comparison to an automatic clinical decision support system with feature importance.

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