Along with the successful deployment of deep neural networks in several application domains, the need to unravel the black-box nature of these networks has seen a significant increase recently. Several methods have been introduced to provide insight into the inference process of deep neural networks. However, most of these explainability methods have been shown to be brittle in the face of adversarial perturbations of their inputs in the image and generic textual domain. In this work we show that this phenomenon extends to specific and important high stakes domains like biomedical datasets. In particular, we observe that the robustness of explanations should be characterized in terms of the accuracy of the explanation in linking a model’s inputs and its decisions - faithfulness - and its relevance from the perspective of domain experts - plausibility. This is crucial to prevent explanations that are inaccurate but still look convincing in the context of the domain at hand. To this end, we show how to adapt current attribution robustness estimation methods to a given domain, so as to take into account domain-specific plausibility. This results in our DomainAdaptiveAREstimator (DARE) attribution robustness estimator, allowing us to properly characterize the domain-specific robustness of faithful explanations. Next, we provide two methods, adversarial training and FAR training, to mitigate the brittleness characterized by DARE, allowing us to train networks that display robust attributions. Finally, we empirically validate our methods with extensive experiments on three established biomedical benchmarks.

We present an operational component of a real-world patient triage system. Given a specific patient presentation, the system is able to assess the level of medical urgency and issue the most appropriate recommendation in terms of best point of care and time to treat. We use an attention-based convolutional neural network architecture trained on 600,000 doctor notes in German. We compare two approaches, one that uses the full text of the medical notes and one that uses only a selected list of medical entities extracted from the text. These approaches achieve 79% and 66% precision, respectively, but on a confidence threshold of 0.6, precision increases to 85% and 75%, respectively. In addition, a method to detect warning symptoms is implemented to render the classification task transparent from a medical perspective. The method is based on the learning of attention scores and a method of automatic validation using the same data.