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交互式AI解释模型提升医疗诊断准确性
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本文提出一种通过可审计行为序列生成解释的交互式AI代理,通过强化学习优化策略,在医疗等高风险领域显著提升诊断准确性,并通过因果干预验证了解释的可靠性。

arXiv:2511.01425v1 Announce Type: new Abstract: Explanations for AI models in high-stakes domains like medicine often lack verifiability, which can hinder trust. To address this, we propose an interactive agent that produces explanations through an auditable sequence of actions. The agent learns a policy to strategically seek external visual evidence to support its diagnostic reasoning. This policy is optimized using reinforcement learning, resulting in a model that is both efficient and generalizable. Our experiments show that this action-based reasoning process significantly improves calibrated accuracy, reducing the Brier score by 18\% compared to a non-interactive baseline. To validate the faithfulness of the agent's explanations, we introduce a causal intervention method. By masking the visual evidence the agent chooses to use, we observe a measurable degradation in its performance ($\Delta$Brier=+0.029), confirming that the evidence is integral to its decision-making process. Our work provides a practical framework for building AI systems with verifiable and faithful reasoning capabilities.

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AI解释 医疗诊断 强化学习 交互式AI 因果干预
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