# Towards the Use of Saliency Maps for Explaining Low-Quality Electrocardiograms to End Users

arXiv: https://arxiv.org/abs/2207.02726 · HTML: https://mlsanity.com/paper/2207.02726/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 20 of its 48 references that are in the map.
- First posted on arXiv 6 Jul 2022.

## Builds on (most cited first, 20 of 20)

- [A Unified Approach to Interpreting Model Predictions](https://mlsanity.com/paper/1705.07874/) (2017)
- ["Why Should I Trust You?": Explaining the Predictions of Any Classifier](https://mlsanity.com/paper/1602.04938/) (2016)
- [Understanding Black-box Predictions via Influence Functions](https://mlsanity.com/paper/1703.04730/) (2017)
- [Towards A Rigorous Science of Interpretable Machine Learning](https://mlsanity.com/paper/1702.08608/) (2017)
- [Datasheets for Datasets](https://mlsanity.com/paper/1803.09010/) (2018)
- [A Survey on Deep Learning in Medical Image Analysis](https://mlsanity.com/paper/1702.05747/) (2017)
- [Counterfactual Explanations without Opening the Black Box: Automated Decisions and the GDPR](https://mlsanity.com/paper/1711.00399/) (2017)
- [Model Cards for Model Reporting](https://mlsanity.com/paper/1810.03993/) (2018)
- [Metrics for Explainable AI: Challenges and Prospects](https://mlsanity.com/paper/1812.04608/) (2018)
- [Explainable Machine Learning in Deployment](https://mlsanity.com/paper/1909.06342/) (2019)
- [Grad-CAM: Why did you say that?](https://mlsanity.com/paper/1611.07450/) (2016)
- [What Clinicians Want: Contextualizing Explainable Machine Learning for Clinical End Use](https://mlsanity.com/paper/1905.05134/) (2019)
- [Human-Centered Tools for Coping with Imperfect Algorithms during Medical Decision-Making](https://mlsanity.com/paper/1902.02960/) (2019)
- [Rethinking Explainability as a Dialogue: A Practitioner's Perspective](https://mlsanity.com/paper/2202.01875/) (2022)
- [FOCUS: Flexible Optimizable Counterfactual Explanations for Tree Ensembles](https://mlsanity.com/paper/1911.12199/) (2019)
- [CheXplain: Enabling Physicians to Explore and UnderstandData-Driven, AI-Enabled Medical Imaging Analysis](https://mlsanity.com/paper/2001.05149/) (2020)
- [Designing AI for Trust and Collaboration in Time-Constrained Medical Decisions: A Sociotechnical Lens](https://mlsanity.com/paper/2102.00593/) (2021)
- [Finding Influential Training Samples for Gradient Boosted Decision Trees](https://mlsanity.com/paper/1802.06640/) (2018)
- [One Map Does Not Fit All: Evaluating Saliency Map Explanation on Multi-Modal Medical Images](https://mlsanity.com/paper/2107.05047/) (2021)
- [A Multistakeholder Approach Towards Evaluating AI Transparency Mechanisms](https://mlsanity.com/paper/2103.14976/) (2021)

## Abstract (arXiv)

When using medical images for diagnosis, either by clinicians or artificial intelligence (AI) systems, it is important that the images are of high quality. When an image is of low quality, the medical exam that produced the image often needs to be redone. In telemedicine, a common problem is that the quality issue is only flagged once the patient has left the clinic, meaning they must return in order to have the exam redone. This can be especially difficult for people living in remote regions, who make up a substantial portion of the patients at Portal Telemedicina, a digital healthcare organization based in Brazil. In this paper, we report on ongoing work regarding (i) the development of an AI system for flagging and explaining low-quality medical images in real-time, (ii) an interview study to understand the explanation needs of stakeholders using the AI system at OurCompany, and, (iii) a longitudinal user study design to examine the effect of including explanations on the workflow of the technicians in our clinics. To the best of our knowledge, this would be the first longitudinal study on evaluating the effects of XAI methods on end-users -- stakeholders that use AI systems but do not have AI-specific expertise. We welcome feedback and suggestions on our experimental setup.