Counterfactual Explanation and Instance-Generation using Cycle-Consistent Generative Adversarial Networks

The image-based diagnosis is now a vital aspect of modern automation assisted diagnosis. To enable models to produce pixel-level diagnosis, pixel-level ground-truth labels are essentially required. However, since it is often not straight forward to obtain the labels in many application domains such as in medical image, classification-based approaches have become the de facto standard to perform the diagnosis. Though they can identify class-salient regions, they may not be useful for diagnosis where capturing all of the evidences is important requirement. Alternatively, a counterfactual explanation (CX) aims at providing explanations using a casual reasoning process of form "If X has not happend, Y would not heppend". Existing CX approaches, however, use classifier to explain features that can change its predictions. Thus, they can only explain class-salient features, rather than entire object of interest. This hence motivates us to propose a novel CX strategy that is not reliant on image classification. This work is inspired from the recent developments in generative adversarial networks (GANs) based image-to-image domain translation, and leverages to translate an abnormal image to counterpart normal image (i.e. counterfactual instance CI) to find discrepancy maps between the two. Since it is generally not possible to obtain abnormal and normal image pairs, we leverage Cycle-Consistency principle (a.k.a CycleGAN) to perform the translation in unsupervised way. We formulate CX in terms of a discrepancy map that, when added from the abnormal image, will make it indistinguishable from the CI. We evaluate our method on three datasets including a synthetic, tuberculosis and BraTS dataset. All these experiments confirm the supremacy of propose method in generating accurate CX and CI.