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Interpretability and trust: results

Generated by brainssl trust report from the audit files; the questions and the reading of each table are on the plan page.

Connectome classifier (ABIDE I)

Calibration, 5 × 10-fold cross-validation

Raw probabilities, and the same probabilities after a monotone recalibration fitted on other folds only. Slope 1 is calibrated; above 1 the predictions are too timid.

Model ECE slope Brier ECE (recal.) slope (recal.) Brier (recal.) bal. acc. bal. acc. (recal.)
Noise-aware (ours) 0.098 ± 0.005 2.44 ± 0.06 0.209 ± 0.001 0.041 ± 0.006 0.99 ± 0.00 0.193 ± 0.002 0.684 0.710
Tangent space + LR 0.092 ± 0.006 2.24 ± 0.05 0.209 ± 0.001 0.042 ± 0.007 0.99 ± 0.00 0.196 ± 0.002 0.687 0.708
Log-Euclidean + LR 0.090 ± 0.006 2.13 ± 0.05 0.207 ± 0.001 0.035 ± 0.007 0.99 ± 0.00 0.196 ± 0.002 0.690 0.702
Correlation + LR 0.054 ± 0.002 1.36 ± 0.05 0.203 ± 0.002 0.039 ± 0.011 0.98 ± 0.00 0.200 ± 0.003 0.690 0.690

Selective prediction, 5 × 10-fold cross-validation

Accuracy when only the most confident fraction of subjects is scored. excess is 0 for an ideal ranking of cases by confidence and 1 for a ranking no better than chance.

Model all subjects most confident 80% most confident 50% excess
Noise-aware (ours) 0.696 0.741 0.797 0.59 ± 0.03
Tangent space + LR 0.698 0.738 0.784 0.62 ± 0.02
Log-Euclidean + LR 0.701 0.740 0.789 0.63 ± 0.01
Correlation + LR 0.689 0.725 0.788 0.60 ± 0.02

Calibration, leave one site out

Raw probabilities, and the same probabilities after a monotone recalibration fitted on other folds only. Slope 1 is calibrated; above 1 the predictions are too timid.

Model ECE slope Brier ECE (recal.) slope (recal.) Brier (recal.) bal. acc. bal. acc. (recal.)
Noise-aware (ours) 0.097 ± 0.000 2.21 ± 0.00 0.212 ± 0.000 0.033 ± 0.000 0.96 ± 0.00 0.203 ± 0.000 0.686 0.694
Tangent space + LR 0.067 ± 0.000 1.51 ± 0.00 0.205 ± 0.000 0.042 ± 0.000 0.95 ± 0.00 0.204 ± 0.000 0.684 0.681
Log-Euclidean + LR 0.062 ± 0.000 1.53 ± 0.00 0.206 ± 0.000 0.036 ± 0.000 0.95 ± 0.00 0.205 ± 0.000 0.678 0.681
Correlation + LR 0.042 ± 0.000 1.15 ± 0.00 0.203 ± 0.000 0.054 ± 0.000 0.98 ± 0.00 0.202 ± 0.000 0.678 0.692

Selective prediction, leave one site out

Accuracy when only the most confident fraction of subjects is scored. excess is 0 for an ideal ranking of cases by confidence and 1 for a ranking no better than chance.

Model all subjects most confident 80% most confident 50% excess
Noise-aware (ours) 0.696 0.735 0.787 0.67 ± 0.00
Tangent space + LR 0.691 0.735 0.796 0.65 ± 0.00
Log-Euclidean + LR 0.685 0.729 0.782 0.65 ± 0.00
Correlation + LR 0.677 0.732 0.780 0.59 ± 0.00

Is the AUC a shortcut?

Classifiers that see only nuisance variables, on the same folds, against the connectome model.

Inputs AUC
only site 0.573 ± 0.000
only motion 0.593 ± 0.000
only age and sex 0.484 ± 0.010
only site, motion, age and sex 0.606 ± 0.002
connectome model, all subjects 0.776 ± 0.004
connectome model, inside sites 0.799 ± 0.004
connectome model, inside motion terciles 0.770 ± 0.004
connectome model, inside site and motion 0.789 ± 0.005

Rank correlation of the model score with mean framewise displacement: controls 0.27 [0.17, 0.35], autism 0.32 [0.22, 0.40].

Subgroups

AUC of the noise-aware model inside each group (mean of the five repeats' out-of-fold probabilities). 18 of 20 sites have enough subjects in both classes to be scored; the interval excludes 0.5 for 13 of them. Worst site 0.503, median 0.797, best 0.896.

site subjects autism AUC [95% CI]
CALTECH 15 5 too few
CMU 11 6 too few
KKI 33 12 0.817 [0.648, 0.958]
LEUVEN_1 28 14 0.571 [0.341, 0.802]
LEUVEN_2 28 12 0.896 [0.776, 0.988]
MAX_MUN 46 19 0.503 [0.335, 0.675]
NYU 172 74 0.839 [0.780, 0.895]
OHSU 25 12 0.538 [0.279, 0.769]
OLIN 28 14 0.786 [0.593, 0.947]
PITT 50 24 0.804 [0.675, 0.920]
SBL 26 12 0.595 [0.362, 0.811]
SDSU 27 8 0.697 [0.488, 0.888]
STANFORD 25 12 0.795 [0.603, 0.955]
TRINITY 44 19 0.760 [0.608, 0.891]
UCLA_1 64 37 0.806 [0.693, 0.906]
UCLA_2 21 11 0.827 [0.611, 0.990]
UM_1 86 34 0.781 [0.676, 0.869]
UM_2 34 13 0.799 [0.612, 0.944]
USM 67 43 0.828 [0.709, 0.934]
YALE 41 22 0.864 [0.727, 0.969]
sex subjects autism AUC [95% CI]
female 144 54 0.826 [0.759, 0.888]
male 727 349 0.767 [0.730, 0.800]
age subjects autism AUC [95% CI]
middle third 290 130 0.853 [0.807, 0.895]
oldest third 290 135 0.769 [0.712, 0.821]
youngest third 291 138 0.720 [0.661, 0.778]
motion subjects autism AUC [95% CI]
least motion 291 105 0.772 [0.713, 0.823]
middle third 290 139 0.814 [0.764, 0.859]
most motion 290 159 0.732 [0.672, 0.790]

What the connectome classifier looks at

Weights are on log-connectivity features, so single entries are not read one by one. Strongest regions by summed absolute weight (node strength):

  • cc200: Temporal_Mid_R (140) (0.29), Cuneus_R (81) (0.28), Temporal_Sup_R (66) (0.28), Temporal_Sup_R (107) (0.28), Temporal_Sup_R (153) (0.27), Temporal_Sup_L (129) (0.27)
  • cc400: Temporal_Mid_R (341) (0.41), Frontal_Sup_L (129) (0.40), Temporal_Mid_R (52) (0.39), Temporal_Mid_R (364) (0.39), Temporal_Mid_L (243) (0.39), None (242) (0.38)
  • aal: Temporal_Mid_L (0.53), Temporal_Mid_R (0.51), Hippocampus_R (0.51), Cingulum_Mid_R (0.47), Temporal_Inf_R (0.47), Occipital_Mid_R (0.47)
  • ho: Right Middle Temporal Gyrus; anterior division (0.25), Right Middle Temporal Gyrus; posterior division (0.25), Left Temporal Fusiform Cortex; anterior division (0.25), Right Middle Temporal Gyrus; temporooccipital part (0.24), Left Lateral Occipital Cortex; superior division (0.24), Right Cuneal Cortex (0.24)
  • dosenbach160: vmPFC (1) (0.26), inf temporal (63) (0.26), inf cerebellum (140) (0.25), IPL (107) (0.25), occipital (139) (0.25), occipital (137) (0.25)

Lobe blocks of the AAL atlas with the largest mean absolute weight per feature:

block mean abs. weight
insula R – subcortical R 0.0058
insula L – limbic L 0.0056
limbic R – temporal R 0.0052
insula L – temporal R 0.0051
occipital R – occipital R 0.0051
frontal R – insula L 0.0051
limbic L – temporal L 0.0049
limbic R – subcortical R 0.0049

Stability under bootstrap refits

Refits on resamples of the subjects. top-100 overlap is the Jaccard overlap of the 100 strongest features between two refits; node strengths summarise the weights by region.

atlas refits top-100 overlap weight rank corr. node strength rank corr. node strength vs full fit sign agreement, top 100
aal 30 0.12 0.62 0.44 0.65 1.00
cc200 30 0.08 0.63 0.44 0.65 1.00
dosenbach160 30 0.09 0.60 0.32 0.55 1.00
ho 30 0.10 0.61 0.46 0.66 1.00

Faithfulness: deleting the features an explanation names

Held-out AUC after setting a fraction of each subject's features to the training mean. The most supportive features are those pushing most towards the predicted class.

atlas deleted no deletion most supportive random least supportive
aal 1% 0.722 0.410 0.724 0.720
aal 5% 0.722 0.382 0.718 0.708
aal 20% 0.722 0.356 0.713 0.690

Tumour segmentation (BraTS)

Uncertainty, calibration and volumes

Spearman correlation of a scan's mean entropy with its error (1 − Dice); a positive value means the model is more uncertain on the scans it segments worse. ECE of the voxel probabilities is computed within five voxels of the predicted or true region.

run region entropy vs error (ρ) disagreement vs error (ρ) risk-coverage excess voxel ECE volume bias (mL) median relative volume error volume correlation
ours_10pct WT 0.78 [0.67, 0.84] 0.79 0.20 0.073 -2.7 0.08 0.961
ours_10pct TC 0.81 [0.72, 0.88] 0.80 0.14 0.111 2.0 0.19 0.898
ours_10pct ET 0.71 [0.56, 0.82] 0.80 0.22 0.069 0.6 0.14 0.977
scratch_10pct WT 0.83 [0.73, 0.89] 0.83 0.14 0.071 -1.3 0.09 0.960
scratch_10pct TC 0.88 [0.82, 0.92] 0.78 0.08 0.100 -1.6 0.15 0.926
scratch_10pct ET 0.84 [0.76, 0.89] 0.82 0.13 0.072 0.2 0.14 0.973
ours_100pct WT 0.76 [0.64, 0.83] 0.81 0.24 0.059 -2.4 0.07 0.976
ours_100pct TC 0.84 [0.77, 0.89] 0.87 0.09 0.077 -1.0 0.11 0.957
ours_100pct ET 0.76 [0.65, 0.83] 0.78 0.18 0.062 0.8 0.12 0.979
scratch_100pct WT 0.85 [0.78, 0.90] 0.83 0.13 0.059 -1.7 0.07 0.964
scratch_100pct TC 0.86 [0.77, 0.92] 0.80 0.08 0.083 -2.3 0.11 0.951
scratch_100pct ET 0.76 [0.64, 0.84] 0.71 0.19 0.060 -0.2 0.12 0.982
mim_10pct WT 0.86 [0.77, 0.90] 0.83 0.12 0.070 -0.0 0.09 0.958
mim_10pct TC 0.88 [0.81, 0.92] 0.76 0.09 0.104 -0.9 0.18 0.915
mim_10pct ET 0.77 [0.62, 0.86] 0.71 0.20 0.068 0.2 0.14 0.979

Dice by tumour size

run whole-tumour volume scans Dice WT Dice TC Dice ET
ours_10pct small (13–68 mL) 32 0.835 0.790 0.743
ours_10pct medium (73–123 mL) 32 0.915 0.806 0.840
ours_10pct large (127–264 mL) 32 0.905 0.809 0.822
scratch_10pct small (13–68 mL) 32 0.793 0.761 0.717
scratch_10pct medium (73–123 mL) 32 0.914 0.815 0.832
scratch_10pct large (127–264 mL) 32 0.910 0.821 0.822
ours_100pct small (13–68 mL) 32 0.852 0.831 0.798
ours_100pct medium (73–123 mL) 32 0.923 0.859 0.864
ours_100pct large (127–264 mL) 32 0.921 0.869 0.857
scratch_100pct small (13–68 mL) 32 0.827 0.812 0.742
scratch_100pct medium (73–123 mL) 32 0.917 0.846 0.854
scratch_100pct large (127–264 mL) 32 0.921 0.853 0.850
mim_10pct small (13–68 mL) 32 0.791 0.741 0.746
mim_10pct medium (73–123 mL) 32 0.913 0.802 0.834
mim_10pct large (127–264 mL) 32 0.911 0.816 0.839

Worst scans

ours_10pct (enhancing tumour absent in 2 scans, predicted anyway in 2)

scan mean Dice what went wrong
BRATS_177 0.292 enhancing tumour predicted where none exists; whole tumour under-segmented
BRATS_025 0.554 enhancing tumour predicted where none exists
BRATS_457 0.574 no single dominant cause
BRATS_302 0.590 no single dominant cause
BRATS_041 0.595 no single dominant cause

scratch_10pct (enhancing tumour absent in 2 scans, predicted anyway in 2)

scan mean Dice what went wrong
BRATS_177 0.236 enhancing tumour predicted where none exists
BRATS_322 0.484 whole tumour over-segmented
BRATS_025 0.505 enhancing tumour predicted where none exists; whole tumour over-segmented
BRATS_302 0.510 whole tumour over-segmented
BRATS_107 0.512 no single dominant cause

ours_100pct (enhancing tumour absent in 2 scans, predicted anyway in 1)

scan mean Dice what went wrong
BRATS_177 0.290 enhancing tumour predicted where none exists
BRATS_457 0.671 no single dominant cause
BRATS_299 0.673 whole tumour under-segmented
BRATS_028 0.679 no single dominant cause
BRATS_151 0.704 no single dominant cause

scratch_100pct (enhancing tumour absent in 2 scans, predicted anyway in 2)

scan mean Dice what went wrong
BRATS_177 0.247 enhancing tumour predicted where none exists; whole tumour under-segmented
BRATS_025 0.331 enhancing tumour predicted where none exists; whole tumour over-segmented
BRATS_151 0.544 no single dominant cause
BRATS_462 0.575 no single dominant cause
BRATS_107 0.609 no single dominant cause

mim_10pct (enhancing tumour absent in 2 scans, predicted anyway in 1)

scan mean Dice what went wrong
BRATS_177 0.241 enhancing tumour predicted where none exists
BRATS_107 0.530 no single dominant cause
BRATS_322 0.538 whole tumour over-segmented
BRATS_302 0.542 whole tumour over-segmented
BRATS_462 0.563 no single dominant cause

Robustness to worse images

Mean Dice over the three regions on the same randomly chosen test scans, with the same perturbed image given to every model.

perturbation ours_10pct (Δ) scratch_10pct (Δ) ours_100pct (Δ) scratch_100pct (Δ) mim_10pct (Δ)
none 0.842 0.824 0.865 0.854 0.827
noise 0.2 0.842 (+0.000) 0.824 (+0.000) 0.864 (+0.000) 0.853 (+0.001) 0.826 (+0.001)
noise 0.5 0.842 (+0.001) 0.823 (+0.001) 0.861 (+0.003) 0.849 (+0.005) 0.825 (+0.002)
bias field 0.819 (+0.024) 0.806 (+0.018) 0.856 (+0.009) 0.842 (+0.012) 0.801 (+0.026)
blur 0.816 (+0.026) 0.805 (+0.019) 0.844 (+0.020) 0.843 (+0.011) 0.811 (+0.016)
no FLAIR 0.383 (+0.460) 0.074 (+0.750) 0.485 (+0.379) 0.181 (+0.673) 0.051 (+0.776)
no T1 0.832 (+0.011) 0.809 (+0.015) 0.847 (+0.018) 0.828 (+0.026) 0.818 (+0.009)
no T1Gd 0.573 (+0.269) 0.491 (+0.333) 0.545 (+0.319) 0.489 (+0.365) 0.477 (+0.350)
no T2 0.814 (+0.028) 0.695 (+0.129) 0.851 (+0.014) 0.798 (+0.056) 0.784 (+0.042)
mirror blind 0.401 (+0.441) – 0.576 (+0.289) – –

Paired comparison of the Dice drop, ours_10pct against scratch_10pct (positive: ours_10pct loses less).

perturbation difference in drop [95% CI] scans better / worse p
noise 0.2 +0.000 [-0.000, +0.001] 13/7 0.216
noise 0.5 -0.000 [-0.003, +0.002] 14/10 0.334
bias field -0.006 [-0.026, +0.012] 9/15 0.820
blur -0.007 [-0.018, +0.004] 10/14 0.911
no FLAIR +0.290 [+0.161, +0.414] 19/5 0.000
no T1 +0.004 [-0.012, +0.022] 14/10 0.312
no T1Gd +0.065 [+0.017, +0.112] 16/8 0.010
no T2 +0.101 [+0.061, +0.144] 22/2 0.000

Paired comparison of the Dice drop, ours_100pct against scratch_100pct (positive: ours_100pct loses less).

perturbation difference in drop [95% CI] scans better / worse p
noise 0.2 +0.000 [-0.000, +0.001] 14/9 0.133
noise 0.5 +0.001 [-0.001, +0.005] 12/11 0.596
bias field +0.003 [-0.004, +0.009] 15/9 0.238
blur -0.009 [-0.020, -0.002] 7/17 0.979
no FLAIR +0.294 [+0.137, +0.441] 19/5 0.001
no T1 +0.008 [-0.016, +0.039] 11/13 0.572
no T1Gd +0.046 [+0.008, +0.081] 17/7 0.016
no T2 +0.042 [+0.014, +0.074] 19/5 0.002

Which contrasts the models rely on

Dice drop when a contrast is removed, and the share of the gradient-times-input attribution inside the segmented tumour.

run contrast removed Dice drop WT Dice drop TC Dice drop ET attribution share
ours_10pct FLAIR 0.612 0.383 0.384 0.57
ours_10pct T1 0.003 0.021 0.008 0.07
ours_10pct T1Gd 0.018 0.313 0.476 0.20
ours_10pct T2 0.017 0.048 0.019 0.15
scratch_10pct FLAIR 0.770 0.712 0.767 0.48
scratch_10pct T1 0.012 0.026 0.008 0.09
scratch_10pct T1Gd 0.023 0.338 0.640 0.25
scratch_10pct T2 0.155 0.132 0.101 0.19
ours_100pct FLAIR 0.564 0.291 0.283 0.51
ours_100pct T1 0.001 0.014 0.039 0.07
ours_100pct T1Gd 0.012 0.345 0.601 0.28
ours_100pct T2 0.011 0.026 0.005 0.14
scratch_100pct FLAIR 0.733 0.634 0.653 0.48
scratch_100pct T1 0.012 0.025 0.039 0.09
scratch_100pct T1Gd 0.012 0.359 0.723 0.27
scratch_100pct T2 0.036 0.071 0.060 0.16
mim_10pct FLAIR 0.854 0.737 0.738 0.54
mim_10pct T1 0.010 0.004 0.012 0.07
mim_10pct T1Gd 0.036 0.365 0.650 0.22
mim_10pct T2 0.018 0.075 0.035 0.17

The bilateral blocks

correction is the size of an exchange block's update relative to its input features, inside and outside the tumour; asymmetry AUC is how well the left-right asymmetry signal |f − Rf| alone separates tumour from healthy tissue. Level 1 is the first downsampled scale.

run level correction inside tumour correction outside asymmetry AUC
ours_10pct 1 0.439 0.305 0.848
ours_10pct 2 0.378 0.416 0.865
ours_10pct 3 0.704 0.574 0.879
ours_10pct 4 0.765 0.909 0.856
ours_100pct 1 0.284 0.345 0.810
ours_100pct 2 0.409 0.347 0.855
ours_100pct 3 0.780 0.538 0.844
ours_100pct 4 0.726 0.799 0.796

Dice of ours_10pct when the blocks see the scan's own features instead of its mirror image: 0.401 against 0.842 (drop +0.441). Dice of ours_100pct when the blocks see the scan's own features instead of its mirror image: 0.576 against 0.865 (drop +0.289).