Ensuring medical AI safety: interpretability-driven detection and mitigation of spurious model behavior and associated data

Deep neural networks are increasingly employed in high-stakes medical applications, despite their tendency for shortcut learning in the presence of spurious correlations, which can have potentially fatal consequences in practice. Whereas a multitude of works address either the detection or mitigation of such shortcut behavior in isolation, the Reveal2Revise approach provides a comprehensive bias mitigation framework combining these steps. However, effectively addressing these biases often requires substantial labeling efforts from domain experts. In this work, we review the steps of the Reveal2Revise framework and enhance it with semi-automated interpretability-based bias annotation capabilities. This includes methods for the sample- and feature-level bias annotation, providing valuable information for bias mitigation methods to unlearn the undesired shortcut behavior. We show the applicability of the framework using four medical datasets across two modalities, featuring controlled and real-world spurious correlations caused by data artifacts. We successfully identify and mitigate these biases in VGG16, ResNet50, and contemporary Vision Transformer models, ultimately increasing their robustness and applicability for real-world medical tasks. Our code is available at https://github.com/frederikpahde/medical-ai-safety.