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Doctor XAvIer: Explainable Diagnosis on Physician-Patient Dialogues and XAI Evaluation

11 Apr 2022BioNLP (ACL) 2022 5arXiv:2204.10178archive 2025-07-28

Hillary Ngai, Frank Rudzicz

We introduce Doctor XAvIer, a BERT-based diagnostic system that extracts relevant clinical data from transcribed patient-doctor dialogues and explains predictions using feature attribution methods. We present a novel performance plot and evaluation metric for feature attribution methods: Feature Attribution Dropping (FAD) curve and its Normalized Area Under the Curve (N-AUC). FAD curve analysis shows that integrated gradients outperforms Shapley values in explaining diagnosis classification. Doctor XAvIer outperforms the baseline with 0.97 F1-score in named entity recognition and symptom pertinence classification and 0.91 F1-score in diagnosis classification.

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ClassificationDiagnosticExplainable Artificial Intelligence (XAI)Explainable artificial intelligenceFAD Curve AnalysisNamed Entity RecognitionNamed Entity Recognition (NER)Natural Language InferenceNatural Language Understandingnamed-entity-recognition

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