I recently had some imaging done. The good news is that everything is fine. Thanks for your concern. The experience made me think about a process being touted to make AI more palatable to the masses called human in the loop.
The AI Model is Fundamentally Different
See, one of the big issues with AI is that it makes mistakes, but we assume it doesn't. That's a terrible assumption, though understandable. Until very recently, the dominant, if not only, model of computing was deterministic. Programs follow specific paths as designed by a human. If the program is correct, the program doesn't make mistakes. Mistakes are human. An error in software output would be the result of a human programming something incorrectly, a human putting in the data incorrectly, or a human interpreting the results wrong. They could only do what it was told to do with the data given to it, but it always did it the same. Enter the same data, you always get the same result.
Not so with AI. AI is probabilistic meaning it is based on models governed by probabilities. You can ask the same question with the same data and get different results. Using AI means the computer can make mistakes. In the terminology of probability, you can have false positives and false negatives. A problem emerges from this social-computing system - we assume that the machine is always correct even when it isn't. Think of it as a presumption of correctness driven by our previous interactions with computers. Simply put, we are used to computers delivering correct results all the time, but AI doesn't work that way. Applying the previous presumption of correctness to AI results in many bad decisions.
Human in the Loop AI
Human in the Loop helps to alleviate some of this problem by having a human being, presumably an expert, supervise the AI and make the actual decision based on recommendations from the machine. There is a problem, however. Human in the Loop will work differently depending on when humans are looped in. This is where the imaging idea came to mind.
AI and Radiology
Say you need some imaging - a simple Xray, a CAT scan (which is a complex Xray), or MRI. A technician takes the images but does not interpret them. Interpretation is the job of a highly trained and experienced doctor called a radiologist. In current practice, the radiologist, using all their learning and clinical experience, looks at the image and decides if something is abnormal and categorizes what that might be abnormal about it in highly clinical language. This language is understandable to other doctors. Radiologists are. like all humans, prone to human mistakes. They might miss something or overinterpret something, yielding false negatives and false positive. Those mistakes, however, are rendered less common by more experience and training. Their results are also checked by other specialists tasked with delivering care. They rely on the radiologist's report but also their own clinical judgement.
Let's assume that the radiologists decide to use AI to augment their work, perhaps even to reduce their own chance of mistake. They first make their determination then ask the AI to point out what it sees. If the AI sees something that radiologist didn't, then the doctor takes a look at it to determine if it's a false positive. If it doesn't see what they saw, they assume it's a false negative. In this scenario, clinical judgement comes before machine judgment. Too many mistakes on the part of the AI and the radiologist stops using it because they see it is a distraction not a help. The mistakes against clinical judgement destroy the presumption of correctness and the doctor no longer relies on the now flawed machine.
Now, let's switch the position of the doctor and the machine in the process such that the machine looks first. The AI points out anomalies for the doctor to check. This is the point where confirmation bias takes effect. Having been presented with something to look at, something that seems right, the doctor stops looking and moves and misses something else. If the AI shows nothing at all but it's plain to the doctor something is there, the radiologist specialist will ignore the AI. If, on the other hand, the AI shows something plausible - not right, not complete but plausible - might the doctor feel like enough has been done, have the AI right the report and move on? Yes, certainly. If the machine which has a presumption of correctness, tells the doctor is found something, the doctor may well not look seriously for other problems.
Who Comes First Matters
In the first scenario, clinical judgement comes first with the AI only acting to potentially catch mistakes. The second scenario has the AI coming first with the expert trying to catch its mistakes. Human psychology being what it is, with the added force of the presumption of correctness, the potential for false negatives goes up in the second scenario compared to the first scenario or the scenario without AI.
This will be true in business processes as well. Humans conditioned to believe that the transactions they observe in software are generally correct, aside from human error, will set aside their own judgment for flawed machine judgement. The machine should be a check on human mistakes not the other way around. Otherwise, expect mistakes to balloon.
So, Human in the Loop AI sounds great but where humans are supervising and, especially making decisions, matters if the goal is to reduce errors not increase them.
