Biomedical imaging datasets are often small and biased, meaning that real-world performance of predictive models can be substantially lower than expected from internal testing. This work proposes using generative image editing to simulate dataset shifts and diagnose failure modes of biomedical vision models; this can be used in advance of deployment to assess readiness, potentially reducing cost and patient harm. Existing editing methods can produce undesirable changes, with spurious correlations learned due to the co-occurrence of disease and treatment interventions, limiting practical applicability. To address this, we train a text-to-image diffusion model on multiple chest X-ray datasets and introduce a new editing method RadEdit that uses multiple masks, if present, to constrain changes and ensure consistency in the edited images. We consider three types of dataset shifts: acquisition shift, manifestation shift, and population shift, and demonstrate that our approach can diagnose failures and quantify model robustness without additional data collection, complementing more qualitative tools for explainable AI.
Users are increasingly being warned to check AI-generated content for correctness. Still, as LLMs (and other generative models) generate more complex output, such as summaries, tables, or code, it becomes harder for the user to audit or evaluate the output for quality or correctness. Hence, we are seeing the emergence of tool-assisted experiences to help the user double-check a piece of AI-generated content. We refer to these as co-audit tools. Co-audit tools complement prompt engineering techniques: one helps the user construct the input prompt, while the other helps them check the output response. As a specific example, this paper describes recent research on co-audit tools for spreadsheet computations powered by generative models. We explain why co-audit experiences are essential for any application of generative AI where quality is important and errors are consequential (as is common in spreadsheet computations). We propose a preliminary list of principles for co-audit, and outline research challenges.