Abstract:Edge Artificial Intelligence (Edge AI) enables the deployment of AI models directly on local edge devices, while such deployments are subject to strict resource constraints, particularly in clinical applications requiring local and timely inference. In such contexts, explainable artificial intelligence (XAI) can serve as a human-AI interface intended to support healthcare professionals' and patients' understanding of model predictions and informed decision-making. To fulfill this role, XAI method selection for TinyML deployments can be formulated as a human-centered multi-objective design problem that jointly considers qualitative stakeholder preferences, explanation quality, and proxy-based deployment cost. We propose a framework that integrates a large language model (LLM)-guided design interface that maps qualitative stakeholder preferences to candidate XAI methods, followed by deterministic feasibility filtering and Pareto-based optimization. The framework exposes trade-offs among explanation fidelity, stability, and proxy-based deployment cost while characterizing their implications for explanation quality and estimated deployment feasibility. A proof-of-concept evaluation on a skin lesion classification task illustrates how the framework systematically compares candidate XAI methods and identifies Pareto-efficient trade-offs. The present evaluation covers the computational selection stages, while physical MCU deployment and empirical human-expert validation remain outside the scope of this study.
Abstract:This paper investigates how multi-agent systems (MAS)-based on large language models (LLMs) can support actuarial risk modelling, with a particular focus on uncertainty quantification. Actuarial workflows represent a high-stakes decision-support setting where unreliable outputs may lead to incorrect risk assessment, unfair pricing, and regulatory non-compliance. To address uncertainty introduced by the probabilistic nature of LLMs and dependencies between agents, a multi-agent framework is proposed in which specialised agents perform data preparation, modelling, review, and explanation tasks under a central hub. The main contribution is a novel approach to uncertainty propagation using token-level log-probabilities and a Bayesian Network. Importantly, log probabilities are not treated as direct probabilities of correctness or task success. Instead, length-normalised log-probability summaries are transformed into calibrated task-level confidence estimates before incorporation into the Bayesian Network. Results show that the framework reproduces baseline actuarial performance while providing additional insight into workflow stability and runtime uncertainty propagation.
Abstract:Recently, the societal implementation of high-performance image classification models has expanded rapidly. While these models require vast amounts of training data to improve performance, securing sufficient real images is often impractical. As a means to compensate for this shortage, the use of synthetic data is becoming widespread. However, synthetic images are not necessarily equivalent to real images for training purposes. This study systematically analyzes the differences between two types of synthetic images created by different generation methods and real images from three perspectives: high-dimensional feature space, low-level statistics in color space, and the model training process. Furthermore, it experimentally verifies how synthetic data should be utilized by considering realistic data mixing scenarios. This enables the proposal of an evaluation and application strategy for performing preliminary assessments on synthetic images of unknown quality and safely incorporating them into training. This research aims to contribute to enhancing the reliability and safety of image classification models utilizing synthetic images.
Abstract:Concept-based explainable artificial intelligence (AI) can make model reasoning more human-understandable, but concept-level outputs are not automatically trustworthy. We introduce ConceptSMILE, a model-agnostic perturbation-based auditing framework for evaluating the reliability of concept-based explanations. Rather than replacing SMILE, ConceptSMILE extends its perturbation-based logic from feature- or region-level attribution to the auditing of human-understandable concept explanations. The framework perturbs input regions, measures concept-response shifts, applies locality weighting, and fits an XGBoost surrogate to approximate local concept behaviour. Reliability is assessed through attribution accuracy, surrogate fidelity, faithfulness, stability, and consistency. We evaluate ConceptSMILE on retinal fundus images by comparing MedSAM-derived visual concepts with VLM-based semantic concepts. Results show that reliability varies across concepts and pathways: MedSAM achieves stronger spatial attribution and the highest surrogate fidelity ($R^2 = 0.8503$, $R_w^2 = 0.8465$), while the VLM pathway shows stronger vessel faithfulness and stronger stability under selected artefact conditions. ConceptSMILE provides an independent audit layer for evaluating the trustworthiness of concept-based XAI.
Abstract:Trustworthy deployment of Agentic Retrieval-Augmented Generation (RAG) systems requires mechanisms for estimating when multi-stage reasoning pipelines may fail. This paper presents an uncertainty-aware Agentic Retrieval-Augmented Generation (RAG) framework in which planner, evaluator and generator stages produce uncertainty signals derived from semantic divergence and generator self-evaluation. These signals are propagated through a Bayesian Network (BN) to estimate system-level uncertainty and provide node-level indicators of potential failure points across the workflow. The approach is evaluated on StrategyQA and HotpotQA using GPT-3.5-Turbo and GPT-4.1-Nano, with Area Under the Receiver Operating Characteristic Curve (AUROC), Area Under the Accuracy-Rejection Curve (AUARC), Expected Calibration Error (ECE), and Brier Score used to assess discrimination, selective prediction and calibration. Results show that Bayesian propagation is more effective on HotpotQA, where uncertainty accumulates across multi-hop reasoning stages, while StrategyQA exposes limitations caused by miscalibration and unreliable upstream signals. The study positions Bayesian uncertainty propagation as a promising but preliminary mechanism for monitoring Agentic RAG systems, with future validation required in industrial domains such as Offshore Wind (OSW) maintenance decision support.
Abstract:Skin cancer, particularly melanoma, remains a major cause of morbidity and mortality, making early detection critical. AI-driven dermatology systems often rely on skin lesion segmentation as a preprocessing step to delineate the lesion from surrounding skin and support downstream analysis. While fairness concerns regarding skin tone have been widely studied for lesion classification, the influence of skin tone on the segmentation stage remains under-quantified and is frequently assessed using coarse, discrete skin tone categories. In this work, we evaluate three strong segmentation architectures (UNet, DeepLabV3 with a ResNet50 backbone, and DINOv2) on two public dermoscopic datasets (HAM10000 and ISIC2017) and introduce a continuous pigment or contrast analysis that treats pixel-wise ITA values as distributions. Using Wasserstein distances between within-image distributions for skin-only, lesion-only, and whole-image regions, we quantify lesion skin contrast and relate it to segmentation performance across multiple metrics. Within the range represented in these datasets, global skin tone metrics (Fitzpatrick grouping or mean ITA) show weak association with segmentation quality. In contrast, low lesion-skin contrast is consistently associated with larger segmentation errors in models, indicating that boundary ambiguity and low contrast are key drivers of failure. These findings suggest that fairness improvements in dermoscopic segmentation should prioritize robust handling of low-contrast lesions, and the distribution-based pigment measures provide a more informative audit signal than discrete skin-tone categories.
Abstract:Privacy-preserving medical inference must balance data locality, diagnostic reliability, and deployment efficiency. This paper presents EcoFair, a simulated vertically partitioned inference framework for dermatological diagnosis in which raw image and tabular data remain local and only modality-specific embeddings are transmitted for server-side multimodal fusion. EcoFair introduces a lightweight-first routing mechanism that selectively activates a heavier image encoder when local uncertainty or metadata-derived clinical risk indicates that additional computation is warranted. The routing decision combines predictive uncertainty, a safe--danger probability gap, and a tabular neurosymbolic risk score derived from patient age and lesion localisation. Experiments on three dermatology benchmarks show that EcoFair can substantially reduce edge-side inference energy in representative model pairings while remaining competitive in classification performance. The results further indicate that selective routing can improve subgroup-sensitive malignant-case behaviour in representative settings without modifying the global training objective. These findings position EcoFair as a practical framework for privacy-preserving and energy-aware medical inference under edge deployment constraints.
Abstract:Artificial intelligence (AI) is increasingly being explored in health and social care to reduce administrative workload and allow staff to spend more time on patient care. This paper evaluates a voice-enabled Care Home Smart Speaker designed to support everyday activities in residential care homes, including spoken access to resident records, reminders, and scheduling tasks. A safety-focused evaluation framework is presented that examines the system end-to-end, combining Whisper-based speech recognition with retrieval-augmented generation (RAG) approaches (hybrid, sparse, and dense). Using supervised care-home trials and controlled testing, we evaluated 330 spoken transcripts across 11 care categories, including 184 reminder-containing interactions. These evaluations focus on (i) correct identification of residents and care categories, (ii) reminder recognition and extraction, and (iii) end-to-end scheduling correctness under uncertainty (including safe deferral/clarification). Given the safety-critical nature of care homes, particular attention is also paid to reliability in noisy environments and across diverse accents, supported by confidence scoring, clarification prompts, and human-in-the-loop oversight. In the best-performing configuration (GPT-5.2), resident ID and care category matching reached 100% (95% CI: 98.86-100), while reminder recognition reached 89.09\% (95% CI: 83.81-92.80) with zero missed reminders (100% recall) but some false positives. End-to-end scheduling via calendar integration achieved 84.65% exact reminder-count agreement (95% CI: 78.00-89.56), indicating remaining edge cases in converting informal spoken instructions into actionable events. The findings suggest that voice-enabled systems, when carefully evaluated and appropriately safeguarded, can support accurate documentation, effective task management, and trustworthy use of AI in care home settings.
Abstract:Vertical Federated Learning (VFL) offers a privacy-preserving paradigm for Edge AI scenarios like mobile health diagnostics, where sensitive multimodal data reside on distributed, resource-constrained devices. Yet, standard VFL systems often suffer performance limitations due to simplistic feature fusion. This paper introduces HybridVFL, a novel framework designed to overcome this bottleneck by employing client-side feature disentanglement paired with a server-side cross-modal transformer for context-aware fusion. Through systematic evaluation on the multimodal HAM10000 skin lesion dataset, we demonstrate that HybridVFL significantly outperforms standard federated baselines, validating the criticality of advanced fusion mechanisms in robust, privacy-preserving systems.




Abstract:Skin color has historically been a focal point of discrimination, yet fairness research in machine learning for medical imaging often relies on coarse subgroup categories, overlooking individual-level variations. Such group-based approaches risk obscuring biases faced by outliers within subgroups. This study introduces a distribution-based framework for evaluating and mitigating individual fairness in skin lesion classification. We treat skin tone as a continuous attribute rather than a categorical label, and employ kernel density estimation (KDE) to model its distribution. We further compare twelve statistical distance metrics to quantify disparities between skin tone distributions and propose a distance-based reweighting (DRW) loss function to correct underrepresentation in minority tones. Experiments across CNN and Transformer models demonstrate: (i) the limitations of categorical reweighting in capturing individual-level disparities, and (ii) the superior performance of distribution-based reweighting, particularly with Fidelity Similarity (FS), Wasserstein Distance (WD), Hellinger Metric (HM), and Harmonic Mean Similarity (HS). These findings establish a robust methodology for advancing fairness at individual level in dermatological AI systems, and highlight broader implications for sensitive continuous attributes in medical image analysis.