On the Effect of Contextual Information on Human Delegation Behavior in Human-AI collaboration

The constantly increasing capabilities of artificial intelligence (AI) open new possibilities for human-AI collaboration. One promising approach to leverage existing complementary capabilities is allowing humans to delegate individual instances to the AI. However, enabling humans to delegate instances effectively requires them to assess both their own and the AI's capabilities in the context of the given task. In this work, we explore the effects of providing contextual information on human decisions to delegate instances to an AI. We find that providing participants with contextual information significantly improves the human-AI team performance. Additionally, we show that the delegation behavior changes significantly when participants receive varying types of contextual information. Overall, this research advances the understanding of human-AI interaction in human delegation and provides actionable insights for designing more effective collaborative systems.

Navigating the Synthetic Realm: Harnessing Diffusion-based Models for Laparoscopic Text-to-Image Generation

Recent advances in synthetic imaging open up opportunities for obtaining additional data in the field of surgical imaging. This data can provide reliable supplements supporting surgical applications and decision-making through computer vision. Particularly the field of image-guided surgery, such as laparoscopic and robotic-assisted surgery, benefits strongly from synthetic image datasets and virtual surgical training methods. Our study presents an intuitive approach for generating synthetic laparoscopic images from short text prompts using diffusion-based generative models. We demonstrate the usage of state-of-the-art text-to-image architectures in the context of laparoscopic imaging with regard to the surgical removal of the gallbladder as an example. Results on fidelity and diversity demonstrate that diffusion-based models can acquire knowledge about the style and semantics in the field of image-guided surgery. A validation study with a human assessment survey underlines the realistic nature of our synthetic data, as medical personnel detects actual images in a pool with generated images causing a false-positive rate of 66%. In addition, the investigation of a state-of-the-art machine learning model to recognize surgical actions indicates enhanced results when trained with additional generated images of up to 5.20%. Overall, the achieved image quality contributes to the usage of computer-generated images in surgical applications and enhances its path to maturity.

Redefining the Laparoscopic Spatial Sense: AI-based Intra- and Postoperative Measurement from Stereoimages

A significant challenge in image-guided surgery is the accurate measurement task of relevant structures such as vessel segments, resection margins, or bowel lengths. While this task is an essential component of many surgeries, it involves substantial human effort and is prone to inaccuracies. In this paper, we develop a novel human-AI-based method for laparoscopic measurements utilizing stereo vision that has been guided by practicing surgeons. Based on a holistic qualitative requirements analysis, this work proposes a comprehensive measurement method, which comprises state-of-the-art machine learning architectures, such as RAFT-Stereo and YOLOv8. The developed method is assessed in various realistic experimental evaluation environments. Our results outline the potential of our method achieving high accuracies in distance measurements with errors below 1 mm. Furthermore, on-surface measurements demonstrate robustness when applied in challenging environments with textureless regions. Overall, by addressing the inherent challenges of image-guided surgery, we lay the foundation for a more robust and accurate solution for intra- and postoperative measurements, enabling more precise, safe, and efficient surgical procedures.

Towards Effective Human-AI Decision-Making: The Role of Human Learning in Appropriate Reliance on AI Advice

The true potential of human-AI collaboration lies in exploiting the complementary capabilities of humans and AI to achieve a joint performance superior to that of the individual AI or human, i.e., to achieve complementary team performance (CTP). To realize this complementarity potential, humans need to exercise discretion in following AI 's advice, i.e., appropriately relying on the AI's advice. While previous work has focused on building a mental model of the AI to assess AI recommendations, recent research has shown that the mental model alone cannot explain appropriate reliance. We hypothesize that, in addition to the mental model, human learning is a key mediator of appropriate reliance and, thus, CTP. In this study, we demonstrate the relationship between learning and appropriate reliance in an experiment with 100 participants. This work provides fundamental concepts for analyzing reliance and derives implications for the effective design of human-AI decision-making.

Improving the Efficiency of Human-in-the-Loop Systems: Adding Artificial to Human Experts

Information systems increasingly leverage artificial intelligence (AI) and machine learning (ML) to generate value from vast amounts of data. However, ML models are imperfect and can generate incorrect classifications. Hence, human-in-the-loop (HITL) extensions to ML models add a human review for instances that are difficult to classify. This study argues that continuously relying on human experts to handle difficult model classifications leads to a strong increase in human effort, which strains limited resources. To address this issue, we propose a hybrid system that creates artificial experts that learn to classify data instances from unknown classes previously reviewed by human experts. Our hybrid system assesses which artificial expert is suitable for classifying an instance from an unknown class and automatically assigns it. Over time, this reduces human effort and increases the efficiency of the system. Our experiments demonstrate that our approach outperforms traditional HITL systems for several benchmarks on image classification.

Learning to Defer with Limited Expert Predictions

Recent research suggests that combining AI models with a human expert can exceed the performance of either alone. The combination of their capabilities is often realized by learning to defer algorithms that enable the AI to learn to decide whether to make a prediction for a particular instance or defer it to the human expert. However, to accurately learn which instances should be deferred to the human expert, a large number of expert predictions that accurately reflect the expert's capabilities are required -- in addition to the ground truth labels needed to train the AI. This requirement shared by many learning to defer algorithms hinders their adoption in scenarios where the responsible expert regularly changes or where acquiring a sufficient number of expert predictions is costly. In this paper, we propose a three-step approach to reduce the number of expert predictions required to train learning to defer algorithms. It encompasses (1) the training of an embedding model with ground truth labels to generate feature representations that serve as a basis for (2) the training of an expertise predictor model to approximate the expert's capabilities. (3) The expertise predictor generates artificial expert predictions for instances not yet labeled by the expert, which are required by the learning to defer algorithms. We evaluate our approach on two public datasets. One with "synthetically" generated human experts and another from the medical domain containing real-world radiologists' predictions. Our experiments show that the approach allows the training of various learning to defer algorithms with a minimal number of human expert predictions. Furthermore, we demonstrate that even a small number of expert predictions per class is sufficient for these algorithms to exceed the performance the AI and the human expert can achieve individually.

Human-AI Collaboration: The Effect of AI Delegation on Human Task Performance and Task Satisfaction

Recent work has proposed artificial intelligence (AI) models that can learn to decide whether to make a prediction for an instance of a task or to delegate it to a human by considering both parties' capabilities. In simulations with synthetically generated or context-independent human predictions, delegation can help improve the performance of human-AI teams -- compared to humans or the AI model completing the task alone. However, so far, it remains unclear how humans perform and how they perceive the task when they are aware that an AI model delegated task instances to them. In an experimental study with 196 participants, we show that task performance and task satisfaction improve through AI delegation, regardless of whether humans are aware of the delegation. Additionally, we identify humans' increased levels of self-efficacy as the underlying mechanism for these improvements in performance and satisfaction. Our findings provide initial evidence that allowing AI models to take over more management responsibilities can be an effective form of human-AI collaboration in workplaces.

Instance Selection Mechanisms for Human-in-the-Loop Systems in Few-Shot Learning

Business analytics and machine learning have become essential success factors for various industries - with the downside of cost-intensive gathering and labeling of data. Few-shot learning addresses this challenge and reduces data gathering and labeling costs by learning novel classes with very few labeled data. In this paper, we design a human-in-the-loop (HITL) system for few-shot learning and analyze an extensive range of mechanisms that can be used to acquire human expert knowledge for instances that have an uncertain prediction outcome. We show that the acquisition of human expert knowledge significantly accelerates the few-shot model performance given a negligible labeling effort. We validate our findings in various experiments on a benchmark dataset in computer vision and real-world datasets. We further demonstrate the cost-effectiveness of HITL systems for few-shot learning. Overall, our work aims at supporting researchers and practitioners in effectively adapting machine learning models to novel classes at reduced costs.

Forming Effective Human-AI Teams: Building Machine Learning Models that Complement the Capabilities of Multiple Experts

Machine learning (ML) models are increasingly being used in application domains that often involve working together with human experts. In this context, it can be advantageous to defer certain instances to a single human expert when they are difficult to predict for the ML model. While previous work has focused on scenarios with one distinct human expert, in many real-world situations several human experts with varying capabilities may be available. In this work, we propose an approach that trains a classification model to complement the capabilities of multiple human experts. By jointly training the classifier together with an allocation system, the classifier learns to accurately predict those instances that are difficult for the human experts, while the allocation system learns to pass each instance to the most suitable team member -- either the classifier or one of the human experts. We evaluate our proposed approach in multiple experiments on public datasets with "synthetic" experts and a real-world medical dataset annotated by multiple radiologists. Our approach outperforms prior work and is more accurate than the best human expert or a classifier. Furthermore, it is flexibly adaptable to teams of varying sizes and different levels of expert diversity.

A Meta-Analysis on the Utility of Explainable Artificial Intelligence in Human-AI Decision-Making

Research in Artificial Intelligence (AI)-assisted decision-making is experiencing tremendous growth with a constantly rising number of studies evaluating the effect of AI with and without techniques from the field of explainable AI (XAI) on human decision-making performance. However, as tasks and experimental setups vary due to different objectives, some studies report improved user decision-making performance through XAI, while others report only negligible effects. Therefore, in this article, we present an initial synthesis of existing research on XAI studies using a statistical meta-analysis to derive implications across existing research. We observe a statistically positive impact of XAI on users' performance. Additionally, first results might indicate that human-AI decision-making yields better task performance on text data. However, we find no effect of explanations on users' performance compared to sole AI predictions. Our initial synthesis gives rise to future research to investigate the underlying causes as well as contribute to further development of algorithms that effectively benefit human decision-makers in the form of explanations.