Daily Papers

Human-interpretable predictions are essential for deploying AI in medical imaging, yet most interpretable-by-design (IBD) frameworks require concept annotations for training data, which are costly and impractical to obtain in clinical contexts. Recent attempts to bypass annotation, such as zero-shot vision-language models or concept-generation frameworks, struggle to capture domain-specific medical features, leading to poor reliability. In this paper, we propose a novel Prior-guided Concept Predictor (PCP), a weakly supervised framework that enables concept answer prediction without explicit supervision or reliance on language models. PCP leverages class-level concept priors as weak supervision and incorporates a refinement mechanism with KL divergence and entropy regularization to align predictions with clinical reasoning. Experiments on PH2 (dermoscopy) and WBCatt (hematology) show that PCP improves concept-level F1-score by over 33% compared to zero-shot baselines, while delivering competitive classification performance on four medical datasets (PH2, WBCatt, HAM10000, and CXR4) relative to fully supervised concept bottleneck models (CBMs) and V-IP.

Interpreting the internal activations of neural networks can produce more faithful explanations of their behavior, but is difficult due to the complex structure of activation space. Existing approaches to scalable interpretability use hand-designed agents that make and test hypotheses about how internal activations relate to external behavior. We propose to instead turn this task into an end-to-end training objective, by training interpretability assistants to accurately predict model behavior from activations through a communication bottleneck. Specifically, an encoder compresses activations to a sparse list of concepts, and a decoder reads this list and answers a natural language question about the model. We show how to pretrain this assistant on large unstructured data, then finetune it to answer questions. The resulting architecture, which we call a Predictive Concept Decoder, enjoys favorable scaling properties: the auto-interp score of the bottleneck concepts improves with data, as does the performance on downstream applications. Specifically, PCDs can detect jailbreaks, secret hints, and implanted latent concepts, and are able to accurately surface latent user attributes.