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AI Recognises Race in Medical Images

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Re: AI Recognises Race in Medical Images

#31
post #6

I don't see why this is necessarily bad. An ML model is picking up on subtle anatomical or physiological differences between races. So what, that doesn't automatically mean the AI is racist or biased...

It's not necessarily bad, if it's actually working. The fact that it works on an 8x8 massively pixelated version of the x-ray points to the possibility that it's not actually working, which would be bad if you based patient treatment decisions on an training set that was actually teaching the AI something else entirely.

Huh?

What do you mean, not working? That the AI was randomly choosing the correct race 82% of the time by luck?

I'm confused by what your implying because it would seem to me that the authors went through many steps to try to pinpoint how the AI was doing this identification and how baffling it was to everyone that even with a lot of x-ray information removed (8x8 pixels compared to say 4k), it somehow was still correctly picking the race.

What would this "something else entirely" that you are implying actually be?

Re: AI Recognises Race in Medical Images

#32

Please forgive me for asking a controversial question (particularly so early in the morning), but if there are all of these biological correlations with race, what does it mean that “race is a social construct”? Is the idea that black people have greater bone mineral density (per TFA) due to social or environmental causes (e.g., diet)? For what it’s worth, I’m a staunch egalitarian and I don’t see that changing eithe…

Came here, wanting to, but afraid to, ask just this question. Glad you asked. Glad some were willing to give thoughtful answers.

Re: AI Recognises Race in Medical Images

#33

Please forgive me for asking a controversial question (particularly so early in the morning), but if there are all of these biological correlations with race, what does it mean that “race is a social construct”? Is the idea that black people have greater bone mineral density (per TFA) due to social or environmental causes (e.g., diet)? For what it’s worth, I’m a staunch egalitarian and I don’t see that changing eithe…

The way we interpret race is largely a social construct due to 'apparent' physical differentiation, less so underlying biological or genetic factors.

We end up segregating ourselves for a variety of reasons, in which case groups that are physically very distinguished end up forming almost an ethnic basis.

For example, two groups with varying genetic makeup and maybe a number of non-obvious biological differences, but who otherwise looked identical - would have the similar life experience in terms of their social treatment by other groups.

But irrespective of how a person is socialized - if you're Black, people are going to treat you one way, and if you're White, people are going to treat you a little different. That 'lived experience' differential is a somewhat unavoidable.

The degree of that variability is obviously debatable, but surely it exists to some degree.

I suppose you could make a parallel in ethnicity: a century ago, the difference between a Scottish-American and an English-American would have been apparent by lineage, accent, Church affiliation, and that might have affected relationships, status etc..

Whereas after a few generations of integration, there is definitely 'no' (or not much) difference between those two groups, and no vector for differentiation/discrimination. The historical ethnic situation was a 'social construct'.

That said, some of the argumentation used to promote the idea that there is no genetic basis for race is a little odd, the 'Africans have more genetic variation than other groups combined' is often used, but frankly I do not understand how that doesn't mean there are material differences between them and other groups.

And of course there is no 'hard line' between groups, but there is also no 'hard line' between the Scottish and English, there are many people who have attributes of both cultures, but that doesn't negate the existence of either group.

I think we're a bit oversensitive these days to these issues. Systematic racism exists and we should think about it, but that doesn't mean there's a boogeyman behind every door.

I think in this case it's also worth examining what exactly the AI is finding out, because it may not be just 'bone marrow'.

Re: AI Recognises Race in Medical Images

#34
post #3

Earlier quoted context omitted.

> We know that various features visible in medical images correlate with race, eg breast density, bone density, etc. That can still be picked out when pixellated down to 8x8 as illustrated in the article? That seems unlikely. I wonder if the AI is just cheating, as they sometimes inadvertently do. https://techcrunch.com/2018/12/31/this-clever-ai-hid-data-fr... > In some early results, the agent was doing well — suspi…

I suspect there must be some confounder here - like the positioning used for the CXRs correlating with race, based on the methodology used in a particular region / hospital. Seems the most likely explanation for it still working even when pixellated as 8x8?

That was exactly my thinking. I wouldn't publish anything until the pixellated versions were better understood.

Re: AI Recognises Race in Medical Images

#36

Earlier quoted context omitted.

It can be both real physiological differences and a social construct, as "what level of bone density tips you from x to y" becomes a question, as does "is an x person with calcium deficiency actually a y person" sort of things that are obviously not the case.

As someone with a scientific bent who is of the left, I always find it incredibly frustrating when people say “x is a social construct”, because it’s technically true, but also utterly elides the dual nature of the category. Race is a social construct that can be used to infer true things (probabilities) about the real world! Other social constructs that have this property: sociology, economics, physics… This isn’t t…

It's a deepity, ie. a statement with two interpretations, one true but trivial, and one enormously impactful but false.

Re: AI Recognises Race in Medical Images

#37
post #31

Earlier quoted context omitted.

It's not necessarily bad, if it's actually working. The fact that it works on an 8x8 massively pixelated version of the x-ray points to the possibility that it's not actually working, which would be bad if you based patient treatment decisions on an training set that was actually teaching the AI something else entirely.

Huh? What do you mean, not working? That the AI was randomly choosing the correct race 82% of the time by luck? I'm confused by what your implying because it would seem to me that the authors went through many steps to try to pinpoint how the AI was doing this identification and how baffling it was to everyone that even with a lot of x-ray information removed (8x8 pixels compared to say 4k), it somehow was still corr…

> That the AI was randomly choosing the correct race 82% of the time by luck?

No; as with the article I linked elsewhere in the thread (https://techcrunch.com/2018/12/31/this-clever-ai-hid-data-fr...), that the AI might have found some other indicator, like filenames in the data set, or metadata in the images that included patient name, or differences in the length of patient name (often redacted by black rectangles in x-rays in training data), or any number of other factors.

This happens all the time in science. As another recent example of "whoops, turned out we were measuring the wrong thing", https://en.wikipedia.org/wiki/Faster-than-light_neutrino_ano...

Another example around AI: https://www.vox.com/recode/2019/12/12/20993665/artificial-in...

> One such résumé-screening tool identified being named Jared and having played lacrosse in high school as the best predictors of job performance, as Quartz reported.

Are lacrosse players naturally better workers? Probably not. Are they probably whiter, wealthier, better networks, etc. than the average population? Probably. These sorts of things - as with the 8x8 pixel example - start to point to confounding variables that need to be worked out and accounted for.

Re: AI Recognises Race in Medical Images

#38

Please forgive me for asking a controversial question (particularly so early in the morning), but if there are all of these biological correlations with race, what does it mean that “race is a social construct”? Is the idea that black people have greater bone mineral density (per TFA) due to social or environmental causes (e.g., diet)? For what it’s worth, I’m a staunch egalitarian and I don’t see that changing eithe…

Yes, some anatomical differences are certainly affected by environment, but the quoted phrase is typically used in the context of treating races differently based on behavior ("X people are immoral", "Y people are stupid"). It's meant to encourage people to treat each other with equity and consider that such observed differences may be distorted by news, your like-minded cohorts, sociological conditions, etc, which a…

The idea that races have anatomical differences is very much contested, and rightly so.

Re: AI Recognises Race in Medical Images

#39

Please forgive me for asking a controversial question (particularly so early in the morning), but if there are all of these biological correlations with race, what does it mean that “race is a social construct”? Is the idea that black people have greater bone mineral density (per TFA) due to social or environmental causes (e.g., diet)? For what it’s worth, I’m a staunch egalitarian and I don’t see that changing eithe…

IMO it's because it's very dubious the AI is doing what the paper is maintaining it's doing. People are not 'race x' or 'race y' biologically, as if race is some discrete set of features common to a whole population. Every individual has a set of biological features inherited from their ancestors which, theoretically, could include any or all so-called 'races'. Human beings have a continuum of features that is heavil…

> Human beings have a continuum of features that is heavily interlaced amongst all the 'races'.

That doesn't mean race doesn't exist any more than the fact that height is a continuum doesn't mean that short people and tall people don't exist.

Re: AI Recognises Race in Medical Images

#40

Please forgive me for asking a controversial question (particularly so early in the morning), but if there are all of these biological correlations with race, what does it mean that “race is a social construct”? Is the idea that black people have greater bone mineral density (per TFA) due to social or environmental causes (e.g., diet)? For what it’s worth, I’m a staunch egalitarian and I don’t see that changing eithe…

Race is a proxy for clustering groups of biological traits
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