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Record W4411437632 · doi:10.1038/s41746-025-01769-x

Liquid white box model as an explainable AI for surgery

2025· article· en· W4411437632 on OpenAlexaff
Homer A. Riva-Cambrin, Rahul Singh, Sanju Lama, Garnette R. Sutherland

Bibliographic record

Venuenpj Digital Medicine · 2025
Typearticle
Languageen
FieldMedicine
TopicArtificial Intelligence in Healthcare and Education
Canadian institutionsUniversity of Calgary
Fundersnot available
KeywordsSAFERComputer scienceTask (project management)Process (computing)Artificial intelligenceMachine learningConstant (computer programming)Engineering

Abstract

fetched live from OpenAlex

Understanding surgical data in real-time will lead to improved feedback, learning, and performance for surgeons. This is important as data-driven systems offer safer, more standardized surgery, and faster training times. Artificial intelligence shows great promise in filling the gap where humans and classical computing algorithms cannot process information in an efficient manner. Defining a true application and development of robust artificial intelligence models mandates that they be explainable and transparent in how they make decisions. In this work, we meet this need by creating two models for surgical task and skill classification, respectively, to predict and provide an explanation of how surgical decisions are made. We further investigate how models based on a liquid time constant can be effectively utilized to develop better models under constraints and explain how the model makes internal decisions.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

How this classification was reachedexpand

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.000
metaresearch head score (Gemma)0.002
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesnone
Consensus categoriesnone
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Not applicable · Consensus signal: none
GenreCandidate signal: Empirical · Consensus signal: Empirical
Teacher disagreement score0.495
Threshold uncertainty score0.567

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0000.002
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0000.000
Bibliometrics0.0000.000
Science and technology studies0.0000.000
Scholarly communication0.0000.000
Open science0.0000.000
Research integrity0.0000.000
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.143
GPT teacher head0.447
Teacher spread0.304 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Classification

machine, unvalidated

Machine predicted; a candidate call from one teacher head, not a consensus.

The models applied no category: nothing in the taxonomy fit this work.
Study designNot applicable
Domainnot available
GenreEmpirical

How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".

Quick stats

Citations5
Published2025
Admission routes1
Has abstractyes

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