arXiv subjects

Andrea Passerini

Publications and source records attributed to Andrea Passerini.

At least 37 records · Page 2Linked to original sources

arXiv2026

Human-LLM Dialogue Improves Diagnostic Accuracy in Emergency Care

Clinical decision-making in emergency medicine demands rapid, accurate diagnoses under uncertainty. Despite benchmark progress, evidence for LLMs as interactive aids in live physician workflows remains sparse. MedSyn lets physicians iteratively query an LLM provided with the full clinical record while initially viewing only the chief complaint. Seven physicians (three seniors, four residents) completed baseline and AI-assisted sessions across 52 MIMIC-IV cases stratified by difficulty. Blinded evaluation showed residents' Hard-case correctness rose from 0.589 to 0.734; difficulty-standardised completely-correct rates confirmed a medium effect (Δ = 0.092; p = 0.071; d = 0.47). Automated metrics corroborated these gains: standardised any-match accuracy improved by 0.156 (p < 0.0001), and residents showed the largest F1 gain (Δ = 0.138; p < 0.0001). Dialogue analysis revealed expertise-dependent strategies (seniors asked targeted, hypothesis-driven questions; residents relied on broader queries) and cross-expertise concordance increased (Δ = 0.145; p < 0.0001). Interactive LLM support meaningfully enhances diagnostic reasoning.

cs.AI↗

arXiv2026

Boosting Team Modeling through Tempo-Relational Representation Learning

Team modeling remains a fundamental challenge at the intersection of Artificial Intelligence and Social Sciences. Although a variety of computational models have been proposed in the last two decades, most fail to integrate Social Sciences insights, such as the critical role of temporal interactions in shaping team dynamics, and do not meet key practical requirements for real-world applications, including the ability to provide real-time, actionable recommendations to enhance team performance. To address these limitations, in this paper, we propose a novel tempo-relational neural architecture that jointly models interactions between team members and the evolution of team dynamics through temporal graphs. We additionally propose a multi-task extension of the architecture that learns shared social embeddings for team members enabling the simultaneous prediction of multiple team constructs (e.g., Emergent Leadership, Leadership Style, and Teamwork components). Experiments on two state-of-the-art team datasets show that our tempo-relational architecture out performs temporal-only and relational-only approaches for team performance prediction, and that its multi-task extension substantially reduces training and inference time without loss of predictive performance. Finally, the integration of explainability techniques within the proposed architectures provides interpretable insights and actionable recommendations to support team improvement. These strengths make our approach particularly well-suited for human-centered artificial intelligence applications, such as intelligent decision-support systems in high-stakes collaborative environments.

cs.LG↗

arXiv2026

Actionable Real-Time Modeling of Surgical Team Dynamics via Time-Expanded Interaction Graphs

Surgical team performance arises from complex interactions between technical execution and non-technical skills, including communication and coordination dynamics. However, current surgical AI systems predominantly model visual workflow signals, lacking structured representations of intraoperative team interactions over time. We propose a real-time actionable approach for modeling surgical team dynamics using time-expanded interaction graphs, where team members are modeled as time-indexed nodes and communication exchanges define directed edges. This spatio-temporal expansion enables dynamic interaction modeling, while allowing efficient inference with a static graph neural network. The model predicts procedural efficiency as the deviation from the expected duration and supports real-time deployment. Beyond prediction, we perform a counterfactual analysis to identify minimal changes in communication structure and interpretable behavioral variables associated with improved predicted outcomes. Experiments on recorded surgical procedures show that structured modeling of team interactions improves early identification of prolonged interventions and provides coherent, actionable explanations. This work advances surgical AI toward real-time, team-aware, and actionable decision support in the operating room.

cs.AI↗

arXiv2026

Hybrid Decision Making via Conformal VLM-generated Guidance

Building on recent advances in AI, hybrid decision making (HDM) holds the promise of improving human decision quality and reducing cognitive load. We work in the context of learning to guide (LtG), a recently proposed HDM framework in which the human is always responsible for the final decision: rather than suggesting decisions, in LtG the AI supplies (textual) guidance useful for facilitating decision making. One limiting factor of existing approaches is that their guidance compounds information about all possible outcomes, and as a result it can be difficult to digest. We address this issue by introducing ConfGuide, a novel LtG approach that generates more succinct and targeted guidance. To this end, it employs conformal risk control to select a set of outcomes, ensuring a cap on the false negative rate. We demonstrate our approach on a real-world multi-label medical diagnosis task. Our empirical evaluation highlights the promise of ConfGuide.

cs.AI↗

arXiv2026

Multiclass Local Calibration with the Jensen-Shannon Distance

Developing trustworthy Machine Learning (ML) models requires their predicted probabilities to be well-calibrated, meaning they should reflect true-class frequencies. Among calibration notions in multiclass classification, strong calibration is the most stringent, as it requires all predicted probabilities to be simultaneously calibrated across all classes. However, existing approaches to multiclass calibration lack a notion of distance among inputs, which makes them vulnerable to proximity bias: predictions in sparse regions of the feature space are systematically miscalibrated. In this work, we address this main shortcoming by introducing a local perspective on multiclass calibration. First, we formally define multiclass local calibration and establish its relationship with strong calibration. Second, we theoretically analyze the pitfalls of existing evaluation metrics when applied to multiclass local calibration. Third, we propose a practical method to enhance local calibration in Neural Networks, which enforces alignment between predicted probabilities and local estimates of class frequencies using the Jensen-Shannon distance. Finally, we empirically validate our approach against existing multiclass calibration techniques.

cs.LG↗

arXiv2026

Learning To Guide Human Decision Makers With Vision-Language Models

There is growing interest in AI systems that support human decision-making in high-stakes domains (e.g., medical diagnosis) to improve decision quality and reduce cognitive load. Mainstream approaches pair human experts with a machine-learning model, offloading low-risk decisions to the model so that experts can focus on cases that require their judgment. This separation of responsibilities setup, however, is inadequate for high-stakes scenarios. The expert may end up over-relying on the machine's decisions due to anchoring bias, thus losing the human oversight that is increasingly being required by regulatory agencies to ensure trustworthy AI. On the other hand, the expert is left entirely unassisted on the (typically hardest) decisions on which the model abstained. As a remedy, we introduce learning to guide (LTG), an alternative framework in which -- rather than taking control from the human expert -- the machine provides guidance useful for decision making, and the human is entirely responsible for coming up with a decision. In order to ensure guidance is interpretable and task-specific, we develop SLOG, an approach for turning any vision-language model into a capable generator of textual guidance by leveraging a modicum of human feedback. Our empirical evaluation highlights the promise of SLOG on both on a synthetic dataset and a challenging, real-world medical diagnosis task.

cs.AI↗

arXiv2026

GNN Explanations that do not Explain and How to find Them

Explanations provided by Self-explainable Graph Neural Networks (SE-GNNs) are fundamental for understanding the model's inner workings and for identifying potential misuse of sensitive attributes. Although recent works have highlighted that these explanations can be suboptimal and potentially misleading, a characterization of their failure cases is unavailable. In this work, we identify a critical failure of SE-GNN explanations: explanations can be unambiguously unrelated to how the SE-GNNs infer labels. We show that, on the one hand, many SE-GNNs can achieve optimal true risk while producing these degenerate explanations, and on the other, most faithfulness metrics can fail to identify these failure modes. Our empirical analysis reveals that degenerate explanations can be maliciously planted (allowing an attacker to hide the use of sensitive attributes) and can also emerge naturally, highlighting the need for reliable auditing. To address this, we introduce a novel faithfulness metric that reliably marks degenerate explanations as unfaithful, in both malicious and natural settings. Our code is available at https://github.com/steveazzolin/gnn_deg_expl.

cs.LG↗

arXiv2026

Shortcuts and Identifiability in Concept-based Models from a Neuro-Symbolic Lens

Concept-based Models are neural networks that learn a concept extractor to map inputs to high-level concepts and an inference layer to translate these into predictions. Ensuring these modules produce interpretable concepts and behave reliably in out-of-distribution is crucial, yet the conditions for achieving this remain unclear. We study this problem by establishing a novel connection between Concept-based Models and reasoning shortcuts (RSs), a common issue where models achieve high accuracy by learning low-quality concepts, even when the inference layer is fixed and provided upfront. Specifically, we extend RSs to the more complex setting of Concept-based Models and derive theoretical conditions for identifying both the concepts and the inference layer. Our empirical results highlight the impact of RSs and show that existing methods, even combined with multiple natural mitigation strategies, often fail to meet these conditions in practice.

cs.LG↗

arXiv2025

To Ask or Not to Ask: Learning to Require Human Feedback

Developing decision-support systems that complement human performance in classification tasks remains an open challenge. A popular approach, Learning to Defer (LtD), allows a Machine Learning (ML) model to pass difficult cases to a human expert. However, LtD treats humans and ML models as mutually exclusive decision-makers, restricting the expert contribution to mere predictions. To address this limitation, we propose Learning to Ask (LtA), a new framework that handles both when and how to incorporate expert input in an ML model. LtA is based on a two-part architecture: a standard ML model and an enriched model trained with additional expert human feedback, with a formally optimal strategy for selecting when to query the enriched model. We provide two practical implementations of LtA: a sequential approach, which trains the models in stages, and a joint approach, which optimises them simultaneously. For the latter, we design surrogate losses with realisable-consistency guarantees. Our experiments with synthetic and real expert data demonstrate that LtA provides a more flexible and powerful foundation for effective human-AI collaboration.

cs.LG↗

arXiv2025

Towards Reliable Retrieval in RAG Systems for Large Legal Datasets

Retrieval-Augmented Generation (RAG) is a promising approach to mitigate hallucinations in Large Language Models (LLMs) for legal applications, but its reliability is critically dependent on the accuracy of the retrieval step. This is particularly challenging in the legal domain, where large databases of structurally similar documents often cause retrieval systems to fail. In this paper, we address this challenge by first identifying and quantifying a critical failure mode we term Document-Level Retrieval Mismatch (DRM), where the retriever selects information from entirely incorrect source documents. To mitigate DRM, we investigate a simple and computationally efficient technique which we refer to as Summary-Augmented Chunking (SAC). This method enhances each text chunk with a document-level synthetic summary, thereby injecting crucial global context that would otherwise be lost during a standard chunking process. Our experiments on a diverse set of legal information retrieval tasks show that SAC greatly reduces DRM and, consequently, also improves text-level retrieval precision and recall. Interestingly, we find that a generic summarization strategy outperforms an approach that incorporates legal expert domain knowledge to target specific legal elements. Our work provides evidence that this practical, scalable, and easily integrable technique enhances the reliability of RAG systems when applied to large-scale legal document datasets.

cs.CL↗

arXiv2025

MedGellan: LLM-Generated Medical Guidance to Support Physicians

Medical decision-making is a critical task, where errors can result in serious, potentially life-threatening consequences. While full automation remains challenging, hybrid frameworks that combine machine intelligence with human oversight offer a practical alternative. In this paper, we present MedGellan, a lightweight, annotation-free framework that uses a Large Language Model (LLM) to generate clinical guidance from raw medical records, which is then used by a physician to predict diagnoses. MedGellan uses a Bayesian-inspired prompting strategy that respects the temporal order of clinical data. Preliminary experiments show that the guidance generated by the LLM with MedGellan improves diagnostic performance, particularly in recall and $F_1$ score.

cs.AI↗

arXiv2025

Benchmarking XAI Explanations with Human-Aligned Evaluations

We introduce PASTA (Perceptual Assessment System for explanaTion of Artificial Intelligence), a novel human-centric framework for evaluating eXplainable AI (XAI) techniques in computer vision. Our first contribution is the creation of the PASTA-dataset, the first large-scale benchmark that spans a diverse set of models and both saliency-based and concept-based explanation methods. This dataset enables robust, comparative analysis of XAI techniques based on human judgment. Our second contribution is an automated, data-driven benchmark that predicts human preferences using the PASTA-dataset. This scoring called PASTA-score method offers scalable, reliable, and consistent evaluation aligned with human perception. Additionally, our benchmark allows for comparisons between explanations across different modalities, an aspect previously unaddressed. We then propose to apply our scoring method to probe the interpretability of existing models and to build more human interpretable XAI methods.

cs.CV↗

arXiv2025

GNNs Meet Sequence Models Along the Shortest-Path: an Expressive Method for Link Prediction

Graph Neural Networks (GNNs) often struggle to capture the link-specific structural patterns crucial for accurate link prediction, as their node-centric message-passing schemes overlook the subgraph structures connecting a pair of nodes. Existing methods to inject such structural context either incur high computational cost or rely on simplistic heuristics (e.g., common neighbor counts) that fail to model multi-hop dependencies. We introduce SP4LP (Shortest Path for Link Prediction), a novel framework that combines GNN-based node encodings with sequence modeling over shortest paths. Specifically, SP4LP first applies a GNN to compute representations for all nodes, then extracts the shortest path between each candidate node pair and processes the resulting sequence of node embeddings using a sequence model. This design enables SP4LP to capture expressive multi-hop relational patterns with computational efficiency. Empirically, SP4LP achieves state-of-the-art performance across link prediction benchmarks. Theoretically, we prove that SP4LP is strictly more expressive than standard message-passing GNNs and several state-of-the-art structural features methods, establishing it as a general and principled approach for link prediction in graphs.

cs.LG↗

arXiv2025

You Don't Bring Me Flowers: Mitigating Unwanted Recommendations Through Conformal Risk Control

Recommenders are significantly shaping online information consumption. While effective at personalizing content, these systems increasingly face criticism for propagating irrelevant, unwanted, and even harmful recommendations. Such content degrades user satisfaction and contributes to significant societal issues, including misinformation, radicalization, and erosion of user trust. Although platforms offer mechanisms to mitigate exposure to undesired content, these mechanisms are often insufficiently effective and slow to adapt to users' feedback. This paper introduces an intuitive, model-agnostic, and distribution-free method that uses conformal risk control to provably bound unwanted content in personalized recommendations by leveraging simple binary feedback on items. We also address a limitation of traditional conformal risk control approaches, i.e., the fact that the recommender can provide a smaller set of recommended items, by leveraging implicit feedback on consumed items to expand the recommendation set while ensuring robust risk mitigation. Our experimental evaluation on data coming from a popular online video-sharing platform demonstrates that our approach ensures an effective and controllable reduction of unwanted recommendations with minimal effort. The source code is available here: https://github.com/geektoni/mitigating-harm-recsys.

cs.IR↗

arXiv2025

MedSyn: Enhancing Diagnostics with Human-AI Collaboration

Clinical decision-making is inherently complex, often influenced by cognitive biases, incomplete information, and case ambiguity. Large Language Models (LLMs) have shown promise as tools for supporting clinical decision-making, yet their typical one-shot or limited-interaction usage may overlook the complexities of real-world medical practice. In this work, we propose a hybrid human-AI framework, MedSyn, where physicians and LLMs engage in multi-step, interactive dialogues to refine diagnoses and treatment decisions. Unlike static decision-support tools, MedSyn enables dynamic exchanges, allowing physicians to challenge LLM suggestions while the LLM highlights alternative perspectives. Through simulated physician-LLM interactions, we assess the potential of open-source LLMs as physician assistants. Results show open-source LLMs are promising as physician assistants in the real world. Future work will involve real physician interactions to further validate MedSyn's usefulness in diagnostic accuracy and patient outcomes.

cs.LG↗

arXiv2025

Bridging Theory and Practice in Link Representation with Graph Neural Networks

Graph Neural Networks (GNNs) are widely used to compute representations of node pairs for downstream tasks such as link prediction. Yet, theoretical understanding of their expressive power has focused almost entirely on graph-level representations. In this work, we shift the focus to links and provide the first comprehensive study of GNN expressiveness in link representation. We introduce a unifying framework, the $k_ϕ$-$k_ρ$-$m$ framework, that subsumes existing message-passing link models and enables formal expressiveness comparisons. Using this framework, we derive a hierarchy of state-of-the-art methods and offer theoretical tools to analyze future architectures. To complement our analysis, we propose a synthetic evaluation protocol comprising the first benchmark specifically designed to assess link-level expressiveness. Finally, we ask: does expressiveness matter in practice? We use a graph symmetry metric that quantifies the difficulty of distinguishing links and show that while expressive models may underperform on standard benchmarks, they significantly outperform simpler ones as symmetry increases, highlighting the need for dataset-aware model selection.

cs.LG↗

arXiv2025

Beyond Topological Self-Explainable GNNs: A Formal Explainability Perspective

Self-Explainable Graph Neural Networks (SE-GNNs) are popular explainable-by-design GNNs, but their explanations' properties and limitations are not well understood. Our first contribution fills this gap by formalizing the explanations extracted by some popular SE-GNNs, referred to as Minimal Explanations (MEs), and comparing them to established notions of explanations, namely Prime Implicant (PI) and faithful explanations. Our analysis reveals that MEs match PI explanations for a restricted but significant family of tasks. In general, however, they can be less informative than PI explanations and are surprisingly misaligned with widely accepted notions of faithfulness. Although faithful and PI explanations are informative, they are intractable to find and we show that they can be prohibitively large. Given these observations, a natural choice is to augment SE-GNNs with alternative modalities of explanations taking care of SE-GNNs' limitations. To this end, we propose Dual-Channel GNNs that integrate a white-box rule extractor and a standard SE-GNN, adaptively combining both channels. Our experiments show that even a simple instantiation of Dual-Channel GNNs can recover succinct rules and perform on par or better than widely used SE-GNNs.

cs.LG↗

arXiv2025

A Probabilistic Neuro-symbolic Layer for Algebraic Constraint Satisfaction

In safety-critical applications, guaranteeing the satisfaction of constraints over continuous environments is crucial, e.g., an autonomous agent should never crash into obstacles or go off-road. Neural models struggle in the presence of these constraints, especially when they involve intricate algebraic relationships. To address this, we introduce a differentiable probabilistic layer that guarantees the satisfaction of non-convex algebraic constraints over continuous variables. This probabilistic algebraic layer (PAL) can be seamlessly plugged into any neural architecture and trained via maximum likelihood without requiring approximations. PAL defines a distribution over conjunctions and disjunctions of linear inequalities, parameterized by polynomials. This formulation enables efficient and exact renormalization via symbolic integration, which can be amortized across different data points and easily parallelized on a GPU. We showcase PAL and our integration scheme on a number of benchmarks for algebraic constraint integration and on real-world trajectory data.

cs.LG↗