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Paper · arXiv

Beyond Explanation: Debugging Medical Imaging Models via Concept Intervention

Medical imaging models often operate as black boxes, limiting interpretability and systematic debugging. We introduce an easy-to-use, plug-and-play framework for concept-based interpretation and model refinement. By aligning a single-modality encoder to BioMedCLIP, we construct a Concept Bottleneck Model (CBM) that enables concept-level interventions. These interventions allow us to isolate causal versus spuriously correlated concepts, validate insights with domain experts, and generate counterfactual samples for targeted fine-tuning. We evaluate our framework on a Mayo Clinic ultrasound dataset and the CheXpert 5x200 chest X-ray dataset. Results demonstrate that concept intervention enab...

AuthorsSamrajya Thapa, Daniel J. Quest, Timothy L. Kline et al.
Primary categorycs.CV
Published6 October 2026
Last updated at source6 October 2026
cs.CVcs.LG
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