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<article xmlns:xlink="http://www.w3.org/1999/xlink">
  <front>
    <journal-meta>
      <issn pub-type="ppub">1613-0073</issn>
    </journal-meta>
    <article-meta>
      <title-group>
        <article-title>Comparing Humans and Algorithms in Feature Ranking: A Case-Study in the Medical Domain</article-title>
      </title-group>
      <contrib-group>
        <contrib contrib-type="author">
          <string-name>JonasHanselle</string-name>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>JaroslawKornowicz</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>StefanHeid</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>KirstenThommes</string-name>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff3">3</xref>
        </contrib>
        <contrib contrib-type="author">
          <string-name>Eyke Hüllermeier</string-name>
          <email>eyke@lmu.de</email>
          <xref ref-type="aff" rid="aff0">0</xref>
          <xref ref-type="aff" rid="aff1">1</xref>
          <xref ref-type="aff" rid="aff2">2</xref>
        </contrib>
        <contrib contrib-type="editor">
          <string-name>Feature Ranking, Feature Selection, Scoring System, Machine Learning, Decision Support</string-name>
        </contrib>
        <aff id="aff0">
          <label>0</label>
          <institution>LMU Munich</institution>
          ,
          <country country="DE">Germany</country>
        </aff>
        <aff id="aff1">
          <label>1</label>
          <institution>LWDA'23: Learning</institution>
          ,
          <addr-line>Knowledge, Data, Analysis</addr-line>
        </aff>
        <aff id="aff2">
          <label>2</label>
          <institution>Munich Center for Machine Learning</institution>
          ,
          <country country="DE">Germany</country>
        </aff>
        <aff id="aff3">
          <label>3</label>
          <institution>Paderborn University</institution>
          ,
          <country country="DE">Germany</country>
        </aff>
      </contrib-group>
      <pub-date>
        <year>2023</year>
      </pub-date>
      <abstract>
        <p>The selection of useful, informative, and meaningful features is a key prerequisite for the successful application of machine learning in practice, especially in knowledge-intense domains like decision support. Here, the task of feature selection, or ranking features by importance, can, in principle, be solved automatically in a data-driven way but also supported by expert knowledge. Besides, one may of course, conceive a combined approach, in which a learning algorithm closely interacts with a human expert. In any case, finding an optimal approach requires a basic understanding of human capabilities in judging the importance of features compared to those of a learning algorithm. Hereto, we conducted a case study in the medical domain, comparing feature rankings based on human judgment to rankings automatically derived from data. The quality of a ranking is determined by the performance of a decision list processing features in the order specified by the ranking, more specifically by so-called probabilistic scoring systems.</p>
      </abstract>
    </article-meta>
  </front>
  <body>
    <sec id="sec-1">
      <title>-</title>
      <p>CEUR
ceur-ws.org</p>
    </sec>
    <sec id="sec-2">
      <title>1. Introduction</title>
      <p>CEUR
Workshop
Proceedings</p>
      <p>That said, decision models constructed in a data-driven way will not be accepted by human
experts 3[] — and hence not be used in practice — unless these models are comprehensible,
meaningful, and interpretable. In this regard, the selection and prioritization of decision criteria,
orfeatures in machine learning jargon, appears to be of major importance: The features on
which a decision is based need to be semantically meaningful; features deemed relevant by the
expert should be included in the model, while irrelevant features should be omitted.</p>
      <p>Needless to say, these properties are not necessarily guaranteed when selecting features in
a purely data-driven way. As another extreme, one may think of letting the human expert
preselect the features by hand. For various reasons, however, this might be suboptimal either,
for example, because the expert might be subjectively biased, or her knowledge might not
be perfect. Presumably, the best approach is somewhere in-between, namheylbyr,id in the
sense that the human expert and the machine learning algorithm select features jointly in the
course of an interactive process. Either way, these considerations beg an essential question:
How capable are human experts in selecting the most important features or in ranking features
in descending order of importance, and how do human experts compare to ML algorithms
selecting features in a data-driven mann4,e5r, [6]?</p>
      <p>This is the question addressed by the current paper. We conducted a case study in the medical
domain, comparing feature (importance) rankings based on human judgment to feature rankings
derived from data. The quality of a ranking is determined by the performance of a decision
list processing features in the order specified by the ranking. In a decision list, features are
considered incrementally, one by one. In each stage of the process, there are two options: either
a final decision is made based on the feature values seen so far, or the process is continued by
observing the next feature. Features should be ranked in decreasing order of importance to make
well-informed decisions as quickly as possible. We implement this approach with so-called
scoring systems, specifically appealing from an interpretability perspective and commonly used
in the medical domain7[, 8].</p>
      <p>Previous research suggests that data-driven methods generally surpass knowledge-driven
methods in performance, though these findings are not entirely unambiguous. Our study
contributes to resolving this continuing debate and extends the current literature by assessing
these methods within the context of interpretable machine learning models. In high-stakes
environments such as in the medical domain, tchoenstructor of the decision model can be
a significant factor for decision-makers, influencing their trust and reliance on the system.
Consequently, evaluating the quality of various feature selection methods on such models is
vital.</p>
      <p>Our study shows that while data-driven feature ranking exhibits superior performance in
identifying patterns unseen by human actors, the risk of overfitting, especially in small or
biased datasets, necessitates the incorporation of human judgment for optimal results. We
suggest an interactive, co-constructive approach, merging human expertise with algorithmic
analytics, as a potential solution to ofset overfitting efects while enhancing user acceptance of
decision models. We encourage future research to leverage our findings, specifically targeting
the inclusion of more domain professionals in the dataset, to further enrich and generalize these
insights across various fields.
2. Data- and Knowledge-Driven Feature Selection
In the realm of supervised machine learning, most algorithms assume a representation of data
objects (instances) in terms of feature vectors, which means that each object is specified by its
values on a predefined number of features, also known as independent variables, dimensions,
or inputs. The latter are supposed to carry important information for predicting the outcome
or target variabl9e].[ Careful feature selection is a crucial step in the modeling process and
a key prerequisite for learning accurate predic1t0o]r.sS[electing a manageable number of
meaningful features also facilitates interpretability and explaina6b].ility [</p>
      <p>
        Feature selection has been researched intensively in the past, with a specific focus on
datadriven approaches. Here, an algorithm autonomously ranks or selects features based on the
properties of the data. In contrast, knowledge-driven approaches determine a feature subset
through literature revie1w1,[12, 13] or by consulting domain expert4s, [14]. Interactive
machine learning fosters a combination of these approac1h5e]s. F[or instance, experts might
underscore highly relevant observations and features that a data-driven algorithm can
subsequently focus on1[6]. Alternatively, experts might vote on diferent feature subsets, indirectly
revealing their subjective preferenc1e7s].[ It is also possible to aggregate multiple selection
and ranking methods into a single approa1c8h, [
        <xref ref-type="bibr" rid="ref4">4, 19, 20</xref>
        ].
      </p>
      <p>
        Choosing the optimal method for a specific dataset and problem domain is inherently
challenging. Guyon and Elisseef [21] and Li et al. 6[] advocate for including domain knowledge
in the selection process. Conversely, Filippova et a5l]. fin[d human intervention to be less
beneficial than expected, while McKay2[
        <xref ref-type="bibr" rid="ref2">2</xref>
        ] demonstrate that, for the same classification
problem, a model with merely four features based on social science knowledge can rival models
involving 10,000 features. On the other side, Cheng et4a]lfi n.[d that the features chosen by
individual cardiologists, or an aggregation of their selections, can enhance accuracy compared to
a baseline of all features, although they are still outperformed by data-driven methods. In their
experimental study, Corrales et a11l.][observe that, in certain combinations of datasets and
learning algorithms, expert knowledge can outperform data-driven methods. They conclude
that expert knowledge can be especially beneficial under limited computational resources, for
example, when working with high-dimensional datasets.
      </p>
    </sec>
    <sec id="sec-3">
      <title>3. Probabilistic Scoring Lists</title>
      <p>
        A so-calledscoring system is a simple decision model that checks a set of features, adds (or
subtracts) a certain number of points to a total score for each feature that is satisfied, and finally
makes a decision by comparing the total score to a threshold. Scoring systems have a long
history of active use in safety-critical domains such as health2c3a]raen[d justice2[
        <xref ref-type="bibr" rid="ref4">4</xref>
        ], where
they provide guidance for making objective and accurate decisions.
      </p>
      <p>
        Hanselle et al.2[
        <xref ref-type="bibr" rid="ref5">5</xref>
        ] propose an extension of scoring systems, called probabilistic scoring
list (PSL). First, to increase uncertainty-awareness, a PSL produces predictions in the form
of probability distributions (instead of making deterministic decisions). Second, to increase
cost-eficiency, a PSL is conceptualized as adecision list: At prediction time, features are being
evaluated one by one. The procedure may be stopped as soon as the practitioner decides that the
confidence in the predictions is high enough for the application context at hand. In the example
in Table1, the relevant information for an evaluation at stage 3 is highlighted in boldface. All
features with their accompanying scores up to that stage need to be evaluated. The probabilities
for the positive class are obtained by looking up the value corresponding to the total sum of
the selected scor es. Here, the task is to diagnose a patient as COVID-19 positive or negative,
given information about various features. In the concrete case, “Fatigue” would be determined
as a first feature, and if present, contributes a score of 2. Fever would then be determined as the
next feature, contributing a score of 1 if present, and this process continues with the remaining
features. At stage 2, the probability of the positive class is predicted as 0 if the total score is
0, 0.1 if the total score is 1, etc. Note that adding a feature with a corresponding0 siscore of
practically equivalent with ignoring said feature. Thus, we only consider score sets ex0c.luding
      </p>
      <p>The learning algorithm introduced in Hanselle et2a5]l.c[onstructs PSLs incrementally in
a greedy manner. Starting with the empty list, one additional feature with a corresponding
score (taken from a predefined set of scores) is added to the list in each stage. To this end, each
feature/score pair is tentatively added as a candidate, and the resulting model is evaluated in
terms of theexpected entropy as performance measure:
 = ∑   ⋅  ((̂ ) ) ,
∈Σ 
(1)
where Σ is the set of total scores that can be produced by the decisi on= l|i s|t, is the
total number of training examples, a n dthe number of training examples with total s co.re
Moreover,(̂ ) is the estimated probability of the positive class given total s,caonrde is the
Shannon entropy
 () = − ⋅</p>
      <p>log() − (1 − ) log(1 − ) .</p>
      <p>The feature/score combination leading to the highest performance is eventually added to the
list, and the algorithm proceeds to the next stage (unless all features are used or the gain in
terms of expected entropy is negative). The probabili(t̂)ies are estimated in terms of relative
frequencies, rectified by isotonic regression to guarantee monotonicity (the probability of the
positive class increases with an increasing total score).</p>
      <p>Note that the expected entro1p)yis(a meaningful measure of informedness at every stage of
the decision process: The information provided by the prediction of a probability dist rîbution
is quantified in terms of Shannon entropy, which is an established measure of information, and
weighted by the (estimated) probability that this prediction is delivered.</p>
      <p>The PSL produced by the above algorithm also suggests a ranking of features in the sense
that features appearing earlier in the list seem to be more important in terms of performance
than features queried only later on (or possibly not at all, if a decision is made before). With
a straightforward modification, the algorithm can also be used to learn scoring systems for a
predefined ranking of features: In each stage, it then adopts the corresponding feature and only
optimizes over the set of possible scores, instead of optimizing over all features/score pairs.</p>
    </sec>
    <sec id="sec-4">
      <title>4. Evaluation</title>
      <p>In the following, we compare PSLs constructed solely in a data-driven fashion to PSLs in which
the evaluated features are ordered according to human choices.</p>
      <sec id="sec-4-1">
        <title>4.1. COVID-19 Dataset</title>
        <p>We employed a non-public medical dataset, based on the work of Hüfner e2t6a].l.A[ minor
deviation from the original dataset in our study pertains to the exclusion of a single observation
that contained a missing value. Consequently, our dataset has a total of 696 patient observations.</p>
        <p>According to the medical tests conducted in the original study, 633 patients (90.95%), tested
negative for COVID-19. This dataset is comprised of 11 binary features, which, apart from
information regarding patient contact with an infected individual, include all patient symptoms.
Figure1 shows all features, their respective distributions across the entire dataset, and the
distributions for both positive and negative cases. While our dataset does not include additional
demographic information, Hüfner et a2l6.][ state in their study that 51.1% of the patients were
female and the average age was 55.2 years.</p>
        <p>Figure2 shows the correlation between all features. Quite remarkably, the feature “Contact
with an infected person” is negatively correlated to the target variable. Intuitively, contact
with an infected person and the associated risk of exposure to the virus should have a positive
correlation with an infection. One possible explanation for this peculiarity might be, that
people who know that they had contact with an infected person may have higher awareness
0:6
e
c
n
le0:4
a
rev
P
0:2
0:0
Class
Overall
Positive Class
Negative Class
Contact with infected person</p>
        <p>Cough Digestive proFbaletmigsue Fever</p>
        <sec id="sec-4-1-1">
          <title>Headache Limb pain Loss of smellRespiratory sSymnipteosm Sore throat</title>
          <p>and hence be tempted to ask for a medical examination more quickly, even when showing no
clear symptoms. This trend is further observable in the first column of the heatmap, where
the correlations with symptoms such as respiratory issues and fever also exhibit a negative
association.</p>
        </sec>
      </sec>
      <sec id="sec-4-2">
        <title>4.2. Experimental Setup</title>
        <p>In our experimental evaluation, we use PSLs constructed in five diferent manners. First, we
consider PSLs derived from training data using the algorithm described in S3e.cTthioense are
calledPSL.</p>
        <p>Second, we compare them against PSLs built from expert input, specifically the origCionvaidl
Score system proposed by Hüfner et al2.6[] (Expert-PSL). The Covid Score was compiled as a
consensus of medical experts. It was evaluated on the proposed dataset, however, it has not
been used in the process of deriving the score. Note Etxhpaetrt-PSL is a probabilistic scoring
list and thus conceptually diferent from the original scoring system, which always evaluates
the entire feature set and uses a constant thresh5oalsdaofdecision rule.</p>
        <p>Two further approaches are derived based on a recent incentivized behavioral experiment
conducted by Kornowicz and Thomme2s7[]. In this study, 234 subjects, recruited from the
Prolific.co 1 platform, were requested to rank features based on their perceived importance for
the classification task. Despite these subjects lacking specific medical field expertise, it remains
plausible that the aggregate of their rankings might approximate the quality of expert opinions,
as suggested by research in the field of expert elicitati2o8n,2[9, 30]. We primarily utilized the
rankings generated individually by subjecStusb(ject-PSL), along with a method of consensus
ranking referred to as Behavioral AggregatSiuobnje(ctBA-PSL). For this method, 90 subjects
were grouped into sets of three to agree upon a collective ranking. As there are no specified
scores attached to the latter, we chose the scores associated with the features in the same greedy,
data-driven manner as the first approach to allow for a fair comparison.</p>
        <p>Lastly, as a baseline, we consider PSLs constructed from random feature permutations,
for which the scores have been chosen in the same mannRearn(dom-PSL). We chose  =
{±1, ±2, ±3} as the set of possible scores for all methods except the expert method. The expert
method’s scores are taken from the scoring system by Hüfner e2t6a]la.n[d hence constrained
to = {+1, +2, +3} . An overview of the considered constructions is depicted in 2T.able</p>
        <p>We evaluated the individual PSLs in terms of a Monte Carlo cross-validation (MCCV) with
10 repetitions. In each repetition, we use a fraction of two-thirds of the available data as
training data and one-third as test data. We report the expected entropy as a neutral measure
of informativeness at each stage of the decision model in order to compare the approaches.
Additionally, we evaluate the decision models in terms of expected loss minimization. In the
domain of medical decision-making, it is common that a false negative prediction, i.e., not
isolating and treating a COVID-19-infected patient, has far more severe consequences than a
false positive. To capture this, we employ an asymmetric loss function that assigns a 1loss of
to false positives and a loss o≫f 1 to false negatives. Given the PSLs probabilistic prediction
 ̂ for the positive class, the risk-minimizing decision is
 =̂ {
1 if 1 −  &lt;̂  ⋅  ̂
0 otherwise
,
and the (estimated) expected loss itsel f(b)̂y= min{1 − ,  ̂ ⋅ } ̂ . For the experiments, we
chose ≔ 10 , i.e., penalizing false negatives ten times as much as false positives.</p>
      </sec>
      <sec id="sec-4-3">
        <title>4.3. Results</title>
        <p>In the following, we compare the five diferent PSL constructions against each other. Figure
3 shows the mean expected entropy and expected loss of the PSLs for each stage, i.e., after
evaluating the stated number of features.</p>
        <p>We observe thaPtSL achieves the best mean expected entropy throughout all stages. The
Subject-PSL andSubjectBA-PSL constructions perform very similar. Up until st3a, gtehey
exhibit a higher mean expected entropy thanRtahnedom-PSL baseline before consistently
outperforming it as of stage5. The Expert-PSL construction also performs worse than the
random baseline within the first stages, even deteriorating when evaluating the first two features,
both in terms of expected entropy as well as expected loss. This is due to the fact that the first
two features selected bEyxpert-PSL are “Contact w/ inf. person” and “Respiratory symptom”.
1:0</p>
        <p>6
Stage
Expert-PSL
8
10
0
2
4
8</p>
        <p>10
6</p>
        <p>Stage</p>
        <p>As already discussed in Sectio4n.1, the “Contact w/ inf. person” is negatively correlated with the
target “SARS-CoV-2 positive” and the respiratory symptom is only weakly positively correlated
to it. These two features both receive a sco+re3 oinf theExpert-PSL construction, yielding
poor performances early on and even deteriorating over the performance a0tinstwahgiech
no feature is considered. The fact that these two features, which seem quite indicative for the
human eye, do not have a strong positive influence on the outcome remains undiscovered for
the experts. Here, the data-driven approPaScLhtakes advantage of having access to training
data, placing it on average at a ran9k. of
k11
n
a 9
R
r 7
e
u
t
e 5
a
F
an 3
eM1
e 3
r
co 2
S
re 1
u
ta 0
e
F 1
n
ea 2
M3</p>
        <sec id="sec-4-3-1">
          <title>Digestive problems Fatigue</title>
          <p>Contact w/ inf. person Cough</p>
          <p>FeverHeadacheLimb pLaRoinsesspoifrastmoreyllsymptom Sni eSsore throat
PSL</p>
          <p>Expert-PSL</p>
          <p>Subject-PSL</p>
          <p>SubjectBA-PSL</p>
          <p>Figure4 shows an overview of the average ranks and scores of all features across the
considered methods. For many features, the average ranks of the diferent approaches are quite
similar, with the exception of the “Fatigue” and the “Contact w/ inf. person”. Since the scores
are optimized to the data in all approaches except foErxtpheert-PSL, the scores are really
similar. This holds true regardless of the average rank of the feature. Note that the expert scores
are selected according to Hüfner et2a6l]., [constraining them to only positive scores.
Reducing available training data As discussed in the previous section, the data-driven
approachPSL manages to unveil specifics from the data that are not taken into account by
human actors. To make this feasible, it makes use of training data whose availability is a
necessary condition for applying such methods. To investigate how much the data-driven
approaches are dependent on the availability of data, we restricted 2t0h%emofttohe original
training data by drawing subsamples from the original data without replacement and repeated
the experiments 10 times. Figur5eshows the expected entropy of the diferent PSLs when
training them on these reduced training datasets.</p>
          <p>0:45</p>
          <p>6
Stage
Expert-PSL
8
10
2
4</p>
          <p>6
Stage
8</p>
          <p>10
Subject-PSL</p>
          <p>SubjectBA-PSL</p>
          <p>Random-PSL</p>
          <p>We observe that thPeSL is outperformed from stage 7 on by tEhxepert-PSL and also by the
Subject-PSL andSubjectBA-PSL as of stage 9 in terms of expected entropy. When it comes
to the expected losPs,SL is already beaten bEyxpert-PSL at stage 3 and thSeubject-PSL
andSubjectBA-PSL methods at stage 7. In the end, even tRhaendom-PSL baseline exhibits a
slightly lower mean expected error thanPtShLe. As expected, data-driven approaches become
less reliable once access to data is restricted. In such scenarios, human expertise and common
sense achieve better results than automated methods.</p>
        </sec>
      </sec>
    </sec>
    <sec id="sec-5">
      <title>5. Conclusion</title>
      <p>This paper has explored the comparative efectiveness of humans and algorithms in feature
ranking for decision support. A case study in the medical domain was conducted, in which
we compared feature rankings based on human judgment to rankings automatically derived
from data. It was observed that the data-driven approach can identify patterns and specifics
that remained hidden from human actors, leading to better performances in our experimental
evaluation. On the other hand, feature rankings solely derived in an algorithmic manner bear
the risk of being overfitted to the available training data, resulting in poor generalization
performance. This becomes especially important when training datasets are small or significantly
biased. In this case, human knowledge and common sense may be a good countermeasure to
compensate for such efects.</p>
      <p>
        An interactive feature ranking procedure that combines the strengths of human and
datadriven approaches constitutes an interesting direction for future work. Harnessing the benefits
of human expertise and computational analytics in a co-constructive approach potentially
leads to more accurate decision models while mitigating the risk of overfitting. Additionally,
including humans in the learning procedure may also increase the practitioner’s acceptance of
the obtained decision model, as purely algorithmically constructed models are often faced with
distrust3[
        <xref ref-type="bibr" rid="ref1">1</xref>
        ].
      </p>
      <p>As machine learning-based decision support systems continue to gain traction, our findings
ofer valuable insights to researchers in this emerging field. Future research eforts could
potentially build upon and generalize our findings by employing diferent datasets and extending
the scope to various domains. One of the key strengths of our dataset is the high volume of
human rankings; however, these subjects notably lack significant domain experience, with
the exception of the utilization of Ctohveid Score system of Hüfner et al. 2[6]. While the
recruitment of a larger number of domain professionals presents a challenge, pursuing this
could undoubtedly yield more insightful findings in future research.</p>
    </sec>
    <sec id="sec-6">
      <title>Acknowledgments</title>
      <p>We gratefully acknowledge funding by the German Research Foundation (Deutsche
Forschungsgemeinschaft, DFG): TRR 318/1 2021 – 438445824.
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