We seek to learn models that we can interact with using high-level concepts:
if the model did not think there was a bone spur in the x-ray, would it still
predict severe arthritis? State-of-the-art models today do not typically
support the manipulation of concepts like "the existence of bone spurs", as
they are trained end-to-end to go directly from raw input (e.g., pixels) to
output (e.g., arthritis severity). We revisit the classic idea of first
predicting concepts that are provided at training time, and then using these
concepts to predict the label. By construction, we can intervene on these
concept bottleneck models by editing their predicted concept values and
propagating these changes to the final prediction. On x-ray grading and bird
identification, concept bottleneck models achieve competitive accuracy with
standard end-to-end models, while enabling interpretation in terms of
high-level clinical concepts ("bone spurs") or bird attributes ("wing color").
These models also allow for richer human-model interaction: accuracy improves
significantly if we can correct model mistakes on concepts at test time.

通过在训练时预测概念并使用这些概念预测标签，概念瓶颈模型提供了对医学影像等领域高级概念的解释与干预，并允许更丰富的人机交互操作，从而实现了与标准的端到端分类器相当的分类准确性。