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A Boxology-Based Analysis of Design Patterns for Neuro-Symbolic Medical Decision Making Systems

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Abstract

This paper presents a structured analysis of neuro-symbolic design patterns for medical decision-making systems through a graphical notation (the “boxology”) for neuro-symbolic architectures. We formalize and validate five archetypal neuro-symbolic architectures initially defined through textual descriptions and informal diagrams by Kierner et al. We systematically define and refine these archetypes across 68 systems from the literature. Our contributions include: (i) a formalization of these archetypes, (ii) empirical validation of these archetypes via system refinements, (iii) enhanced understanding of neuro-symbolic integration in clinical applications, and (iv) establishing the boxology as a robust tool for comparative architectural analysis. The findings indicate that the elementary patterns within the boxology framework remain consistent across clinical applications, offering new avenues for systematic development and comparison in neuro-symbolic AI for healthcare.

Original languageEnglish
Title of host publicationArtificial Intelligence in Medicine
Subtitle of host publication23rd International Conference, AIME 2025, Pavia, Italy, June 23–26, 2025, Proceedings, Part I
EditorsRiccardo Bellazzi, Lucia Sacchi, José Manuel Juarez Herrero, Blaž Zupan
PublisherSpringer Nature
Pages333-343
Number of pages11
Volume1
ISBN (Electronic)9783031958380
ISBN (Print)9783031958373
DOIs
Publication statusPublished - 2025
Event23rd International Conference on Artificial Intelligence in Medicine, AIME 2025 - Pavia, Italy
Duration: 23 Jun 202526 Jun 2025

Publication series

NameLecture Notes in Computer Science
PublisherSpringer
Volume15734 LNAI
ISSN (Print)0302-9743
ISSN (Electronic)1611-3349
NameAIME: International Conference on Artificial Intelligence in Medicine
PublisherSpringer
Volume2025

Conference

Conference23rd International Conference on Artificial Intelligence in Medicine, AIME 2025
Country/TerritoryItaly
CityPavia
Period23/06/2526/06/25

Bibliographical note

Publisher Copyright:
© The Author(s), under exclusive license to Springer Nature Switzerland AG 2025.

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