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Building Trustworthy AI Systems: Explainable Decision Support, Privacy-Preserving Learning, and Agentic Federated Workflows

Lei Yao

Minds at UW (University of Wisconsin), 2026

Abstract

The rapid development of generative artificial intelligence, particularly large language models (LLMs), has created new opportunities for deploying intelligent systems in high-stakes domains such as healthcare and education. At the same time, practical adoption remains constrained by several persistent challenges, including the need for trustworthy and explainable decision support, the protection of sensitive data, and the difficulty of training robust models under heterogeneous and decentralized data conditions. This dissertation addresses these challenges through three complementary studies that develop AI frameworks integrating explainable machine learning, knowledge-augmented LLMs, agentic AI, federated learning, and privacy-preserving data processing for medical and educational applications. The first study develops an explainable AI framework for clinical decision support. Although existing explainable machine learning methods can reveal useful information about model behavior, their outputs are often technical and difficult for healthcare practitioners to interpret directly. To bridge this gap, the proposed framework combines model-agnostic explanations with knowledge-augmented LLMs. Binary classifiers are trained for clinical depression diagnosis using biological indicators, and explanation-related information is organized into a structured knowledge graph that preserves explanatory evidence and captures relationships among models, features, predictions, and…

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