Uncertainty and risk modelling - ULisboa

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Uncertainty and risk modelling Week 10 MÓNICA OLIVEIRA 1 2nd SEMESTER, 2020/2021 DECISION ANALYSIS MODELS AND APPLICATIONS DEPARTMENT OF ENGINEERING AND MANAGEMENT

Transcript of Uncertainty and risk modelling - ULisboa

Uncertainty and risk modelling

Week 10

MÓNICA OLIVEIRA

12nd SEMESTER, 2020/2021DECISION ANALYSIS MODELS AND APPLICATIONS

DEPARTMENT OF ENGINEERING AND MANAGEMENT

Agenda

❑What is Uncertainty and Risk Analysis?

❑ Value of Information and Control

❑ Bayesian Belief Networks

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Uncertainty and Risk AnalysisMAIN TEXTBOOK:

CLEM EN , R . T. , R E I LLY, T. (2014) M A K I N G HA R D DECI S ION S WI T H DECI S ION TOOLS , T H I R D EDI T I ON, SOUT H - WEST ER N , CEN GAGE LEA R N ING .

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Uncertainty encompasses a Multiplicity of Concepts…

• The term ‘risk’ has a variety of meanings

• In popular speech, hazard and risk might be used interchangeably

• Hazards or threats may be physical entities, conditions, substances, activities or behaviours which are capable of causing harm

• Earlier influential book (Luce and Raiffa, 1957)◦ Risk: knowable probabilities

◦ Uncertainty: unknowable probabilities

→ This definition cannot be applied to situations without games

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“risk is the quantifiable likelihood of loss or lower-than-expected returns”

Investing glossary definition, http://www.investorwords.com/

‘‘risk is associated with the lack of certainty of an outcome and how sensitive one is to that outcome and thus to the uncertainty’’

Anders, G., Entriken, R., Nitu, P., 1999. RiskAssessment and financial management. IEEE PES Tutorial, IEEE Winter Meeting, Singapore.

Risk “should take account of the likely scale of consequences, the frequency, durationand extent of hazard exposure, the probability that an unwanted/desired event will

occur and the time-scale over which consequences might be manifested and probabilities assigned”

Waring, A., Glendon, A. I. (1998) Managing Risk: Critical Issues for Survival and Success into the 21st Century, Cornwall, Thomson.

Risk ≠ Source of Uncertainty

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UNCERTAINTIES

• Things that are not known, or known only imprecisely.

• May be characteristics of the universe (e.g. statistical processes) or characteristics of the design process (e.g. information not yet collected); in either case they are factual.

• Many are measurable, although some are not (e.g. future events).

• Are value neutral.

• Not necessarily bad.

• Numerous causes.

RISKS

• Pathologies created by the uncertainties that are specific to the program in question.

• They are often quantified as (probability of uncertain event)*(severity of consequences).

• In addition to technical failure, cost, schedule, political, market, and user need shift risks need to be considered.

• Have a negative connotation.

Source: Hastings and McManus (2006)

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❖ Due to incomplete information◦ What will be the defence budget in Portugal in 2020?

❖ Disagreement between information sources and between experts◦ How much was the Government spending in 2019?

❖ Linguistic imprecision◦ What does exactly mean “Unemployment is increasing?”

❖ Statistical variation (random error) and subjective judgement (systematic error)◦ What is the flow rate of the Tagus river?

❖ Approximations◦ Company bookvalue generation

❖ About a quantity or about the structure of a model◦ Slope of a linear dose-response function, or the shape of a dose-response function

❖ Uncertainty about the degree of uncertainty...

Uncertainty encompasses a Multiplicity of Concepts…

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Uncertainty encompasses a Multiplicity of Concepts…

Even when there is complete information in principle… we may be uncertain because of ◦ Simplifications and approximations introduced to make the analysis of

information cognitively or computationally more tractable ◦ Ex: published balance sheets and income statements

The variety of types and sources of uncertainty, along with the terminology, can generate considerable confusion◦ Conceptual confusions exist due to the controversy about the nature of

probability

Opinions may differ…

Opinions of athmospheric scientistsAssessment, in the form of cumulative distribution functions, of the average annualhealth impact in excess deaths from exposure to sulfate air pollution from a new 1 GweFGD-eqquiped, coal-fired plant in Pittsburgh.

Source: Morgan and Henrion (2006)

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Experimental measurements of the speed of light between 1875 and 1960. Vertical bars show reported uncertainty as standard error. Horizontal dashed line represents currently accepted value. Less than 50% of the error bars enclose the accepted value.

Source: Morgan and Henrion

(2006)

Systematic Errors…

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Source: Hastings and McManus (2006)

System causes harm

System does not work

Program (to produce system) gets in one of several kinds of trouble

System works, but function desired from the system has changed from that for which it was designed.

Facts that are not known, or are known only imprecisely, that are needed to complete the system architecture in a rational way.

Things about the system in question that have not been decided or specified.

Things that cannotalways be known precisely, but which can be statistically characterized, or atleast bounded.

Things that it is known are not known.

……………………….

Uncertainties vs. Risks

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Source: Hastings and McManus (2006)

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Source: Hastings and McManus (2006)

Within a model, which quantities should be dealt with as uncertain?

Type of quantity Examples Treatment of uncertainty

Empirical parameter or chance variable

Thermal efficiency, occupation rate, fuel price

Probabilistic, parametric, or switchover

Defined constant Atomic weight, joules per kilowatt-hr

Certain by definition

Decision variable Plant size (utility), emissions cap (EPA)

Parametric or switchover

Value parameter Discount rate, ‘value of life’, risk tolerance

Parametric or switchover

Index variable Longitude and latitude, height, time period

Certain by definition

Model domain parameter Geographic region, time horizon, time increment

Parametric or switchover

Outcome criteria Net present value, utility Determined by treatment of its inputs

Value of Information and ControlBASIC INFORMATION:

CLEMEN, R . T. , RE ILLY, T. (2014) MAKING HARD DECIS IONS WITH DECIS ION TOOLS, THIRD EDIT ION, SOUTH -WESTERN, CENGAGE LEARNING. (CHAPTER 12)

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A Taxonomy of Decision Models in Decision Analysis

Problem dominated by

REVISE opinion

•Bayesian nets

EXTEND conversation

•Event tree•Fault tree•Influence diagram

SEPARATE into components

•Credence decomposition•Risk analysis

EVALUATE options

•Multi-criteria decision analysis

ALLOCATE resources

•Multi-criteria commons dilemma

NEGOTIATE

•Multi-criteria bargaining analysis

CHOOSE option

•Payoff matrix

•Decision tree

Uncertainty Multiple Objectives

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Often you pay for information. You are asking:

Investment Advice

Management Consultants

Market Investigation

Palm Reading

You need this information to make a decision in the future:

To invest in a particular stock or not

To restructure the organization of your company or not

To introduce a product or not

To marry this person or notInformation gathering includes:

Consulting experts

Conducting surveys

Performing mathematical and statistical analysis

Doing research

Reading books, journals and newspapers

INFORMATION TO REDUCE UNCERTAINTY

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To answer this question you might attempt to compute the value (in €€€€€€€) of information.

We will first discuss a method for determining the value of perfect information, and next for the value of imperfect information, and next for the value of control.

WHICH ONE DO YOU VALUE MORE?

Given your decision problem, how much shouldyou be willing to pay for this information?

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Definition: Clairvoyant Expert on event A

If event A is about to occur, the expert says, it will. If event A is not to occur, the expert says, it will not. The expert is NEVER wrong. His information is PERFECT.

You are considering investing in a company, but before you want to make sure that the Dow Jones index will go up as this

increases your chances of making a good investment. Therefore, you decide to consult a clairvoyant expert on the event A.

A = {Dow Jones index goes up}

"A" = {Expert Says Dow Jones index goes up}

What does it mean to be clairvoyant in probabilistic terms?

Probability and Perfect Information

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Probability and Perfect Information

Pr( { Expert Says Dow Jones ↑ } | { Dow Jones ↑ } ) =

=Pr(“A”| A) = 1

Similarly:

Perhaps more importantly, what about?

Pr({ Dow Jones ↑ } | { Expert Says Dow Jones ↑ } ) =

=Pr(A| "A")?

0A)|”APr(“A)|”APr(“-1A)|Pr(“A” ==

1)A|”APr(“0)A|”APr(“-1 0)A|Pr(“A” ===

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Probability and Perfect Information

Conclusion:

Pr(A|"A") equals 1 no matter what the value of Pr(A) is!

==)"Pr("

A)Pr(A)|A"Pr(")A"|"Pr(A

A

=+

=)A)Pr(A|A"Pr("A)Pr(A)|A"Pr("

A)Pr(A)|A"Pr("

1)APr(*0Pr(A)*1

Pr(A)*1=

+=

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Probability and Perfect Information

What about the probability Pr({Expert Says Dow Jones ↑} )?

Pr("A") = Pr( {Expert Says Dow Jones ↑} ) =

This is true in general: if we consult a clairvoyant expert about an event a with possible outcomes then:

After consulting the clairvoyant expert about event a, no uncertainty remains about that event.

=+ )Pr()|"Pr(")Pr()|"Pr(" AAAAAA

},...,{ 1 nAA

niAA ii ,...,1),Pr()"Pr(" ==

})Pr({)Pr()Pr(*0)Pr(*1 ==+= DowJonesAAA

Expected Value of Information: Stock market example

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Rollback procedure

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Consider first talking to a clairvoyant expert and then making the investment decision →What would happen?

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Expected Value of Information: Stock market example

Of course, the clairvoyant expert will charge a fee and you would like to know how much you would be willing to pay before using his services…

Conclusion:

You would be willing to consult the clairvoyant expert if:

1000 - X ≥ 580 ⇔ X ≤ 1000 - 580 = 420 (=EVPI)

Expected Value of Information: Stock market example

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Perfect Information in the Investor’s Problem

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Expected Value of Perfect Information

EVPI = Expected Value of Perfect Information

Interpretation:

EVPI is the maximum amount of money you would be willing to pay for the services of the clairvoyant expert. If he charges more than €420 you would not consult the expert.

(Value of information in a prior sense)

A = { Dow Jones index goes up}

"A" = {Expert Says Dow Jones index goes up}

Consider now an expert about event A, who is not clairvoyant, but is considered to be an expert. What does it mean for an expert not to be perfect in his assessment about event A?

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Pr( {Expert Says Dow Jones ↑} | {Dow Jones ↑} ) = Pr("A"|A)<1

→ Hopefully, the probability above is close to 1 (otherwise why consider him/her an Expert?)

Pr( {Expert Says Dow Jones ↑ } | {Dow Jones ↓} ) = Pr("A" |notA) > 0

→ Hopefully, the probability above is close to 0 (otherwise why consider him/her an Expert?)

When an expert is not clairvoyant about an event, you need to express your trust in his assessment by for example,

checking his past performances and interviewing references.

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Imagine you use historical information to assess your trust in terms of

subjective probabilities:

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Actual assessment of the expert

Conditional probabilities characterizing the economist forecasting ability

Imperfect Information in the Investor’s Problem

Expected value = 580 Expected value = 822

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Or it might happen…

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Extra branch on whether to consult an expert is added &...

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...you consider first talking to an "Imperfect expert” and then making the original investment decision:

• Suppose the Imperfect expert said Dow Jones will go UP

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• Suppose the Imperfect expert said Dow Jones will go FLAT

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• Suppose the Imperfect expert said Dow Jones will go DOWN

Note that:

After consulting the expert the uncertainty remains.

After consulting an imperfect expert, the original decision problem still remains. ◦ The only difference is that probabilities of the original decision problem have

changed to reflect the additional information, i.e. the expert's advise.

→ To calculate the EMV of the decision problem after consulting the imperfect expert we have to solve for the probabilities in the decision tree with an added branch.

→ Calculating these probabilities is equivalent to FLIPPING the order of the uncertainty nodes.

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How can we solve for these probabilities?Via Bayes theorem using a probability table

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Which equals to doing this:

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STEP 1: Construct a probability table

Posterior probability

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STEP 2: Insert the probabilities in the probability tree

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STEP 3: Calculate EMV after consulting the expert

STEP 3A

STEP 3B

STEP 3C

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STEP 3D: Calculate EMV after consulting the expert

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STEP 4: Calculate EVII for consulting the expert

Conclusion:

You would be willing to consult the expert if:

822 - X ≥ 580 ⇔ X ≤ 822 - 580 = 242 (=EVII)

EVII = Expected Value of Imperfect Information

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Interpretation of the Expected Value of Imperfect Information

EVII is the maximum amount of money you would be willing to pay for the services of the imperfect expert.

If he charges more than €242 you would not consult the expert.

Note:

• EVPI ≥ EVII→ Interpretation: Perfect Information is always better than imperfect information.

• When performing sensitivity analysis, EVPI calculation of every uncertain event should be considered (upper bound). →When EVPIis high for a particular uncertain event, investment to reduce uncertainty may be warranted.

VALUE OF CONTROL

The value of control for an event tells you the value ofbeing able to choose the outcome of the uncertainty

rather than taking your chances. The value comes frombeing able to guarantee the most favourable outcome

and prevent less favourable outcomes.

Some variables, such as weather,have high information value but

are hard to think of good sourcesof information for.

For these variables, move on to the value of control to see if youcan think of ways to mitigate the

impact of these uncertainties,even if you can’t predict them.

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Value of control =1500-580 = 920

Most favourableoutcome

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The value of information tells you the value of finding out the state of a chance event before you have to make a decision.

Chance events with high values for information present the best opportunities to improve your expected value by thinking of creative new alternatives.

Chance events with low values for information are probably not worth further efforts at research, testing, or delay.

Important things to remember: • Information has no value if it doesn’t change your actions,• its value is limited to the improvement it provides

over what you would get without it.

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VALUE OF CONTROL

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Value of Information in Complex Problems

• What happens if there are multiple uncertain events and information is available for some or all of them?

Same principle...

• Decision trees: move chance nodes for which information is to be obtained so that they precede the decision node

• What if there are nonmonetary objectives?

• Apply the same logic...

• Market example: one uncertain event, behaviour of the market, uncertainty modelled with a simple discrete distribution. How can we handle continuous probability distributions? Other approaches

• Same principle, but... Some difficulties

• Construct a Monte Carlo simulation model

• Find theoretical probability models

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Interesting applications to have a look at…

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Interesting applications to have a look at…

Handout for using the Precision Tree software will be made available for your own use!

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COMPLEMENTARY FEATURES for uncertainty analysis using decision trees

One Way Sensitivity Analysis

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Tornado Graph

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Spider Graph

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Two way sensitivity analysis

Bayesian Belief NetworksHOLMES & WATSON EXAMPLE

SOFTWARE FOR IMPLEMENTING BELIEF NETWORKS

CASE STUDY: CHEST CLINIC

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A Taxonomy of Decision Models in Decision Analysis

Problem dominated by

REVISE opinion

•Bayesian nets

EXTEND conversation

•Event tree•Fault tree•Influence diagram

SEPARATE into components

•Credence decomposition•Risk analysis

EVALUATE options

•Multi-criteria decision analysis

ALLOCATE resources

•Multi-criteria commons dilemma

NEGOTIATE

•Multi-criteria bargaining analysis

CHOOSE option

•Payoff matrix

•Decision tree

Uncertainty Multiple Objectives

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where P(H\E) denotes theprobability of hypothesis Hconditioned on the evidence E.

P(E)P(H\E) =

P(E\H).P(H)

The cornerstone of Bayesianprobability theory is theinversion formula:

Bayes’ rule provides an explicit relation for the degree of believe we accord a hypothesis H, in light of evidence E.

Bayes’ Rule is useful in contextswhere probabilities are more easily obtained in one inferential directionthan another.

Remember: Rules of Probability

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By providing the flexibility to reason probabilistically in either the causal or the diagnostic directions, Bayes’ Rule allows agents to

assert beliefs in forms that are compatible with the way they actually reason about the process(es) or phenomena of interest.

A bayesian network

Collins Case (Edwards, 1991)

A particular type of Influence Diagram. It contains only chance (and deterministic) nodes.

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Bayesian (or Belief, or Probabilistic Causal) Networks

A BN is composed of a set of nodesrepresenting variables of interest,connected by links to indicatedependencies, and containinginformation about the relationshipsbetween the nodes (often in the formof conditional probabilities). Its usesinclude prediction and diagnosis.

Remember: Conditional P(X = x \ Y = y)

Probability that X=x given we know that Y=y.

Joint P(x, y) P(X = x ^Y = y)

Probability that both X = x and Y = y.

Tuberculosis

XRay Result

Tuberculosis

or Cancer

Lung Cancer

Dyspnea

Bronchitis

Visi t To Asia Smoking

Chest Clinic

A BN provides a complete probabilistic description of a particularsystem, i.e., completely specifies a joint probability distribution onthe kinds of distinctions represented by the network.

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Tuberculosis

XRay Result

Tuberculosis

or Cancer

Lung Cancer

Dyspnea

Bronchitis

Visi t To Asia Smoking

Chest Clinic

A BN consists of the following:

• A set of variables and a set ofdirected edges between variables.

• Each variable has a finite set of

states.

• The variables together with the directed

edges form a directed acyclic graph.

Tuberculosis

PresentAbsent

1.0499.0

XRay Result

AbnormalNormal

11.089.0

Tuberculosis or Cancer

TrueFalse

6.4893.5

Lung Cancer

PresentAbsent

5.5094.5

Dyspnea

PresentAbsent

43.656.4

Bronchitis

PresentAbsent

45.055.0

Visit To Asia

Visi tNo Visi t

1.099.0

Smoking

SmokerNonSmoker

50.050.0

Chest Clinic

(FORMAL) DEFINITION OF A BN (Jansen, 1996)

• To each variable A with

parents B1, …, Bn there is

attached a conditional

probability table

P(A \ B1, …, Bn).

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Belief updating is the process of finding new beliefs for the nodes of a BN toaccount for the findings that are currently known. It is a form of probabilisticinference. During belief updating the BN model (in particular, the conditionalprobability relations between the nodes) is not modified at all; for thatprobability revision is used.

Probability revision is the process of adjusting the conditional probabilityrelations of a belief network to account for a new case (i.e. set of findings), ormore often, for a new set of cases. It is a form of parameter learning.

Parameter learning is the automatic learning of the specific relationships nodeshave with their parents using case data, once it has already been determinedwhich nodes are the parents of each node. These relationships are usually in theform of conditional probabilities, or the parameters of a conditional probabilityequation.

PERSPECTIVE IN COMPUTATIONAL BIOLOGY

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❑ Police Inspector Smith is impatiently waiting thearrival of Mr Holmes and Dr Watson; they are lateand Inspector Smith has another importantappointment (lunch). Looking out of the windowhe wonders whether the roads are icy. Both arenotoriously bad drivers, so if the roads are icythey may crash.

2001

❑ His secretary enters and tells him that Dr Watson has had a car accident, “Watson? OK. It could be worse… icy roads! Then Holmes has most probably crashed too. I’ll go for lunch now.”

❑ “Icy roads?”, the secretary replies, “It is far from being that cold, and furthermore all the roads are salted.” Inspector Smith is relieved. “Bad luck for Watson. Let us give Holmes ten minutes more.”

Holmes & Watson example

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Police Inspector Smith is impatiently waiting the arrival of Mr Holmes andDr Watson; they are late and Inspector Smith has another importantappointment (lunch). Looking out of the window he wonders whether theroads are icy. Both are notoriously bad drivers, so if the roads are icy theymay crash.

Holmes Watson

Ice

Both are notoriously bad drivers Roads are icy they may crash

Bayesian net

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if the roads are icy they may crash

Holmes Watson

Ice

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His secretary enters and tells him that Dr Watson has had a car accident,“Watson? OK. It could be worse… icy roads! Then Holmes has most probablycrashed too. I’ll go for lunch now.”

if the roads are icy they may crash

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“Icy roads?”, the secretary replies, “It is far from being that cold, and furthermore all the roads are salted.” Inspector Smith is relieved. “Bad luck for Watson. Let us give Holmes ten minutes more.”

Then Holmes has most probably crashed too

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Qualitative properties of Bayes nets

Inference can follow arrow direction• Knowing T tells you something about H

via I

Inference can run against arrow direction• Knowing H tells you something about T

via I

Both patterns of inference are broken if I know I

Temperatu-re below

freezing (T)

Roads icy (I)

Holmes crashes car

(H)

© Alec Morton OR425 Seminar 8: Bayes Nets and Influence Diagrams

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Qualitative properties of Bayes nets

Watson crashes car

(W)

Holmes crashes car

(H)

Roads icy (I)Inference can also work up along an arrow and then back down • Knowing H can tell me

something about W, supposing I don’t know I

This is known as conditional independence

• H and W (or H and T) are independent if I know the state of I (otherwise they are dependent)

© Alec Morton OR425 Seminar 8: Bayes Nets and Influence Diagrams

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Qualitative properties of Bayes nets

74

Sprinkler was left on

(S)

It rained (R)

Holmes lawn is wet

(L)

• If I don’t know the state of L, R and S are independent

• But if I know L is the case, R and S become dependent

- Knowing S can explain away L and thus make R less likely

• This pattern of inference is enabled rather than broken by knowledge of intermediate variable

© Alec Morton OR425 Seminar 8: Bayes Nets and Influence Diagrams

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D-separation

© Alec Morton OR425 Seminar 8: Bayes Nets and Influence Diagrams

Definition. Two variables A and B in a Bayes net are d-separated if for all paths between A and B there is an intermediate variable V such that:

▪ the connection is serial or diverging and the state of V is known

▪ the connection is converging and neither V nor any of V’s descendants have received evidence

Serial connection

Diverging connection

VConverging connection

V

V

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Example of d-separation

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A B C

D E F

H

G

I J

K L

M

© Alec Morton OR425 Seminar 8: Bayes Nets and Influence Diagrams

Example of d-separation

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A B C

D E F

H

G

I J

K L

M

Are A and C are d-separated?◦ blue path✓

© Alec Morton OR425 Seminar 8: Bayes Nets and Influence Diagrams

Example of d-separation

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A B C

D E F

H

G

I J

K L

M

Are A and C are d-separated?◦ blue path✓

◦ green path ✓

© Alec Morton OR425 Seminar 8: Bayes Nets and Influence Diagrams

Example of d-separation

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A B C

D E F

H

G

I J

K L

M

Are A and C are d-separated?◦ blue path✓

◦ green path ✓

◦ gold path ✓

© Alec Morton OR425 Seminar 8: Bayes Nets and Influence Diagrams

Example of d-separation

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A B C

D E F

H

G

I J

K L

M

Are A and C are d-separated?◦ blue path✓

◦ green path ✓

◦ gold path ✓

◦ purple path ✓

So A and C are d-separated

© Alec Morton OR425 Seminar 8: Bayes Nets and Influence Diagrams

But…

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• Suppose we learn something about M

• A and B are still d-separated

• The green path is now a d-connecting path

• A and C are not d-separated, i.e. they are d-connected

See Jensen (1996) or Lauritzen and Spiegelhalter (1988) for more technical details

A B C

D E F

H

G

I J

K L

M

e

© Alec Morton OR425 Seminar 8: Bayes Nets and Influence Diagrams

Significance of d-separation

❑ It’s been suggested that d-separation represents abasic property which any automation of reasoningunder uncertainty must obey

❑ Equally, it could be argued that this is such a non-intuitive property that it’s further evidence thatevolution hasn’t equipped us with great natural toolsfor probabilistic inference

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Ex: combining Bayesian networks with MCDA

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Chest Clinic Copyright 1998 Norsys Software Corp.This belief network is also known as "Asia”. It is a toy medical diagnosisexample from:Lauritzen, Steffen L. and David J. Spiegelhalter (1988), “Local computations withprobabilities on graphical structures and their application to expert systems”, J.Royal Statistics Society B, 50(2), 157-194.

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It is a simplified version of a network that could be used to diagnose patientsarriving at a clinic. Each node in the network corresponds to some condition ofthe patient, for example, "Visit to Asia" indicates whether the patient recentlyvisited Asia. To diagnose a patient, values are entered for nodes when they areknown. Netica then automatically re-calculates the probabilities for all the othernodes, based on the relationships between them. The links between the nodesindicate how he relationships between the nodes are structured.

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The two top nodes are for predispositions which influence the likelihood of thediseases. Those diseases appear in the row below them. At the bottom aresymptoms of the diseases. To a large degree, the links of the network correspondto causation. This is a common structure for diagnostic networks: predispositionnodes at the top, with links to nodes representing internal conditions and failurestates, which in turn have links to nodes for observables. Often there are manylayers of nodes representing internal conditions, with links between themrepresenting their complex inter-relationships.

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Probabilistic relation of "Lung Cancer” with Smoking

Functional dependence of "Tuberculosis or Cancer”on Tuberculosis and Lung Cancer.

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Probabilitiesof each stateof the node“Bronchitis”

Suppose we want to "diagnose" a new patient. When she first enters the clinic,without having any information about her, we believe she has lung cancer witha probability of 5.5% (the number may be higher than that for the generalpopulation, because something has led her to the chest clinic).

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Finding - She has anabnormal x-ray

All the probability numbers and barschanged to take into account the finding.

Now the probability that she haslung cancer has increased from 5.5%

to 48.9%.

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Tuberculosis

PresentAbsent

33.866.2

XRay Result

AbnormalNormal

100 0

Tuberculosis or Cancer

TrueFalse

69.130.9

Lung Cancer

PresentAbsent

37.162.9

Dyspnea

PresentAbsent

68.131.9

Bronchitis

PresentAbsent

49.150.9

Visit To Asia

Visi tNo Visi t

100 0

Smoking

SmokerNonSmoker

63.736.3

Chest Clinic

New Finding:She has made a visit

to Asia recently

The probability of lung cancer decreasesfrom 48.9% to to 37.1%, because theabnormal XRay is partially explained

away by a greater chance of Tuberculosis(which she could catch in Asia)

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A new patient has just walked in: remove all the findings

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