Tree of Concepts: Interpretable Continual Learners in Non-Stationary Clinical Domains

Catastrophic forgetting remains a fundamental challenge in continual learning, in which models often forget previous knowledge when fine-tuned on a new task. This issue is especially pronounced in class incremental learning (CIL), which is the most challenging setting in continual learning. Existing methods to address catastrophic forgetting often sacrifice either model interpretability or accuracy. To address this challenge, we introduce ClassIncremental Concept Bottleneck Model (CI-CBM), which leverage effective techniques, including concept regularization and pseudo-concept generation to maintain interpretable decision processes throughout incremental learning phases. Through extensive evaluation on seven datasets, CI-CBM achieves comparable performance to black-box models and outperforms previous interpretable approaches in CIL, with an average 36% accuracy gain. CICBM provides interpretable decisions on individual inputs and understandable global decision rules, as shown in our experiments, thereby demonstrating that human understandable concepts can be maintained during incremental learning without compromising model performance. Our approach is effective in both pretrained and non-pretrained scenarios; in the latter, the backbone is trained from scratch during the first learning phase. Code is publicly available at github.com/importAmir/CI-CBM.

Predictive modeling for clinical decision support requires both strong predictive performance and transparent, auditable, and human-reviewable decision logic. Although deep learning and tree-based ensemble methods can achieve high accuracy, their black-box nature remains a major obstacle to trustworthy clinical deployment. Moreover, clinical prediction often operates under practical constraints, including limited sample sizes, severe class imbalance, and feature evolution arising from changes in diagnostic criteria or clinical documentation practices. We propose Medical Heuristic Learning (MHL), a constrained paradigm for LLM-assisted rule learning. Rather than relying on updates to implicit model weights, MHL integrates statistical probes, medical knowledge probes, initial rule synthesis, and iterative rule optimization to construct an executable rule-based expert system. The resulting rule system is expressed entirely using the native logical and control-flow constructs of a programming language. Valid rule versions are recorded and retained along the search trajectory, making the decision logic explicit, interpretable, and auditable. MHL also supports continual learning by using previously validated rules as a starting point and iteratively revising them in response to updated feature information under data drift or feature evolution. MHL is not tied to any specific programming language. Comprehensive experiments on medical datasets show that MHL achieves predictive performance comparable to that of state-of-the-art methods, performs favorably in small-sample and highly imbalanced settings, and supports the transfer and adaptive revision of validated rules under feature evolution. Overall, these findings suggest that non-gradient-based heuristic systems offer an approach to balancing predictive performance and transparency in clinical decision support.

Continual learning requires models to adapt to new data while preserving previously acquired knowledge. At its core, this challenge can be viewed as principled one-step adaptation: incorporating new information with minimal interference to existing representations. Most existing approaches address this challenge by modifying model parameters or architectures in a supervised, task-specific manner. However, the underlying issue is representational: tasks require distinct yet structured representations that can be selectively updated without disrupting representations, while structure should reflect intrinsic organization in the data rather than task boundaries. In sequential data, time-delayed dependencies provide a natural signal for uncovering this organization, revealing how fundamental representations give rise to more specific ones. Inspired by the modular organization of the human brain, we propose MoRe, a framework that identifies modularity in the representation itself rather than allocating it at the architectural level. MoRe decomposes knowledge into a hierarchy of fundamental and specific modules with identifiability guarantees, enabling principled module reuse, alignment, and expansion during adaptation while preserving old modules by construction. Experiments on synthetic benchmarks and real-world LLM activations demonstrate interpretable hierarchical structure, improved plasticity-stability trade-offs, suggesting MoRe as a principled foundation for continual adaptation