# A Cognitive Explainer for Fetal ultrasound images classifier Based on Medical Concepts

arXiv: https://arxiv.org/abs/2201.07798 · HTML: https://mlsanity.com/paper/2201.07798/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 41 of its 82 references that are in the map.
- First posted on arXiv 19 Jan 2022.

## Builds on (most cited first, 30 of 41)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- ["Why Should I Trust You?": Explaining the Predictions of Any Classifier](https://mlsanity.com/paper/1602.04938/) (2016)
- [Axiomatic Attribution for Deep Networks](https://mlsanity.com/paper/1703.01365/) (2017)
- [Learning Deep Features for Discriminative Localization](https://mlsanity.com/paper/1512.04150/) (2015)
- [Deep Inside Convolutional Networks: Visualising Image Classification Models and Saliency Maps](https://mlsanity.com/paper/1312.6034/) (2013)
- [Visualizing and Understanding Convolutional Networks](https://mlsanity.com/paper/1311.2901/) (2013)
- [Modeling Relational Data with Graph Convolutional Networks](https://mlsanity.com/paper/1703.06103/) (2017)
- [Interpretability Beyond Feature Attribution: Quantitative Testing with Concept Activation Vectors (TCAV)](https://mlsanity.com/paper/1711.11279/) (2017)
- [Weisfeiler and Leman Go Neural: Higher-order Graph Neural Networks](https://mlsanity.com/paper/1810.02244/) (2018)
- [RISE: Randomized Input Sampling for Explanation of Black-box Models](https://mlsanity.com/paper/1806.07421/) (2018)
- [Interpretable Explanations of Black Boxes by Meaningful Perturbation](https://mlsanity.com/paper/1704.03296/) (2017)
- [Cluster-GCN: An Efficient Algorithm for Training Deep and Large Graph Convolutional Networks](https://mlsanity.com/paper/1905.07953/) (2019)
- [CheXNet: Radiologist-Level Pneumonia Detection on Chest X-Rays with Deep Learning](https://mlsanity.com/paper/1711.05225/) (2017)
- [Approximating CNNs with Bag-of-local-Features models works surprisingly well on ImageNet](https://mlsanity.com/paper/1904.00760/) (2019)
- [Auto-Encoding Scene Graphs for Image Captioning](https://mlsanity.com/paper/1812.02378/) (2018)
- [Real Time Image Saliency for Black Box Classifiers](https://mlsanity.com/paper/1705.07857/) (2017)
- [Neural Prototype Trees for Interpretable Fine-grained Image Recognition](https://mlsanity.com/paper/2012.02046/) (2020)
- [Explainability Techniques for Graph Convolutional Networks](https://mlsanity.com/paper/1905.13686/) (2019)
- [Scene Graph Generation from Objects, Phrases and Region Captions](https://mlsanity.com/paper/1707.09700/) (2017)
- [Graph-Structured Representations for Visual Question Answering](https://mlsanity.com/paper/1609.05600/) (2016)
- [Deformable ProtoPNet: An Interpretable Image Classifier Using Deformable Prototypes](https://mlsanity.com/paper/2111.15000/) (2021)
- [Explainable and Explicit Visual Reasoning over Scene Graphs](https://mlsanity.com/paper/1812.01855/) (2018)
- [Interpreting CNNs via Decision Trees](https://mlsanity.com/paper/1802.00121/) (2018)
- [Unpaired Image Captioning via Scene Graph Alignments](https://mlsanity.com/paper/1903.10658/) (2019)
- [Black-box Explanation of Object Detectors via Saliency Maps](https://mlsanity.com/paper/2006.03204/) (2020)
- [XProtoNet: Diagnosis in Chest Radiography with Global and Local Explanations](https://mlsanity.com/paper/2103.10663/) (2021)
- [SonoNet: Real-Time Detection and Localisation of Fetal Standard Scan Planes in Freehand Ultrasound](https://mlsanity.com/paper/1612.05601/) (2016)

## Abstract (arXiv)

Fetal standard scan plane detection during 2-D mid-pregnancy examinations is a highly complex task, which requires extensive medical knowledge and years of training. Although deep neural networks (DNN) can assist inexperienced operators in these tasks, their lack of transparency and interpretability limit their application. Despite some researchers have been committed to visualizing the decision process of DNN, most of them only focus on the pixel-level features and do not take into account the medical prior knowledge. In this work, we propose an interpretable framework based on key medical concepts, which provides explanations from the perspective of clinicians' cognition. Moreover, we utilize a concept-based graph convolutional neural(GCN) network to construct the relationships between key medical concepts. Extensive experimental analysis on a private dataset has shown that the proposed method provides easy-to-understand insights about reasoning results for clinicians.