mlsanityData to 7 Oct 2026

Explainable Deep Learning Methods in Medical Image Classification: A Survey

arXiv 2205.04766 ↗First posted 10 May 2022eess.IV cs.AI cs.CVcited by 31

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Abstract (arXiv)

The remarkable success of deep learning has prompted interest in its application to medical imaging diagnosis. Even though state-of-the-art deep learning models have achieved human-level accuracy on the classification of different types of medical data, these models are hardly adopted in clinical workflows, mainly due to their lack of interpretability. The black-box-ness of deep learning models has raised the need for devising strategies to explain the decision process of these models, leading to the creation of the topic of eXplainable Artificial Intelligence (XAI). In this context, we provide a thorough survey of XAI applied to medical imaging diagnosis, including visual, textual, example-based and concept-based explanation methods. Moreover, this work reviews the existing medical imaging datasets and the existing metrics for evaluating the quality of the explanations. In addition, we include a performance comparison among a set of report generation-based methods. Finally, the major challenges in applying XAI to medical imaging and the future research directions on the topic are also discussed.

Key facts. Cited by 31 papers in the map (data through 7 Oct 2026). Builds on 85 of its 182 references that are in the map. First posted on arXiv 10 May 2022.

Builds on

85 of 182 references.

References · 85

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Citing papers per year: 2023: 1; 2024: 13; 2025: 13; 2026: 4.

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  1. 2024Self-eXplainable AI for Medical Image Analysis: A Survey and New Outlookscited by 18
  2. 2025Probabilistic Stability Guarantees for Feature Attributionscited by 9
  3. 2024InfoDisent: Explainability of Image Classification Models by Information Disentanglementcited by 7
  4. 2024DiffExplainer: Unveiling Black Box Models Via Counterfactual Generationcited by 5
  5. 2024DWARF: Disease-weighted network for attention map refinementcited by 5
  6. 2024Navigating Distribution Shifts in Medical Image Analysis: A Surveycited by 5
  7. 2024Cross- and Intra-image Prototypical Learning for Multi-label Disease Diagnosis and Interpretationcited by 4
  8. 2025X-Ray-CoT: Interpretable Chest X-ray Diagnosis with Vision-Language Models via Chain-of-Thought Reasoningcited by 4
  9. 2025This looks like what? Challenges and Future Research Directions for Part-Prototype Modelscited by 3
  10. 2024A Systematic Literature Review on Explainability for Machine/Deep Learning-based Software Engineering Researchcited by 2
  11. 2024Explainable Interface for Human-Autonomy Teaming: A Surveycited by 2
  12. 2025Comprehensive Review of Reinforcement Learning for Medical Ultrasound Imagingcited by 2
19 more
  1. 2023Can Physician Judgment Enhance Model Trustworthiness? A Case Study on Predicting Pathological Lymph Nodes in Rectal Cancercited by 1
  2. 2024MAProtoNet: A Multi-scale Attentive Interpretable Prototypical Part Network for 3D Magnetic Resonance Imaging Brain Tumor Classificationcited by 1
  3. 2024Unsupervised contrastive analysis for anomaly detection in brain MRIs via conditional diffusion modelscited by 1
  4. 2024Lost in Context: The Influence of Context on Feature Attribution Methods for Object Recognitioncited by 1
  5. 2025Explainable AI the Latest Advancements and New Trendscited by 1
  6. 2025Explainable Artificial Intelligence in Biomedical Image Analysis: A Comprehensive Surveycited by 1
  7. 2026T-DuMpRa: Teacher-guided Dual-path Multi-prototype Retrieval Augmented framework for fine-grained medical image classificationcited by 1
  8. 2024Interaction as Explanation: A User Interaction-based Method for Explaining Image Classification Modelscited by 0
  9. 2024Artificial Intelligence in Bone Metastasis Analysis: Current Advancements, Opportunities and Challengescited by 0
  10. 2025Shape Modeling of Longitudinal Medical Images: From Diffeomorphic Metric Mapping to Deep Learningcited by 0
  11. 2025Secure Diagnostics: Adversarial Robustness Meets Clinical Interpretabilitycited by 0
  12. 2025VL-MedGuide: A Visual-Linguistic Large Model for Intelligent and Explainable Skin Disease Auxiliary Diagnosiscited by 0
  13. 2025Explainable Graph Neural Networks: Understanding Brain Connectivity and Biomarkers in Dementiacited by 0
  14. 2025MultiFair: Multimodal Balanced Fairness-Aware Medical Classification with Dual-Level Gradient Modulationcited by 0
  15. 2025ViConEx-Med: Visual Concept Explainability via Multi-Concept Token Transformer for Medical Image Analysiscited by 0
  16. 2025SkinGenBench: Generative Model and Preprocessing Effects for Synthetic Dermoscopic Augmentation in Melanoma Diagnosiscited by 0
  17. 2026DCG-Net: Dual Cross-Attention with Concept-Value Graph Reasoning for Interpretable Medical Diagnosiscited by 0
  18. 2026Secure-by-Disguise: A Systematic Evaluation of Image Disguising for Confidential Medical Image Modelingcited by 0
  19. 2026Learning To Focus: Anatomy-Guided Attention Regularization for Medical Image Classificationcited by 0