Explainable Deep Learning Methods in Medical Image Classification: A Survey
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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.
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- 2024Explainable Interface for Human-Autonomy Teaming: A Survey4 May 2024
- 2024Artificial Intelligence in Bone Metastasis Analysis: Current Advancements, Opportunities and Challenges30 Apr 2024
- 2024Interaction as Explanation: A User Interaction-based Method for Explaining Image Classification Models15 Apr 2024
- 2024MAProtoNet: A Multi-scale Attentive Interpretable Prototypical Part Network for 3D Magnetic Resonance Imaging Brain Tumor Classification13 Apr 2024
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- 2023Can Physician Judgment Enhance Model Trustworthiness? A Case Study on Predicting Pathological Lymph Nodes in Rectal Cancer15 Dec 2023
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- 2024InfoDisent: Explainability of Image Classification Models by Information Disentanglementcited by 7
- 2024DiffExplainer: Unveiling Black Box Models Via Counterfactual Generationcited by 5
- 2024DWARF: Disease-weighted network for attention map refinementcited by 5
- 2024Navigating Distribution Shifts in Medical Image Analysis: A Surveycited by 5
- 2024Cross- and Intra-image Prototypical Learning for Multi-label Disease Diagnosis and Interpretationcited by 4
- 2025This looks like what? Challenges and Future Research Directions for Part-Prototype Modelscited by 3
- 2024A Systematic Literature Review on Explainability for Machine/Deep Learning-based Software Engineering Researchcited by 2
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- 2025Comprehensive Review of Reinforcement Learning for Medical Ultrasound Imagingcited by 2
- 2023Can Physician Judgment Enhance Model Trustworthiness? A Case Study on Predicting Pathological Lymph Nodes in Rectal Cancercited by 1
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- 2026Secure-by-Disguise: A Systematic Evaluation of Image Disguising for Confidential Medical Image Modeling9 Jul 2026
- 2026DCG-Net: Dual Cross-Attention with Concept-Value Graph Reasoning for Interpretable Medical Diagnosis20 Mar 2026
- 2025ViConEx-Med: Visual Concept Explainability via Multi-Concept Token Transformer for Medical Image Analysis11 Oct 2025
- 2025MultiFair: Multimodal Balanced Fairness-Aware Medical Classification with Dual-Level Gradient Modulation30 Sep 2025
- 2025Explainable Graph Neural Networks: Understanding Brain Connectivity and Biomarkers in Dementia23 Sep 2025
- 2025VL-MedGuide: A Visual-Linguistic Large Model for Intelligent and Explainable Skin Disease Auxiliary Diagnosis8 Aug 2025
- 2025Explainable Artificial Intelligence in Biomedical Image Analysis: A Comprehensive Survey9 Jul 2025
- 2025Explainable AI the Latest Advancements and New Trends11 May 2025
- 2025Probabilistic Stability Guarantees for Feature Attributions18 Apr 2025
- 2025Secure Diagnostics: Adversarial Robustness Meets Clinical Interpretability7 Apr 2025
- 2025Shape Modeling of Longitudinal Medical Images: From Diffeomorphic Metric Mapping to Deep Learning27 Mar 2025
12 newest of 27 All 27 (JSON)