# PRECISe : Prototype-Reservation for Explainable Classification under Imbalanced and Scarce-Data Settings

arXiv: https://arxiv.org/abs/2408.05754 · HTML: https://mlsanity.com/paper/2408.05754/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 18 of its 24 references that are in the map.
- First posted on arXiv 11 Aug 2024.

## Builds on (most cited first, 18 of 18)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [ImageNet Large Scale Visual Recognition Challenge](https://mlsanity.com/paper/1409.0575/) (2014)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [A Unified Approach to Interpreting Model Predictions](https://mlsanity.com/paper/1705.07874/) (2017)
- ["Why Should I Trust You?": Explaining the Predictions of Any Classifier](https://mlsanity.com/paper/1602.04938/) (2016)
- [LAION-400M: Open Dataset of CLIP-Filtered 400 Million Image-Text Pairs](https://mlsanity.com/paper/2111.02114/) (2021)
- [Striving for Simplicity: The All Convolutional Net](https://mlsanity.com/paper/1412.6806/) (2014)
- [Learning Imbalanced Datasets with Label-Distribution-Aware Margin Loss](https://mlsanity.com/paper/1906.07413/) (2019)
- [MedMNIST v2 -- A large-scale lightweight benchmark for 2D and 3D biomedical image classification](https://mlsanity.com/paper/2110.14795/) (2021)
- [Deep Learning for Case-Based Reasoning through Prototypes: A Neural Network that Explains Its Predictions](https://mlsanity.com/paper/1710.04806/) (2017)
- [MedMNIST Classification Decathlon: A Lightweight AutoML Benchmark for Medical Image Analysis](https://mlsanity.com/paper/2010.14925/) (2020)
- [Targeted Supervised Contrastive Learning for Long-Tailed Recognition](https://mlsanity.com/paper/2111.13998/) (2021)
- [Long-tailed Visual Recognition via Gaussian Clouded Logit Adjustment](https://mlsanity.com/paper/2305.11733/) (2023)
- [Assessing the (Un)Trustworthiness of Saliency Maps for Localizing Abnormalities in Medical Imaging](https://mlsanity.com/paper/2008.02766/) (2020)
- [A Systematic Collection of Medical Image Datasets for Deep Learning](https://mlsanity.com/paper/2106.12864/) (2021)
- [RespireNet: A Deep Neural Network for Accurately Detecting Abnormal Lung Sounds in Limited Data Setting](https://mlsanity.com/paper/2011.00196/) (2020)
- [Evaluating Explainable AI on a Multi-Modal Medical Imaging Task: Can Existing Algorithms Fulfill Clinical Requirements?](https://mlsanity.com/paper/2203.06487/) (2022)
- [The future of human-centric eXplainable Artificial Intelligence (XAI) is not post-hoc explanations](https://mlsanity.com/paper/2307.00364/) (2023)

## Abstract (arXiv)

Deep learning models used for medical image classification tasks are often constrained by the limited amount of training data along with severe class imbalance. Despite these problems, models should be explainable to enable human trust in the models' decisions to ensure wider adoption in high-risk situations. In this paper, we propose PRECISe, an explainable-by-design model meticulously constructed to concurrently address all three challenges. Evaluation on 2 imbalanced medical image datasets reveals that PRECISe outperforms the current state-of-the-art methods on data efficient generalization to minority classes, achieving an accuracy of ~87% in detecting pneumonia in chest x-rays upon training on <60 images only. Additionally, a case study is presented to highlight the model's ability to produce easily interpretable predictions, reinforcing its practical utility and reliability for medical imaging tasks.