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ExECG: An Explainable AI Framework for ECG models

arXiv 2605.19258 ↗First posted 19 May 2026cs.LG cs.AIcited by 0

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Abstract (arXiv)

Deep learning has enabled ECG diagnostic models with strong performance in tasks such as arrhythmia classification and abnormality detection. However, accuracy alone is insufficient for clinical deployment because it does not explain why a specific output was produced, limiting justification, error analysis, and trust. Although ECG XAI has been extensively investigated and steadily improved, practical pipelines and reporting conventions vary across studies, hindering reuse and reproducibility. To address these issues, we present Explainable AI framework for ECG models (ExECG), a Python framework that provides a three-stage pipeline: Wrapper standardizes access across heterogeneous ECG formats and intermediate representations, Explainer unifies diverse XAI methods under a shared execution protocol, and Visualizer supports consistent cross-method comparison within a unified interface. We demonstrate end-to-end usage with concise examples and two case studies, highlighting interoperable and reproducible ECG explainability.

Key facts. No citing papers in the map yet (data through 7 Oct 2026). Builds on 14 of its 38 references that are in the map. First posted on arXiv 19 May 2026.

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References · 14

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  10. 2019Automatic diagnosis of the 12-lead ECG using a deep neural networkcited by 164
  11. 2019What Clinicians Want: Contextualizing Explainable Machine Learning for Clinical End Usecited by 134
  12. 2024Reproducibility in Machine Learning-based Research: Overview, Barriers and Driverscited by 34
2 more
  1. 2022OmniXAI: A Library for Explainable AIcited by 21
  2. 2025CoFE: A Framework Generating Counterfactual ECG for Explainable Cardiac AI-Diagnosticscited by 2

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