# Explanation-Guided Medical Named Entity Recognition with Stability and Boundary Awareness for Atopic Dermatitis

arXiv: https://arxiv.org/abs/2606.22886 · HTML: https://mlsanity.com/paper/2606.22886/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 12 of its 25 references that are in the map.
- First posted on arXiv 22 Jun 2026.

## Builds on (most cited first, 12 of 12)

- [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)
- [Revisiting Pre-Trained Models for Chinese Natural Language Processing](https://mlsanity.com/paper/2004.13922/) (2020)
- [AllenNLP Interpret: A Framework for Explaining Predictions of NLP Models](https://mlsanity.com/paper/1909.09251/) (2019)
- [How can I choose an explainer? An Application-grounded Evaluation of Post-hoc Explanations](https://mlsanity.com/paper/2101.08758/) (2021)
- [BayLIME: Bayesian Local Interpretable Model-Agnostic Explanations](https://mlsanity.com/paper/2012.03058/) (2020)
- [FLERT: Document-Level Features for Named Entity Recognition](https://mlsanity.com/paper/2011.06993/) (2020)
- [A Perspective on Explainable Artificial Intelligence Methods: SHAP and LIME](https://mlsanity.com/paper/2305.02012/) (2023)
- [To trust or not to trust an explanation: using LEAF to evaluate local linear XAI methods](https://mlsanity.com/paper/2106.00461/) (2021)
- [Evaluating the Correctness of Explainable AI Algorithms for Classification](https://mlsanity.com/paper/2105.09740/) (2021)
- [On the Bias-Variance Characteristics of LIME and SHAP in High Sparsity Movie Recommendation Explanation Tasks](https://mlsanity.com/paper/2206.04784/) (2022)
- [SCENE: Evaluating Explainable AI Techniques Using Soft Counterfactuals](https://mlsanity.com/paper/2408.04575/) (2024)

## Abstract (arXiv)

Objective: This study aims to improve the reliability and robustness of medical named entity recognition (NER) in Chinese atopic dermatitis (AD) clinical texts through explanation-guided learning. Methods: We propose a stability and boundary-aware explanation-guided NER framework. Perturbation-based analysis is used to evaluate explanation stability and entity boundary sensitivity. An adaptive fusion strategy dynamically combines local and global explanation to generate more reliable token-level explanations. The fused explanation signals are further incorporated into model training through stability, boundary-aware, and consistency constraints. Results: Experiments on Chinese AD NER datasets show that the proposed framework improves explanation robustness and achieves consistent performance gains across multiple NER models. The adaptive fusion strategy also provides more stable explanations and stronger boundary perception than individual explanation methods. Conclusion: The proposed method effectively integrates reliable explanation signals into medical NER training, improving both recognition performance and explanation reliability. The framework provides a practical and generalizable solution for explainable medical NER and offers reliable support for downstream clinical decision-making and medical knowledge applications.