Cited by 129Explainable Artificial Intelligence (XAI)Artificial Intelligence in Healthcare and EducationArtificial Intelligence in Healthcare

A survey on medical explainable AI (XAI): recent progress, explainability approach, human interaction and scoring system

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Sheu, Ruey-Kai, Pardeshi, Mayuresh Sunil·2022·Sensors

Abstract

The emerging field of eXplainable AI (XAI) in the medical domain is considered to be of utmost importance. Meanwhile, incorporating explanations in the medical domain with respect to legal and ethical AI is necessary to understand detailed decisions, results, and current status of the patient's conditions. Successively, we will be presenting a detailed survey for the medical XAI with the model enhancements, evaluation methods, significant overview of case studies with open box architecture, medical open datasets, and future improvements. Potential differences in AI and XAI methods are provided with the recent XAI methods stated as (i) local and global methods for preprocessing, (ii) knowledge base and distillation algorithms, and (iii) interpretable machine learning. XAI characteristics details with future healthcare explainability is included prominently, whereas the pre-requisite provides insights for the brainstorming sessions before beginning a medical XAI project. Practical case study determines the recent XAI progress leading to the advance developments within the medical field. Ultimately, this survey proposes critical ideas surrounding a user-in-the-loop approach, with an emphasis on human-machine collaboration, to better produce explainable solutions. The surrounding details of the XAI feedback system for human rating-based evaluation provides intelligible insights into a constructive method to produce human enforced explanation feedback. For a long time, XAI limitations of the ratings, scores and grading are present. Therefore, a novel XAI recommendation system and XAI scoring system are designed and approached from this work. Additionally, this paper encourages the importance of implementing explainable solutions into the high impact medical field.

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Authors
Sheu, R.-K., & Pardeshi, M. S.
Affiliations
Tunghai University (TW)
Corresponding author
Pardeshi, Mayuresh Sunil
Venue
Sensors
Publisher
MDPI AG
Published
2022-10-21
Volume
22
Issue
20
Pages
8068
ISSN
1424-8220 (ISSN-L)
OpenAlex
W4307658558
Cited by
129
References
94
Citations by year
2026: 34 · 2025: 34 · 2024: 42 · 2023: 18 · 2022: 1
FWCI
1.65
Type
journal article
Language
en
Open access
Locations
  • Sensors (publishedVersion, cc-by)
  • PubMed Central (publishedVersion, cc-by)
  • PubMed (publishedVersion)
  • DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
Funders
Ministry of Science and Technology (MOST) (MOST 111-2321-B-075A-001)
Topics
  • Physical Sciences › Computer Science › Artificial Intelligence › Explainable Artificial Intelligence (XAI)
  • Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
  • Health Sciences › Health Professions › Health Information Management › Artificial Intelligence in Healthcare
Keywords
explainable AI, explainability evaluation, human-in-the-loop, human-machine collaboration, model interpretability, knowledge distillation, clinical decision support
MeSH terms
Machine Learning, Algorithms, Humans

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