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Iam Palatnik de Sousa1, Marley Maria Bernardes Rebuzzi Vellasco2, Eduardo Costa da Silva2

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This study applies explainable artificial intelligence to understand how Convolutional Neural Networks (CNNs) detect tumor tissue in medical images. The findings suggest CNNs align with some human expert knowledge in pathology.

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Area of Science:

  • Medical Informatics
  • Artificial Intelligence in Medicine
  • Computational Pathology

Background:

  • Increasing demand for explainable AI models in healthcare.
  • Need for transparency in machine learning for medical applications.
  • Convolutional Neural Networks (CNNs) are powerful tools for analyzing medical images.

Purpose of the Study:

  • To explain how CNNs detect tumor tissue in histology whole slide images.
  • To apply the locally-interpretable model-agnostic explanations (LIME) methodology.
  • To analyze CNNs trained on the Patch Camelyon Benchmark.

Main Methods:

  • Utilized the locally-interpretable model-agnostic explanations (LIME) methodology.
  • Analyzed two publicly-available CNNs trained on the Patch Camelyon Benchmark.
  • Compared four superpixel generation algorithms, proposing a new parameter-free method.

Main Results:

  • Generated explanations for CNN tumor detection in histology patches.
  • Identified key patterns in true positive predictions.
  • Discussed characteristics of the generated explanations.

Conclusions:

  • CNN predictions demonstrate alignment with certain aspects of human expert knowledge.
  • The explainable AI approach provides insights into CNN decision-making.
  • Results suggest potential for AI in augmenting expert pathology analysis.