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Explainable AI Modeling in the Prediction of Cardiovascular Disease Risk.

Chara Skouteli1, Nicoletta Prenzas1, Antonis Kakas1,2

  • 1Department of Computer Science and Biomedical Engineering Research Centre, University of Cyprus, Nicosia, Cyprus.

Studies in Health Technology and Informatics
|August 23, 2024
PubMed
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This study developed explainable artificial intelligence (AI) for cardiovascular disease prediction using XGBoost and argumentation theory. The AI model offers enhanced interpretability and accuracy, improving risk assessment.

Keywords:
Machine learningargumentationcardiovascular diseaseexplainability

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Area of Science:

  • Artificial Intelligence in Medicine
  • Machine Learning for Healthcare
  • Cardiovascular Disease Research

Background:

  • Cardiovascular disease (CVD) prediction models often lack transparency.
  • Explainable AI (XAI) is crucial for clinical trust and adoption.
  • Current machine learning models may not provide sufficient interpretability.

Purpose of the Study:

  • To develop an explainable AI (XAI) model for cardiovascular disease (CVD) prediction.
  • To integrate rule extraction and argumentation theory for enhanced model interpretability.
  • To improve accuracy and provide both global and local explanations for CVD risk.

Main Methods:

  • Utilized the XGBoost machine learning algorithm for CVD risk prediction.
  • Applied rule extraction techniques to the XGBoost model.
  • Incorporated argumentation theory to provide interpretability and explainability.
  • Evaluated model performance in scenarios with low confidence results or dilemmas.

Main Results:

  • The developed XAI model demonstrated agreement with previous XGBoost findings for CVD risk prediction.
  • Rule-based explainability was successfully integrated, offering significant advantages.
  • The model provided both global and local explainability for CVD risk factors.
  • The approach showed potential in handling low-confidence predictions and decision dilemmas.

Conclusions:

  • The study successfully developed an explainable AI model for cardiovascular disease prediction.
  • The integration of XGBoost with rule extraction and argumentation theory enhances model transparency.
  • Further research is needed to refine argumentation-based interpretability for complex clinical scenarios.
  • The findings support the use of XAI in improving the reliability and clinical utility of CVD risk prediction models.