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    Randomized machine learning models like Random Vector Functional Link (RVFL) offer efficient and interpretable alternatives to deep learning for medical diagnostics. These models achieve high accuracy with reduced computational demands, improving healthcare AI accessibility.

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    Area of Science:

    • Medical Diagnostics
    • Artificial Intelligence
    • Machine Learning

    Background:

    • Deep learning models excel in medical diagnostics but face challenges due to high computational costs and lack of transparency ('black-box' problem).
    • These limitations hinder adoption in time-critical and resource-constrained healthcare environments.

    Purpose of the Study:

    • To investigate the efficacy of randomized machine learning models, specifically Extreme Learning Machines (ELMs) and Random Vector Functional Link (RVFL) networks, for medical diagnostics.
    • To integrate Explainable AI (XAI) techniques, including Local Interpretable Model-agnostic Explanations (LIME) and Shapley Additive Explanations (SHAP), to enhance model interpretability.

    Main Methods:

    • Implementation of ELMs and RVFL networks, incorporating stochasticity for reduced computational complexity and training time.
    • Application of LIME and SHAP to elucidate the decision-making processes of the randomized models.
    • Performance evaluation using datasets for genitourinary cancers and coronary artery disease.

    Main Results:

    • RVFL models demonstrated superior performance compared to traditional deep learning approaches.
    • Achieved 88.29% accuracy with 6.22s computation for genitourinary cancers and 81.64% accuracy with 0.0308s computation for coronary artery disease.
    • The integrated XAI techniques successfully provided interpretable insights into model predictions.

    Conclusions:

    • Randomized machine learning models, particularly RVFL, offer a promising avenue for efficient and transparent medical diagnostics.
    • These models present a viable solution for overcoming the computational and interpretability challenges of deep learning in healthcare.
    • The study advocates for the adoption of accessible and interpretable AI in medical diagnosis to improve treatment outcomes.