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A comprehensive explainable AI approach for enhancing transparency and interpretability in stroke prediction.

Marwa El-Geneedy1,2, Hossam El-Din Moustafa3, Hatem Khater4

  • 1Electronics and Communications Engineering Department, Faculty of Engineering, Mansoura University, Mansoura, 35516, Egypt. melgeneedy@std.mans.edu.eg.

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|July 18, 2025
PubMed
Summary

Artificial intelligence (AI) and machine learning (ML) can help predict stroke early. This study used ML classifiers and explainable AI (XAI) to identify stroke risk factors, aiding faster diagnosis and treatment.

Keywords:
ClassificationELI5Explainable Artificial Intelligence (XAI)Feature SelectionLIMESHAPStroke

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Area of Science:

  • Medical Informatics
  • Computational Medicine
  • Artificial Intelligence in Healthcare

Background:

  • Stroke is a leading cause of death and disability, particularly in older adults.
  • Early diagnosis and treatment are crucial for reducing mortality and severe cerebral disability.
  • Healthcare professionals can benefit from advanced tools for more effective and immediate stroke management.

Purpose of the Study:

  • To investigate the application of machine learning (ML) classifiers and explainable artificial intelligence (XAI) for stroke prediction.
  • To identify key features indicative of stroke risk using various feature selection methodologies.
  • To provide preliminary insights for developing AI-driven tools to assist clinicians in stroke patient management.

Main Methods:

  • Utilized six different ML classifiers trained on stroke patient datasets.
  • Employed six feature selection methodologies to extract critical features from the data.
  • Applied XAI techniques including Shapley Additive Values (SHAP), ELI5, and Local Interpretable Model-agnostic Explanations (LIME) for model interpretability.

Main Results:

  • Successfully applied ML classifiers and XAI methods to predict stroke.
  • Identified essential features contributing to stroke prediction through feature selection.
  • Demonstrated the potential of XAI in understanding the factors influencing stroke prediction models.

Conclusions:

  • AI and ML show promise in enhancing early stroke detection and management.
  • XAI methods offer valuable insights into the decision-making processes of ML models for stroke prediction.
  • Further clinical validation and real-world testing are necessary to translate these findings into practical healthcare tools.