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Swin-PSAxialNet: An Efficient Multi-Organ Segmentation Technique
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Explainable multi-view transformer framework with mutual learning for precision breast cancer pathology image

Haewon Byeon1, Mahmood Alsaadi2, Richa Vijay3

  • 1Convergence Department, Korea University of Technology and Education, Cheonan, Republic of Korea.

Frontiers in Oncology
|July 29, 2025
PubMed
Summary

A new AI framework, Multi-View Transformer Online Fusion Mutual Learning (MVT-OFML), enhances breast cancer diagnosis by combining CNNs and Transformers. This interpretable model improves accuracy and provides visual explanations for clinical decisions.

Keywords:
MVT-OFMLbreast cancerexplainable AImulti-view transformermutual learningpathology image classification

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Area of Science:

  • Artificial Intelligence
  • Medical Image Analysis
  • Computational Pathology

Background:

  • Accurate breast cancer diagnosis relies on pathology image analysis, but current AI models struggle to balance performance and explainability.
  • Convolutional Neural Networks (CNNs) excel at local details but miss global context, while Transformers capture global context but lack fine-grained local feature modeling.

Purpose of the Study:

  • To develop a novel, interpretable AI framework for breast cancer pathology image classification that overcomes limitations of existing models.
  • To advance Explainable AI (XAI) in precision cancer diagnosis through a hybrid approach.

Main Methods:

  • Proposed MVT-OFML (Multi-View Transformer Online Fusion Mutual Learning) framework integrating ResNet-50 for local features and a multi-view Transformer for global context.
  • Implemented Online Fusion Mutual Learning (OFML) for bidirectional knowledge sharing between CNN and Transformer components.
  • Generated interpretable attention maps and feature visualizations for model transparency.

Main Results:

  • MVT-OFML significantly outperformed baseline models on BreakHis and BACH datasets.
  • Achieved accuracy improvements of 0.90% (BreakHis) and 2.26% (BACH).
  • Demonstrated F1-score gains of 4.75% (BreakHis) and 3.21% (BACH).

Conclusions:

  • MVT-OFML offers a promising AI solution for precise and interpretable breast cancer diagnosis and prognosis.
  • The framework enhances clinical usability by providing transparent decision-making processes.
  • Integrating complementary AI paradigms with explainable strategies supports informed clinical decision-making.