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Explainable deep learning framework for brain tumor detection: Integrating LIME, Grad-CAM, and SHAP for enhanced
Abdurrahim Akgündoğdu1, Şerife Çelikbaş2
1Electrical Electronics Engineering, Istanbul University-Cerrahpaşa, Istanbul, 34093, Istanbul, Turkey.
Medical Engineering & Physics
|September 9, 2025
Summary
Explainable AI (XAI) techniques like LIME, Grad-CAM, and SHAP significantly improved deep learning models for brain tumor detection. This enhanced model accuracy from 97.20% to 99.40% on the BRATS2019 dataset.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Computer Science
Background:
- Deep learning enhances disease diagnosis but often lacks transparency.
- AI decision systems require improved interpretability for clinical trust.
- Brain tumor detection is a critical application for AI in healthcare.
Purpose of the Study:
- To enhance the explainability and training performance of deep learning models for brain tumor detection.
- To integrate explainable artificial intelligence (XAI) techniques into a convolutional neural network (CNN).
- To validate the effectiveness of XAI in improving diagnostic accuracy and model reliability.
Main Methods:
- A two-stage training approach was employed for a CNN model.
- Explainable AI (XAI) methods including Local Interpretable Model-Agnostic Explanations (LIME), Gradient-weighted Class Activation Mapping (Grad-CAM), and Shapley Additive Explanations (SHAP) were utilized.
- Generated XAI masks were used to augment the dataset for improved training.
Main Results:
- The initial CNN model achieved 97.20% accuracy on the BRATS2019 dataset.
- Integration of LIME, Grad-CAM, and SHAP masks improved accuracy to 99.40%, with sensitivity at 99.20%, specificity at 99.60%, and ROC-AUC at 99.90%.
- The model demonstrated generalizability, with accuracy increasing from 96.80% to 99.80% on the BR35H dataset.
Conclusions:
- XAI techniques significantly enhance the performance and interpretability of deep learning models for brain tumor detection.
- The proposed method offers a reliable and stable strategy for improving AI diagnostic accuracy in medical imaging.
- The integration of XAI is crucial for developing trustworthy and effective AI-driven clinical decision support systems.
