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Updated: Jan 16, 2026

Evidence-based Knowledge Synthesis and Hypothesis Validation: Navigating Biomedical Knowledge Bases via Explainable AI and Agentic Systems
Published on: June 13, 2025
Fostering trust and interpretability: integrating explainable AI (XAI) with machine learning for enhanced disease
Renuka Agrawal1, Tawishi Gupta2, Shaurya Gupta2
1Department of Computer Science, Symbiosis Institute of Technology, Symbiosis International (Deemed University), Pune, Maharashtra, 412115, India. renuka.agrawal@sitpune.edu.in.
This study introduces a hybrid AI framework combining machine learning and explainable AI for disease prediction. It achieves 99.2% accuracy while providing clear explanations, enhancing trust in AI healthcare decisions.
Area of Science:
- Medical Informatics
- Artificial Intelligence in Healthcare
- Machine Learning for Disease Prediction
Background:
- Artificial Intelligence (AI) significantly advances early disease detection and clinical decision support.
- The 'black box' nature of AI models hinders widespread adoption in healthcare due to a lack of transparency.
- Medical practitioners require understandable reasoning for AI-driven diagnostic outcomes.
Purpose of the Study:
- To develop a hybrid Machine Learning (ML) framework integrating Explainable AI (XAI) strategies.
- To enhance both the predictive performance and interpretability of AI models in healthcare.
- To address the critical need for transparency in AI-driven medical diagnostics.
Main Methods:
- Utilized a hybrid ML framework incorporating Decision Trees, Naive Bayes, Random Forests, and XGBoost algorithms.
- Integrated Explainable AI (XAI) techniques, specifically SHAP (SHapley Additive exPlanations) and LIME (Local Interpretable Model-agnostic Explanations).
- Applied the framework for predicting risks of Diabetes, Anaemia, Thalassemia, Heart Disease, and Thrombocytopenia.
Main Results:
- Achieved a high accuracy of 99.2% in predicting various medical conditions.
- The framework successfully provided understandable explanations for AI-generated predictions.
- Key features contributing to each prediction were identified and displayed using SHAP and LIME.
Conclusions:
- The developed framework enhances AI model interpretability and predictive accuracy in healthcare.
- Understandable AI outputs empower clinical practitioners to make informed decisions, reducing distrust.
- This approach bridges the gap between AI capabilities and clinical adoption in critical medical scenarios.
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