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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
eXplainable artificial intelligence-Eval: A framework for comparative evaluation of explanation methods in
Krish Agrawal1, Radwa El Shawi2, Nada Ahmed3
1Indian Institute of Technology Indore, Indore, MP, India.
RuleFit and RuleMatrix offer robust global explanations in healthcare AI. This study provides a framework for selecting trustworthy machine learning explainability methods for clinical use.
Area of Science:
- Artificial Intelligence in Healthcare
- Machine Learning Explainability
- Clinical Decision Support Systems
Background:
- Machine learning (ML) models are vital in healthcare, but their adoption requires explainability for trust and compliance.
- Evaluating the effectiveness of ML explanation methods in real-world clinical settings is crucial.
Purpose of the Study:
- To quantitatively compare local and global explainability methods in healthcare.
- To assess the suitability of various explanation techniques for clinical applications.
Main Methods:
- Introduced a structured methodology for evaluating explainability techniques.
- Assessed five local methods (LIME, contextual importance, RuleFit, RuleMatrix, Anchor) and four global methods (LIME, Anchor, RuleFit, RuleMatrix).
- Conducted experiments on diverse healthcare datasets and tasks using multiple explainability criteria.
Main Results:
- RuleFit and RuleMatrix demonstrated consistent, robust global explanations across healthcare tasks.
- Local explanation methods exhibited variable performance based on dataset and evaluation criteria.
- Identified trade-offs between fidelity, stability, and complexity in explanation methods.
Conclusions:
- Developed a practical framework for assessing ML explanation methods in healthcare.
- Provided guidance for selecting trustworthy and transparent ML techniques for clinical deployment.
- Emphasized the importance of systematic evaluation for safe ML implementation in sensitive environments.
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