Ensemble-Based Early Detection of Malaria via Explainable ViT-CNN Feature Fusion and SHAP
Esra Yüzgeç Özdemir1,2, Canan Koç1, Kerem Küçük3
1Software Engineering Department, Engineering Faculty, Firat University, Elazig, Turkey.
Journal of Imaging Informatics in Medicine
|October 24, 2025
Summary
This study introduces a fast, explainable AI model for malaria diagnosis using blood smear images. The hybrid artificial intelligence (AI) system achieves high accuracy, significantly outperforming traditional methods for early disease detection.
Area of Science:
- Medical Diagnostics
- Artificial Intelligence in Medicine
- Parasitology
Background:
- Malaria diagnosis is crucial for disease control but current methods are slow and require expertise.
- Automated systems using artificial intelligence (AI) offer potential for rapid and reliable malaria diagnosis.
- Explainable AI (XAI) enhances trust and understanding in AI diagnostic tools.
Purpose of the Study:
- To develop and evaluate a hybrid AI model for accurate malaria diagnosis from microscopic blood smear images.
- To integrate explainable AI (XAI) features for improved transparency and interpretability.
- To assess the speed and efficiency of the proposed AI model compared to traditional methods.
Main Methods:
- A hybrid model combining Vision Transformer (ViT) and EfficientNet Convolutional Neural Network (CNN) features.
- Utilizing SHAP (SHapley Additive exPlanations) for feature importance filtering.
- Retraining significant features with an ensemble of CatBoost, XGBoost, and Logistic Regression.
Main Results:
- The hybrid model combining ViT_Large_16 and EfficientNetB0 achieved 95.61% accuracy.
- The system processed images in 1.6 seconds, approximately 204 times faster than traditional machine learning.
- ViT-based models demonstrated superior ability in capturing intricate details in blood smear images.
Conclusions:
- The proposed hybrid XAI model offers significant speed and explainability advantages for malaria diagnosis.
- The system's high performance suggests its suitability for integration into clinical applications for early infectious disease detection.
- This AI-driven approach can enhance the efficiency and accessibility of malaria diagnostics worldwide.


