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Explainable prototype-based image classification using adaptive feature extractors in medical images.

Nicolas Vasconcellos1, Luis M N Tavora1, Rolando Miragaia2

  • 1Instituto de Telecomunicações, Leiria, 2411-901, Portugal; ESTG, Polytechnic of Leiria, Leiria, 2411-901, Portugal.

Computers in Biology and Medicine
|November 22, 2025
PubMed
Summary
This summary is machine-generated.

This study introduces Explainable Prototype-based Image Classification, enhancing AI explainability. The method improves accuracy and reduces prototypes for better medical image analysis.

Keywords:
Adaptive feature extractorsClusteringExplainable artificial intelligenceExplainable classificationMedical imagingMedical imaging classificationPrototype-based classifiers

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Area of Science:

  • Artificial Intelligence
  • Machine Learning
  • Computer Vision

Background:

  • Prototype-based classifiers offer explainable AI (XAI) by using data samples (prototypes) for classification.
  • Existing methods often use generic feature extractors, limiting prototype representativeness and classifier performance.
  • This gap hinders effective application in specialized domains like medical imaging.

Purpose of the Study:

  • To propose a novel cluster-oriented training strategy for enhanced prototype-based classifiers.
  • To improve both the performance and explainability of AI models in image classification tasks.
  • To address limitations in feature extraction for identifying representative prototypes.

Main Methods:

  • Developed Explainable Prototype-based Image Classification (EPIC) with a novel Cluster Density Error (CDE) loss function.
  • Fine-tuned feature extractors to preserve representative feature vectors in the latent space.
  • Employed Principal Component Analysis (PCA) for feature vector dimensionality reduction.

Main Results:

  • Achieved high classification accuracy (up to 95.01%) and Area Under the Curve (AUC) (0.992) on medical image datasets.
  • Demonstrated superior explainability compared to existing prototype-based methods.
  • Significantly reduced the number of prototypes required (by 98.38%) while improving performance.

Conclusions:

  • The proposed EPIC method enhances prototype-based classifier performance and explainability.
  • CDE loss and PCA integration effectively identify representative prototypes and reduce complexity.
  • This approach shows promise for accurate and interpretable AI in medical image analysis.