An Integrated Architecture for Colorectal Polyp Segmentation: The µ-Net Framework with Explainable AI

Objectives: Colorectal cancer (CRC) is the second-deadliest cancer globally, with an estimated 52,900 additional deaths expected in the United States by 2025. Early detection through colonoscopy significantly reduces CRC mortality by enabling the removal of pre-cancerous polyps. However, manual visual inspection of colonoscopy images is time-consuming, tedious, and prone to human error. This study aims to develop an automated and reliable polyp segmentation and classification method to improve CRC screening. Methods: We propose a novel deep learning architecture called µ-Net for accurate polyp segmentation in colonoscopy images. The model was trained and evaluated using the Kvasir-SEG dataset. To ensure transparency and reliability, we incorporated Explainable AI (XAI) techniques, including saliency maps and Grad-CAM, to highlight regions of interest and interpret the model's decision-making process. Results: The µ-Net model achieved a Dice coefficient of 94.02%, outperforming other available segmentation models in accuracy, indicating its strong potential for clinical deployment. Integrating XAI provided meaningful visual explanations, enhancing trust in model predictions. Conclusions: The proposed µ-Net framework significantly improves the Precision and efficiency of automated polyp screening. Its ability to segment, classify, and interpret colonoscopy images enables early detection and supports clinical decision-making. This comprehensive approach offers a valuable tool for CRC prevention, ultimately contributing to better patient outcomes.