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Updated: May 9, 2026

Generating the Transcriptional Regulation View of Transcriptomic Features for Prediction Task and Dark Biomarker Detection on Small Datasets
Published on: March 1, 2024
A systematic evaluation of explainable AI methods for high-dimensional transcriptome-based cancer survival prediction
Yiyi Zuo1, Shuting Yang2, Wenxue Zhao1
1Shenzhen Campus of Sun Yat-sen University, Molecular Cancer Research Center, School of Medicine, Shenzhen, China.
This study benchmarks Explainable Artificial Intelligence (XAI) methods for cancer survival prediction using transcriptomic data. DeepSHAP and Layer-wise Relevance Propagation (LRP) show promise, while Permutation Feature Importance (PFI) fails with high-dimensional data.
Area of Science:
- Computational Biology
- Genomics
- Artificial Intelligence
Background:
- Deep learning models for cancer survival prediction are often "black boxes," hindering clinical trust.
- Explainable Artificial Intelligence (XAI) offers potential solutions but lacks systematic evaluation for high-dimensional survival data.
Purpose of the Study:
- To systematically benchmark six representative XAI methods for transcriptome-based cancer survival prediction.
- To develop a unified framework for evaluating XAI methods on high-dimensional survival data.
- To identify the most reliable XAI tools for precision medicine applications.
Main Methods:
- Evaluated six XAI methods (gradient-based, propagation-based, perturbation-based) using a Self-Normalizing Neural Network (SNN) baseline.
- Analyzed 6,248 samples across 15 cancer types from The Cancer Genome Atlas (TCGA).
- Assessed methods based on prognostic factor enrichment, biological consistency, and explanation stability.
Main Results:
- DeepSHAP demonstrated superior performance, identifying significant prognostic factors with high explanation stability.
- Layer-wise Relevance Propagation (LRP) showed strong biological consistency, suitable for validating general cancer genes.
- Permutation Feature Importance (PFI) failed due to an inability to handle feature collinearity in high-dimensional transcriptomic data.
Conclusions:
- Explanation stability is a reliable indicator of XAI biological validity.
- DeepSHAP and LRP are promising XAI tools for cancer survival prediction.
- This study provides an empirical framework for selecting trustworthy XAI tools in precision medicine.
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