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Interpretable ROI Identification in Brain Image Analysis: Overcoming CNN Black Box Challenges With Kriging-Enhanced
HyunAh Lee1, Jihnhee Yu1, Soyun Park2
1Department of Biostatistics, The State University of New York, University at Buffalo, Buffalo, New York, USA.
Statistics in Medicine
|June 23, 2026
Summary
We developed a new framework called adaptive spatial key-region identification (ASKRI) to improve brain image analysis. ASKRI enhances the accuracy and interpretability of identifying regions of interest, making diagnostic support more efficient.
Area of Science:
- Neuroimaging
- Computational Neuroscience
- Medical Image Analysis
Background:
- Brain image analysis faces challenges in precision, computational efficiency, and interpretability.
- Neural networks (CNNs) are effective but often act as black boxes, limiting clinical utility.
- Interpreting complex patterns in brain scans remains a significant hurdle for widespread adoption.
Purpose of the Study:
- To introduce the adaptive spatial key-region identification (ASKRI) framework for enhanced brain image analysis.
- To improve the accuracy and interpretability of identifying regions of interest (ROIs) in brain scans.
- To reduce computational burden in deep learning models for neuroimaging without compromising performance.
Main Methods:
- ASKRI combines adaptive sampling (Shannon entropy), probability-mean-driven selection, and kriging for spatial uncertainty quantification.
- It integrates block-to-block kriging with statistical inference to interpolate CNN-derived classification performance.
- The framework is designed for seamless integration with convolutional neural networks (CNNs).
Main Results:
- ASKRI significantly reduces computational load for model training while maintaining predictive accuracy.
- The framework reliably identifies spatially consistent and biologically meaningful regions associated with aging in the TRACK-TBI dataset.
- ASKRI enhances both accuracy and interpretability in region of interest identification.
Conclusions:
- The ASKRI framework offers a novel, transparent, and resource-efficient approach to brain image analysis.
- It has the potential to advance diagnostic support in clinical settings by improving ROI identification.
- ASKRI addresses key limitations in current neuroimaging analysis, paving the way for more reliable clinical applications.