Explainable image analysis for decision support in medical healthcare
Bibliographic record
Abstract
Recent advances in medical imaging and deep learning have enabled the efficient analysis of large databases of images. Notable examples include the analysis of computed tomography (CT), magnetic resonance imaging (MRI), and X-ray. While the automatic classification of images has proven successful, adopting such a paradigm in the medical healthcare setting is unfeasible. Indeed, the physician in charge of the detailed medical assessment and diagnosis of patients cannot trust a deep learning model’s decisions without further explanations or insights about their classification outcome. In this study, rather than relying on classification, we propose a new method that leverages deep neural networks to extract a representation of images and further analyze them through clustering, dimensionality reduction for visualization, and class activation mapping. Thus, the system does not make decisions on behalf of physicians. Instead, it helps them make a diagnosis. Experimental results on lung images affected by Pneumonia and Covid-19 lesions show the potential of our method as a tool for decision support in a medical setting. It allows the physician to identify groups of similar images and highlight regions of the input that the model deemed important for its predictions.
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How this classification was reachedexpand
Full frame machine prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. The Gemma side is a direct model label for every work in the frame, read from the title-only record. The Codex side is a classifier learned from the 10,348 direct Codex labels and calibrated to design-weighted sample rates; fields without enough sample support carry no Codex call. Candidate is the union of the two sides; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels.
Distilled classifier scores by category (both heads)
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.007 |
| Meta-epidemiology (narrow) | 0.001 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.001 |
| Bibliometrics | 0.002 | 0.001 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.002 | 0.002 |
| Open science | 0.001 | 0.001 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.006 | 0.001 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from itClassification
machine, unvalidatedMachine predicted; a candidate call from one source (direct Gemma or distilled Codex), not a consensus.
How this classification was reached, model by model and score by score, is at the end of the page under "How this classification was reached".