{"title":"Explainability and uncertainty: Two sides of the same coin for enhancing the interpretability of deep learning models in healthcare","authors":"Massimo Salvi , Silvia Seoni , Andrea Campagner , Arkadiusz Gertych , U.Rajendra Acharya , Filippo Molinari , Federico Cabitza","doi":"10.1016/j.ijmedinf.2025.105846","DOIUrl":null,"url":null,"abstract":"<div><h3>Background</h3><div>The increasing use of Deep Learning (DL) in healthcare has highlighted the critical need for improved transparency and interpretability. While Explainable Artificial Intelligence (XAI) methods provide insights into model predictions, reliability cannot be guaranteed by simply relying on explanations.</div></div><div><h3>Objectives</h3><div>This position paper proposes the integration of Uncertainty Quantification (UQ) with XAI methods to improve model reliability and trustworthiness in healthcare applications.</div></div><div><h3>Methods</h3><div>We examine state-of-the-art XAI and UQ techniques, discuss implementation challenges, and suggest solutions to combine UQ with XAI methods. We propose a framework for estimating both aleatoric and epistemic uncertainty in the XAI context, providing illustrative examples of their potential application.</div></div><div><h3>Results</h3><div>Our analysis indicates that integrating UQ with XAI could significantly enhance the reliability of DL models in practice. This approach has the potential to reduce interpretation biases and over-reliance, leading to more cautious and conscious use of AI in healthcare.</div></div>","PeriodicalId":54950,"journal":{"name":"International Journal of Medical Informatics","volume":"197 ","pages":"Article 105846"},"PeriodicalIF":3.7000,"publicationDate":"2025-02-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"International Journal of Medical Informatics","FirstCategoryId":"3","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1386505625000632","RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"COMPUTER SCIENCE, INFORMATION SYSTEMS","Score":null,"Total":0}
引用次数: 0
Abstract
Background
The increasing use of Deep Learning (DL) in healthcare has highlighted the critical need for improved transparency and interpretability. While Explainable Artificial Intelligence (XAI) methods provide insights into model predictions, reliability cannot be guaranteed by simply relying on explanations.
Objectives
This position paper proposes the integration of Uncertainty Quantification (UQ) with XAI methods to improve model reliability and trustworthiness in healthcare applications.
Methods
We examine state-of-the-art XAI and UQ techniques, discuss implementation challenges, and suggest solutions to combine UQ with XAI methods. We propose a framework for estimating both aleatoric and epistemic uncertainty in the XAI context, providing illustrative examples of their potential application.
Results
Our analysis indicates that integrating UQ with XAI could significantly enhance the reliability of DL models in practice. This approach has the potential to reduce interpretation biases and over-reliance, leading to more cautious and conscious use of AI in healthcare.
期刊介绍:
International Journal of Medical Informatics provides an international medium for dissemination of original results and interpretative reviews concerning the field of medical informatics. The Journal emphasizes the evaluation of systems in healthcare settings.
The scope of journal covers:
Information systems, including national or international registration systems, hospital information systems, departmental and/or physician''s office systems, document handling systems, electronic medical record systems, standardization, systems integration etc.;
Computer-aided medical decision support systems using heuristic, algorithmic and/or statistical methods as exemplified in decision theory, protocol development, artificial intelligence, etc.
Educational computer based programs pertaining to medical informatics or medicine in general;
Organizational, economic, social, clinical impact, ethical and cost-benefit aspects of IT applications in health care.