arXiv:2409.07347eess.SPcs.LG2024-09综述被引 6

解释性AI让医疗模型更透明,助力慢性病精准诊断。

The Role of Explainable AI in Revolutionizing Human Health Monitoring: A Review

  • 用9种XAI算法分析医疗模型决策过程,提升可解释性。
  • 透明化模型能增强医生信任,改善临床诊断结果。
  • 适合关注AI医疗落地的医生、研究者和系统开发者。

疾病机制复杂且患者症状多变,给有效诊断工具开发带来挑战。尽管机器学习在医疗诊断中取得显著进展,但其决策过程常缺乏透明度,可能影响患者预后。本文综述解释性AI(XAI)在解决医疗领域机器学习模型可解释性问题中的作用,聚焦帕金森病、中风、抑郁症、癌症、心脏病及阿尔茨海默病等慢性病。通过多数据库检索,识别应用XAI技术于慢性病诊断与监测的研究。共发现9种主流XAI算法,评估其在不同医疗场景中的优劣。研究强调模型透明性对提升临床信任与诊疗效果至关重要。尽管XAI有望弥合复杂模型与临床实践间的鸿沟,但面临可扩展性、验证难度及医生接受度等挑战。文章指出需进一步研究如何将XAI融入医疗系统。结论认为,XAI是提升健康监测与患者护理的可行路径,但须克服关键障碍才能实现临床广泛应用。

原文摘要 · Abstract (English)

The complex nature of disease mechanisms and the variability of patient symptoms pose significant challenges in developing effective diagnostic tools. Although machine learning (ML) has made substantial advances in medical diagnosis, the decision-making processes of these models often lack transparency, potentially jeopardizing patient outcomes. This review aims to highlight the role of Explainable AI (XAI) in addressing the interpretability issues of ML models in healthcare, with a focus on chronic conditions such as Parkinson's, stroke, depression, cancer, heart disease, and Alzheimer's disease. A comprehensive literature search was conducted across multiple databases to identify studies that applied XAI techniques in healthcare. The search focused on XAI algorithms used in diagnosing and monitoring chronic diseases. The review identified the application of nine trending XAI algorithms, each evaluated for their advantages and limitations in various healthcare contexts. The findings underscore the importance of transparency in ML models, which is crucial for improving trust and outcomes in clinical practice. While XAI provides significant potential to bridge the gap between complex ML models and clinical practice, challenges such as scalability, validation, and clinician acceptance remain. The review also highlights areas requiring further research, particularly in integrating XAI into healthcare systems. The study concludes that XAI methods offer a promising path forward for enhancing human health monitoring and patient care, though significant challenges must be addressed to fully realize their potential in clinical settings.

解释性AI医疗诊断慢性病可解释性

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