用可解释的神经网络提升皮肤癌诊断准确率与透明度。

Skin cancer is one of the most prevalent and potentially life-threatening diseases worldwide, necessitating early and accurate diagnosis to improve patient outcomes. Conventional diagnostic methods, reliant on clinical expertise and histopathological analysis, are often time-intensive, subjective, and prone to variability. To address these limitations, we propose a novel hybrid deep learning framework that integrates convolutional neural networks (CNNs) with Radial Basis Function (RBF) Networks to achieve high classification accuracy and enhanced interpretability. The motivation for incorporating RBF Networks lies in their intrinsic interpretability and localized response to input features, which make them well-suited for tasks requiring transparency and fine-grained decision-making. Unlike traditional deep learning models that rely on global feature representations, RBF Networks allow for mapping segments of images to chosen prototypes, exploiting salient features within a single image. This enables clinicians to trace predictions to specific, interpretable patterns. The framework incorporates segmentation-based feature extraction, active learning for prototype selection, and K-Medoids clustering to focus on these salient features. Evaluations on the ISIC 2016 and ISIC 2017 datasets demonstrate the model's effectiveness, achieving classification accuracies of 83.02\% and 72.15\% using ResNet50, respectively, and outperforming VGG16-based configurations. By generating interpretable explanations for predictions, the framework aligns with clinical workflows, bridging the gap between predictive performance and trustworthiness. This study highlights the potential of hybrid models to deliver actionable insights, advancing the development of reliable AI-assisted diagnostic tools for high-stakes medical applications.