arXiv:2508.06891eess.IVcs.CV2025-08被引 18

融合深度学习与可解释AI,提升脑瘤分类准确率与临床可信度。

Fusion-Based Brain Tumor Classification Using Deep Learning and Explainable AI, and Rule-Based Reasoning

  • 用MobileNetV2与DenseNet121软投票融合,提升分类性能。
  • 准确率达91.7%,热力图与专家标注区域匹配度高(Dice达0.88)。
  • 结合医学规则与可视化,适合放射科医生辅助诊断使用。

基于磁共振成像(MRI)的脑肿瘤精准分类对诊断和治疗规划至关重要。本研究提出一种基于集成学习的深度学习框架,融合MobileNetV2与DenseNet121卷积神经网络(CNN),采用软投票策略,对胶质瘤、脑膜瘤和垂体腺瘤三类常见脑肿瘤进行分类。模型在Figshare数据集上通过分层5折交叉验证进行训练与评估。为增强透明度与临床信任,框架整合了基于Grad-CAM++的可解释AI(XAI)模块,实现类别特异性显著性可视化,并引入符号化临床决策规则叠加(CDRO),将预测结果映射至既定影像学判读准则。集成分类器性能优于单一CNN,准确率91.7%、精确率91.9%、召回率91.7%、F1分数91.6%。Grad-CAM++可视化显示模型关注区域与专家标注肿瘤区高度一致,Dice系数最高达0.88,交并比(IoU)最高达0.78。临床规则激活进一步验证了具有明显形态特征病例的预测合理性。五位认证放射科医生参与的人机交互可解释性评估显示,解释有用性平均得分4.4,热力图与病灶区域对应性平均得分4.0,强化了该框架的临床适用性。整体而言,该方法提供了一种鲁棒、可解释且泛化性强的自动化脑肿瘤分类方案,推动深度学习在临床神经影像诊断中的应用。

原文摘要 · Abstract (English)

Accurate and interpretable classification of brain tumors from magnetic resonance imaging (MRI) is critical for effective diagnosis and treatment planning. This study presents an ensemble-based deep learning framework that combines MobileNetV2 and DenseNet121 convolutional neural networks (CNNs) using a soft voting strategy to classify three common brain tumor types: glioma, meningioma, and pituitary adenoma. The models were trained and evaluated on the Figshare dataset using a stratified 5-fold cross-validation protocol. To enhance transparency and clinical trust, the framework integrates an Explainable AI (XAI) module employing Grad-CAM++ for class-specific saliency visualization, alongside a symbolic Clinical Decision Rule Overlay (CDRO) that maps predictions to established radiological heuristics. The ensemble classifier achieved superior performance compared to individual CNNs, with an accuracy of 91.7%, precision of 91.9%, recall of 91.7%, and F1-score of 91.6%. Grad-CAM++ visualizations revealed strong spatial alignment between model attention and expert-annotated tumor regions, supported by Dice coefficients up to 0.88 and IoU scores up to 0.78. Clinical rule activation further validated model predictions in cases with distinct morphological features. A human-centered interpretability assessment involving five board-certified radiologists yielded high Likert-scale scores for both explanation usefulness (mean = 4.4) and heatmap-region correspondence (mean = 4.0), reinforcing the framework's clinical relevance. Overall, the proposed approach offers a robust, interpretable, and generalizable solution for automated brain tumor classification, advancing the integration of deep learning into clinical neurodiagnostics.

脑瘤分类可解释AI深度学习医学影像

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