用泰勒展开的样条网络实现轻量级医疗影像分类，精准且可解释。

Effective and interpretable classification of medical images is a challenge in computer-aided diagnosis, especially in resource-limited clinical settings. This study introduces spline-based Kolmogorov-Arnold Networks (KANs) for accurate medical image classification with limited, diverse datasets. The models include SBTAYLOR-KAN, integrating B-splines with Taylor series; SBRBF-KAN, combining B-splines with Radial Basis Functions; and SBWAVELET-KAN, embedding B-splines in Morlet wavelet transforms. These approaches leverage spline-based function approximation to capture both local and global nonlinearities. The models were evaluated on brain MRI, chest X-rays, tuberculosis X-rays, and skin lesion images without preprocessing, demonstrating the ability to learn directly from raw data. Extensive experiments, including cross-dataset validation and data reduction analysis, showed strong generalization and stability. SBTAYLOR-KAN achieved up to 98.93% accuracy, with a balanced F1-score, maintaining over 86% accuracy using only 30% of the training data across three datasets. Despite class imbalance in the skin cancer dataset, experiments on both imbalanced and balanced versions showed SBTAYLOR-KAN outperforming other models, achieving 68.22% accuracy. Unlike traditional CNNs, which require millions of parameters (e.g., ResNet50 with 24.18M), SBTAYLOR-KAN achieves comparable performance with just 2,872 trainable parameters, making it more suitable for constrained medical environments. Gradient-weighted Class Activation Mapping (Grad-CAM) was used for interpretability, highlighting relevant regions in medical images. This framework provides a lightweight, interpretable, and generalizable solution for medical image classification, addressing the challenges of limited datasets and data-scarce scenarios in clinical AI applications.