Diagnostics,
Journal Year:
2025,
Volume and Issue:
15(5), P. 612 - 612
Published: March 4, 2025
Alzheimer's
disease
(AD)
remains
a
significant
global
health
challenge,
affecting
millions
worldwide
and
imposing
substantial
burdens
on
healthcare
systems.
Advances
in
artificial
intelligence
(AI),
particularly
deep
learning
machine
learning,
have
revolutionized
neuroimaging-based
AD
diagnosis.
However,
the
complexity
lack
of
interpretability
these
models
limit
their
clinical
applicability.
Explainable
Artificial
Intelligence
(XAI)
addresses
this
challenge
by
providing
insights
into
model
decision-making,
enhancing
transparency,
fostering
trust
AI-driven
diagnostics.
This
review
explores
role
XAI
neuroimaging,
highlighting
key
techniques
such
as
SHAP,
LIME,
Grad-CAM,
Layer-wise
Relevance
Propagation
(LRP).
We
examine
applications
identifying
critical
biomarkers,
tracking
progression,
distinguishing
stages
using
various
imaging
modalities,
including
MRI
PET.
Additionally,
we
discuss
current
challenges,
dataset
limitations,
regulatory
concerns,
standardization
issues,
propose
future
research
directions
to
improve
XAI's
integration
practice.
By
bridging
gap
between
AI
interpretability,
holds
potential
refine
diagnostics,
personalize
treatment
strategies,
advance
research.
Brain Informatics,
Journal Year:
2024,
Volume and Issue:
11(1)
Published: April 5, 2024
Abstract
Explainable
artificial
intelligence
(XAI)
has
gained
much
interest
in
recent
years
for
its
ability
to
explain
the
complex
decision-making
process
of
machine
learning
(ML)
and
deep
(DL)
models.
The
Local
Interpretable
Model-agnostic
Explanations
(LIME)
Shaply
Additive
exPlanation
(SHAP)
frameworks
have
grown
as
popular
interpretive
tools
ML
DL
This
article
provides
a
systematic
review
application
LIME
SHAP
interpreting
detection
Alzheimer’s
disease
(AD).
Adhering
PRISMA
Kitchenham’s
guidelines,
we
identified
23
relevant
articles
investigated
these
frameworks’
prospective
capabilities,
benefits,
challenges
depth.
results
emphasise
XAI’s
crucial
role
strengthening
trustworthiness
AI-based
AD
predictions.
aims
provide
fundamental
capabilities
XAI
enhancing
fidelity
within
clinical
decision
support
systems
prognosis.
Cognitive Computation,
Journal Year:
2023,
Volume and Issue:
16(1), P. 1 - 44
Published: Nov. 13, 2023
Abstract
The
unprecedented
growth
of
computational
capabilities
in
recent
years
has
allowed
Artificial
Intelligence
(AI)
models
to
be
developed
for
medical
applications
with
remarkable
results.
However,
a
large
number
Computer
Aided
Diagnosis
(CAD)
methods
powered
by
AI
have
limited
acceptance
and
adoption
the
domain
due
typical
blackbox
nature
these
models.
Therefore,
facilitate
among
practitioners,
models'
predictions
must
explainable
interpretable.
emerging
field
(XAI)
aims
justify
trustworthiness
predictions.
This
work
presents
systematic
review
literature
reporting
Alzheimer's
disease
(AD)
detection
using
XAI
that
were
communicated
during
last
decade.
Research
questions
carefully
formulated
categorise
into
different
conceptual
approaches
(e.g.,
Post-hoc,
Ante-hoc,
Model-Agnostic,
Model-Specific,
Global,
Local
etc.)
frameworks
(Local
Interpretable
Model-Agnostic
Explanation
or
LIME,
SHapley
Additive
exPlanations
SHAP,
Gradient-weighted
Class
Activation
Mapping
GradCAM,
Layer-wise
Relevance
Propagation
LRP,
XAI.
categorisation
provides
broad
coverage
interpretation
spectrum
from
intrinsic
Ante-hoc
models)
complex
patterns
Post-hoc
taking
local
explanations
global
scope.
Additionally,
forms
interpretations
providing
in-depth
insight
factors
support
clinical
diagnosis
AD
are
also
discussed.
Finally,
limitations,
needs
open
challenges
research
outlined
possible
prospects
their
usage
detection.
Sci,
Journal Year:
2023,
Volume and Issue:
5(1), P. 13 - 13
Published: March 21, 2023
Alzheimer’s
Disease
(AD)
is
becoming
increasingly
prevalent
across
the
globe,
and
various
diagnostic
detection
methods
have
been
developed
in
recent
years.
Several
techniques
are
available,
including
Automatic
Pipeline
Methods
Machine
Learning
that
utilize
Biomarker
Methods,
Fusion,
Registration
for
multimodality,
to
pre-process
medical
scans.
The
use
of
automated
pipelines
machine
learning
systems
has
proven
beneficial
accurately
identifying
AD
its
stages,
with
a
success
rate
over
95%
single
binary
class
classifications.
However,
there
still
challenges
multi-class
classification,
such
as
distinguishing
between
MCI,
well
sub-stages
MCI.
research
also
emphasizes
significance
using
multi-modality
approaches
effective
validation
detecting
stages.
npj Digital Medicine,
Journal Year:
2024,
Volume and Issue:
7(1)
Published: July 22, 2024
Abstract
Explainable
artificial
intelligence
(XAI)
has
experienced
a
vast
increase
in
recognition
over
the
last
few
years.
While
technical
developments
are
manifold,
less
focus
been
placed
on
clinical
applicability
and
usability
of
systems.
Moreover,
not
much
attention
given
to
XAI
systems
that
can
handle
multimodal
longitudinal
data,
which
we
postulate
important
features
many
workflows.
In
this
study,
review,
from
perspective,
current
state
for
datasets
highlight
challenges
thereof.
Additionally,
propose
orchestrator,
an
instance
aims
help
clinicians
with
synopsis
resulting
AI
predictions,
corresponding
explainability
output.
We
several
desirable
properties
such
as
being
adaptive,
hierarchical,
interactive,
uncertainty-aware.
This
chapter
presents
a
groundbreaking
procedure
to
neurological
affliction
location
through
coordination
of
wearable
sensors
with
predominant
engineered
insights
(AI)
calculations.
Continuously
collected
data
from
guides
the
devices
recognize
early
biomarkers
disease,
encouraging
convenient
intervention
and
optimized
treatment
outcomes.
In
addition,
closed-loop
feedback
mechanism
characteristic
grants
versatile
checking
custom-fitted
each
patient's
ensuring
doubt
precise
discovery
adjustments
in
notoriety.
The
integration
AI
into
sensor
machine
enhances
predictive
analytics,
providing
valuable
bits
knowledge
viability
personalized
plans.
Standardization
information
codecs
conventions
is
basic
encourage
consistent
records
substitute
collaboration
among
healthcare
carriers.
Collaborative
efforts
analysts,
clinicians,
policymakers,
ethicists
are
essential
establish
guidelines
quality
practices
for
mindful
evenhanded
execution
AI-driven
innovation
healthcare.
By
embracing
development,
collaboration,
ethical
stewardship,
we
will
open
full
potential
those
innovations
upgrade
individual
care
boost
this
field
neurology.
IEEE Access,
Journal Year:
2023,
Volume and Issue:
11, P. 123173 - 123193
Published: Jan. 1, 2023
Alzheimer's
disease
(AD)
is
a
progressive
neurological
disorder
characterized
by
memory
loss
and
cognitive
decline,
affecting
millions
worldwide.
Early
detection
crucial
for
effective
treatment,
as
it
can
slow
progression
improve
quality
of
life.
Machine
learning
has
shown
promise
in
AD
using
various
medical
modalities.
In
this
paper,
we
propose
novel
multi-level
stacking
model
that
combines
heterogeneous
models
modalities
to
predict
different
classes
AD.
The
include
sub-scores
(e.g.,
clinical
dementia
rating
–
sum
boxes,
assessment
scale)
from
the
Disease
Neuroimaging
Initiative
dataset.
proposed
approach,
level
1,
used
six
base
(Random
Forest
(RF),
Decision
Tree
(DT),
Support
Vector
(SVM),
Logistic
Regression
(LR),
K-nearest
Neighbors
(KNN),
Native
Bayes
(NB)to
train
each
modality
(ADAS,
CDR,
FQA).
Then,
build
training
outputs
set
staking
testing
outcomes
set.
2,
three
are
produced
trains
evaluates
based
on
output
6
(RF,
LR,
DT,
SVM,
KNN,
NB)
combined
Stacking
meta-learners
evaluate
(RF).
Finally,
3,
prediction
FQA)
datasets
merged
new
dataset,
which
testing.
Training
meta-learner,
meta-learner
produce
final
prediction.
Our
research
also
aims
provide
explanations,
ensuring
efficiency,
effectiveness,
trust
through
explainable
artificial
intelligence
(XAI).
Feature
selection
optimization
Particle
Swarm
Optimization
select
most
appropriate
sub-scores.
shows
significant
potential
improving
early
diagnosis.
results
demonstrate
multi-modality
approach
outperforms
single-modality
approaches.
Moreover,
achieve
highest
performance
with
selected
features
compared
regular
ML
classifiers
full
multi-modalities,
achieving
accuracy,
precision,
recall,
F1-scores
92.08%,
92.07%,
92.01%
two
classes,
90.03%,
90.19%,
90.05%
respectively.