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An Explainable EfficientNet-ResNet Framework for Automated Breast Ultrasound Lesion Classification
Breast cancer represents a leading cause of mortality among women. Consequently, early detection is crucial for effective screening and reducing the overall death rate. Therefore, the development of computer-aided diagnosis systems is essential for identifying breast cancer in its initial stages. Because of its affordability, ultrasound serves as a vital examination tool for breast cancer diagnosis. Although numerous learning-based methods have recently been introduced to categorize breast cancer using the breast ultrasound imaging (BUSI) dataset, manual processing remains a difficult and highly time-consuming task. This study presents an XAI-based framework utilizing an EfficientNet-integrated ResNet deep network to precisely categorize breast cancer as either benign or malignant. Initially, data augmentation is applied to expand the training sample size. To achieve this, three-pixel flip mathematical equations are implemented: horizontal, vertical, and 90°. Subsequently, two pre-trained deep learning models are utilized, selectively skipping specific layers before fine-tuning. These adjusted models are then trained via a deep transfer learning process to extract features from their deeper layers. The performance of these trained models is evaluated utilizing explainable artificial intelligence (XAI). Following this, a novel feature selection approach known as cuckoo search controlled standard error mean is introduced, which is grounded in the cuckoo search algorithm. This method isolates the optimal features, which are then combined using a novel parallel zero-padding maximum correlated coefficient fusion technique. Finally, the selection algorithm is re-applied to the integrated feature vector prior to classification via machine learning algorithms. Experimental evaluations of the proposed framework, performed on the publicly accessible BUSI dataset, achieved accuracies of 98.4% and 98% across two distinct experiments. Comparisons with contemporary techniques demonstrate that the proposed framework offers enhanced accuracy. Furthermore, it requires less execution time compared to the standalone original deep learning models.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2022 | Article: 5

Improving Rehabilitation Outcome Prediction Using Hybrid Density-Based and Statistical Anomaly Detection
Recently, significant efforts have been dedicated to enhancing anomaly detection methods, especially concerning high-dimensional and distributed clinical datasets. The analysis of patient information in clinical environments highlights a strong emphasis on improving diagnostic precision, tailoring treatment strategies, and maximizing resource efficiency to boost health outcomes. However, this field encounters distinct difficulties, including sporadic data gathering, variable data quality, and structural differences unique to individual patients. To overcome these obstacles, this paper introduces an innovative hybrid framework that merges stochastic and heuristic techniques for detecting anomalies in clinical patient data. This approach leverages an HPO-optimized Density-Based Spatial Clustering of Applications with Noise to group patient exercise data, thereby streamlining the detection of abnormalities. Following this, an Interquartile Range-based stochastic technique filters out untrustworthy data points, guaranteeing that healthcare practitioners and diagnostic systems are supplied with only highly relevant and precise data. The main goal of this research is to provide medical experts and scholars with a reliable instrument for handling vast, high-dimensional clinical datasets, allowing for the successful separation and elimination of deviant data observations. Additionally, an advanced regression model was constructed utilizing Automated Machine Learning (AutoML) to evaluate the effectiveness of the ensemble technique for detecting abnormal patterns. Multiple statistical error evaluation methods are employed to verify the success of this hybrid strategy in conjunction with AutoML. Empirical findings indicate that applying this cutting-edge hybrid framework to patient rehabilitation data significantly boosts AutoML performance, yielding an average improvement of 0.041 in the score, thereby outperforming conventional regression models.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2022 | Article: 6

Machine Learning-Driven Obesity Classification and Tailored Treatment Recommendations
As a leading risk factor for chronic illnesses, obesity highlights the critical need for prompt diagnosis and active management. This research introduces an innovative expert system developed to precisely categorise obesity severity and offer individualised treatment advice. Utilising the SEMMA data mining framework alongside the tidymodels ecosystem, the study assessed five machine learning algorithms: decision tree, random forest, multinomial logistic regression (MLR), Naive Bayes, and support vector machine (SVM). Achieving the highest predictive accuracy (97.48%), MLR was chosen as the definitive model. The platform incorporates an intuitive R Shiny interface, promoting seamless real-time user engagement. Treatment protocols are formulated via if-then rule-based logic to guarantee customised advice for every obesity classification. A comparative evaluation emphasises the system's exceptional diagnostic precision and its functional utility in recommending treatments. By improving accessibility—especially for marginalised rural communities—this system bolsters public health by facilitating preliminary diagnosis, specific interventions, and forward-looking obesity care.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2022 | Article: 7

A Reversible Data Hiding Scheme for Secure Transmission of Encrypted DICOM Images
Modern technological innovations and breakthroughs in the medical sector have significantly enhanced life expectancy. While smart healthcare systems are currently being transformed by artificial intelligence (AI) and the Internet of Things (IoT), the confidentiality and security of medical data continue to be a critical challenge. Reversible data hiding (RDH) is extensively investigated within medical environments to facilitate secure information transmission, as well as in fields such as cloud computing and satellite imagery transfer. The transmission of medical images serves as a cornerstone of the smart healthcare industry.For clinical images, even a marginal distortion during reconstruction can result in diagnostic errors by physicians, thereby endangering patient safety. Consequently, while numerous RDH methods have been developed, a limited number focus specifically on clinical imagery, particularly regarding high-quality DICOM formats.The introduced AdaBPE RDH framework provides a robust solution for securely sharing patient health reports (PHRs) and other confidential data with medical professionals. This strategy introduces a methodology that establishes an optimal balance between leveraging smooth pixels for maximized intra-block data embedding and ensuring lossless image reconstruction. Within this framework, an encrypted 16-bit DICOM image serves as the host medium to conceal the patient's confidential data. The algorithm divides the cover image into equally sized, non-overlapping blocks, adaptively embedding data into these encrypted sections based on the underlying characteristics of the original pixel values via an MSB prediction error approach.Performance evaluation is conducted using both 16-bit DICOM and 8-bit natural images. The proposed method successfully meets the core RDH benchmarks of BER = 0, PSNR = ∞, and SSIM = 1, yielding an average embedding capacity of 5.7067 bpp for premium medical images and 1.6769 bpp for natural scenes. The empirical findings demonstrate substantial advantages, outperforming existing state-of-the-art approaches.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2022 | Article: 114

An Interpretable Multi-Task Transformer Framework for IDH Genotyping and Glioma Prognosis
The accurate determination of genotype and the clinical outlook for individuals with glioma present notable challenges, frequently relying on subjective evaluations and minimal scientific backing. This investigation intends to establish a dependable, noninvasive, preoperative learning framework based on a multi-modal MRI transformer to forecast IDH genotyping alongside glioma outcomes. This multi-institutional investigation gathered 563 individuals with glioma to construct an interpretable categorization model that leverages diverse preoperative imaging tracks, such as T1-weighted, T2-weighted, fluid-attenuated inversion recovery, contrast-enhanced T1-weighted, and diffusion-weighted imaging. The system utilizes a multi-task learning architecture designed to isolate and merge radiomic, deep learning, and clinical variables for IDH genotyping and glioma prognosis. Furthermore, a multi-modal transformer technique is incorporated to evaluate anatomical and functional MRI scans, thereby boosting the capabilities of the model. Empirical outcomes demonstrate that the framework achieves exceptional capability, outperforming prior investigations and alternative state-of-the-art approaches. The model attains an AUC of 91.40% for the IDH genotyping objective and 93.37% for the glioma prognosis objective. Subgroup evaluations indicate that the system displays heightened sensitivity toward IDH-mutant instances and identifies low-risk cohorts with greater precision than medium- or high-risk cohorts. This investigation intends to achieve precise IDH genotyping and glioma prognosis through an efficient classification methodology, delivering helpful diagnostic perspectives for clinical workflows and accelerating therapeutic determinations.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2022 | Article: 9

Explainable AI for Automatic Detection of Equatorial Plasma Bubbles Using 2DPCA and Recursive Feature Elimination
Equatorial plasma bubbles (EPBs) represent areas of reduced electron density that develop within Earth’s ionosphere as a result of Rayleigh–Taylor instability. These formations can trigger signal scintillation, which induces signal degradation and navigation positioning inaccuracies. EPBs can be identified via imagery gathered by All-Sky Imager (ASI) networks. The present research introduces an inexpensive, automated technique for identifying EPBs within ASI datasets, suitable for real-time monitoring as well as categorization tasks. This approach couples Two-Dimensional Principal Component Analysis (2DPCA) and Recursive Feature Elimination (RFE) alongside a Random Forest machine learning classifier to construct an Explainable Artificial Intelligence (XAI) framework. This framework extracts image characteristics to automate EPB detection using minimal dimensionality, yielding a compact and exceptionally rapid-to-train model designed to discern EPBs in recorded ASI frames. A collection of 2458 images, categorized into "Event" and "Empty" classes, was assembled to construct the database. This image repository was partitioned randomly into two distinct portions: an 80% training dataset and a 20% testing dataset. The developed XAI framework achieved a marginally better detection accuracy relative to the conventional 2DPCA approach while maintaining a notably smaller structural footprint. Additionally, the execution of the proposed framework was assessed and contrasted against alternative deep learning baselines (ResNet18, Inception-V3, VGG16, and VGG19) under identical environmental conditions.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2022 | Article: 10

Distribution-Aware LIME for High-Fidelity and Stable Explanations in Intrusion Detection Systems
The escalating complexity of malicious digital activities highlights the necessity for dependable and transparent intrusion detection systems (IDS) to preserve network integrity. Although machine learning frameworks like Decision Tree (DT), Random Forest (RF), k-Nearest Neighbors (K-NN), and XGBoost demonstrate exceptional capabilities in identifying malicious behavior, their inner mechanics grow increasingly opaque as structural complexity and predictive precision expand, creating challenges for high-stakes safety operations. Local Interpretable Model-agnostic Explanations (LIME) is frequently deployed to mitigate this issue; nevertheless, its dependency on Gaussian distributions when generating data variations often fails to capture the non-linear and disproportionate traits of frameworks like CIC-IDS-2018. To overcome these limitations, we introduce an adapted LIME variation strategy utilizing Weibull, Gamma, Beta, and Pareto distributions to more accurately represent the attributes of network telemetry. Our framework enhances the consistency of diverse machine learning systems optimized on CIC-IDS repositories, yielding more constructive and dependable rationales for predictive outputs. These proposed algorithmic adjustments yield a gain in explanatory fidelity of up to 78% relative to the standard normal distribution framework. Variations rooted in the Pareto distribution deliver the most optimal outcomes. Across all evaluated distributions, the Pareto framework consistently generated the peak explanation fidelity and consistency, notably for K-NN (R^2 = 0.9971, S = 0.9907) and DT (R^2 = 0.9267, S = 0.9797). This demonstrates that heavy-tailed distributions align effectively with actual network operational trends, minimizing the discrepancy in attribute significance justifications and rendering them more resilient.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2022 | Article: 11

Bridging Hand-Crafted Features and Deep Learning Through an Explainable Shallow CNN for Medical Image Segmentation
In clinical environments, the transparency of artificial intelligence models is paramount, as understanding the rationale behind automated choices is vital. Although black-box AI frameworks exhibit remarkable efficacy, their deployment in healthcare remains impractical unless their underlying mechanisms can be clarified for medical professionals. Deep neural networks (DNNs) achieve state-of-the-art results, yet the justifications they provide are frequently incomprehensible to human observers. Conversely, traditional machine learning approaches and manually designed features extracted to capture distinct data characteristics offer greater transparency, though human constraints in feature engineering often limit their overall effectiveness. To bridge this gap, we present ExShall-CNN, a novel and transparent shallow convolutional neural network tailored for medical image analytics. This framework builds upon hand-crafted feature methodologies to preserve human interpretability, guaranteeing clear and verifiable decision-making. We introduce the explainable shallow convolutional neural network (ExShall-CNN), which merges the high performance of sophisticated deep architectures like U-Net with the inherent clarity of hand-crafted features for segmenting medical images. Grounded in contemporary machine learning progress, ExShall-CNN integrates widely utilized kernels while maintaining structural openness, allowing medical practitioners to visually inspect and comprehend its outputs. This balanced strategy delivers the precision expected of deep learning paradigms alongside the explainability required for clinical deployment.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2022 | Article: 12

Brain-Wide Mental State Analysis Using Explainable Shallow Neural Networks on HCP fMRI Data
Artificial neural networks (ANNs) have frequently been deployed for classification objectives within functional magnetic resonance imaging (fMRI) research, though such analyses traditionally isolate only specific regional sub-volumes of the brain. Recent methodology has integrated shallow neural networks (SNNs) with explainable artificial intelligence (xAI) frameworks to uncover underlying mechanisms of neural processing. Although prior research validated this paradigm utilizing fMRI data from motor execution tasks, the current investigation implements this framework on Theory of Mind (ToM) cognitive tasks, leveraging data extracted from the Human Connectome Project (HCP) Young Adult repository. Cognitive paradigms introduce greater computational complexity due to the fundamentally non-linear dynamics of neural functions. The HCP multimodal parcellation brain atlas is utilized to partition the cortex, thereby guiding the systematic training, pruning, and subsequent retraining of an SNN. Shapley values are subsequently computed to decode the retrained architecture, with the resulting outputs benchmarked against a General Linear Model (GLM) analysis for empirical validation. The baseline network demonstrated a classification accuracy of 88.2%, which decreased to 80.0% following network pruning, and subsequently recovered to 84.7% after the retraining phase. The SHAP-derived explanations demonstrated strong convergence with both GLM observations and established neuroanatomical regions associated with ToM. This fMRI investigation effectively navigated a highly complex cognitive paradigm, illustrating the efficacy of explainability techniques in deciphering non-linear neurological dynamics. These outcomes indicate that xAI platforms, particularly knowledge extraction frameworks, offer substantial utility for progressing mental health research and neural state decoding applications.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2022 | Article: 13

Enhanced MINDWALC Node Classification for Explainable Knowledge Graph Analytics
This research investigates and refines the MINDWALC node classification algorithm, specifically targeting its capacity to extract human-interpretable decision trees from knowledge graph (KG) architectures. We propose techniques to tailor MINDWALC for environments where the knowledge graph is bifurcated into internal background knowledge (domain-specific data) and instance knowledge (specific case data). While the core logic of MINDWALC—utilizing discriminative graph walks as features—is preserved, we introduce two primary enhancements. First, we implement relation-tail merging to empower the algorithm to process relation-modified nodes. Second, we propose flexible walking depths that, when combined with the original MINDWALC strategy, improve the detection of commonalities between node instances. Our findings suggest that these flexible walks can markedly increase classification accuracy in hierarchical or incomplete tree-like graphs, though performance varies on more heterogeneous KG structures. Ultimately, this work demonstrates that our refinements significantly boost MINDWALC’s utility in tree-structured environments, allowing the system to use background knowledge to bridge gaps in instance data in a transparent way. Initial evaluations on medical toy datasets suggest these optimizations could refine clinical decision-making, particularly in sectors requiring explainable artificial intelligence.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 September 2022 | Article: 14

Pixel-Level Interpretability for Explainable Medical Imaging: A Comparative Evaluation against Grad-CAM
To overcome critical constraints regarding diagnostic accuracy and model transparency in medical imaging, this paper presents a novel framework termed the Pixel-Level Interpretability (PLI) model. The investigation primarily aims to benchmark PLI against Gradient-Weighted Class Activation Mapping (Grad-CAM) to attain superior localization correctness and highly detailed explainability. Operating on a VGG19 convolutional neural network infrastructure, the methodology incorporates three open-access COVID-19 chest X-ray datasets containing over 1000 categorized images; these underwent augmentation, normalization, and resizing steps to achieve generalizability and algorithmic stability. The experimental evaluation focused on vital performance metrics: structural similarity (SSIM), mean squared error (MSE), interpretability, computational speed, and diagnostic precision. The findings indicate that PLI drastically surpasses Grad-CAM across every evaluated metric. Specifically, PLI generated fine-grained, pixel-granular heatmaps that yielded reduced MSE, superior SSIM metrics, and expedited inference rates, demonstrating an capability to reveal minute diagnostic elements without sacrificing processing speed. Conversely, the explanations produced via Grad-CAM regularly lack the detailed resolution necessary for dependable clinical integration. By incorporating fuzzy logic to refine both numeric and visual explanations, PLI delivers transparent data that corresponds with clinical logic, thereby allowing healthcare professionals to execute decisions with greater certainty. Ultimately, this research validates PLI as a dependable framework for resolving deficiencies in AI explainability and clinical adoption. By simultaneously managing the dual demands of precision and transparency, PLI advances medical AI deployment and establishes a precedent for implementation within other high-stakes environments.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 September 2022 | Article: 15

Advancing Trustworthy AI in Indian Healthcare: Ethical, Legal, and Implementation Challenges
The medical industry in India has undergone substantial evolution driven by progress in technology and infrastructure. Yet, prominent hurdles remain when addressing critical problems like inadequate medical infrastructure for the nation's massive population, restricted accessibility, a deficit of qualified practitioners, and high-quality services. Artificial intelligence (AI)-based interventions offer the possibility to ease the burden on the Indian medical network; nevertheless, incorporating reliable AI into this domain is still obstructed by moral and legal barriers. The objective of this research is to critically analyze the contemporary state of AI system engineering in Indian medical care and its alignment with the moral and legal dimensions of AI, while also pinpointing the obstacles and prospects for implementing reliable AI within the Indian medical domain. This investigation assessed 15 papers chosen from an initial pool of 1136 papers collected across two digital databases, PubMed and Google Scholar, alongside project sites. This inquiry utilizes the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). The findings indicate that current publications primarily deployed traditional machine learning (ML) models and artificial neural networks (ANNs) for diverse operations, including drug discovery, disease monitoring networks, early sickness identification and diagnostic precision, and medical resource administration in India. This analysis uncovers a deficiency in the integration of reliable AI within Indian medical care and various obstructions linked to it. It examines pathways for engineering reliable AI within Indian medical environments, prioritizing patient protection, information confidentiality, and adherence to moral and statutory criteria.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 September 2022 | Article: 16

Mapping Understanding through Biometric Signals: AI Approaches to Cognitive and Affective Phases
The connection between the cognitive and emotional components of comprehension has remained largely unexamined because of a shortage of dependable techniques for assessing feelings and emotions during educational activities. Concentrating on five distinct stages of comprehension—nascent understanding, misunderstanding, confusion, emergent understanding, and deep understanding—this investigation presents an AI-based method to assess subjective comprehension by tracking the physiological activity visible in facial expressions. To examine these stages, 103 individuals worked on 15 riddles in a remote setting while their facial expressions were video recorded. Action units (AUs) for each stage occurrence were quantified utilizing AFFDEX software. Recurring AU configurations linked to each stage were subsequently pinpointed by implementing six supervised machine learning algorithms. Unique AU configurations were identified for all five stages, with gradient boosting machine and random forest models delivering the greatest predictive precision. These outcomes indicate that physiological activity can be utilized to dependably assess comprehension. Furthermore, they propose an innovative methodology for assessing and encouraging comprehension in instructional environments, as well as designing adaptive educational technologies and tailored learning interventions. Future research should investigate how the physiological indicators of comprehension stages simultaneously mirror and impact their related cognitive workflows, alongside the generalizability of these outcomes across varied demographics and educational environments (A suite of AI tools was employed in the development of this paper: (1) ChatGPT4o (for writing clarity and reference checking), (2) Grammarly (for grammar and editorial corrections), and (3) ResearchRabbit (reference management)).
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 September 2022 | Article: 17

A Hybrid Fuzzy Multi-Criteria Decision-Making Framework for Evaluating AI-Driven Mental Health Interventions
Artificial intelligence (AI) applications in mental health possess immense potential to revolutionize clinical results, yet determining the most optimal strategies remains a persistent difficulty. This research fills this gap by assessing and establishing priorities among various AI-based mental health options. The evaluation is grounded in essential benchmarks: implementation feasibility, economic efficiency, scalability, adherence to ethical standards, user satisfaction, and overall clinical efficacy. A fuzzy multi-criteria decision-making (MCDM) framework, integrating fuzzy TOPSIS and fuzzy ARAS, was utilized to determine the ranking of the alternatives. A hybrid combination of these two approaches was subsequently implemented to reconcile variations in the results, as each methodology highlights distinct evaluative dimensions. Fuzzy TOPSIS, which privileges proximity to the ideal target, positioned the personalization of care (A5) as the primary alternative, yielding a closeness coefficient of 0.50, with user engagement (A2) following at 0.45. Similarly, fuzzy ARAS, which measures aggregate performance, ranked A5 as the leading option, demonstrating a total performance score of Si = 0.90 and a utility degree of Qi = 0.92. The integration of both frameworks offered a well-rounded analysis, wherein A5 maintained its premier ranking because of its superior performance in user satisfaction and clinical outcomes. These findings highlight the critical role that personalization and active engagement play in refining AI-enabled mental health platforms. This indicates that customized, patient-centric strategies are vital for maximizing therapeutic efficacy and sustaining user commitment.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 September 2022 | Article: 18

Evaluating Large Language Models for Symptom-Based Medical Diagnosis: A Comparative Performance Analysis
This research undertook an assessment of Large Language Models (LLMs) within the domain of clinical diagnostics, specifically investigating their capacity to interpret symptom-centered inputs and generate precise clinical assessments. The investigation focused on evaluating several prominent architectures—including GPT-4, GPT-4o, Gemini, o1 Preview, and GPT-3.5—to gauge their proficiency in identifying clinical conditions solely from presented symptomatology. To guarantee clinical validity and appropriateness, symptom profiles were compiled from verified medical literature. Each architecture underwent testing within standardized environments to quantify diagnostic accuracy, precision, recall, and underlying logical processing. Specialized clinical scenarios were structured to examine performance boundaries across both routine and critical diagnostic conditions. The findings indicated that GPT-4 delivered the highest overall diagnostic accuracy, displaying a strong synergy with established medical logic. Conversely, Gemini demonstrated superior performance in high-stakes environments where exact decision-making is vital. Both GPT-4o and o1 Preview presented equitable metrics, maintaining a stable balance between precision and recall while managing real-time diagnostic scenarios. While possessing less advanced capabilities, GPT-3.5 remained functional for standard diagnostic duties. Ultimately, this investigation outlines the current capabilities and constraints of utilizing LLMs for clinical determination. Even though architectures like GPT-4 and Gemini show significant capability, critical barriers regarding data confidentiality, ethical protocols, and training bias correction must still be overcome. These insights offer strategic directions for the ethical incorporation of LLMs into diagnostic frameworks to optimize patient care outcomes.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 September 2022 | Article: 19

A SHAP-Guided Bi-GRU Framework for Explainable Short-Term Load Forecasting in Smart Energy Systems
This research introduces an innovative prediction framework utilizing a parallel multi-input Bi-GRU structure coupled with a sliding window-based Multi-Input Multi-Output (MIMO) forecasting approach. The primary novelty centers on feature-specific Bi-GRU encoding, which independently processes historical demand, meteorological variables, and calendar indicators prior to data fusion, thereby empowering the network to more effectively capture temporal correlations across disparate data streams. In contrast to preceding models, our methodology distinctively merges a structured feature-specific Bi-GRU encoding mechanism with interpretability via SHAP analysis, providing both superior predictive fidelity and transparent algorithmic decision-making suitable for practical deployment within electrical grids. The introduced Bi-GRU MIMO architecture operates as the foundational model. To rigorously evaluate its performance, an attention-enhanced LSTM model is incorporated solely as a baseline for comparative analysis. Empirical validation using actual data from Singapore’s National Electricity Market System (NEMS) demonstrates that the Bi-GRU MIMO framework enhances forecasting accuracy by 1.64% and decreases MAE by 2.19% relative to traditional models, underscoring its capability to improve decision-making in smart grids.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 September 2022 | Article: 20

AI in Recruitment: How Trust and Procedural Justice Influence Organizational Attraction and Intent to Apply
The escalating value placed on organizational human capital underscores the necessity for firms to optimize their systems for sourcing, evaluating, acquiring, onboarding, deploying, and retaining premium talent. Although embedding artificial intelligence (AI) within recruitment infrastructure promises unmatched workflow acceleration, operational scalability, minimized human subjectivity, and enhanced candidate sourcing, its deployment introduces distinct friction points that can degrade candidate attitudes and behavioral trajectories. Grounded in signaling and organizational justice frameworks, the deficit of interpersonal relational dynamics paired with the opaque nature of automated screening algorithms can prompt prospective candidates to question the integrity and structural fairness of the employment screening process. These institutional challenges risk modifying not only how job seekers deduce corporate principles, but also whether they choose to abandon the submission process altogether. Consequently, this investigation explores the comparative impact of AI-mediated versus human-mediated selection pathways on applicant trust, perceived procedural equity, corporate appeal, and subsequent intent to apply. Furthermore, we map the precise pathways through which trust and structural fairness mediate the link between the initial screening modality and early-stage candidate attraction and submission intentions. Data from an experimental student questionnaire indicate that job candidates view automated hiring protocols as significantly less credible, less equitable, and less appealing. Similarly, respondents exhibited depressed motivation to pursue open roles within enterprises leveraging automated recruitment architectures. Cultivating higher levels of institutional trust during the selection pathway and designing touchpoints that allow candidates to authentically showcase their professional capabilities can constructively reshape applicant attitudes and behavioral outcomes. These insights challenge the reductive assumption that operational velocity inherently yields strategic talent management success, emphasizing instead the vital role of interpersonal markers in securing top-tier talent within an automated recruitment environment.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 September 2022 | Article: 21

Structured Assessment of AI-Assisted Systematic Reviews: Workflow and Rubric Insights
The application of Artificial Intelligence (AI) tools to assist with systematic literature reviews (SLRs) is expanding rapidly, yet researchers still lack structured frameworks for assessing and incorporating these tools into their research practices. This paper introduces and implements a rubric-based framework designed to evaluate AI toolchains across essential SLR stages, such as literature searching, screening, and data synthesis. A mixed-methods study was executed with 63 postgraduate student researchers, who represent the early-stage investigators that serve as primary adopters of these digital workflows. The results demonstrate that workflows structured around the rubric enhanced the participants' perceived utility of AI utilities, provided organized criteria for comparative analysis, and promoted greater transparency during tool selection. Although formal indicators of inter-rater reliability (such as Cohen’s or Fleiss’ Kappa) were not calculated due to the fact that participants did not evaluate identical benchmark sets concurrently, the consistency of the rubric was qualitatively validated through pilot evaluations, iterative updates, and structured focus group discussions. These efforts confirm interpretative alignment among users while recognizing that future validation via independent assessors is required. This research contributes a validated assessment rubric, an operational example of an AI-augmented SLR workflow, and a discussion regarding the consequences for research training, study reproducibility, and cross-disciplinary translation.
Journal of Trustworthy and Explainable Intelligent Systems
Review | Open access | 15 September 2022 | Article: 22

Comparing Intrinsic Interpretability and Post-Hoc Explanations: An Empirical Study across Multiple Datasets
In recent years, considerable attention has been directed toward clarifying complex, opaque systems, commonly referred to as black-box models, including deep neural networks and random forests. So-called model-agnostic techniques generally approximate the outputs of these non-transparent systems using an interpretable architecture, ignoring the internal mechanisms of the primary black-box system itself. Consequently, it remains an important inquiry whether the straightforward training of transparent, white-box architectures ought to be favored over the post-hoc approximation of these opaque models. This study presents the findings of an empirical investigation comparing post-hoc explanatory methods against inherently interpretable architectures across multiple datasets, focusing on both rule-based and feature-based frameworks. The empirical outcomes indicate that directly trained transparent models frequently approximate black-box models with an accuracy that matches or exceeds that of post-hoc surrogate models, despite lacking direct access to the underlying black-box structure.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2025 | Article: 58

Transfer Learning with Simulated LiDAR Data for Robust Vehicle Detection in Parking Environments
Identifying vehicles within parking zones yields valuable insights into the spatial and temporal distribution of parking spot utilization. Because parking monitoring is conventionally conducted through manual observation, its temporal granularity remains restricted by substantial personnel expenditures. This study leverages simulated datasets alongside transfer learning to construct a dependable, real-world model tasked with detecting and categorizing vehicles via single-beam LiDAR within a roadside parking context. This work introduces a synthetically augmented transfer learning methodology designed for LiDAR-centric vehicle detection, alongside the deployment framework for synthetic LiDAR datasets. A synthetically augmented transfer learning technique was implemented to expand the constrained real-world dataset and facilitate the formulation of data management workflows. Furthermore, incorporating this synthetically augmented transfer learning methodology enhances both the resilience and the overall precision of the network. Empirical tests demonstrate that this approach enables the rapid deployment of models tailored for vehicle detection using a LiDAR sensor.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2025 | Article: 59

Privacy-Aware Analysis of Encrypted Medical Image Sequences Using Convolutional Bi-LSTM Networks
The integration of deep learning (DL) algorithms offers significant potential to enhance healthcare applications. Specifically, DL has advanced medical imaging diagnostics, therapeutic interventions, and disease management. However, deploying deep learning algorithms on sensitive medical imagery introduces substantial challenges regarding data security and patient privacy. Optimizing medical imaging performance while simultaneously ensuring patient anonymity remains a complex task. Consequently, privacy-preserving techniques designed for deep learning model training and inference are increasingly gaining traction. Currently, these medical image sequences are interpreted using state-of-the-art computer-aided detection/diagnosis (CAD) methodologies. Yet, frameworks that require uploading medical photographs to external servers inherently create privacy vulnerabilities.To address this, this article introduces a convolutional Bi-LSTM network designed to evaluate fully homomorphic-encrypted (HE) time-series medical images. Within this framework, convolutional blocks extract selective spatial features from the secure image sequences, while analytical sequence layers based on Bi-LSTM encode the temporal data. To optimize efficiency and minimize misdiagnoses, a weighted unit and sequence voting layer incorporates spatial data using varying weights. The effectiveness of this framework is demonstrated using two rigorous public benchmarks: the CheXpert and BreaKHis datasets. The proposed technique surpasses several competing methods, achieving an accuracy exceeding 0.99 across both datasets. These findings indicate that the introduced methodology can successfully extract visual representations and sequential dynamics from encrypted medical image series, thereby safeguarding patient privacy while maintaining high performance in medical image analysis.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2025 | Article: 60

Enhancing Transparency in Spatial PM₂.₅ Prediction over Singapore through Explainable Machine Learning
The climate system is heavily influenced by aerosols through direct and indirect pathways, notably the absorption and scattering of radiant energy. Beyond climate impacts, these particles compromise atmospheric visibility and jeopardize public health. Specifically, human populations face exposure to fine particulate matter PM2.5, a major driver of respiratory and cardiovascular pathologies. Long-term modifications in PM levels are generally governed by emission shifts and meteorological patterns, whereas short-term fluctuations are predominantly dictated by immediate weather dynamics. Surface variations in PM2.5 levels are further driven by environmental variables such as temperature, wind velocity, relative humidity, and vegetative coverage.Air quality forecasting has advanced significantly through the application of machine learning. This research explores PM2.5 estimation by utilizing these environmental and meteorological metrics as spatiotemporal inputs. This study evaluates seven years (2014–2021) of in situ PM2.5 measurements gathered from five distinct monitoring stations across Singapore, establishing a baseline dataset for spatial modeling.The primary contribution of this paper is a novel predictive architecture tailored for temporal analysis, utilizing Random Forest (RF), Gradient Boosting (GB) regression, and the Tree-based Pipeline Optimization Tool (TP) Auto ML framework, which optimizes via a meta-heuristic genetic algorithm. The TP model demonstrated strong predictive capabilities, achieving a peak Global Performance Index (GPI) of 7.4 in August 2016 and a minimum value of −0.6 in June 2019. These metrics highlight the robust nature of the TP framework; its negative values remained superior to competing models, indicating less pessimistic errors. Finally, the underlying logic of these machine learning systems is clarified using eXplainable Artificial Intelligence (XAI) methods, which validate the integrity of feature importance and offer deeper insights into the cyclical variations of PM2.5 concentrations.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2025 | Article: 61

Understanding Non-Transparency in Digital Platforms: Ethical, Governance, and Accountability Perspectives
The integration of digital architectures powered by artificial intelligence (AI) into daily routines is expanding at an unprecedented rate. Within this paradigm, the twin dilemmas of accountability and openness endure as critical issues that have yet to be satisfactorily resolved. This study intends to delineate the specific domains of opacity within digital ecosystems and formulate actionable frameworks for mitigating these visibility challenges. Initially, by synthesizing existing scholarship, interrogating the dynamics of platformization, establishing a cross-disciplinary conceptualization of AI, and applying ethical AI frameworks, we map the dimensions of opacity inherent in digital environments. Subsequently, having mapped these obscure domains, we move beyond a standard literature synthesis to offer an independent perspective on mitigating these systemic vulnerabilities. Our evaluation of the literature indicates the existence of three primary spheres of opacity within digital networks: an inadequate understanding of platform content originators; a deficiency of visibility regarding the background labor force, their explicit operational outputs, and their occupational environments; and a lack of openness concerning the engineering and oversight of algorithmic models. Given the abundance of abstract, high-level ethical tenets in current scholarship that resist pragmatic implementation, this investigation represents an effort to reconcile theoretical concepts with operational execution.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2025 | Article: 62

Interpretable Classification with Expressive Boolean Logic: A Stochastic and Quantum-Ready Optimization Framework
We introduce and execute a transparent machine learning classification model designed for Explainable AI (XAI) that leverages expressive Boolean formulas. Potential domains of use include credit risk evaluation and medical diagnostics. The system utilizes a Boolean formula to establish a rule with adjustable complexity (or interpretability) for categorizing input data. This formula accommodates any operator applicable to single or multiple Boolean variables, offering superior expressivity relative to more rigid rule- and tree-based methodologies. Native local optimization methods are used to train the classifier, allowing for an efficient search of the feasible formula space. Fast Integer Linear Programming (ILP) or Quadratic Unconstrained Binary Optimization (QUBO) solvers—potentially enhanced by custom hardware or quantum systems—can identify shallow rules. By executing non-local moves that optimize across subtrees of the complete Boolean formula, we merge the expressivity and efficiency of the native local optimizer with the rapid processing capabilities of these devices. We present comprehensive numerical benchmarking data against multiple baseline models using recognized public datasets. The findings indicate that the native local rule classifier performs competitively with alternative models. Incorporating non-local moves yields comparable outcomes with a reduced number of iterations. Consequently, deploying specialized or quantum hardware could provide substantial acceleration by rapidly generating non-local moves.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2025 | Article: 63

Interpretable Deep Learning for Verbal Autopsy Analysis: A Stacked Ensemble Approach to Cause-of-Death Determination
Verbal autopsies (VA) serve as a frequent mechanism within Low- and Medium-Income Countries (LMIC) to ascertain the cause of death (CoD) for individuals who pass away outside of clinical environments, relative to the established international gold standard of physician medical certification. Field interviewers gather detailed testimonies from the families of the deceased concerning the events and circumstances preceding the fatality. This gathered information is documented in text format, referred to as VA narratives. These textual records contain granular details suitable for identifying the CoD. Nonetheless, this methodology continues to be a manual operation characterized by high costs, inconsistency, prolonged processing times, and subjectivity (making it susceptible to errors), among other limitations. Consequently, these disadvantages undermine the VA reporting infrastructure, which is otherwise crucial for defining public health agendas and populating civil registration frameworks.To address this operational gap, the present study introduces interpretable deep learning (DL) methodologies designed to analyze VA narratives and deliver CoD predictions in an efficient, transparent, economical, and precise manner. The verification of our DL models is conducted via optimization and performance accuracy machine learning (ML) curves mapped against the volume of training samples. Our models achieved training set accuracies of (LSTM = 76.11%, CNN = 76.35%, and SEDL = 82.1%), validation accuracies of (LSTM = 67.05%, CNN = 66.16%, and SEDL = 82%), and test set accuracies of (LSTM = 67%, CNN = 66.2%, and SEDL = 82%). Additionally, Local Interpretable Model-agnostic Explanations (LIME) are utilized to enhance the interpretability of the outcomes, thereby fostering confidence in automated healthcare solutions.This work offers robust deep learning strategies for CoD determination via VAs, where the stacked ensemble deep learning (SEDL) model achieved optimal performance, outperforming both Long Short-Term Memory (LSTM) and Convolutional Neural Networks (CNN). Our empirical evidence suggests that ensemble DL paradigms can be successfully integrated into the CoD classification workflow to assist medical experts in reaching a diagnosis. Ultimately, this integration aims to compress the diagnostic turnaround time for physicians reviewing the narratives, while simultaneously reducing operational expenses and mitigating human error. The scope of this study was constrained by the volume of training data required for model optimization and the substantial lexical diversity present within the unstructured text.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2025 | Article: 64

Towards Explainable Deep Reinforcement Learning: Interpreting Experience Replay through SHAP
Although Reinforcement Learning (RL) exhibits significant potential for refining intricate control and decision-making systems, Deep Reinforcement Learning (DRL) suffers from a distinct lack of explainability. This limitation restricts its deployment within highly regulated domains, including manufacturing, finance, and healthcare. The opacity of DRL decision-making introduces structural challenges that impede operational efficiency and resource management—an issue that intensifies alongside ongoing algorithmic advancements. While current trends favor transitioning from traditional Experience Replay configurations to A3C architectures, the latter imposes substantially greater resource demands. Furthermore, despite continuous efforts to refine selection mechanisms within Experience Replay, repository capacities generally remain elevated. In this study, we evaluate a Deep Convolutional Q-learning agent across 20 Atari environments while deliberately downsizing the Experience Replay capacity from 1×106 to 5×102. Our findings indicate that lowering the capacity from 1×104 to 5×103 does not meaningfully degrade performance rewards, thereby establishing a viable strategy for resource-efficient DRL frameworks. To clarify agent choices and correlate them with inherent game mechanics, we introduce a novel methodology: visualizing the Experience Replay mechanism utilizing the Deep SHAP Explainer. This framework enhances domain comprehension and delivers transparent, interpretable accounts, though capacity constraints must be managed carefully to mitigate overfitting. Ultimately, this research validates the practicality of minimizing Experience Replay storage and supports the integration of transparent explanations via the Deep SHAP Explainer to advance resource conservation.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 March 2025 | Article: 65

Explainable Machine Learning for COVID-19 Prognosis: Assessing Variant Influence and Clinical Risk Factors
Machine learning (ML) techniques have been applied in diverse manners to combat the COVID-19 pandemic. Predictive ML models have been constructed, for example, for both diagnostic and prognostic objectives, utilizing varying data modalities such as textual, visual, and structured formats. Because of the distinct characteristics of this disease and its temporal transformation, a comprehensive understanding of the central elements driving the clinical trajectory of COVID-19 in individual patients remains incomplete. Throughout all phases of this study, a medical specialist was actively engaged via a human-in-the-loop framework. This collaborative element represents a vital yet frequently overlooked component of the ML and knowledge extraction (KE) workflow. Our findings indicate that explainable artificial intelligence (XAI) can offer substantial reinforcement to this dimension of ML and KE. This investigation centered on employing ML for knowledge extraction across two distinct operational scenarios. In the initial scenario, we sought to determine if integrating data regarding the dominant COVID-19 variant affects the predictive performance of the ML models. In the subsequent scenario, we concentrated on prognostic classification models designed to predict a patient's requirement for intensive care unit admission, integrating various XAI methodologies. We implemented nine distinct ML techniques, specifically XGBoost, CatBoost, LightGBM, logistic regression, Naive Bayes, random forest, SGD, SVM-linear, and SVM-RBF. The predictive quality of these models was evaluated using precision, accuracy, and AUC metrics. Following this evaluation, knowledge extraction was performed on the highest-performing models through two discrete pathways: (a) automated feature extraction using forward stepwise selection (FSS); and (b) the identification of attributes and their interactions using model explainability tools. Both sets of features were evaluated against a baseline configuration of attributes selected a priori by medical professionals using domain expertise. Our empirical tests demonstrated that incorporating data on the prevailing COVID-19 variant did not alter the performance of the generated ML models. Furthermore, the results indicated that human medical experts displayed significantly higher precision in identifying meaningful attributes compared to the automated FSS approach. Explainability tools identified nearly identical sets of attributes as the medical expert, while additionally uncovering noteworthy attribute interactions that the specialist subsequently evaluated from a clinical perspective. The outcomes of this investigation and their broader implications are examined.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 September 2025 | Article: 66

Machine Learning in Defense and Military Applications: Opportunities, Challenges, and Ethical Considerations
Machine learning (ML) has evolved into an indispensable technology within the defense sector, driving the creation of sophisticated mechanisms for identifying threats, supporting decision-making processes, and managing autonomous operations. Nevertheless, the expanding integration of ML into defense frameworks has generated significant ethical anxieties concerning accountability, transparency, and inherent bias. This paper offers an extensive evaluation of ML’s influence on the defense industry, detailing both the advantages and risks of implementing these methodologies across diverse domains, including surveillance operations, target pinpointing, and autonomous weapon platforms. Furthermore, we examine the ethical repercussions of deploying ML in military contexts, emphasizing problems tied to privacy preservation, responsibility attribution, and algorithmic bias. Ultimately, we outline strategic recommendations to alleviate these ethical complications, advocating for heightened operational transparency, clearer accountability structures, and the active engagement of diverse stakeholders in the architecture and deployment of ML systems within defense frameworks.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 September 2025 | Article: 67

Interactive Explainable Fair Machine Learning: A Human-in-the-Loop Framework for Bias Detection and Mitigation
The expansion of machine-learning frameworks into sectors with significant end-user consequences has heightened concerns regarding the equity of trained models, particularly the necessity of preventing biases that disadvantage distinct demographic sub-groups. The majority of current bias-mitigation techniques adjust the relative weight of data observations during the pre-processing phase. Because fairness depends heavily on context, we support an interactive machine-learning strategy that empowers human supervisors to offer iterative guidance for model refinement. To this end, we adapt the explanatory interactive machine-learning framework Caipi for equitable machine learning. This modified approach, FairCaipi, integrates human-in-the-loop interventions regarding both model predictions and underlying explanations to enhance model equity. Empirical outcomes indicate that FairCaipi outpaces a state-of-the-art pre-processing bias mitigation strategy in both the equity metrics and the predictive accuracy of the resulting machine-learning framework. We show that FairCaipi serves to expose and minimize algorithmic bias in machine-learning architectures while simultaneously identifying underlying human bias.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 September 2025 | Article: 68

Neural Logic Networks for Interpretable Decision Rule Learning: Alternative Formulations and Architectures
This study develops an expanded framework for extracting classification rules from neural network architectures applied to tabular data. We introduce alternative designs for learning Boolean logic operators by configuring neurons with continuous weights, including the integration of trainable NAND gates. This unified formulation ensures that distinct logical operations are trained under a singular mathematical approach, allowing developers to directly deploy established sparsity-inducing optimization routines—such as reweighted L1 regularization—to simplify the resulting network into concise rule sets. Furthermore, by utilizing De Morgan’s law, we construct an alternative network topology based on these trainable NAND components to create a NAND-NAND structure rather than the traditional AND-OR setup, both of which easily convert into discrete decision rules. Empirical evaluations show that these revised methodologies produce highly competitive decision rule models that match state-of-the-art predictive accuracy on tabular datasets.
Journal of Trustworthy and Explainable Intelligent Systems
Original Research | Open access | 15 September 2025 | Article: 69