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.
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.
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.
The fraudulent application of image transformation methods to clinical data represents a severe hazard that can jeopardize patient safety. Consequently, identifying artificial alterations using deep learning frameworks is vital for mitigating the challenges posed by modified medical imagery in clinical environments. The experimental data were partitioned into an authentic fundus dataset and a manipulated dataset. The proposed framework for detecting fundus image modification utilizes a deep learning architecture rooted in a Convolutional Neural Network (CNN) structure, incorporating a concatenation mechanism to achieve rapid processing speeds and minimize the attenuation of input image weights. When evaluating authentic data, the system attained an average sensitivity of 0.08, precision of 1.00, F1-score of 0.99, and an AUC of 0.988. On the manipulated dataset, the framework achieved a sensitivity of 1.00, precision of 0.84, F1-score of 0.92, and an AUC of 0.988. In comparison, a panel of five ophthalmologists demonstrated lower average metrics on the altered images, yielding a sensitivity of 0.71, precision of 0.61, F1-score of 0.65, and an AUC of 0.822. This investigation highlights the potential for mitigating and preventing the complications arising from fabricated medical imagery within healthcare systems. The introduced methodology for identifying altered fundus photographs via a deep learning model outperforms human specialists, proving to be an efficient diagnostic strategy.
In recent years, deep learning has emerged as a promising framework for identifying Alzheimer's disease (AD) within clinical neuroimaging. Nonetheless, conventional architectures frequently fail to optimize feature extraction from medical scans and underutilize auxiliary data resources vital for diagnostic categorization. To resolve these challenges, this paper introduces a deep three-dimensional convolutional neural network architecture that integrates attention mechanisms with multi-task learning. An enhanced primary C3D network is deployed to generate initial, coarse low-level feature maps. This design implements a novel convolutional block tailored to capture the specific structural properties of magnetic resonance imaging (MRI) data, along with a secondary block configured to compute localized attention weights for distinct pixel coordinates within the feature map, which are subsequently combined with the map's output. Thereafter, a series of fully connected layers implements multi-task learning, producing three distinct outputs that encompass the primary classification objective. During the training phase, the two auxiliary outputs leverage backpropagation to refine and enhance the primary classification performance. Empirical results demonstrate that this proposed framework outperforms existing state-of-the-art models for AD detection, yielding superior classification accuracy and enhanced performance metrics on the Alzheimer's disease Neuroimaging Initiative dataset. These outcomes illustrate a compelling direction for prospective diagnostic classification research.
Among the most critical and fatal medical conditions are brain malignancies, making early identification vital for enhancing survival rates. Currently, magnetic resonance imaging (MRI) stands as the premier diagnostic tool for early detection because of its exceptional capability to capture soft tissue details. Nevertheless, relying solely on human interpretation of brain MRI scans introduces risks of oversight, which are frequently exacerbated by the fatigue and varying expertise of radiologists. To mitigate these limitations, computer-aided diagnosis (CAD) systems have taken on an increasingly vital role. Leveraging state-of-the-art computer vision methodologies like deep learning, these systems generate highly precise diagnoses from clinical imagery, thereby boosting both precision and consistency in clinical settings. This study introduces an innovative CAD architecture designed for multi-class classification of brain malignancies. The system evaluates six pre-trained deep learning networks as its foundational architecture, integrating robust data preprocessing and augmentation protocols to optimize computational throughput. To counter the opaque "black box" nature of deep learning architectures and improve interpretability, Gradient-weighted Class Activation Mapping (Grad-CAM) is integrated to illuminate the network's deductive steps when identifying anomalies in MRI data. Furthermore, an accessible, web-based Brain Tumor Detection System was constructed using the Streamlit framework, highlighting its utility for clinical environments and offering meaningful support to medical professionals. All experimental simulations were carried out using an open benchmark repository, proving that the introduced system delivers state-of-the-art diagnostic capabilities, achieving accuracy levels near 99% with the ResNet-50, Xception, and InceptionV3 architectures.
Unchecked discharges of untreated water from combined sewer systems pose critical hazards to public health and ecosystems. To address this, regional sanitation authorities like the Metropolitan Sewer District of Greater Cincinnati (MSDGC) have begun collecting massive streams of hydrological telemetry, looking toward deep learning (DL) methodologies—specifically recurrent neural networks (RNN)—to forecast these spill events. Crucially, determining whether a DL model is truly suitable for this domain requires a structured analysis of the environment in which it operates. This paper introduces a requirements engineering methodology grounded in problem frames to map out and organize stakeholder concerns. This approach systematically evaluates real-world conditions where standard assumptions of high-quality data break down, translating these insights into actionable software testing benchmarks known as metamorphic relations, which govern both data input adjustments and output validations. Deploying this methodology within MSDGC’s operational context provides a rigorous, standardized baseline to assess how effectively competing RNN designs fulfill core operational mandates.
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.
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.
Conventional authentication mechanisms, such as passwords, are becoming less effective due to technological progress and evolving attack methodologies. To address this vulnerability, continuous authentication has emerged as a viable approach, wherein a user's identity is perpetually monitored after initial login to ensure an unauthorized individual has not hijacked the session. Mouse dynamics, which quantifies the behavioral patterns of a user's cursor movements, represents a highly promising biometric indicator for these ongoing verification models. This paper extends our prior research by benchmarking a 40-user dataset across three machine learning and three deep learning models. Our investigation covers two distinct evaluation frameworks: binary classification for individual authentication—where a 1-dimensional convolutional neural network (1D-CNN) yielded the highest performance, achieving a peak average test accuracy of 85.73% for the top-10 users—and multi-class classification utilizing an artificial neural network (ANN), which achieved an unprecedented peak accuracy of 92.48%, establishing a new performance benchmark for this specific dataset.