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Table 1 Characteristics of XAI-related studies in disease prediction (*The journal name may be abbreviated or formatted based on its indexing style. **The country information may refer to either the authors' affiliated country or the country where data was collected for the disease prediction model.)

From: The role of explainable artificial intelligence in disease prediction: a systematic literature review and future research directions

Paper

Journal*

Country**

Disease

Data modality

Data type

Data Availability

AI Model

XAI method

Contribution

[12]

Healthcare Technology Letters

Bangladesh

Diabetes

Physiological and medical measurements

Numerical

Yes

DT

SVM

RF

LR

KNN

LIME

SHAP

ML-enhanced platform for diabetes diagnosis accessible via web and mobile app

[13]

Sensors journal

Bangladesh

Republic of Korea

Ischemic Stroke

Electroencephalography (EEG)

EEG Signal

No

XGBoost

LGBM

Adaptive Gradient Boosting

Eli5

LIME

EEG-based ML model for stroke prediction, focusing on brain wave analysis

[14]

Computational Intelligence and Neuroscience

Bangladesh

Saudi Arabia

Acute Lymphocytic Leukemia (ALL)

White Blood Cells image

Image

Yes

Pretrained CNNs using Transfer Learning

LIME

InceptionV3 and LIME-based XAI model for automated Acute Lymphoblastic Leukemia detection

[15]

BMC Med Inform Decis Mak

Brazil

Sarcoidosis

Forced Oscillation Technique (FOT) exams

Numerical

Yes

KNN

SVM

AdaBoost

RF

LGBM

XGBoost

DT

LR

Genetic programming (for intelligible expressions), Feature Importance Evaluation

Proposes a genetic programming approach with XAI for diagnosing sarcoidosis from respiratory function tests

[16]

JACC: CARDIOVASCULAR IMAGING

USA

Canada

Israel

Switzerland

​​Obstructive Coronary Artery Disease (CAD)

Single-Photon Emission Computed Tomography (SPECT) Myocardial Perfusion Imaging (MPI)

Numerical

No

CAD-DL

XAI

Explainable DL model for rapid and accurate Coronary Artery Disease detection from cardiac images

[6]

Computers in Biology and Medicine

India

Parkinson’s Disease (PD)

Gene Expression Data

Numerical

Yes

LR

SVM

DT

RF

KNN

NB

SHAP

Applies ML and XAI to early Parkinson’s Disease detection, highlighting significant biomarkers

[17]

Diagnostics

Saudi Arabia

Egypt

Colon Cancer

WCE colon image dataset

image

Yes

Heterogenic stacking DL integrated with pretrained CNN models [VGG16, InceptionV3, Resnet50, DenseNet121)

XAI

Introduces a heterogenic stacking DL model with XAI for improved colon cancer prediction

[18]

Journal of Medical Systems

China

Hepatitis

Mixture of integer and real value attributes

Numerical

Yes

LR

DT

KNN

XGBoost

SVM

RF

SHAP

LIME

PDP

Presents an XAI framework aimed at enhancing hepatitis diagnosis and informing clinical decisions

[19]

Computer Methods and Programs in Biomedicine

South Korea

USA

Egypt

Parkinson’s Disease (PD)

SC, BS, MH, M, and NM

Time series data

Yes

SVM

RF

ETC

LGBM

SGD

LIME

SHAPASH

Proposes a multi-modal time series ML pipeline with explainability for Parkinson’s Disease progression prediction

[20]

IEEE Transactions on Biomedical Engineering

Algeria

France

Breast Cancer

Clinicopathological data

Categorical and continuous

Yes

CatBoost

LIME

Outlines an explainable ML prognosis model for cancer metastasis, aiding personalized treatment decisions

[21]

Nature portfolio Scientific reports

Spain

Egypt

Republic of Korea

Alzheimer’s Disease

Multimodal (PET, CSF, Cognitive Scores, Genetics, Lab Tests, Medical History, MRI, Neurological Exam and others)

Both

Yes

RF

DT

Binary Classification

SHAP

Fuzzy

Developes a system that diagnoses and detects the progression of Alzheimer’s Disease by taking into consideration different modalities

[22]

Nature research Scientific Reports

Canada

COVID-19

Chest X-ray

Image

Yes

CNN-Based Model: Proposed COVID-Net

GSInquire

Introduces COVID-Net which is a deep convolutional neural network that detects COVID-19 cases using explainability methods

[5]

Journal of Biomedical Informatics

Slovakia

Japan

Colorectal Cancer

Histopathological data

Image

Yes

CNN

Explainable Cumulative Fuzzy Class Membership Criterion (X-CFCMC)

The classifier uses histopathological data and can predict 8 varieties of colorectal cancer

[23]

Annals of Translational Medicine

China

Fenestral Otosclerosis

Temporal bone high-resolution computed tomography (HRCT) slices

Image

Yes

CNN-Based Model: Proposed Otosclerosis Logical Neural Network Model

Visualization of learned deep representations

Enhances the diagnosis of fenestral OS using temporal bone high-resolution computed tomography (HRCT) slices and DL

[24]

Computers in Biology and Medicine

India

Parkinson’s Disease

Single-photon Emission Computed Tomography (SPECT) DaTSCANs

Image

Yes

VGG16

LIME

Develops an improved accuracy DL model for early diagnosis and provided visual markings generated by the model to aid medical practitioners

[25]

The Journal of Supercomputing

India

Heart Diseases

Age, Resting Blood Pressure, Exercise Induced Angina, Fasting Blood Sugar, Maximum Heart Rate, Serum Cholesterol and 7 other features

Numerical

Yes

XGBoost

SHAP

LIME

PDP

DALEX

Works on the reduction of dimensionality using XAI while maintaining the model’s accuracy

[26]

Genes

India

Egypt

Morocco

Qatar

Cervical Cancer

Vaginal Swab Samples [Microbial Data (16S rRNA Sequencing)]

Genomic Sequence

Yes

RF

SHAP

Uses specific microbial patterns commonly found in cervical cancer to create personalized medicine

[27]

Cancers

Pakistan

Saudi Arabia

United Arab Emirates

United Kingdom

Saudi Arabia

Lung Pulmonary Disease

Chest Radiographs

Image

Yes

CNN-based transfer learning with RestNet50

LIME

Shows improved accuracies and explanations in interpreting pulmonary diseases using chest radiographs

[28]

Radiation Oncology

Germany

Prostate Tumor

Multi-parametric MRI

Image

Yes

U-Net architecture CNN

Grad-CAM

Proposes an XAI framework that can identify tumor prostate tissues through images

[29]

Computers in Biology and Medicine

Nepal and Australia

COVID-19, Pneumonia, and Tuberculosis

Chest X-ray

Image

Yes

CNN

SHAP

LIME

Grad-CAM

Uses a CNN model to detect lung diseases using CXR images with a focus on interpretability for clinicians

[30]

Nature Communications

USA China

Kidney-related disease

Electronic health records (EHRs), medical imaging data, laboratory tests

Myocardial perfusion, wall motion, and wall thickening polar maps

No

GBT

SHAP

Creates and evaluates a transportable, XAI Model for Acute Kidney Injury Prediction

[31]

Frontiers in Medicine

Italy France

Breast cancer

Clinical and cytohistological outcomes from patients’ medical records

Clinical outcomes, therapy-related information

Yes, by request

SVM

RF

NB

XGBoost

SHAP

XAI approach reveals critical factors affecting breast cancer IDEs at 5 and 10-year post-diagnosis, aiding personalized patient care

[32]

Frontiers in Cardiovascular Medicine

Finland

Cardiovascular disease

Medical records

Numerical and nominal features

Yes

Ensemble Tree algorithm

SHAP

Creates an XAI for Heart Failure Prognosis, Balancing Clinical Insight with Predictive Precision

[33]

Frontiers in Neuroscience

Italy USA

Neuroscience

Imaging, electrophysiological recordings, clinical assessments

EEG, spike data

No

ML algorithms

LIME

Advances AI and XAI for Enhanced Brain Function and Neurostimulation Insights, Highlighting Transparent Models and Data Competitions

[34]

NPJ Digit Medicine

UK

Mental health

Clinical information, patient records, and diagnostic data

patient characteristics, diagnostic indicators, and potentially text-based information

Yes

Deep neural networks, prediction and classification in psychiatric applications

SHAP

Presents the TIFU Framework for Clear, Interpretable AI in Mental Health, with a Focus on Clinically Aligned AI Comprehensibility

[35]

Compute Methods Programs Biomed

Spain

Prostate cancer tissue

Specifically RNAseq data obtained from transrectal biopsies

gene expression data

Yes

KNN

rpart (CART)

RF

SHAP

Offers a ML Classifier Using Gene Expression Data and XAI for Precise Prostate Cancer Risk Prediction

[36]

Clinical Medicine Insights Cardiology

UK and Sweden

Myocardial Infarction (MI)

Medical history, and demographic data

Physical and functional measures, and collection of blood, urine, and saliva

Yes, by request

LR

XGBoost

SHAP

XGBoost with SHAP Values: A Promising Method for Predicting Myocardial Infarction Risk Across a Broad Population

[37]

Nature Communications

Denmark

Acute Critical Illness

Electronic Health Records

Secondary healthcare data from four Danish municipalities

Yes, by request

TCN

LRP

Presents an xAI-EWS System for Predicting Acute Illnesses with EHRs, Offering Clear, Real-time Insights for Clinician Decision-making

[38]

Nature Portfolio Scientific Reports I

Italy

Thyroid

Histological samples

Raman spectra

Yes, by request

ML algorithms

RF

XGBoost

SHAP

Combines Raman Spectroscopy and ML for Non-Invasive Thyroid Cancer Diagnosis to Potentially Lower Unneeded Surgeries

[39]

European Federation for Medical Informatics

Greece

Preterm birth

Demographics, social and medical history, and obstetrics variables

Numerical, ordinal, and nominal features

No

LR

SVM

RF

XGBoost

SHAP

Forecasts Preterm birth chances using demographic and medical data, providing predictions and insights for enhanced pregnancy screening