ReviewComputational and structural biotechnology journal2024
Unveiling the black box: A systematic review of Explainable Artificial Intelligence in medical image analysis.
Review in Computational and structural biotechnology journal, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 100 papers, 12 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
100 citing papers in PubMed, 12 syntheses or guidelines pooled it.
- Explainable and Interpretable AI for Voice and Speech Analysis in Clinical Care: Systematic Review.Journal of medical Internet research · 2026Pooled it
- Demystifying Artificial Intelligence: A Systematic Review of Explainable Artificial Intelligence in Medical Imaging.Sensors (Basel, Switzerland) · 2026Pooled it
- Artificial intelligence in virtual fracture clinics: a systematic review of imaging and clinical-text tools.Journal of orthopaedic surgery and research · 2026Pooled it
- Explainable artificial intelligence (XAI) in medical imaging: a systematic review of techniques, applications, and challenges.BMC medical imaging · 2026Pooled it
- Research on machine learning-based clinical prediction models: a bibliometric analysis.Frontiers in oncology · 2026Pooled it
- Explainable artificial intelligence in dental imaging: a systematic review of interpretability and the current state of trust evidence.Frontiers in dental medicine · 2026Pooled it
- Comprehensive application of artificial intelligence in preserved ratio impaired spirometry: A systematic literature review.PloS one · 2026Pooled it
- Which explainable AI methods in medical imaging are clinically impactful? A systematic literature review addressing the clinician's perspective.Frontiers in artificial intelligence · 2026Pooled it
- A systematic review of EEG-based biomarkers for depression, anxiety, and bipolar disorder: trends in explainable artificial intelligence (XAI).BMC psychiatry · 2025Pooled it
- Artificial intelligence diagnostic performance in image-based vulnerable carotid plaque detection: a systematic review and meta-analysis.BMC medical informatics and decision making · 2025Pooled it
- Artificial intelligence models in the surgical planning of low-grade gliomas: a systematic review.Frontiers in oncology · 2025Pooled it
- Value of Machine Learning Models for Cell-Free DNA-Based Multi-Cancer Early Detection: A Systematic Review and Meta-Analysis.Technology in cancer research & treatmentPooled it
- Organoid Intelligent Morphomics: Decoding the organoid morphome through artificial intelligence from phenotypic quantification to mechanistic insight.Bioactive materials · 2027Review
- Deep learning-based 3D forensic facial reconstruction: a volumetric morphological inference approach using a skull-conditioned U-Net.International journal of legal medicine · 2026Article
- Enhanced dental caries detection using ConvNeXt-FPN with Faster R-CNN framework on panoramic and intraoral images.Imaging science in dentistry · 2026Article
- Artificial intelligence in oncology: empowering clinicians for responsible integration.ESMO real world data and digital oncology · 2026Review
- Leading Towards a Translation Readiness Framework: A Systematic Review of Deep Learning Approaches for Eye Disease Diagnosis.Diagnostics (Basel, Switzerland) · 2026Review
- Leveraging Advanced AI Frameworks for Dual PPAR α/γ Agonist Discovery in Alzheimer's Disease.ACS chemical neuroscience · 2026Review
- Artificial Intelligence-Based Delirium Prediction Model for Post-Cardiac Surgery Patients: A Scoping Review.Journal of advanced nursing · 2026Article
- Machine Learning for Risk Stratification in Acute Pancreatitis: Current Evidence and Future Perspectives.Journal of clinical medicine · 2026Review
40 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
2 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
This systematic literature review examines state-of-the-art Explainable Artificial Intelligence (XAI) methods applied to medical image analysis, discussing current challenges and future research directions, and exploring evaluation metrics used to assess XAI approaches. With the growing efficiency of Machine Learning (ML) and Deep Learning (DL) in medical applications, there's a critical need for adoption in healthcare. However, their "black-box" nature, where decisions are made without clear explanations, hinders acceptance in clinical settings where decisions have significant medicolegal consequences. Our review highlights the advanced XAI methods, identifying how they address the need for transparency and trust in ML/DL decisions. We also outline the challenges faced by these methods and propose future research directions to improve XAI in healthcare. This paper aims to bridge the gap between cutting-edge computational techniques and their practical application in healthcare, nurturing a more transparent, trustworthy, and effective use of AI in medical settings. The insights guide both research and industry, promoting innovation and standardisation in XAI implementation in healthcare.
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What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.