Evidence map›Paper›PMID 41858885›Full record

ReviewiScience2026

A comprehensive review of explainable artificial intelligence in healthcare methods, evaluation, and clinical integration.

Kai Zhang, Dongqi Wang, Fuxin Lin, Jue Xie, Weihua Zhou

Abstract readReview
In one paragraph

Review in iScience, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
  2. Review
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Kai ZhangSchool of Electrical Engineering and Automation, Harbin Institute of Technology, Harbin, China.
Dongqi WangSchool of Management, Zhejiang University, Hangzhou, China.
Fuxin LinSchool of Management, Zhejiang University, Hangzhou, China.
Jue XieThe First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou, China.
Weihua ZhouSchool of Management, Zhejiang University, Hangzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Explainable artificial intelligence (XAI) is essential for healthcare trust, yet a substantial gap persists between XAI techniques and actual clinical adoption. This review addresses this gap by framing clinical integration through three complementary lenses. First, we introduce a three-dimensional XAI classification framework-property, dependency, and scope-that moves beyond descriptive cataloging and serves as a practical guide for matching XAI approaches to specific clinical tasks. Second, we propose an integrated evaluation system that balances technical robustness, including fidelity, with measures of clinical utility such as workflow alignment and clinician confidence. Third, we analyze the divergent and often competing needs of key stakeholder groups to produce a role-characteristic mapping that clarifies what constitutes meaningful explainability in different clinical contexts. By positioning clinical integration as the center, this review outlines a pathway for translating XAI from methodological innovation to a dependable component of clinical decision support.

Indexed as

health informaticshealth sciencesmedical specialtymedicine

Identifiers

PMID41858885
PMCPMC12996819

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

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.