Breast Cancer Diagnosis With Explainable Artificial Intelligence (XAI): Uncovering Strengths and Biases
Samita Bai, Sidra Nasir, Rizwan Ahmed Khan, Alexandre Meyer, Hubert Konik · IEEE Access · 2025
Breast cancer is one of the most common malignancies afflicting women globally, necessitating the use of cutting-edge AI approaches in diagnostic procedures to improve patient outcomes drastically. However, one key difficulty with the most recent AI models is a lack of transparency, making it difficult for medical practitioners to implement these technologies to increase diagnostic accuracy. Many explainable AI (XAI) solutions have been developed to overcome this issue. This survey focuses on applying XAI approaches in breast cancer detection and diagnosis, particularly emphasizing their role in increasing model transparency and clinical decision-making. The article also provides insights into the inherent biases in the most recent machine learning models towards specific XAI approaches, such as the compatibility of Convolutional Neural Networks (CNNs) with visual explanation methods and tree-based models with feature significance evaluations. Finally, the article covers the obstacles to using XAI technologies in clinical practice and the significance of defining standard measures for assessing their performance.