ExplainabilityTransparencyTrustworthinesscs.CV
Improved Segmentation of Polyps and Visual Explainability Analysis
Akwasi Asare, Thanh-Huy Nguyen, Ulas Bagci
September 17, 2025
2026 International Conference on Artificial Intelligence, Computer, Data Sciences and Applications (ACDSA)
1 citations
Key Takeaways
-
Explainability is critical for clinical AI adoption: The paper demonstrates that adding visualization tools (Grad-CAM) to show why an AI model makes decisions—not just what it decides—helps bridge the gap between strong technical performance and real-world clinical trust. The authors found that their visualizations confirmed the model focused on clinically relevant polyp regions, addressing a major barrier to doctors using AI in practice.
-
High performance alone isn't enough for responsible deployment: Despite achieving strong accuracy metrics (Dice coefficient of 0.8902, AUC-ROC of 0.9722), the researchers emphasized that "limited interpretability remains a barrier to clinical adoption," showing that responsible AI requires transparency alongside accuracy to gain physician confidence.
-
Rigorous validation methods matter for medical AI: The study used 5-Fold Cross-Validation on a standardized dataset (Kvasir-SEG with 1,000 images) rather than a single train-test split, which provides more reliable evidence that the model would perform consistently across different patient populations—an important safeguard for responsible medical AI deployment.
-
AI can reduce human variability in diagnosis: The paper notes that manual polyp delineation during colonoscopy is "labor-intensive and prone to observer variability," suggesting that well-validated AI systems could standardize detection quality across different clinicians and healthcare settings, potentially improving equity in cancer screening outcomes.