Nabil Ashab, Soumit Kumar Kundu, Saif Mahmud Parvez +3eess.IV cs.CV cs.LG
Breast cancer is one of the most common types of cancer among women around the world. Rapid detection and early treatment can hinder its progress to more complex stages and can impede its spread to other parts of the body. Histopathological image classification is the most common task in cancer detection due to its robustness in analyzing cellular data. Breast histopathology classification requires handling both multi-scale tissue morphology and clinically relevant generalization beyond the source domain. This paper presents MagViT, an interpretable multi-magnification transformer framework with scale-gated fusion and patient-level model selection. The model uses four BreakHis magnifications (40X, 100X, 200X, 400X) and extracts per-scale representations with a ViT backbone, and combines them via a learnable gate that masks missing scales. Patient-level five-fold cross-validation with a fixed seed has been run and compared with three architectural branches. The most accurate branch is then selected as the final model due to the strongest patient-level accuracy while retaining the simplest fusion pathway. On BreakHis, our architecture achieves a mean image accuracy of 0.9191, a mean patient accuracy of 0.9643, and a mean macro-F1 of 0.9042. External transfer experiments provide preliminary evidence of cross-dataset generalization under controlled adaptation settings on BUSI (image accuracy 0.8306, macro-F1 0.7480, patient accuracy 0.8291) and IDC (image accuracy 0.8577, macro-F1 0.8191, patient accuracy 0.8372). Grad-CAM visualization indicates that the model focuses on diagnostically significant and meaningful regions across magnifications. Relative to prior ViT-centered BreakHis work, this study emphasizes patient-level selection and cross-dataset robustness under a reproducible protocol.
Computer vision (CV) and machine learning (ML) offer new tools for cultural heritage (CH) artifact analysis, but the CV/ML pipeline remains largely inaccessible to CH domain experts, who lack the background to configure, train, or assess models. We present AmalthAI, an open-source CV platform that bridges this gap, enabling non-ML CH experts to independently produce and validate archaeologically meaningful findings. The interface covers dataset management, training, and inference for classification, segmentation, and object detection, with Kubeflow and Katib handling scalable training and hyperparameter search. Grad-CAM localizes the image region behind a prediction, and a vision-language model (VLM) adds a text description of it for expert review. Since archaeological data is often state-owned or rights-encumbered and cannot leave institutional custody, AmalthAI's self-hostable deployment ensures sensitive data is kept within premises. We test the platform on an archaeological use case built on a custom dataset of clay textile imprints, where CH experts trained and validated segmentation, and classification models for hypothesis testing. We provide the implementation code at https://github.com/TEXTaiLES/AmalthAI.
Gradient-weighted Class Activation Mapping (Grad-CAM) is widely used to visualize model decisions, but it was originally formulated for convolutional neural networks, where spatial feature maps and channel dimensions have clear architectural meanings. Vision Transformers (ViTs) do not provide the same structure, instead representing images through tokens, attention, residual streams, and multimodal interactions. This paper presents a systematic taxonomy and literature audit of how Grad-CAM and related methods are adapted, justified, and reported for ViT-based architectures. From an initial search of more than 550 papers, we identify 175 papers that apply Grad-CAM or Grad-CAM-adjacent methods to ViTs. We find that most papers do not provide a full mathematical or implementation-level account of how Grad-CAM is adapted to transformer representations. To characterize this gap, we introduce a descriptive taxonomy of ViT Grad-CAM adaptations that makes explicit the feature locations, gradient targets, spatial reconstruction steps, and aggregation choices that are often left implicit. This taxonomy is not intended to prescribe a single correct adaptation, but to clarify the range of methodological choices being made. The study shows that Grad-CAM on ViTs is often treated as a trivial extension of CNN-based Grad-CAM, despite requiring nontrivial choices that affect rigor, reproducibility, and interpretation.
Sophie Zeng, Sean Kalaycioglu, Collin Hong +1cs.CV
Acne vulgaris affects most adolescents and many adults. Accurate severity grading guides treatment, monitoring, and clinical trial endpoints, but manual assessment using the Investigator's Global Assessment or Hayashi criteria is limited by inter-rater variability and inconsistent imaging conditions. We developed a four-class acne severity classifier based on the Hayashi criteria using transfer learning with an ImageNet-pretrained EfficientNet-B0 model. The model was fine-tuned on the public ACNE04 dataset of 2,983 labeled images using AdamW optimization, geometric and photometric augmentation, and checkpoint selection based on validation macro-F1. On a held-out stratified 15 percent test set, the classifier achieved 93.5 percent accuracy and 94.4 percent macro-F1, with per-class F1 scores from 0.92 to 0.97. Eighty-three percent of errors occurred between adjacent grades. Quadratic-weighted Cohen's kappa was 0.956, with a 95 percent confidence interval of 0.935 to 0.973. Bootstrap confidence intervals indicated stable performance. Grad-CAM visualizations from the final convolutional block focused on clinically relevant facial regions, including the forehead, cheeks, and chin. The complete pipeline is provided as functionally equivalent open-source implementations in Python using PyTorch and timm, and in MATLAB R2026a. The software includes a clinician-facing inference interface and a fallback backbone option that supports operation without specialized pretrained-weight packages. These results show that lightweight transfer learning can provide accurate, balanced, and interpretable acne severity grading while offering a reproducible cross-platform reference for future prospective and device-stratified clinical validation.
Kazi Kamruzzaman Rabbi, Md. Zami Al Zunaed Farabe, M. Sohel Rahmancs.LG cs.CV
Post-training quantization (PTQ) has become a practical solution for deploying deep learning models on resource-constrained edge devices by compressing high-precision floating-point weights into low-precision representations without requiring retraining. Past research has demonstrated that quantization largely preserves classification accuracy; however, whether it also preserves the model's internal reasoning remains an open question. This study presents a systematic evaluation on how static PTQ affects the interpretability / explainability of five widely used CNN architectures: VGG19, ResNet18, EfficientNet-B0, DenseNet161, and MobileNetV2 at INT8 and INT4 precision. We employ a dual interpretability framework that combines Grad-CAM for spatial attention analysis with LIME for input-level feature attribution, and systematically compare full-precision and quantized models on two binary classification datasets. Interpretability is evaluated using three complementary metrics: the Pearson correlation coefficient, structural similarity index, and top-20% IoU to capture distributional and structural variations in model explanations, supplemented by deletion/insertion faithfulness analysis. The results show that classification accuracy is not a reliable indicator of interpretability stability under reduced precision. DenseNet161 maintains strong feature consistency across both precision levels, whereas EfficientNet-B0, despite achieving competitive spatial attention and classification accuracy at INT8 precision, exhibits a substantial degradation in input-level feature attribution. These findings have direct implications for the trustworthy deployment of quantized models in applications with high interpretability requirements, demonstrating that architecture selection is as important as the quantization strategy.
The electrocardiogram (ECG) is a cornerstone of cardiac as- sessment, yet clinical deployment of deep learning models remains con- strained by limited interpretability and the hallucination risk of large language models (LLMs). Existing CNN+Grad-CAM+multimodal LLM frameworks can generate ECG reports, but their explanations are often only weakly grounded in established diagnostic criteria, reducing trust- worthiness and reproducibility. We propose a guide-grounded multimodal framework that explicitly anchors report generation in curated clinical knowledge. A convolutional neural network (CNN) and Grad-CAM first produce class probabilities and class-specific heatmaps from 12-lead ECG images. In parallel, authoritative ECG textbooks and guideline materials are distilled offline into a structured ECG Interpretation Guide, which is injected as a fixed knowledge block for every sample. Conditioned on the ECG image, Grad-CAM overlay, CNN-derived fact pack, and the in- jected guide, a multimodal LLM generates structured diagnostic reports with guideline-consistent terminology and criteria usage. Experiments on the full PTB-XL test set demonstrate that guide grounding improves se- mantic quality and perceived consistency of generated reports while pre- serving competitive classification performance. In particular, our method increases the average BERTScore of generated impressions from 0.818 to 0.953 relative to a strong CNN+Grad-CAM+MLLM baseline, indicat- ing closer alignment with reference reports. These findings suggest that injecting a distilled interpretation guide into the multimodal prompting pipeline offers a practical pathway to reduce hallucinations and enhance the clinical plausibility of LLM-based ECG explanations, bringing ex- plainable cardiac diagnosis closer to real-world deployment.
The rapid advancement of synthetic speech generation methods has made audio deepfake detection a critical challenge in multimedia forensics. While recent approaches achieve high detection accuracy, they typically rely on black-box architectures that offer limited interpretability and high computational complexity. In this paper, we propose an explainable-by-design audio deepfake detection framework based on Wiener-Hopf linear prediction, processed by a lightweight 2D Convolutional Neural Network (CNN). This design enables a direct and transparent connection between classification outcomes and the acoustic properties of the signal. Experimental results on benchmark datasets demonstrate competitive detection performance while maintaining significantly lower computational complexity compared to state-of-the-art solutions. The interpretability analysis using Grad-CAM reveals that the classifier focuses on low-order predictor coefficients and on silence and transitional regions, suggesting that the Wiener-Hopf predictor captures reverberation characteristics and subtle statistical inconsistencies in synthetic speech. Finally, robustness experiments show that fine-tuning effectively recovers detection performance under common post-processing degradations, including additive noise, MP3 compression, and telephone filtering.
Alzheimer's disease (AD) is an irreversible neurodegenerative disorder and a leading cause of death worldwide. Early diagnosis plays an important part especially at the Mild Cognitive Impairment stage, where timely intervention can help slow its progression before it advances to AD. Neuroimaging data, like Magnetic Resonance Imaging (MRI) and Positron Emission Tomography (PET) scans, can help detect brain changes early by providing structural and functional brain changes related to the disease. Yet, many multimodal models still fuse MRI and PET with static concatenation and apply identical computation to all subjects, which limits robustness to patient/site heterogeneity and can waste computation. To address these limitations, we present the first study of combining 3D convolutional feature extractors with three fusion strategies - concatenation, Gated Multimodal Unit (GMU), and gated self-attention - and a sparsely gated Mixture-of-Experts (MoE) classifier that performs input-adaptive routing, activating only the most informative experts per case. Finally, we utilize Grad-CAM to visualize disease-related regions, ensuring model interpretability. Experiments are performed across three binary classification tasks (NC vs. MCI, MCI vs. AD, and NC vs. AD). Results show that GMU achieves accuracies of 80.46 % (NC vs. MCI) and 95.47 % (NC vs. AD), while gated self-attention attains 82.08 % on MCI vs. AD. Ablations show that removing the MoE consistently degrades accuracy across all tasks. These findings underscore the value of input-adaptive, multimodal modeling for AD diagnosis by leveraging the complementary nature of MRI and PET.
This study proposes a domain-specific LLM-based Visual Explanation Evaluation Framework for assessing Grad-CAM explanations in facial skin disease diagnosis models. While previous studies have primarily focused on improving classification performance through data augmentation techniques, relatively few studies have systematically examined whether model explanations are grounded in clinically relevant lesion regions. In this study, geometric augmentation, color-based augmentation, and mixed augmentation strategies were applied to facial skin disease classification models based on EfficientNet-B0, MobileNetV3, and ResNet18. Grad-CAM was employed to generate visual explanations representing the models' decision-making processes. Furthermore, an LLM-as-a-Judge evaluation framework was designed using GPT-5.5, Gemini 3.5 Flash, and Claude Sonnet 4.6 to assess Grad-CAM explanations from the perspectives of lesion localization and explanation trustworthiness. To improve evaluation consistency and clinical grounding, a progressive prompt engineering strategy was introduced, incorporating evaluation rubrics, clinical knowledge, penalty rules, and structured output formats.
Heart disease kills a lot of people, and one cheap way to catch it early is by listening to heart sounds with a stethoscope, or better yet, just recording them and running them through a model. This project is a binary classification task: take a short clip of someones heartbeat and decide if it sounds normal or abnormal. Instead of trying out a bunch of different models, we kept the CNN the same the whole time and just changed how we turned the raw audio into a picture for it to look at. We tried three ways of doing that: a regular logmel spectrogram, PCEN (which basically normalizes each frequency bin over time), and a multi resolution version that stacks a few different window sizes together. We ran all three on the PhysioNet 2016 heart-sound dataset with the exact same setup but same model, same optimizer, same random seed. Turns out all three do pretty well at catching abnormal cases (sensitivity around 0.95), but PCEN and multi-resolution both edge out the plain logmel on the official PhysioNet accuracy metric (0.915 and 0.916 vs. 0.910). We also ran Grad-CAM to see where the model was actually looking, and it mostly focused on the low frequencies where S1 and S2 heart sounds live, which is a good sign that it learned something real
Shayan Abrar, Sudeepta Mandal, Abdul Awal Yasir +4cs.CV cs.AI
Early detection of plant diseases is crucial to plants and for the farmers. Plant diseases reduce fruit yield and quality, and plants are more susceptible to other stresses when they are infected. The lemon leaf disease dataset contains 1354 images. The dataset has 9 classes. Among the 9 classes only one class is for healthy leaf, and the other 8 classes are leaf diseases. The dataset was split into training (70%), testing (15%) and validation (15%) sets after comprehensive preprocessing. Two pretrained models (InceptionV3 and MobileNetV2) were applied and then combined these models using an ensemble technique to boost robustness. Ensemble models showed a promising performance of 99.27% accuracy. Adversarial Training is applied to improve models' ability and ensure reliable predictions under noisy data. Grad-CAM visualization highlights the important regions of leaf images that validate the model prediction with confidence level.
Globally, cotton is a highly economically beneficial crop, as the textile industry heavily depends on it. So, the precise identification and detection of cotton leaf disease is crucial for economic stability. The development goal of "CottonLeafVision" is to accurately classify and detect cotton leaf disease. With this goal, we have evaluated multiple pretrained Deep Convolutional Neural Networks, including DenseNet201, InceptionV3, and VGG19 on a publicly available cotton leaf disease image dataset. This image dataset includes seven classes, six disease classes, and one healthy class, collected under various field conditions reflecting real-world challenges. Among these pretrained models, with DenseNet201, we have achieved the highest classification accuracy of 98%. To enhance the model reliability and interpretability, we have implemented different techniques and methods such as Gradient-weighted Class Activation Mapping (Grad-CAM), occlusion sensitivity analysis and adversarial training to increase the noise resistance of the model. Finally, we have developed a prototype in order to utilize the model's capabilities on real life agriculture. This paper shows the deep learning model's capabilities to classify the disease in real-life cotton disease management situations.
We introduce IRIS-GAN, a specialist forensic detector for synthetic face images under cross-generator shift. Rather than addressing universal synthetic-image detection, we focus on faces generated by generative adversarial networks (GANs), which are state-of-the-art in deepfake content, and train the detector through staged exposure to increasingly demanding GAN families while retaining earlier generators. The final model reaches fake-detection rates above 99% across the GAN families considered and classifies an external real-face dataset with 98.9% accuracy. Grad-CAM analysis further reveals measurable generator-dependent spatial response patterns, which remain informative for a secondary heatmap-only classifier. Out-of-family tests on diffusion-generated faces confirm that IRIS-GAN is a specialist detector, with some capability to reach non-GAN deepfakes. These results establish staged training as an effective strategy for robust GAN-face forensics.