A comprehensive explainable AI approach for enhancing transparency and interpretability in stroke prediction

Abstract Stroke is among the leading causes of death, especially among old adults. Thus, the mortality rate and severe cerebral disability can be avoided when stroke is diagnosed at its early stages, followed by subsequent treatment. There is no doubt that healthcare specialists can find the necessa...

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Main Authors: Marwa El-Geneedy, Hossam El-Din Moustafa, Hatem Khater, Seham Abd-Elsamee, Samah A. Gamel
Format: Article
Language:English
Published: Nature Portfolio 2025-07-01
Series:Scientific Reports
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Online Access:https://doi.org/10.1038/s41598-025-11263-9
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author Marwa El-Geneedy
Hossam El-Din Moustafa
Hatem Khater
Seham Abd-Elsamee
Samah A. Gamel
author_facet Marwa El-Geneedy
Hossam El-Din Moustafa
Hatem Khater
Seham Abd-Elsamee
Samah A. Gamel
author_sort Marwa El-Geneedy
collection DOAJ
description Abstract Stroke is among the leading causes of death, especially among old adults. Thus, the mortality rate and severe cerebral disability can be avoided when stroke is diagnosed at its early stages, followed by subsequent treatment. There is no doubt that healthcare specialists can find the necessary solutions more effectively and instantly with the help of artificial intelligence (AI) and machine learning (ML). In this study, we used ML classifiers and explainable artificial intelligence (XAI) to predict stroke. Six different ML classifiers that trained on available datasets for stroke patients. Six feature selection methodologies were used to extract essential features from the dataset. The XAI methods applied (Shapley Additive Values (SHAP), ELI5, and Local Interpretable Model-agnostic Explanations (LIME)). This study provides preliminary insights that may support the development of future tools to assist medical practitioners in managing patients, pending further clinical validation and real-world testing.
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institution Kabale University
issn 2045-2322
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publishDate 2025-07-01
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series Scientific Reports
spelling doaj-art-7d3bc605a4a5400b9e1ccc185b50a7dc2025-08-20T03:45:59ZengNature PortfolioScientific Reports2045-23222025-07-0115112310.1038/s41598-025-11263-9A comprehensive explainable AI approach for enhancing transparency and interpretability in stroke predictionMarwa El-Geneedy0Hossam El-Din Moustafa1Hatem Khater2Seham Abd-Elsamee3Samah A. Gamel4Electronics and Communications Engineering Department, Faculty of Engineering, Mansoura UniversityElectronics and Communications Engineering Department, Faculty of Engineering, Mansoura UniversityElectrical Department, Faculty of Engineering, Horus University EgyptElectronics and Communications Engineering Department, Faculty of Engineering, Mansoura UniversityElectrical Department, Faculty of Engineering, Horus University EgyptAbstract Stroke is among the leading causes of death, especially among old adults. Thus, the mortality rate and severe cerebral disability can be avoided when stroke is diagnosed at its early stages, followed by subsequent treatment. There is no doubt that healthcare specialists can find the necessary solutions more effectively and instantly with the help of artificial intelligence (AI) and machine learning (ML). In this study, we used ML classifiers and explainable artificial intelligence (XAI) to predict stroke. Six different ML classifiers that trained on available datasets for stroke patients. Six feature selection methodologies were used to extract essential features from the dataset. The XAI methods applied (Shapley Additive Values (SHAP), ELI5, and Local Interpretable Model-agnostic Explanations (LIME)). This study provides preliminary insights that may support the development of future tools to assist medical practitioners in managing patients, pending further clinical validation and real-world testing.https://doi.org/10.1038/s41598-025-11263-9StrokeExplainable Artificial Intelligence (XAI)SHAPLIMEELI5Classification
spellingShingle Marwa El-Geneedy
Hossam El-Din Moustafa
Hatem Khater
Seham Abd-Elsamee
Samah A. Gamel
A comprehensive explainable AI approach for enhancing transparency and interpretability in stroke prediction
Scientific Reports
Stroke
Explainable Artificial Intelligence (XAI)
SHAP
LIME
ELI5
Classification
title A comprehensive explainable AI approach for enhancing transparency and interpretability in stroke prediction
title_full A comprehensive explainable AI approach for enhancing transparency and interpretability in stroke prediction
title_fullStr A comprehensive explainable AI approach for enhancing transparency and interpretability in stroke prediction
title_full_unstemmed A comprehensive explainable AI approach for enhancing transparency and interpretability in stroke prediction
title_short A comprehensive explainable AI approach for enhancing transparency and interpretability in stroke prediction
title_sort comprehensive explainable ai approach for enhancing transparency and interpretability in stroke prediction
topic Stroke
Explainable Artificial Intelligence (XAI)
SHAP
LIME
ELI5
Classification
url https://doi.org/10.1038/s41598-025-11263-9
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