Explainable AI for Healthcare 5.0: Opportunities and Challenges

In the healthcare domain, a transformative shift is envisioned towards Healthcare 5.0. It expands the operational boundaries of Healthcare 4.0 and leverages patient-centric digital wellness. Healthcare 5.0 focuses on real-time patient monitoring, ambient control and wellness, and privacy compliance...

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Main Authors: Deepti Saraswat, Pronaya Bhattacharya, Ashwin Verma, Vivek Kumar Prasad, Sudeep Tanwar, Gulshan Sharma, Pitshou N. Bokoro, Ravi Sharma
Format: Article
Language:English
Published: IEEE 2022-01-01
Series:IEEE Access
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Online Access:https://ieeexplore.ieee.org/document/9852458/
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author Deepti Saraswat
Pronaya Bhattacharya
Ashwin Verma
Vivek Kumar Prasad
Sudeep Tanwar
Gulshan Sharma
Pitshou N. Bokoro
Ravi Sharma
author_facet Deepti Saraswat
Pronaya Bhattacharya
Ashwin Verma
Vivek Kumar Prasad
Sudeep Tanwar
Gulshan Sharma
Pitshou N. Bokoro
Ravi Sharma
author_sort Deepti Saraswat
collection DOAJ
description In the healthcare domain, a transformative shift is envisioned towards Healthcare 5.0. It expands the operational boundaries of Healthcare 4.0 and leverages patient-centric digital wellness. Healthcare 5.0 focuses on real-time patient monitoring, ambient control and wellness, and privacy compliance through assisted technologies like artificial intelligence (AI), Internet-of-Things (IoT), big data, and assisted networking channels. However, healthcare operational procedures, verifiability of prediction models, resilience, and lack of ethical and regulatory frameworks are potential hindrances to the realization of Healthcare 5.0. Recently, explainable AI (EXAI) has been a disruptive trend in AI that focuses on the explainability of traditional AI models by leveraging the decision-making of the models and prediction outputs. The explainability factor opens new opportunities to the black-box models and brings confidence in healthcare stakeholders to interpret the machine learning (ML) and deep learning (DL) models. EXAI is focused on improving clinical health practices and brings transparency to the predictive analysis, which is crucial in the healthcare domain. Recent surveys on EXAI in healthcare have not significantly focused on the data analysis and interpretation of models, which lowers its practical deployment opportunities. Owing to the gap, the proposed survey explicitly details the requirements of EXAI in Healthcare 5.0, the operational and data collection process. Based on the review method and presented research questions, systematically, the article unfolds a proposed architecture that presents an EXAI ensemble on the computerized tomography (CT) image classification and segmentation process. A solution taxonomy of EXAI in Healthcare 5.0 is proposed, and operational challenges are presented. A supported case study on electrocardiogram (ECG) monitoring is presented that preserves the privacy of local models via federated learning (FL) and EXAI for metric validation. The case-study is supported through experimental validation. The analysis proves the efficacy of EXAI in health setups that envisions real-life model deployments in a wide range of clinical applications.
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spelling doaj-art-d6e82f96f256423d8e477631629f50692025-01-18T00:00:10ZengIEEEIEEE Access2169-35362022-01-0110844868451710.1109/ACCESS.2022.31976719852458Explainable AI for Healthcare 5.0: Opportunities and ChallengesDeepti Saraswat0https://orcid.org/0000-0001-7966-398XPronaya Bhattacharya1https://orcid.org/0000-0002-1206-2298Ashwin Verma2https://orcid.org/0000-0001-8904-228XVivek Kumar Prasad3https://orcid.org/0000-0003-4942-8094Sudeep Tanwar4https://orcid.org/0000-0002-1776-4651Gulshan Sharma5Pitshou N. Bokoro6https://orcid.org/0000-0002-9178-2700Ravi Sharma7https://orcid.org/0000-0002-8584-9753Department of Computer Science and Engineering, Institute of Technology, Nirma University, Ahmedabad, Gujarat, IndiaDepartment of Computer Science and Engineering, Institute of Technology, Nirma University, Ahmedabad, Gujarat, IndiaDepartment of Computer Science and Engineering, Institute of Technology, Nirma University, Ahmedabad, Gujarat, IndiaDepartment of Computer Science and Engineering, Institute of Technology, Nirma University, Ahmedabad, Gujarat, IndiaDepartment of Computer Science and Engineering, Institute of Technology, Nirma University, Ahmedabad, Gujarat, IndiaDepartment of Electrical Engineering Technology, University of Johannesburg, Johannesburg, South AfricaDepartment of Electrical Engineering Technology, University of Johannesburg, Johannesburg, South AfricaCentre for Inter-Disciplinary Research and Innovation, University of Petroleum and Energy Studies, Dehradun, IndiaIn the healthcare domain, a transformative shift is envisioned towards Healthcare 5.0. It expands the operational boundaries of Healthcare 4.0 and leverages patient-centric digital wellness. Healthcare 5.0 focuses on real-time patient monitoring, ambient control and wellness, and privacy compliance through assisted technologies like artificial intelligence (AI), Internet-of-Things (IoT), big data, and assisted networking channels. However, healthcare operational procedures, verifiability of prediction models, resilience, and lack of ethical and regulatory frameworks are potential hindrances to the realization of Healthcare 5.0. Recently, explainable AI (EXAI) has been a disruptive trend in AI that focuses on the explainability of traditional AI models by leveraging the decision-making of the models and prediction outputs. The explainability factor opens new opportunities to the black-box models and brings confidence in healthcare stakeholders to interpret the machine learning (ML) and deep learning (DL) models. EXAI is focused on improving clinical health practices and brings transparency to the predictive analysis, which is crucial in the healthcare domain. Recent surveys on EXAI in healthcare have not significantly focused on the data analysis and interpretation of models, which lowers its practical deployment opportunities. Owing to the gap, the proposed survey explicitly details the requirements of EXAI in Healthcare 5.0, the operational and data collection process. Based on the review method and presented research questions, systematically, the article unfolds a proposed architecture that presents an EXAI ensemble on the computerized tomography (CT) image classification and segmentation process. A solution taxonomy of EXAI in Healthcare 5.0 is proposed, and operational challenges are presented. A supported case study on electrocardiogram (ECG) monitoring is presented that preserves the privacy of local models via federated learning (FL) and EXAI for metric validation. The case-study is supported through experimental validation. The analysis proves the efficacy of EXAI in health setups that envisions real-life model deployments in a wide range of clinical applications.https://ieeexplore.ieee.org/document/9852458/Explainable AIhealthcare 50metricsdeep learning
spellingShingle Deepti Saraswat
Pronaya Bhattacharya
Ashwin Verma
Vivek Kumar Prasad
Sudeep Tanwar
Gulshan Sharma
Pitshou N. Bokoro
Ravi Sharma
Explainable AI for Healthcare 5.0: Opportunities and Challenges
IEEE Access
Explainable AI
healthcare 50
metrics
deep learning
title Explainable AI for Healthcare 5.0: Opportunities and Challenges
title_full Explainable AI for Healthcare 5.0: Opportunities and Challenges
title_fullStr Explainable AI for Healthcare 5.0: Opportunities and Challenges
title_full_unstemmed Explainable AI for Healthcare 5.0: Opportunities and Challenges
title_short Explainable AI for Healthcare 5.0: Opportunities and Challenges
title_sort explainable ai for healthcare 5 0 opportunities and challenges
topic Explainable AI
healthcare 50
metrics
deep learning
url https://ieeexplore.ieee.org/document/9852458/
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