IMPACT: an interactive multi-disease prevention and counterfactual treatment system using explainable AI and a multimodal LLM

Multi-disease conditions strain the body’s defenses, complicating recovery and increasing mortality risk. Therefore, effective concurrent prevention of multiple diseases is essential for mitigating complications and improving overall well-being. Explainable artificial intelligence (XAI) with an adva...

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Main Authors: Prasant Kumar Mohanty, Sharmila Anand John Francis, Rabindra Kumar Barik, K. Hemant Kumar Reddy, Diptendu Sinha Roy, Manob Jyoti Saikia
Format: Article
Language:English
Published: PeerJ Inc. 2025-04-01
Series:PeerJ Computer Science
Subjects:
Online Access:https://peerj.com/articles/cs-2839.pdf
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author Prasant Kumar Mohanty
Sharmila Anand John Francis
Rabindra Kumar Barik
K. Hemant Kumar Reddy
Diptendu Sinha Roy
Manob Jyoti Saikia
author_facet Prasant Kumar Mohanty
Sharmila Anand John Francis
Rabindra Kumar Barik
K. Hemant Kumar Reddy
Diptendu Sinha Roy
Manob Jyoti Saikia
author_sort Prasant Kumar Mohanty
collection DOAJ
description Multi-disease conditions strain the body’s defenses, complicating recovery and increasing mortality risk. Therefore, effective concurrent prevention of multiple diseases is essential for mitigating complications and improving overall well-being. Explainable artificial intelligence (XAI) with an advanced multimodal large language model (LLM) can create an interactive system enabling the general public to engage in natural language without any specialized knowledge prerequisites. Counterfactual explanation, an XAI method, offers valuable insights by suggesting adjustments to patient features to minimize disease risks. However, addressing multiple diseases simultaneously poses challenging barriers. This article proposes an interactive multi-disease prevention system that uses Google Gemini Pro, a multimodal LLM, and a non-dominated sorting genetic algorithm, namely NSGA-II, to overcome such problems. This system recommends changes in feature values to concurrently minimize the risk of diseases such as heart attacks and diabetes. The system facilitates personalized feature value selection, significantly reducing disease attack probabilities to as low as possible. Such an approach holds the potential to simultaneously address the unresolved issue of preventing and managing multiple diseases for the general public.
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spelling doaj-art-d807103e6a46420489b23e211bbe4fb52025-08-20T02:13:28ZengPeerJ Inc.PeerJ Computer Science2376-59922025-04-0111e283910.7717/peerj-cs.2839IMPACT: an interactive multi-disease prevention and counterfactual treatment system using explainable AI and a multimodal LLMPrasant Kumar Mohanty0Sharmila Anand John Francis1Rabindra Kumar Barik2K. Hemant Kumar Reddy3Diptendu Sinha Roy4Manob Jyoti Saikia5Department of Computer Science and Engineering, National Institute of Technology, Shillong, Meghalaya, IndiaDepartment of Computer Science, Rijal Alma’a, King Khalid University, Abha, Saudi ArabiaSchool of Computer Applications, KIIT Deemed to be University, Bhubaneswar, Odisha, IndiaDepartment of Computer Science and Engineering, VIT-AP University, Beside AP Secretariat Amaravati, Andhra Pradesh, IndiaDepartment of Computer Science and Engineering, National Institute of Technology, Shillong, Meghalaya, IndiaBiomedical Sensors & Systems Lab, The University of Memphis, Memphis, TN, United StatesMulti-disease conditions strain the body’s defenses, complicating recovery and increasing mortality risk. Therefore, effective concurrent prevention of multiple diseases is essential for mitigating complications and improving overall well-being. Explainable artificial intelligence (XAI) with an advanced multimodal large language model (LLM) can create an interactive system enabling the general public to engage in natural language without any specialized knowledge prerequisites. Counterfactual explanation, an XAI method, offers valuable insights by suggesting adjustments to patient features to minimize disease risks. However, addressing multiple diseases simultaneously poses challenging barriers. This article proposes an interactive multi-disease prevention system that uses Google Gemini Pro, a multimodal LLM, and a non-dominated sorting genetic algorithm, namely NSGA-II, to overcome such problems. This system recommends changes in feature values to concurrently minimize the risk of diseases such as heart attacks and diabetes. The system facilitates personalized feature value selection, significantly reducing disease attack probabilities to as low as possible. Such an approach holds the potential to simultaneously address the unresolved issue of preventing and managing multiple diseases for the general public.https://peerj.com/articles/cs-2839.pdfLLMExplainable AILarge language modelNSGA-IIHealthcareTreatment
spellingShingle Prasant Kumar Mohanty
Sharmila Anand John Francis
Rabindra Kumar Barik
K. Hemant Kumar Reddy
Diptendu Sinha Roy
Manob Jyoti Saikia
IMPACT: an interactive multi-disease prevention and counterfactual treatment system using explainable AI and a multimodal LLM
PeerJ Computer Science
LLM
Explainable AI
Large language model
NSGA-II
Healthcare
Treatment
title IMPACT: an interactive multi-disease prevention and counterfactual treatment system using explainable AI and a multimodal LLM
title_full IMPACT: an interactive multi-disease prevention and counterfactual treatment system using explainable AI and a multimodal LLM
title_fullStr IMPACT: an interactive multi-disease prevention and counterfactual treatment system using explainable AI and a multimodal LLM
title_full_unstemmed IMPACT: an interactive multi-disease prevention and counterfactual treatment system using explainable AI and a multimodal LLM
title_short IMPACT: an interactive multi-disease prevention and counterfactual treatment system using explainable AI and a multimodal LLM
title_sort impact an interactive multi disease prevention and counterfactual treatment system using explainable ai and a multimodal llm
topic LLM
Explainable AI
Large language model
NSGA-II
Healthcare
Treatment
url https://peerj.com/articles/cs-2839.pdf
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