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arXiv 2602.07017cs.CVcs.AI

XAI-CLIP: 通过区域感兴趣引导扰动框架实现多模态视觉-语言模型中可解释的医学图像分割

XAI-CLIP: ROI-Guided Perturbation Framework for Explainable Medical Image Segmentation in Multimodal Vision-Language Models

King Fahd University of Petroleum and Minerals(国王法赫德石油和矿物大学);Massachusetts Institute of Technology(麻省理工学院);Imperial College London(伦敦帝国学院);KFUPM-SDAIA Joint Research Centre for Artificial Intelligence(KFUPM-SDAIA联合人工智能研究中心)

Thuraya Alzubaidi, Sana Ammar, Maryam Alsharqi, Islem Rekik, Muzammil Behzad

AI总结:

XAI-CLIP通过多模态视觉-语言模型嵌入实现医学图像分割的可解释性和效率提升,减少计算开销并提高分割精度。

摘要:

医学图像分割是临床工作流程中的关键组成部分,能够实现准确的诊断、治疗计划和疾病监测。然而,尽管基于转换器的模型在性能上优于卷积架构,但其有限的可解释性仍然是临床信任和部署的主要障碍。现有的可解释人工智能(XAI)技术,包括基于梯度的显著性方法和基于扰动的方法,往往计算成本高,需要大量的前向传递,并且经常产生噪声或解剖学无关的解释。为了解决这些限制,我们提出了XAI-CLIP,一种区域感兴趣引导的扰动框架,利用多模态视觉-语言模型嵌入来定位具有临床意义的解剖区域并指导解释过程。通过将语言引导的区域定位与医学图像分割相结合,并应用针对区域的扰动,所提出的方法生成了更清晰、边界感知的显著性图,同时显著减少了计算开销。在FLARE22和CHAOS数据集上的实验表明,XAI-CLIP在运行时间上比传统扰动方法减少了高达60%,在Dice分数上提高了44.6%,在基于遮挡的解释中的交集-并集增加了96.7%。定性结果进一步证实了更清洁、更解剖学一致的归因图,具有更少的伪影,突显了将多模态视觉-语言表示整合到基于扰动的XAI框架中显著增强了可解释性和效率,从而实现了透明且可临床部署的医学图像分割系统。

英文摘要:

Medical image segmentation is a critical component of clinical workflows, enabling accurate diagnosis, treatment planning, and disease monitoring. However, despite the superior performance of transformer-based models over convolutional architectures, their limited interpretability remains a major obstacle to clinical trust and deployment. Existing explainable artificial intelligence (XAI) techniques, including gradient-based saliency methods and perturbation-based approaches, are often computationally expensive, require numerous forward passes, and frequently produce noisy or anatomically irrelevant explanations. To address these limitations, we propose XAI-CLIP, an ROI-guided perturbation framework that leverages multimodal vision-language model embeddings to localize clinically meaningful anatomical regions and guide the explanation process. By integrating language-informed region localization with medical image segmentation and applying targeted, region-aware perturbations, the proposed method generates clearer, boundary-aware saliency maps while substantially reducing computational overhead. Experiments conducted on the FLARE22 and CHAOS datasets demonstrate that XAI-CLIP achieves up to a 60\% reduction in runtime, a 44.6\% improvement in dice score, and a 96.7\% increase in Intersection-over-Union for occlusion-based explanations compared to conventional perturbation methods. Qualitative results further confirm cleaner and more anatomically consistent attribution maps with fewer artifacts, highlighting that the incorporation of multimodal vision-language representations into perturbation-based XAI frameworks significantly enhances both interpretability and efficiency, thereby enabling transparent and clinically deployable medical image segmentation systems.

机构、总结、中文摘要均由AI分析而来,可能存在错误,请以论文正文为准。

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