×
The submission system is temporarily under maintenance. Please send your manuscripts to
Go to Editorial ManagerOne of the most common causes of mortality worldwide is Lung cancer, an early diagnosis crucial for a patient’s survival and recovery. Automated segmentation of lung lesions in chest CT has become a pre-eminent focal point for research, particularly with the development of hybrid methods combining traditional image processing with advanced deep learning methods such as CNN. These hybrid approaches aim to minimize individual methods limitations by controlling their merge strengths to enhance segmentation efficiency, precision, and clinical utility. This review comprehensively analyzes different hybrid techniques, such as deep learning improved by rule-based systems, multi-scale feature extraction, and ensemble learning. As well as inspect their clinical effect, particularly in improving diagnostic accuracy and optimizing treatment procedures. Despite their possibility, these approaches still face significant challenges, such as computational complexity, data requirements, and the requirement for explainable AI (XAI). Upcoming advancements in lung lesion segmentation will focus on refining these models to achieve faster processing, improved accuracy, and integration with diagnostic tools to protect transparency and ethical considerations.
Predicting the risk of operative delivery, especially Cesarean section, is important for improving outcomes for both mothers and newborns. In this study, a machine-learning-based framework is developed using explainable artificial intelligence techniques across three clinical datasets: fetal cardiotocography, maternal health parameters, and pregnancy outcome data.Three classification models—Logistic Regression, Decision Tree, and Random Forest—were evaluated to identify the most effective approach. Among these, the Random Forest model achieved the best performance, with an F1 Score of 0.88 and an Area Under the Curve of 0.99 on the fetal health dataset.To enhance interpretability in a clinical context, a dual-layer explanation strategy was adopted. SHapley Additive exPlanations was used to analyze global feature importance, while Local Interpretable Model-agnostic Explanations was applied to explain individual predictions. The results indicate that abnormal short-term variability is a key factor influencing operative delivery risk. The explanations generated by both methods were consistent with established clinical understanding, making the model both accurate and interpretable.