Challenging Black-Box Models: Interpretable Explanations for ECG Classification

Deep learning methods achieve high performance, while often lacking explainability, hindering application in the field. We propose the use of a logistic regression classifier based on temporal aligned Electrocardiograms, and the utilisation of interpretable feature importance. This work suggests that non-deep learning based classifiers achieve comparable performance, and introduce new opportunities to on-the-fly counterfactual explanations. The code, pretrained model, and extracted kernels are available under github.com/imi-ms/rlign.

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Publication Details

Journal
Studies in health technology and informatics
Published
2025-05-15
DOI
https://doi.org/10.3233/shti250405
Primary Topic
Explainable Artificial Intelligence (XAI)
Type
article
Field-Weighted Citation Impact
0.00
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article

Challenging Black-Box Models: Interpretable Explanations for ECG Classification

Lucas Plagwitz, Antonius Büscher, Lucas Bickmann, Julian Varghese
Studies in health technology and informatics
Explainable Artificial Intelligence (XAI)
article

Challenging Black-Box Models: Interpretable Explanations for ECG Classification

Lucas Plagwitz, Antonius Büscher, Lucas Bickmann, Julian Varghese
article en

Abstract

Deep learning methods achieve high performance, while often lacking explainability, hindering application in the field. We propose the use of a logistic regression classifier based on temporal aligned Electrocardiograms, and the utilisation of interpretable feature importance. This work suggests that non-deep learning based classifiers achieve comparable performance, and introduce new opportunities to on-the-fly counterfactual explanations. The code, pretrained model, and extracted kernels are available under github.com/imi-ms/rlign.

Studies in health technology and informaticsVol. 327
University of Münster (DE), University Hospital Münster (DE)
Quality Education
Openalex Percentile: Top 81%
Explainable Artificial Intelligence (XAI)
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Challenging Black-Box Models: Interpretable Explanations for ECG Classification — Lucas Plagwitz, Antonius Büscher, et al. · Studies in health technology and informatics (2025) | TGRS Research Map | TGRS