Explainable AI framework for skin lesion imaging based cancer detection

The classification of skin cancer remains a challenging task because of the subtle visual patterns of benign and malignant lesions. In this work we propose an interpretable ensemble learning framework for dermoscopic skin lesion classification by combining Random Forest, XGBoost and LightGBM using Max-Voting. The proposed system demonstrates good predictive performance with clinical interpretability, achieving 95.94% accuracy on the HAM10000 dataset. To increase transparency we use explainable AI techniques to visualise the image regions and features that are most important for the model’s decisions. We also perform feature selection based on Genetic Algorithm to select the most discriminative descriptors and to reduce the redundancy in the hybrid feature space. The combination of deep features, handcrafted features, ensemble learning and explainability leads to a strong framework for accurate prediction and meaningful interpretation. The experimental results show that the proposed approach outperforms the individual classifiers and provides more explainable clinically relevant explanations that may help to improve the confidence and trust of dermatologists. In summary, the study demonstrates that the combination of ensemble learning and explainable AI can provide an effective and practical direction towards trustworthy skin cancer decision support.

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Publication Details

Journal
PLoS ONE
Published
2026-10-06
DOI
https://doi.org/10.1371/journal.pone.0359224
Primary Topic
Cutaneous Melanoma Detection and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

Explainable AI framework for skin lesion imaging based cancer detection

Fadi M. Al-Turjman, Faruq Mohammad, Ravikumar Chinthaginjala, Sivarama Prasad Tera et al.
PLoS ONE
Cutaneous Melanoma Detection and Management
article

Explainable AI framework for skin lesion imaging based cancer detection

Fadi M. Al-Turjman, Faruq Mohammad, Ravikumar Chinthaginjala, Sivarama Prasad Tera, Priya Natha, Asadi Srinivasulu
article en

Abstract

The classification of skin cancer remains a challenging task because of the subtle visual patterns of benign and malignant lesions. In this work we propose an interpretable ensemble learning framework for dermoscopic skin lesion classification by combining Random Forest, XGBoost and LightGBM using Max-Voting. The proposed system demonstrates good predictive performance with clinical interpretability, achieving 95.94% accuracy on the HAM10000 dataset. To increase transparency we use explainable AI techniques to visualise the image regions and features that are most important for the model’s decisions. We also perform feature selection based on Genetic Algorithm to select the most discriminative descriptors and to reduce the redundancy in the hybrid feature space. The combination of deep features, handcrafted features, ensemble learning and explainability leads to a strong framework for accurate prediction and meaningful interpretation. The experimental results show that the proposed approach outperforms the individual classifiers and provides more explainable clinically relevant explanations that may help to improve the confidence and trust of dermatologists. In summary, the study demonstrates that the combination of ensemble learning and explainable AI can provide an effective and practical direction towards trustworthy skin cancer decision support.

PLoS ONEVol. 21(10)
King Saud University (SA), Near East University (CY), Koneru Lakshmaiah Education Foundation (IN), Vellore Institute of Technology University (IN)
Openalex Percentile: Top 16%
Cutaneous Melanoma Detection and Management
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Explainable AI framework for skin lesion imaging based cancer detection — Fadi M. Al-Turjman, Faruq Mohammad, et al. · PLoS ONE (2026) | TGRS Research Map | TGRS