A multi-layered explainable AI (XAI) pipeline audits a previously developed deep learning model (ResNet-51q) that predicts glioblastoma overall survival from post-operative MRI: visual focus (Grad-CAM, LRP, LIME), feature dependence through input ablation, and the depth at which class information becomes decodable through linear probing. The audit reveals a high-intensity heuristic: hyper-intense pixels at the skull periphery anchor long-term predictions, while the model defaults to short-term based on tumour enhancement in their absence. In a multi-reader, multi-case clinical study (37 patients, 4 readers, 3 phases, 444 observations), AI assistance improved expert accuracy (OR 1.336 with the AI score, OR 1.598 with heatmaps added) without inflating confidence, and the heatmaps were associated with a change in how experts used the AI score and with fewer patients wrongly called long-term survivors.
@article{andres_explainability_2026,title={Explainability and Clinical Trust of Deep Learning in Glioblastoma Treatment Efficacy Prediction: A Comprehensive Framework},author={Andres, Romain and Moreau, Noémie N and Dessoude, Loïse and Le Henaff, Loïc and Missohou, Fernand and Stefan, Dinu and Desmonts, Alexis and Herault, Romain and Corroyer-Dulmont, Aurélien},year={2026},month=oct,journal={Journal of Imaging Informatics in Medicine},doi={10.1007/s10278-026-02381-5},keywords={Explainability, Treatment efficacy, Interpretability, GBM, MRI, Deep learning},note={Published online 13 October 2026 (open access).}}
2025
NeuroImage
Development and routine implementation of a deep learning algorithm for automatic brain metastases segmentation on MRI for RANO-BM criteria follow-up
Loïse Dessoude, Raphaëlle Lemaire, Romain Andres, Thomas Leleu , and 10 more authors
NeuroImage, Feb 2025
Dessoude, Lemaire and Andres contributed equally (co-first authors).
This study develops an AI solution that rapidly and accurately segments brain metastases on MRI, providing RANO-BM criteria and volume measurements for efficient clinical evaluation.
@article{dessoude_development_2025,title={Development and routine implementation of a deep learning algorithm for automatic brain metastases segmentation on {MRI} for {RANO-BM} criteria follow-up},author={Dessoude, Loïse and Lemaire, Raphaëlle and Andres, Romain and Leleu, Thomas and Leclercq, Alexandre G. and Desmonts, Alexis and Corroller, Typhaine and Orou-Guidou, Amirath Fara and Laduree, Luca and Le Henaff, Loïc and Lacroix, Joëlle and Lechervy, Alexis and Stefan, Dinu and Corroyer-Dulmont, Aurélien},year={2025},month=feb,journal={NeuroImage},volume={306},pages={121002},doi={10.1016/j.neuroimage.2025.121002},note={Dessoude, Lemaire and Andres contributed equally (co-first authors).}}