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Few-shot learning and explainable AI for colon cancer histopathology: A prototypical network with multi-technique interpretability.

International journal of medical informatics 2026 Vol.206() p. 106167

Merabet A, Saighi A, Laboudi Z, Abderraouf Ferradji M, Harous S, Wagdy Mohamed A, Mousavirad SJ, Almazyad AS

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[BACKGROUND] Colon cancer diagnosis from histopathology is challenging due to limited annotated data and the lack of interpretability in deep models.

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BibTeX ↓ RIS ↓
APA Merabet A, Saighi A, et al. (2026). Few-shot learning and explainable AI for colon cancer histopathology: A prototypical network with multi-technique interpretability.. International journal of medical informatics, 206, 106167. https://doi.org/10.1016/j.ijmedinf.2025.106167
MLA Merabet A, et al.. "Few-shot learning and explainable AI for colon cancer histopathology: A prototypical network with multi-technique interpretability.." International journal of medical informatics, vol. 206, 2026, pp. 106167.
PMID 41232395

Abstract

[BACKGROUND] Colon cancer diagnosis from histopathology is challenging due to limited annotated data and the lack of interpretability in deep models.

[OBJECTIVE] We present a data-efficient framework combining few-shot learning and explainable AI for accurate and transparent diagnosis.

[METHODS] A Prototypical Network with a ConvNeXt-Tiny backbone was trained on small colon-tissue image sets. Explanations from Grad-CAM and LIME were validated by a pathologist, and generalization was tested on an external dataset.

[RESULTS] The model achieved 98.5 % accuracy in-domain and 90 % on the EBHI dataset, showing strong generalization.

[CONCLUSIONS] This few-shot and explainable model performs well with minimal data and generates clinically interpretable visual outputs, supporting its potential for reliable colon cancer diagnosis.

MeSH Terms

Colonic Neoplasms; Humans; Artificial Intelligence; Computer Simulation; Image Interpretation, Computer-Assisted; Deep Learning

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