Intelligent systems in healthcare: A systematic survey of explainable user interfaces

Abstract

With radiology shortages affecting over half of the global population, the potential of artificial intelligence to revolutionize medical diagnosis and treatment is ever more important. However, lacking trust from medical professionals hinders the widespread adoption of AI models in health sciences. Explainable AI (XAI) aims to increase trust and understanding of black box models by identifying biases and providing transparent explanations. This is the first survey that explores explainable user interfaces (XUI) from a medical domain perspective, analysing the visualization and interaction methods employed in current medical XAI systems. We analysed 42 explainable interfaces following the PRISMA methodology, emphasizing the critical role of effectively conveying information to users as part of the explanation process. We contribute a taxonomy of interface design properties and identify five distinct clusters of research papers. Future research directions include contestability in medical decision support, counterfactual explanations for images, and leveraging Large Language Models to enhance XAI interfaces in healthcare.

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