EXPLAINABLE BREAST CANCER DIAGNOSIS USING TUMOR MORPHOLOGY

Authors

  • Mr. Jitu Murmu Asst. Prof ( MHN), Mental Health Nursing, Blue Wheel Institute of Nursing Sciences (BINS), Chandpur, Nayagarh

DOI:

https://doi.org/10.69980/4qjfds31

Keywords:

Breast cancer diagnosis, Tumor morphology, Explainable artificial intelligence, Machine learning, SHAP analysis

Abstract

Concrete compressive strength is a critical indicator of structural performance and material quality, but Breast cancer remains a leading cause of cancer-related morbidity and mortality, emphasizing the need for accurate and interpretable diagnostic approaches. This study developed an explainable machine learning framework for breast cancer diagnosis using quantitative tumor morphology features derived from the Breast Cancer Wisconsin (Diagnostic) Dataset. Following data preprocessing and exploratory analysis, five machine learning algorithms, namely Logistic Regression, Decision Tree, Random Forest, Support Vector Machine, and Extreme Gradient Boosting, were trained and comparatively evaluated using standard classification metrics. Model interpretability was achieved through SHapley Additive exPlanations (SHAP), enabling both global and local interpretation of feature contributions. Among the evaluated models, Logistic Regression demonstrated the highest diagnostic performance, while SHAP analysis identified radius, perimeter, concavity, concave points, and texture as the most influential morphological predictors of malignancy. The explainability framework enhanced transparency by illustrating how individual features affected model predictions, thereby improving the reliability and clinical interpretability of automated diagnostic decisions. The proposed framework demonstrates that combining robust machine learning with explainable artificial intelligence can provide accurate, transparent, and clinically meaningful breast cancer diagnosis. These findings support the integration of explainable diagnostic models into clinical decision-support systems and establish a foundation for future research involving multicenter datasets and multimodal medical information.

 

References

1.Abdullakutty, F., Akbari, Y., Al-Maadeed, S., Bouridane, A., Talaat, I. M., & Hamoudi, R. (2024). Histopathology in focus: a review on explainable multi-modal approaches for breast cancer diagnosis. Frontiers in Medicine, 11, 1450103.

2.Akbar, A., Han, S., Urr Rehman, N., Ahmed, K., Eshkiki, H., & Caraffini, F. (2025). Explainable breast cancer prediction from 3-dimensional dynamic contrast-enhanced magnetic resonance imaging. Applied Intelligence, 55(13), 901.

3.Alom, M. R., Farid, F. A., Rahaman, M. A., Rahman, A., Debnath, T., Miah, A. S. M., & Mansor, S. (2025). An explainable AI-driven deep neural network for accurate breast cancer detection from histopathological and ultrasound images. Scientific Reports, 15(1), 17531.

4.Altini, N., Puro, E., Taccogna, M. G., Marino, F., De Summa, S., Saponaro, C., ... & Bevilacqua, V. (2023). Tumor cellularity assessment of breast histopathological slides via instance segmentation and pathomic features explainability. Bioengineering, 10(4), 396.

5.Balaha, H. M., Ali, K. M., Gondim, D., Ghazal, M., & El-Baz, A. (2025). Harnessing vision transformers for precise and explainable breast cancer diagnosis. In International Conference on Pattern Recognition (pp. 191-206). Springer, Cham.

6.Binder, A., Bockmayr, M., Hägele, M., Wienert, S., Heim, D., Hellweg, K., ... & Klauschen, F. (2021). Morphological and molecular breast cancer profiling through explainable machine learning. Nature Machine Intelligence, 3(4), 355-366.

7.Birwadkar, A., Buttny, S., Sahli, C., & Kenry. (2025). Machine‐Learning‐Guided Analysis of Breast Tumor Malignancy Based on Nuclear Morphological Features. Advanced Intelligent Discovery, 1(3), e202500034.

8.Deb, D., Dash, R., & Mohapatra, D. P. (2025). Customized convolutional neural network with explainable AI for multimodal breast cancer detection. Sādhanā, 50(3), 130.

9.Dolezal, J. M., Wolk, R., Hieromnimon, H. M., Howard, F. M., Srisuwananukorn, A., Karpeyev, D., ... & Pearson, A. T. (2023). Deep learning generates synthetic cancer histology for explainability and education. NPJ precision oncology, 7(1), 49.

10.Ganie, S. M., Malik, M. B., Aadil, M., Muteeb, G., Farhan, M., & Aatif, M. (2025). Explainable AI based hybrid DRM-Net transfer learning model for breast cancer detection and classification using ultrasound images. Scientific Reports, 15(1), 44170.

11.Ghasemi, A., Hashtarkhani, S., Schwartz, D. L., & Shaban‐Nejad, A. (2024). Explainable artificial intelligence in breast cancer detection and risk prediction: A systematic scoping review. Cancer Innovation, 3(5), e136.

12.Hussain, S. M., Buongiorno, D., Altini, N., Berloco, F., Prencipe, B., Moschetta, M., ... & Brunetti, A. (2022). Shape-based breast lesion classification using digital tomosynthesis images: The role of explainable artificial intelligence. Applied Sciences, 12(12), 6230.

13.Jiang, C., Xiu, Y., Qiao, K., Yu, X., Zhang, S., & Huang, Y. (2022). Prediction of lymph node metastasis in patients with breast invasive micropapillary carcinoma based on machine learning and SHapley Additive exPlanations framework. Frontiers in Oncology, 12, 981059.

14.Khater, T., Hussain, A., Bendardaf, R., Talaat, I. M., Tawfik, H., Ansari, S., & Mahmoud, S. (2023). An explainable artificial intelligence model for the classification of breast cancer. IEEE Access, 13, 5618-5633.

15.Khosravi, P., Fuchs, T. J., & Ho, D. J. (2025). Artificial intelligence–driven cancer diagnostics: enhancing radiology and pathology through reproducibility, explainability, and multimodality. Cancer research, 85(13), 2356-2367.

16.Krishna, S., Suganthi, S. S., Bhavsar, A., Yesodharan, J., & Krishnamoorthy, S. (2023). An interpretable decision-support model for breast cancer diagnosis using histopathology images. Journal of pathology informatics, 14, 100319.

17.Liu, Z., Hong, M., Li, X., Lin, L., Tan, X., & Liu, Y. (2024). Predicting axillary lymph node metastasis in breast cancer patients: A radiomics-based multicenter approach with interpretability analysis. European Journal of Radiology, 176, 111522.

18.Murugan, T. K., Karthikeyan, P., & Sekar, P. (2025). Efficient breast cancer detection using neural networks and explainable artificial intelligence. Neural Computing and Applications, 37(5), 3759-3776.

19.Naas, M., Mzoughi, H., Njeh, I., & BenSlima, M. (2025). An explainable AI for breast cancer classification using vision Transformer (ViT). Biomedical Signal Processing and Control, 108, 108011.

20.Nabi, M. S., Fauzi, M. F. A., Karim, H. B. A., Cheah, P. L., Fan, C. S., & Looi, L. M. (2025). Explainable deep learning models for HER2 IHC scoring in breast cancer diagnosis. Informatics in Medicine Unlocked, 101700.

21.Nawaz, U., Saeed, Z., UbaidUllah, H. M., Mirza, F., & Muzzamil, M. (2025). Explainable Attention‐Enhanced Approach for Multimodal Breast Cancer Diagnosis Across Diverse Imaging Modalities. International Journal of Imaging Systems and Technology, 35(6), e70209.

22.Saharan, S., Wani, N. A., Chatterji, S., Kumar, N., & Almuhaideb, A. M. (2025). A deep learning and explainable artificial intelligence based scheme for breast cancer detection. Scientific Reports, 15(1), 32125.

23.UCI Machine Learning. (2016). Breast Cancer Wisconsin (Diagnostic) Data Set [Data set]. Kaggle. https://www.kaggle.com/datasets/uciml/breast-cancer-wisconsin-data

24.Zou, Y., & Miao, P. (2025). Explainable AI-enabled hybrid deep learning architecture for breast cancer detection. Frontiers in Immunology, 16, 1658741.

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Published

2026-07-15

How to Cite

EXPLAINABLE BREAST CANCER DIAGNOSIS USING TUMOR MORPHOLOGY. (2026). EPH-International Journal of Applied Science, 12(3), 45-55. https://doi.org/10.69980/4qjfds31