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GRENZE International Journal of Engineering and Technology Vol. 11 (2025), Issue 2

Enhancing Trust and Performance in AI-Driven Healthcare: A Comprehensive Review of Explainable AI Features

Authors

Raja kumar, Aman Raj, Ankit Singh, Ramandeep Kaur

Abstract

It is critical to bridge the gap between innovation and trust as AI continues to transform the healthcare industry. Systems utilizing artificial intelligence (AI) are becoming more complex and are being used in high-risk industries like criminal justice, healthcare, and finance. But a lot of these AI systems are "black boxes"—their inner workings are mysterious and hard for people to comprehend. Users are unwilling to trust and rely on systems they cannot understand, which is a fundamental obstacle to the mainstream adoption of AI. This lack of transparency and interpretability. The developing discipline of explainable AI (XAI) intends to improve the openness and compatibility of AI systems. XAI can assist increase user confidence in AI by creating methods for explaining how AI models operate and produce their results. This will also help users better comprehend, control, and govern these systems. We investigate how XAI approaches provide insights into AI decision-making processes by providing solutions to the "black-box" issue. We analyze the toolkit of XAI, highlighting its applications in healthcare areas such as disease diagnosis, medication discovery, and patient monitoring. These applications range from model-agnostic techniques to model-specific methodologies. We illustrate the useful applications of XAI through case studies, ranging from forecasting the course of Alzheimer's disease to enhancing breast cancer diagnosis. These illustrations highlight how XAI promotes trust between patients and healthcare providers by improving transparency and identifying potential biases. Notwithstanding, several obstacles continue to exist, such as intricate technicalities, moral quandaries, and the constraints of existing XAI methodologies. Research and policymaking must collaborate to overcome these obstacles. We discuss potential uses of XAI in healthcare going forward, including individualized care, hybrid methods, and integration with other medical technology. With further development, XAI has the potential to completely transform AI-driven healthcare and open the door to more efficient, reliable, and transparent medical decision-making.

Pages: 173 - 181