Explainable AI for Prostate MRI: Moving Beyond the Black Box

Review argues that the 'black box' nature of many prostate MRI AI tools hinders trust and clinical adoption. Explainable AI (XAI) techniques and standardized reporting frameworks are needed to shift to informed decision-making, but robust external validation in real-world cohort…

• Design: Narrative review of explainable artificial intelligence (XAI) concepts applied to deep learning models for prostate MRI interpretation.
• Key issue: Many current AI tools lack transparency, limiting clinician trust and highlighting the need for standardized XAI frameworks.
• Limitation: Robust external validation of prostate MRI AI models in unselected, real-world populations remains incomplete.

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