GFSR-Net: Guided Focus via Segment-Wise Relevance Network for Interpretable Deep Learning in Medical Imaging

Abstract

Deep learning has achieved remarkable success in medical image analysis, however its adoption in clinical practice is limited by a lack of interpretability. These models often make correct predictions without explaining their reasoning. They may also rely on image regions unrelated to the disease or visual cues, such as annotations, that are not present in real-world conditions. This can reduce trust and increase the risk of misleading diagnoses. We introduce the Guided Focus via Segment-Wise Relevance Network (GFSR-Net), an approach designed to improve interpretability and reliability in medical imaging. GFSR-Net uses a small number of human annotations to approximate where a person would focus within an image intuitively, without requiring precise boundaries or exhaustive markings, making the process fast and practical. During training, the model learns to align its focus with these areas, progressively emphasizing features that carry diagnostic meaning. This guidance works across different types of natural and medical images, including chest X-rays, retinal scans, and dermatological images. Our experiments demonstrate that GFSR achieves comparable or superior accuracy while producing saliency maps that better reflect human expectations. This reduces the reliance on irrelevant patterns and increases confidence in automated diagnostic tools.