Multi-Class Brain Tumor Grades Classification Using a Deep Learning-Based Majority Voting Algorithm and Its Validation Using Explainable-AI.

Biopsy is considered the gold standard for diagnosing brain tumors, but its invasive nature can pose risks to patients. Additionally, tissue analysis can be cumbersome and inconsistent among observers. This research aims to develop a cost-effective, non-invasive, MRI-based computer-aided diagnosis t...

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Published in:Journal of Imaging Informatics in Medicine Vol. 38; no. 5; pp. 2793 - 2831
Main Authors: Tandel, Gopal Singh, Tiwari, Ashish, Kakde, Omprakash G.
Format: algorithm diagnostic images equations & formulas research tables/charts Journal Article
Published: Springer Nature Oct2025
Online Access:View this record in EBSCOhost
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10278-024-01368-4
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        atl: Multi-Class Brain Tumor Grades Classification Using a Deep Learning-Based Majority Voting Algorithm and Its Validation Using Explainable-AI.
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          Tandel, Gopal Singh
          Tiwari, Ashish
          Kakde, Omprakash G.
        affil: https://ror.org/03vrx7m55 Department of Computer Science, Allahabad Degree College, University of Allahabad, Prayagraj, India
      sug:
        subj:
          Brain Neoplasms Diagnosis
          Neoplasm Grading Methods
          Neoplasm Grading Classification
          Brain Neoplasms Classification
          Detection Algorithms
          Cost Effectiveness Analysis
          Magnetic Resonance Imaging Methods
          Diagnosis, Computer Assisted Methods
          Sensitivity and Specificity Evaluation
          Machine Learning Algorithms
          Artificial Intelligence
          Image Processing, Computer Assisted
          Noninvasive Procedures
          Diagnosis, Computer Assisted Economics
          Human
          Support Vector Machine
          Decision Trees
          Discriminant Analysis
          Neural Networks (Computer)
          Random Forest
          Descriptive Statistics
          Automation
          Prediction Models
          Adolescence
          Adult
          Middle Age
          Aged
          Aged, 80 and Over
          Cancer Patients
          Prediction Algorithms
          Brain Neoplasms Pathology
          Protocols
          Data Analysis Software
          Brain Neoplasms Prognosis
          Image Interpretation, Computer Assisted
          Adolescent: 13-18 years
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
      ab: Biopsy is considered the gold standard for diagnosing brain tumors, but its invasive nature can pose risks to patients. Additionally, tissue analysis can be cumbersome and inconsistent among observers. This research aims to develop a cost-effective, non-invasive, MRI-based computer-aided diagnosis tool that can reliably, accurately and swiftly identify brain tumor grades. Our system employs ensemble deep learning (EDL) within an MRI multiclass framework that includes five datasets: two-class (C2), three-class (C3), four-class (C4), five-class (C5) and six-class (C6). The EDL utilizes a majority voting algorithm to classify brain tumors by combining seven renowned deep learning (DL) models—EfficientNet, VGG16, ResNet18, GoogleNet, ResNet50, Inception-V3 and DarkNet—and seven machine learning (ML) models, including support vector machine, K-nearest neighbour, Naïve Bayes, decision tree, linear discriminant analysis, artificial neural network and random forest. Additionally, local interpretable model-agnostic explanations (LIME) are employed as an explainable AI algorithm, providing a visual representation of the CNN's internal workings to enhance the credibility of the results. Through extensive five-fold cross-validation experiments, the DL-based majority voting algorithm outperformed the ML-based majority voting algorithm, achieving the highest average accuracies of 100 ± 0.00%, 98.55 ± 0.35%, 98.47 ± 0.63%, 95.34 ± 1.17% and 96.61 ± 0.85% for the C2, C3, C4, C5 and C6 datasets, respectively. Majority voting algorithms typically yield consistent results across different folds of the brain tumor data and enhance performance compared to any individual deep learning and machine learning models.
      pubtype: Academic Journal
      doctype:
        algorithm
        diagnostic images
        equations & formulas
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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