In this paper, we introduce Narrative Learning, a methodology where models are defined entirely in natural language and iteratively refine their classification criteria using explanatory prompts rather than traditional numerical optimisation. We report on experiments to evaluate the accuracy and potential of this approach using 3 synthetic and 3 natural datasets and compare them against 7 baseline explainable machine learning models. We demonstrate that on 5 out of 6 of these datasets, Narrative Learning became more accurate than the baseline explainable models in 2025 or earlier because of improvements in language models. We also report on trends in the lexicostatistics of these models' outputs as a proxy for the comprehensibility of the explanations.

While machine learning offers diverse techniques suitable for exploring various medical research questions, a cohesive synergistic framework can facilitate the integration and understanding of new approaches within unified model development and interpretation. We therefore introduce the Medical Artificial Intelligence Toolbox (MAIT), an explainable, open-source Python pipeline for developing and evaluating binary classification, regression, and survival models on tabular datasets. MAIT addresses key challenges (e.g., high dimensionality, class imbalance, mixed variable types, and missingness) while promoting transparency in reporting (TRIPOD+AI compliant). Offering automated configurations for beginners and customizable source code for experts, MAIT streamlines two primary use cases: Discovery (feature importance via unified scoring, e.g., SHapley Additive exPlanations - SHAP) and Prediction (model development and deployment with optimized solutions). Moreover, MAIT proposes new techniques including fine-tuning of probability threshold in binary classification, translation of cumulative hazard curves to binary classification, enhanced visualizations for model interpretation for mixed data types, and handling censoring through semi-supervised learning, to adapt to a wide set of data constraints and study designs. We provide detailed tutorials on GitHub, using four open-access data sets, to demonstrate how MAIT can be used to improve implementation and interpretation of ML models in medical research.

Background: Neoplasms remains a leading cause of mortality worldwide, with timely diagnosis being crucial for improving patient outcomes. Current diagnostic methods are often invasive, costly, and inaccessible to many populations. Electrocardiogram (ECG) data, widely available and non-invasive, has the potential to serve as a tool for neoplasms diagnosis by using physiological changes in cardiovascular function associated with neoplastic prescences. Methods: This study explores the application of machine learning models to analyze ECG features for the diagnosis of neoplasms. We developed a pipeline integrating tree-based models with Shapley values for explainability. The model was trained and internally validated and externally validated on a second large-scale independent external cohort to ensure robustness and generalizability. Findings: The results demonstrate that ECG data can effectively capture neoplasms-associated cardiovascular changes, achieving high performance in both internal testing and external validation cohorts. Shapley values identified key ECG features influencing model predictions, revealing established and novel cardiovascular markers linked to neoplastic conditions. This non-invasive approach provides a cost-effective and scalable alternative for the diagnosis of neoplasms, particularly in resource-limited settings. Similarly, useful for the management of secondary cardiovascular effects given neoplasms therapies. Interpretation: This study highlights the feasibility of leveraging ECG signals and machine learning to enhance neoplasms diagnostics. By offering interpretable insights into cardio-neoplasms interactions, this approach bridges existing gaps in non-invasive diagnostics and has implications for integrating ECG-based tools into broader neoplasms diagnostic frameworks, as well as neoplasms therapy management.

Background: Liver diseases are a major global health concern, often diagnosed using resource-intensive methods. Electrocardiogram (ECG) data, widely accessible and non-invasive, offers potential as a diagnostic tool for liver diseases, leveraging the physiological connections between cardiovascular and hepatic health. Methods: This study applies machine learning models to ECG data for the diagnosis of liver diseases. The pipeline, combining tree-based models with Shapley values for explainability, was trained, internally validated, and externally validated on an independent cohort, demonstrating robust generalizability. Findings: Our results demonstrate the potential of ECG to derive biomarkers to diagnose liver diseases. Shapley values revealed key ECG features contributing to model predictions, highlighting already known connections between cardiovascular biomarkers and hepatic conditions as well as providing new ones. Furthermore, our approach holds promise as a scalable and affordable solution for liver disease detection, particularly in resource-limited settings. Interpretation: This study underscores the feasibility of leveraging ECG features and machine learning to enhance the diagnosis of liver diseases. By providing interpretable insights into cardiovascular-liver interactions, the approach bridges existing gaps in non-invasive diagnostics, offering implications for broader systemic disease monitoring.

Electricity forecasting has been a recurring research topic, as it is key to finding the right balance between production and consumption. While most papers are focused on the national or regional scale, few are interested in the household level. Desegregated forecast is a common topic in Machine Learning (ML) literature but lacks explainability that household energy forecasts require. This paper specifically targets the challenges of forecasting electricity use at the household level. This paper confronts common Machine Learning algorithms to electricity household forecasts, weighing the pros and cons, including accuracy and explainability with well-known key metrics. Furthermore, we also confront them in this paper with the business challenges specific to this sector such as explainability or outliers resistance. We introduce a custom decision tree, aiming at providing a fair estimate of the energy consumption, while being explainable and consistent with human intuition. We show that this novel method allows greater explainability without sacrificing much accuracy. The custom tree methodology can be used in various business use cases but is subject to limitations, such as a lack of resilience with outliers.

This paper presents an explainable machine learning (ML) approach for predicting surface roughness in milling. Utilizing a dataset from milling aluminum alloy 2017A, the study employs random forest regression models and feature importance techniques. The key contributions include developing ML models that accurately predict various roughness values and identifying redundant sensors, particularly those for measuring normal cutting force. Our experiments show that removing certain sensors can reduce costs without sacrificing predictive accuracy, highlighting the potential of explainable machine learning to improve cost-effectiveness in machining.

We explore statistical properties of BPS q-series for 3d N=2 strongly coupled supersymmetric theories that correspond to a particular family of 3-manifolds Y. We discover that gaps between exponents in the q-series are statistically more significant at the beginning of the q-series compared to gaps that appear in higher powers of q. Our observations are obtained by calculating saliencies of q-series features used as input data for principal component analysis, which is a standard example of an explainable machine learning technique that allows for a direct calculation and a better analysis of feature saliencies.

Reliable deployment of machine learning models such as neural networks continues to be challenging due to several limitations. Some of the main shortcomings are the lack of interpretability and the lack of robustness against adversarial examples or out-of-distribution inputs. In this exploratory review, we explore the possibilities and limits of adversarial attacks for explainable machine learning models. First, we extend the notion of adversarial examples to fit in explainable machine learning scenarios, in which the inputs, the output classifications and the explanations of the model's decisions are assessed by humans. Next, we propose a comprehensive framework to study whether (and how) adversarial examples can be generated for explainable models under human assessment, introducing and illustrating novel attack paradigms. In particular, our framework considers a wide range of relevant yet often ignored factors such as the type of problem, the user expertise or the objective of the explanations, in order to identify the attack strategies that should be adopted in each scenario to successfully deceive the model (and the human). The intention of these contributions is to serve as a basis for a more rigorous and realistic study of adversarial examples in the field of explainable machine learning.

Machine learning models are increasingly being used in critical sectors, but their black-box nature has raised concerns about accountability and trust. The field of explainable artificial intelligence (XAI) or explainable machine learning (XML) has emerged in response to the need for human understanding of these models. Evolutionary computing, as a family of powerful optimization and learning tools, has significant potential to contribute to XAI/XML. In this chapter, we provide a brief introduction to XAI/XML and review various techniques in current use for explaining machine learning models. We then focus on how evolutionary computing can be used in XAI/XML, and review some approaches which incorporate EC techniques. We also discuss some open challenges in XAI/XML and opportunities for future research in this field using EC. Our aim is to demonstrate that evolutionary computing is well-suited for addressing current problems in explainability, and to encourage further exploration of these methods to contribute to the development of more transparent, trustworthy and accountable machine learning models.

Jointly harnessing complementary features of multi-modal input data in a common latent space has been found to be beneficial long ago. However, the influence of each modality on the models decision remains a puzzle. This study proposes a deep learning framework for the modality-level interpretation of multimodal earth observation data in an end-to-end fashion. While leveraging an explainable machine learning method, namely Occlusion Sensitivity, the proposed framework investigates the influence of modalities under an early-fusion scenario in which the modalities are fused before the learning process. We show that the task of wilderness mapping largely benefits from auxiliary data such as land cover and night time light data.