Malignant lymphoma subtype classification directly impacts treatment strategies and patient outcomes, necessitating classification models that achieve both high accuracy and sufficient explainability. This study proposes a novel explainable Multi-Instance Learning (MIL) framework that identifies subtype-specific Regions of Interest (ROIs) from Whole Slide Images (WSIs) while integrating cell distribution characteristics and image information. Our framework simultaneously addresses three objectives: (1) indicating appropriate ROIs for each subtype, (2) explaining the frequency and spatial distribution of characteristic cell types, and (3) achieving high-accuracy subtyping by leveraging both image and cell-distribution modalities. The proposed method fuses cell graph and image features extracted from each patch in the WSI using a Mixture-of-Experts (MoE) approach and classifies subtypes within an MIL framework. Experiments on a dataset of 1,233 WSIs demonstrate that our approach achieves state-of-the-art accuracy among ten comparative methods and provides region-level and cell-level explanations that align with a pathologist's perspectives.

Pattern recognition systems implemented using deep neural networks achieve better results than linear models. However, their drawback is the black box property. This property means that one with no experience utilising nonlinear systems may need help understanding the outcome of the decision. Such a solution is unacceptable to the user responsible for the final decision. He must not only believe in the decision but also understand it. Therefore, recognisers must have an architecture that allows interpreters to interpret the findings. The idea of post-hoc explainable classifiers is to design an interpretable classifier parallel to the black box classifier, giving the same decisions as the black box classifier. This paper shows that the explainable classifier completes matching classification decisions with the black box classifier on the MNIST and FashionMNIST databases if Zadeh's fuzzy logic function forms the classifier and DeconvNet importance gives the truth values. Since the other tested significance measures achieved lower performance than DeconvNet, it is the optimal transformation of the feature values to their truth values as inputs to the fuzzy logic function for the databases and recogniser architecture used.