# Leveraging CAM Algorithms for Explaining Medical Semantic Segmentation Source: [Leveraging CAM Algorithms for Explaining Medical Semantic Segmentation]() Collection index: [llms.txt]() Data updated: 2025-10-27T06:41:00.437Z Authors: Tillmann Rheude, Andreas Wirtz, Arjan Kuijper, Stefan Wesarg Published: 2024-09-30T13:43:00.000Z ## Abstract Convolutional neural networks (CNNs) achieve prevailing results in segmentation tasks nowadays and represent the state-of-the-art for image-based analysis. However, the understanding of the accurate decision-making process of a CNN is rather unknown. The research area of explainable artificial intelligence (xAI) primarily revolves around understanding and interpreting this black-box behavior. One way of interpreting a CNN is the use of class activation maps (CAMs) that represent heatmaps to indicate the importance of image areas for the prediction of the CNN. For classification tasks, a variety of CAM algorithms exist. But for segmentation tasks, only one CAM algorithm for the interpretation of the output of a CNN exist. We propose a transfer between existing classification- and segmentation-based methods for more detailed, explainable, and consistent results which show salient pixels in semantic segmentation tasks. The resulting Seg-HiRes-Grad CAM is an extension of the segmentation-based Seg-Grad CAM with the transfer to the classification-based HiRes CAM. Our method improves the previously-mentioned existing segmentation-based method by adjusting it to recently published classification-based methods. Especially for medical image segmentation, this transfer solves existing explainability disadvantages. ## Recorded benchmark results A research result applies to its stated dataset, split, metric and evaluation configuration. Compare like-for-like settings, preserve the metric's unit and direction, and distinguish paper-reported results from independent reproduction. The best result recorded here is not a claim of exhaustive, current global coverage. ## Original sources and implementation [Original paper]() [PDF]()