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Breast cancer is one of the most prevalent malignancies affecting women globally, and early
detection remains critical in ensuring positive health outcomes. Modern artificial intelligence (AI)
systems have achieved significant accuracy in breast cancer prediction using structured diagnostic
features; however, they often fail to address two clinical necessities: explainability and
longitudinal risk tracking. Clinicians require transparent reasoning behind AI decisions and the
ability to monitor a patient’s risk progression across multiple diagnostic visits. This paper proposes
a patient-centric Explainable AI (XAI) system designed to assess, interpret, and track breast cancer
risk over time. By integrating machine learning models, SHAP and LIME explainability methods,
OCR-based report extraction, and longitudinal trend analytics, the system enhances clinical
decision-making, improves trust in AI-assisted diagnosis, and supports patient follow-up planning.
Experimental results demonstrate that explainable risk trajectories provide actionable insights into
disease progression, enabling early clinical intervention.
Keywords:
Breast cancer, Explainable AI, SHAP, LIME, longitudinal analysis, medical diagnosis, machine learning, risk tracking, patient-centric AI.
Cite Article:
" A Patient-Centric Explainable AI System for Tracking Longitudinal Breast Cancer Risk Trends ", International Journal for Research Trends and Innovation (www.ijrti.org), ISSN:2455-2631, Vol.10, Issue 12, page no.b324-b337, December-2025, Available :http://www.ijrti.org/papers/IJRTI2512141.pdf
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ISSN:
2456-3315 | IMPACT FACTOR: 8.14 Calculated By Google Scholar| ESTD YEAR: 2016
An International Scholarly Open Access Journal, Peer-Reviewed, Refereed Journal Impact Factor 8.14 Calculate by Google Scholar and Semantic Scholar | AI-Powered Research Tool, Multidisciplinary, Monthly, Multilanguage Journal Indexing in All Major Database & Metadata, Citation Generator