Secure Diagnostics: Adversarial Robustness Meets Clinical Interpretability

Deep neural networks for medical image classification often fail to generalize consistently in clinical practice due to violations of the i.i.d. assumption and opaque decision-making. This paper examines interpretability in deep neural networks fine-tuned for fracture detection by evaluating model performance against adversarial attack and comparing interpretability methods to fracture regions annotated by an orthopedic surgeon. Our findings prove that robust models yield explanations more aligned with clinically meaningful areas, indicating that robustness encourages anatomically relevant feature prioritization. We emphasize the value of interpretability for facilitating human-AI collaboration, in which models serve as assistants under a human-in-the-loop paradigm: clinically plausible explanations foster trust, enable error correction, and discourage reliance on AI for high-stakes decisions. This paper investigates robustness and interpretability as complementary benchmarks for bridging the gap between benchmark performance and safe, actionable clinical deployment.

DFT-Based Adversarial Attack Detection in MRI Brain Imaging: Enhancing Diagnostic Accuracy in Alzheimer's Case Studies

Recent advancements in deep learning, particularly in medical imaging, have significantly propelled the progress of healthcare systems. However, examining the robustness of medical images against adversarial attacks is crucial due to their real-world applications and profound impact on individuals' health. These attacks can result in misclassifications in disease diagnosis, potentially leading to severe consequences. Numerous studies have explored both the implementation of adversarial attacks on medical images and the development of defense mechanisms against these threats, highlighting the vulnerabilities of deep neural networks to such adversarial activities. In this study, we investigate adversarial attacks on images associated with Alzheimer's disease and propose a defensive method to counteract these attacks. Specifically, we examine adversarial attacks that employ frequency domain transformations on Alzheimer's disease images, along with other well-known adversarial attacks. Our approach utilizes a convolutional neural network (CNN)-based autoencoder architecture in conjunction with the two-dimensional Fourier transform of images for detection purposes. The simulation results demonstrate that our detection and defense mechanism effectively mitigates several adversarial attacks, thereby enhancing the robustness of deep neural networks against such vulnerabilities.