3D ReX: Causal Explanations in 3D Neuroimaging Classification

Abstract: Explainability remains a significant problem for AI models in medical imaging, making it challenging for clinicians to trust AI-driven predictions. We introduce 3D ReX, the first causality-based post-hoc explainability tool for 3D models. 3D ReX uses the theory of actual causality to generate responsibility maps which highlight the regions most crucial to the model's decision. We test 3D ReX on a stroke detection model, providing insight into the spatial distribution of features relevant to stroke.