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Artificial Intelligence in Health





                                        ORIGINAL RESEARCH ARTICLE
                                        Interpretability analysis of deep models for

                                        COVID-19 detection



                                        Daniel Peixoto Pinto da Silva 1  , Edresson Casanova 2  ,
                                        Lucas Rafael Stefanel Gris 3  , Marcelo Matheus Gauy * , Arnaldo Candido Junior 5  ,
                                                                                   4
                                        Marcelo Finger 4  , Flaviane Romani Fernandes Svartman 6  ,
                                        Beatriz Raposo de Medeiros 7  , Marcus Vinícius Moreira Martins 8  ,
                                        Sandra Maria Aluísio 2  , Larissa Cristina Berti 9  , and João Paulo Teixeira 10
                                        1 Academic Department of Computing, Federal University of  Technology – Paraná, Medianeira,
                                        Paraná, Brazil
                                        2 Department of Computer Science, Institute of Mathematical and Computer Sciences, University of
                                        São Paulo, São Carlos, São Paulo, Brazil
                                        3 Institute of Informatics, Federal University of Goiás, Goiania, Goiás, Brazil
                                        4 Department of Computer Science, Institute of Mathematics and Statistics, University of São Paulo,
                                        São Paulo, São Paulo, Brazil
                                        5 Department of Computing and Statistics, Institute of Biosciences, Humanities and Exact Sciences,
                                        São Paulo State University, São José do Rio Preto, São Paulo, Brazil
                                        6 Department of Classical and Vernacular Literature, Faculty of Philosophy, Language, Literature and
                                        Human Sciences, University of São Paulo, São Paulo, São Paulo, Brazil
                                        7 Department of Linguistics, Faculty of Philosophy, Language, Literature and Human Sciences,
                                        University of São Paulo, São Paulo, São Paulo, Brazil
                                        8 Department of Literature and Linguistics, University of the State of Minas Gerais, Belo Horizonte,
                                        Minas Gerais, Brazil
                                        9 Department of Speech Therapy, Faculty of Philosophy and Sciences, São Paulo State University,
                                        Marília, São Paulo, Brazil
                                        10 Department of Eletronics, Research Centre in Digitalization and Intelligent Robotics (CeDRI),
                                        Instituto Politécnico de Bragança, Bragança, Portugal
            *Corresponding author:
            Marcelo Matheus Gauy
            (marcelo.gauy@usp.br)       Abstract
            Citation: da Silva DPP,     During the coronavirus disease 2019 (COVID-19) pandemic, various research
            Casanova E, Gris LRS, et al.   disciplines collaborated to address the impacts of severe acute respiratory syndrome
            Interpretability analysis of deep
            models for COVID-19 detection.   coronavirus-2 infections.  This paper presents an interpretability analysis of a
            Artif Intell Health. 2024;1(3):114-126.   convolutional neural network-based model designed for COVID-19 detection using
            doi: 10.36922/aih.2992      audio data. We explore the input features that play a crucial role in the model’s decision-
            Received: February 21, 2024  making process, including spectrograms, fundamental frequency (F0), F0 standard
            Accepted: June 17, 2024     deviation,  sex,  and age. Subsequently, we  examine  the  model’s decision  patterns
                                        by generating heat maps to visualize its focus during the decision-making process.
            Published Online: July 30, 2024  Emphasizing an explainable artificial intelligence approach, our findings demonstrate
            Copyright: © 2024 Author(s).   that the examined models can make unbiased decisions even in the presence of noise
            This is an Open-Access article   in training set audios, provided appropriate preprocessing steps are undertaken.
            distributed under the terms of the
            Creative Commons Attribution   Our top-performing model achieves a detection accuracy of 94.44%. Our analysis
            License, permitting distribution,   indicates that  the analyzed models  prioritize high-energy  areas in  spectrograms
            and reproduction in any medium,   during the decision process, particularly focusing on high-energy regions associated
            provided the original work is
            properly cited.             with prosodic domains, while also effectively utilizing F0 for COVID-19 detection.
            Publisher’s Note: AccScience
            Publishing remains neutral with   Keywords: Coronavirus disease 2019 detection; Voice processing; Gradient-weight class
            regard to jurisdictional claims in
            published maps and institutional   activation mapping
            affiliations.

            Volume 1 Issue 3 (2024)                        114                               doi: 10.36922/aih.2992
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