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Interpreting Venous and Arterial Ulcer Images Through the Grad-CAM Lens: Insights and Implications in CNN-Based Wound Image Classification
Neuwieser, Hannah, Jami, Naga Venkata Sai Jitin, Meier, Robert Johannes, Liebsch, Gregor, Felthaus, Oliver
, Klein, Silvan
, Schreml, Stephan
, Berneburg, Mark
, Prantl, Lukas
, Leutheuser, Heike and Kempa, Sally
(2025)
Interpreting Venous and Arterial Ulcer Images Through the Grad-CAM Lens: Insights and Implications in CNN-Based Wound Image Classification.
Diagnostics 15 (17), p. 2184.
Date of publication of this fulltext: 03 Sep 2025 10:19
Article
DOI to cite this document: 10.5283/epub.77640
Abstract
Background/Objectives: Chronic wounds of the lower extremities, particularly arterial and venous ulcers, represent a significant and costly challenge in medical care. To assist in differential diagnosis, we aim to evaluate various advanced deep-learning models for classifying arterial and venous ulcers and visualize their decision-making processes. Methods: A retrospective dataset of 607 images ...
Background/Objectives: Chronic wounds of the lower extremities, particularly arterial and venous ulcers, represent a significant and costly challenge in medical care. To assist in differential diagnosis, we aim to evaluate various advanced deep-learning models for classifying arterial and venous ulcers and visualize their decision-making processes. Methods: A retrospective dataset of 607 images (198 arterial and 409 venous ulcers) was used to train five convolutional neural networks: ResNet50, ResNeXt50, ConvNeXt, EfficientNetB2, and EfficientNetV2. Model performance was assessed using accuracy, precision, recall, F1-score, and ROC-AUC. Grad-CAM was applied to visualize image regions contributing to classification decisions. Results: The models demonstrated high classification performance, with accuracy ranging from 72% (ConvNeXt) to 98% (ResNeXt50). Precision and recall values indicated strong discrimination between arterial and venous ulcers, with EfficientNetV2 achieving the highest precision. Conclusions: AI-assisted classification of venous and arterial ulcers offers a valuable method for enhancing diagnostic efficiency.
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| Item type | Article | ||||
| Journal or Publication Title | Diagnostics | ||||
| Publisher: | MDPI | ||||
|---|---|---|---|---|---|
| Volume: | 15 | ||||
| Number of Issue or Book Chapter: | 17 | ||||
| Page Range: | p. 2184 | ||||
| Date | 28 August 2025 | ||||
| Institutions | Medicine > Zentren des Universitätsklinikums Regensburg > Zentrum für Plastische-, Hand- und Wiederherstellungschirurgie | ||||
| Identification Number |
| ||||
| Keywords | deep learning; artificial intelligence; wound classification; arterial ulcers; venous ulcers; convolutional neural networks | ||||
| Dewey Decimal Classification | 600 Technology > 610 Medical sciences Medicine | ||||
| Status | Published | ||||
| Refereed | Yes, this version has been refereed | ||||
| Created at the University of Regensburg | Yes | ||||
| URN of the UB Regensburg | urn:nbn:de:bvb:355-epub-776400 | ||||
| Item ID | 77640 |
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