Explainable Artificial Intelligence (XAI) is an area of growing interest, particularly in medical imaging, where example-based techniques show great potential. This paper is a systematic review of recent example-based XAI techniques, a promising approach that remains relatively unexplored in clinical practice and medical image analysis. A selection and analysis of recent studies using example-based XAI techniques for interpreting medical images was carried out. Several approaches were examined, highlighting how each contributes to increasing accuracy, transparency, and usability in medical applications. These techniques were compared and discussed in detail, considering their advantages and limitations in the context of medical imaging, with a focus on improving the integration of these technologies into clinical practice and medical decision-making. The review also pointed out gaps in current research, suggesting directions for future investigations. The need to develop XAI methods that are not only technically efficient but also ethically responsible and adaptable to the needs of healthcare professionals was emphasised. Thus, the paper sought to establish a solid foundation for understanding and advancing example-based XAI techniques in medical imaging, promoting a more integrated and patient-centred approach to medicine.

Interferometric Synthetic Aperture Radar (InSAR) enables regional monitoring of ground deformation, but operational geohazard analysis remains challenged by atmospheric artefacts, temporal decorrelation, and the need for scalable interpretation of multi-temporal products. A systematic review was conducted through searches in Scopus and Web of Science, resulting in 135 peer-reviewed scientific articles on the integration of Machine Learning (ML) and Deep Learning (DL) with multi-temporal InSAR (MT-InSAR). The literature is dominated by applications to landslides and land subsidence, with additional studies addressing volcanic unrest and other deformation-related hazards. Persistent Scatterer (PS) and Small-Baseline Subset (SBAS) approaches are frequently used to derive deformation time series, which are then coupled with ML/DL for the detection and mapping of active phenomena and for short-horizon forecasting. Convolutional architectures, such as Convolutional Neural Networks (CNNs), are commonly reported for spatial recognition tasks, while recurrent models like Long Short-Term Memory (LSTM) networks are often applied to time-series prediction. Reported benefits include improved automation and predictive performance, although sensitivity to noise sources remains a challenge. Overall, the evidence supports AI-enabled InSAR workflows for scalable geohazard monitoring, while highlighting the need for standardized benchmarks and systematic transferability assessment. This review provides a roadmap for transitioning from research prototypes to operational early-warning systems.

Medical imaging is vital for diagnosing and treating colorectal cancer (CRC), a leading cause of mortality. Classifying colorectal polyps and CRC precursors remains challenging due to operator variability and expertise dependence. Deep learning (DL) models show promise in polyp classification but face adoption barriers due to their ‘black box’ nature, limiting interpretability. This study presents an example-based explainable artificial intehlligence (XAI) approach using Pix2Pix to generate synthetic polyp images with controlled size variations and LIME to explain classifier predictions visually. EfficientNet and Vision Transformer (ViT) were trained on datasets of real and synthetic images, achieving strong baseline accuracies of 94% and 96%, respectively. Image quality was assessed using PSNR (18.04), SSIM (0.64), and FID (123.32), while classifier robustness was evaluated across polyp sizes. Results show that Pix2Pix effectively controls image attributes like polyp size despite limitations in visual fidelity. LIME integration revealed classifier vulnerabilities, underscoring the value of complementary XAI techniques. This enhances DL model interpretability and deepens understanding of their behaviour. The findings contribute to developing explainable AI tools for polyp classification and CRC diagnosis. Future work will improve synthetic image quality and refine XAI methodologies for broader clinical use.