Improving our understanding of cancer and other complex diseases requires integrating diverse data sets and algorithms. Intertwining in vivo and in vitro data and in silico models are paramount to overcome intrinsic difficulties given by data complexity. Importantly, this approach also helps to uncover underlying molecular mechanisms. Over the years, research has introduced multiple biochemical and computational methods to study the disease, many of which require animal experiments. However, modeling systems and the comparison of cellular processes in both eukaryotes and prokaryotes help to understand specific aspects of uncontrolled cell growth, eventually leading to improved planning of future experiments. According to the principles for humane techniques milestones in alternative animal testing involve in vitro methods such as cell-based models and microfluidic chips, as well as clinical tests of microdosing and imaging. Up-to-date, the range of alternative methods has expanded towards computational approaches, based on the use of information from past in vitro and in vivo experiments. In fact, in silico techniques are often underrated but can be vital to understanding fundamental processes in cancer. They can rival accuracy of biological assays, and they can provide essential focus and direction to reduce experimental cost. We give an overview on in vivo, in vitro and in silico methods used in cancer research. Common models as cell-lines, xenografts, or genetically modified rodents reflect relevant pathological processes to a different degree, but can not replicate the full spectrum of human disease. There is an increasing importance of computational biology, advancing from the task of assisting biological analysis with network biology approaches as the basis for understanding a cell’s functional organization up to model building for predictive systems. Underlining and extending the in silico approach with respect to the 3Rs for replacement, reduction and refinement will lead cancer research towards efficient and effective precision medicine. Therefore, we suggest refined translational models and testing methods based on integrative analyses and the incorporation of computational biology within cancer research.

Purpose: This contribution explores the underuse of artificial intelligence (AI) in the health sector, what this means for practice, and how much the underuse can cost. Attention is drawn to the relevance of an issue that the European Parliament has outlined as a "major threat" in 2020. At its heart is the risk that research and development on trusted AI systems for medicine and digital health will pile up in lab centers without generating further practical relevance. Our analysis highlights why researchers, practitioners and especially policymakers, should pay attention to this phenomenon. Methods: The paper examines the ways in which governments and public agencies are addressing the underuse of AI. As governments and international organizations often acknowledge the limitations of their own initiatives, the contribution explores the causes of the current issues and suggests ways to improve initiatives for digital health. Results: Recommendations address the development of standards, models of regulatory governance, assessment of the opportunity costs of underuse of technology, and the urgency of the problem. Conclusions: The exponential pace of AI advances and innovations makes the risks of underuse of AI increasingly threatening. Graphical

Understanding living systems is crucial for curing diseases. To achieve this task we have to understand biological networks based on protein-protein interactions. Bioinformatics has come up with a great amount of databases and tools that support analysts in exploring protein-protein interactions on an integrated level for knowledge discovery. They provide predictions and correlations, indicate possibilities for future experimental research and fill the gaps to complete the picture of biochemical processes. There are numerous and huge databases of protein-protein interactions used to gain insights into answering some of the many questions of systems biology. Many computational resources integrate interaction data with additional information on molecular background. However, the vast number of diverse Bioinformatics resources poses an obstacle to the goal of understanding. We present a survey of databases that enable the visual analysis of protein networks. We selected M =10 out of N =53 resources supporting visualization, and we tested against the following set of criteria: interoperability, data integration, quantity of possible interactions, data visualization quality and data coverage. The study reveals differences in usability, visualization features and quality as well as the quantity of interactions. StringDB is the recommended first choice. CPDB presents a comprehensive dataset and IntAct lets the user change the network layout. A comprehensive comparison table is available via web. The supplementary table can be accessed on http://tinyurl.com/PPI-DB-Comparison-2015 . Only some web resources featuring graph visualization can be successfully applied to interactive visual analysis of protein-protein interaction. Study results underline the necessity for further enhancements of visualization integration in biochemical analysis tools. Identified challenges are data comprehensiveness, confidence, interactive feature and visualization maturing.

Recent developments in research on artificial intelligence (AI) in medicine deal with the analysis of image data such as Magnetic Resonance Imaging (MRI) scans to support the of decision-making of medical personnel. For this purpose, machine learning (ML) algorithms are often used, which do not explain the internal decision-making process at all. Thus, it is often difficult to validate or interpret the results of the applied AI methods. This manuscript aims to overcome this problem by using methods of explainable AI (XAI) to interpret the decision-making of an ML algorithm in the use case of predicting the survival rate of patients with brain tumors based on MRI scans. Therefore, we explore the analysis of brain images together with survival data to predict survival in gliomas with a focus on improving the interpretability of the results. Using the Brain Tumor Segmentation dataset BraTS 2020, we used a well-validated dataset for evaluation and relied on a convolutional neural network structure to improve the explainability of important features by adding Shapley overlays. The trained network models were used to evaluate SHapley Additive exPlanations (SHAP) directly and were not optimized for accuracy. The resulting overfitting of some network structures is therefore seen as a use case of the presented interpretation method. It is shown that the network structure can be validated by experts using visualizations, thus making the decision-making of the method interpretable. Our study highlights the feasibility of combining explainers with 3D voxels and also the fact that the interpretation of prediction results significantly supports the evaluation of results. The implementation in python is available on gitlab as “XAIforBrainImgSurv”.

In response to socioeconomic development, the number of machine learning applications has increased, along with the calls for algorithmic transparency and further sustainability in terms of energy efficient technologies. Modern computer algorithms that process large amounts of information, particularly artificial intelligence methods and their workhorse machine learning, can be used to promote and support sustainability; however, they consume a lot of energy themselves. This work focuses and interconnects two key aspects of artificial intelligence regarding the transparency and sustainability of model development. We identify frameworks for measuring carbon emissions from Python algorithms and evaluate energy consumption during model development. Additionally, we test the impact of explainability on algorithmic energy consumption during model optimization, particularly for applications in health and, to expand the scope and achieve a widespread use, civil engineering and computer vision. Specifically, we present three different models of classification, regression and object-based detection for the scenarios of cancer classification, building energy, and image detection, each integrated with explainable artificial intelligence (XAI) or feature reduction. This work can serve as a guide for selecting a tool to measure and scrutinize algorithmic energy consumption and raise awareness of emission-based model optimization by highlighting the sustainability of XAI.

This study aims to reflect on a list of libraries providing decision support to AI models. The goal is to assist in finding suitable libraries that support visual explainability and interpretability of the output of their AI model. Especially in sensitive application areas, such as medicine, this is crucial for understanding the decision-making process and for a safe application. Therefore, we use a glioma classification model’s reasoning as an underlying case. We present a comparison of 11 identified Python libraries that provide an addition to the better known SHAP and LIME libraries for visualizing explainability. The libraries are selected based on certain attributes, such as being implemented in Python, supporting visual analysis, thorough documentation, and active maintenance. We showcase and compare four libraries for global interpretations (ELI5, Dalex, InterpretML, and SHAP) and three libraries for local interpretations (Lime, Dalex, and InterpretML). As use case, we process a combination of openly available data sets on glioma for the task of studying feature importance when classifying the grade II, III, and IV brain tumor subtypes glioblastoma multiforme (GBM), anaplastic astrocytoma (AASTR), and oligodendroglioma (ODG), out of 1276 samples and 252 attributes. The exemplified model confirms known variations and studying local explainability contributes to revealing less known variations as putative biomarkers. The full comparison spreadsheet and implementation examples can be found in the appendix.