Privacy-Preserving Generative Adversarial Network for Case-Based Explainability in Medical Image Analysis

Although Deep Learning models have achieved incredible results in medical image classification tasks, their lack of interpretability hinders their deployment in the clinical context. Case-based interpretability provides intuitive explanations, as it is a much more human-like approach than saliency-map-based interpretability. Nonetheless, since one is dealing with sensitive visual data, there is a high risk of exposing personal identity, threatening the individuals' privacy. In this work, we propose a privacy-preserving generative adversarial network for the privatization of case-based explanations. We address the weaknesses of current privacy-preserving methods for visual data from three perspectives: realism, privacy, and explanatory value. We also introduce a counterfactual module in our Generative Adversarial Network that provides counterfactual case-based explanations in addition to standard factual explanations. Experiments were performed in a biometric and medical dataset, demonstrating the network's potential to preserve the privacy of all subjects and keep its explanatory evidence while also maintaining a decent level of intelligibility.