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Review
. 2025 Nov;198(Pt B):111200.
doi: 10.1016/j.compbiomed.2025.111200. Epub 2025 Oct 17.

Grad-CAM (Gradient-weighted Class Activation Mapping): A systematic literature review

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Review

Grad-CAM (Gradient-weighted Class Activation Mapping): A systematic literature review

Abdul Muiz Fayyaz et al. Comput Biol Med. 2025 Nov.

Abstract

Explainable Artificial Intelligence (XAI) has become a crucial aspect of modern Machine Learning (ML) and Deep Learning (DL) applications, emphasizing transparency and trust in model predictions. Among various XAI techniques, Gradient-weighted Class Activation Mapping (Grad-CAM) stands out for its ability to visually interpret Convolutional Neural Networks (CNNs) by highlighting image regions that contribute significantly to decision-making. This Systematic Literature Review (SLR) provides a comprehensive analysis of Grad-CAM, its advancements in medical imaging, and applications in ML and DL. The review explores current research trends, variations of Grad-CAM, and its integration with different ML/DL architectures. A systematic search across Scopus, Web of Science, IEEE Xplore, and ScienceDirect identified 427 peer-reviewed publications (2020-2024), of which 51 were selected for in-depth examination. This study offers valuable insights into the evolution of Grad-CAM, its optimization techniques, and its role in improving model interpretability in medical imaging analysis and related fields.

Keywords: Artificial Intelligence; Deep Learning; Explainable Artificial Intelligence; Grad-CAM; Systematic Literature Review.

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Conflict of interest statement

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

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