Arul Antran Vijay S.,
Alagu Aravind A.,
Arvind R.,
Prasath B.,
Sanjay S.,
- Associate Professor, Department of Computer Science, Karpagam College of Engineering, Coimbatore, Tamil Nadu, India
- Student, Department of Computer Science, Karpagam College of Engineering, Coimbatore, Tamil Nadu, India
- Student, Department of Computer Science, Karpagam College of Engineering, Coimbatore, Tamil Nadu, India
- Student, Department of Computer Science, Karpagam College of Engineering, Coimbatore, Tamil Nadu, India
- Student, Department of Computer Science, Karpagam College of Engineering, Coimbatore, Tamil Nadu, India
Abstract
Pneumonia, including tuberculosis (TB), remains one of the leading causes of death worldwide, especially in regions where access to healthcare is limited. Early and accurate diagnosis is critical for effective treatment and better patient outcomes, but traditional methods are time-consuming and require specialized expertise. This study explores the use of advanced deep learning models VGG16, VGG19, and ResNet50 to detect pneumonia and TB from chest X-ray images. By leveraging transfer learning, these models utilize pre-trained neural networks to extract meaningful features, while Grad-CAM visualizations provide insights into the decision-making process, ensuring transparency and trust in AI predictions. This research demonstrates the potential of combining cutting-edge deep learning with explainable AI to overcome diagnostic challenges in resource-limited settings. By focusing on interpretability and efficiency, the proposed approach aims to empower healthcare providers with reliable tools for timely and accurate diagnoses. Future efforts will focus on testing these models on larger and more diverse datasets, bringing us closer to integrating AI into everyday clinical workflows.
Keywords: Pneumonia, tuberculosis, deep learning, ResNet50, VGG16, VGG19, Grad-CAM, explainable AI
[This article belongs to Journal of Advanced Database Management & Systems ]
Arul Antran Vijay S., Alagu Aravind A., Arvind R., Prasath B., Sanjay S.. Pneumonia Identification Using Explainable Artificial Intelligence. Journal of Advanced Database Management & Systems. 2025; 12(03):01-11.
Arul Antran Vijay S., Alagu Aravind A., Arvind R., Prasath B., Sanjay S.. Pneumonia Identification Using Explainable Artificial Intelligence. Journal of Advanced Database Management & Systems. 2025; 12(03):01-11. Available from: https://journals.stmjournals.com/joadms/article=2025/view=229337
References
- Yang Y, Mei G, Piccialli F. A deep learning approach considering image background for pneumonia identification using explainable AI (XAI). IEEE/ACM Trans Comput Biol Bioinform. 2022 Jul 12; 21(4): 857–68.
- Harmon SA, Sanford TH, Xu S, Turkbey EB, Roth H, Xu Z, Yang D, Myronenko A, Anderson V, Amalou A, Blain M. Artificial intelligence for the detection of COVID-19 pneumonia on chest CT using multinational datasets. Nat Commun. 2020 Aug 14; 11(1): 4080.
- Brunese L, Mercaldo F, Reginelli A, Santone A. Explainable deep learning for pulmonary disease and coronavirus COVID-19 detection from X-rays. Comput Methods Programs Biomed. 2020 Nov 1; 196: 105608.
- Rousan LA, Elobeid E, Karrar M, Khader Y. Chest x-ray findings and temporal lung changes in patients with COVID-19 pneumonia. BMC Pulm Med. 2020 Sep 15; 20(1): 245.
- Annavarapu CS. Deep learning-based improved snapshot ensemble technique for COVID-19 chest X-ray classification. Appl Intell. 2021 May; 51(5): 3104–20.
- Lakhani P, Sundaram B. Deep learning at chest radiography: automated classification of pulmonary tuberculosis by using convolutional neural networks. Radiology. 2017 Aug; 284(2): 574–82.
- Zhou X, Li Y, Liang W. CNN-RNN based intelligent recommendation for online medical pre-diagnosis support. IEEE/ACM Trans Comput Biol Bioinform. 2020 May 14; 18(3): 912–21.
- Khalifa NE, Loey M, Mirjalili S. A comprehensive survey of recent trends in deep learning for digital images augmentation. Artif Intell Rev. 2022 Mar; 55(3): 2351–77.
- Brima Y, Atemkeng M, Tankio Djiokap S, Ebiele J, Tchakounté F. Transfer learning for the detection and diagnosis of types of pneumonia including pneumonia induced by COVID-19 from chest X-ray images. Diagnostics. 2021 Aug 16; 11(8): 1480.
- Palomo EJ, Zafra-Santisteban MA, Luque-Baena RM. Pneumonia detection in chest x-ray images using convolutional neural networks. In 2022 IEEE International Conference on Metrology for Extended Reality, Artificial Intelligence and Neural Engineering (MetroXRAINE). 2022 Oct 26; 16–21.
- Yang Y, Mei G, Piccialli F. Explainable deep learning models on the diagnosis of pneumonia. In 2021 IEEE/ACM Conference on Connected Health: Applications, Systems and Engineering Technologies (CHASE). 2021 Dec 16; 134–138.
- Khan SH, Alam MG. A federated learning approach to pneumonia detection. In 2021 IEEE international conference on engineering and emerging technologies (ICEET). 2021 Oct 27; 1–6.
- Li Y, Zhang Z, Dai C, Dong Q, Badrigilan S. Accuracy of deep learning for automated detection of pneumonia using chest X-Ray images: A systematic review and meta-analysis. Comput Biol Med. 2020 Aug 1; 123: 103898.
- Godbole S, Kattukaran A, Savla S, Pradhan V, Kanani P, Patil D. Enhancing paediatric pneumonia detection and classification using customized CNNs and transfer learning based Ensemble models. Int Res J Multidiscip Technovation. 2024; 6(6): 38–53.
- Salama GM, Mohamed A, Abd-Ellah MK. Machine learning and deep learning covid-19 diagnosis system: key achievements, lessons learned, and a transfer learning algorithm. Soft Comput. 2024 Dec; 28(23): 13715–42.
- Wang L, Lin ZQ, Wong A. COVID-Net: a tailored deep convolutional neural network design for detection of COVID-19 cases from chest X-ray images. Sci Rep. 2020 Nov 11; 10(1): 19549.
- Zhou B, Khosla A, Lapedriza A, Oliva A, Torralba A. Learning deep features for discriminative localization. In Proceedings of the IEEE conference on computer vision and pattern recognition. 2016; 2921–2929.
- Singh D, Yadav A, Arora R, Ravivarman G, Vijay SA, Sharma YK. Deep Neural Network Deception Using A Single Pixel Assault. In 2023 IEEE 6th International Conference on Contemporary Computing and Informatics (IC3I). 2023 Sep 14; 6: 1989–1994.
- Karthikeyan NK. A novel attention-based cross-modal transfer learning framework for predicting cardiovascular disease. Comput Biol Med. 2024 Mar 1; 170: 107977.
- Kumar AS, Mehra R, Kumar P, Hemelatha S, Vijay SA, Rege PR. Segmentation Based on 1-Shot Learning. In 2023 IEEE 6th International Conference on Contemporary Computing and Informatics (IC3I). 2023 Sep 14; 6: 2030–2035.

Journal of Advanced Database Management & Systems
| Volume | 12 |
| Issue | 03 |
| Received | 06/03/2025 |
| Accepted | 05/09/2025 |
| Published | 15/10/2025 |
| Publication Time | 223 Days |
Login
PlumX Metrics