Advancing Histopathology-Based Breast Cancer Diagnosis: Insights into Multi-Modality and Explainability

Abstract: It is imperative that breast cancer is detected precisely and timely to improve patient outcomes. Diagnostic methodologies have traditionally relied on unimodal approaches; however, medical data analytics is integrating diverse data sources beyond conventional imaging. Using multi-modal techniques, integrating both image and non-image data, marks a transformative advancement in breast cancer diagnosis. The purpose of this review is to explore the burgeoning field of multimodal techniques, particularly the fusion of histopathology images with non-image data. Further, Explainable AI (XAI) will be used to elucidate the decision-making processes of complex algorithms, emphasizing the necessity of explainability in diagnostic processes. This review utilizes multi-modal data and emphasizes explainability to enhance diagnostic accuracy, clinician confidence, and patient engagement, ultimately fostering more personalized treatment strategies for breast cancer, while also identifying research gaps in multi-modality and explainability, guiding future studies, and contributing to the strategic direction of the field.