Comparing Post-Hoc Explainable AI Methods for Interpreting Black-Box EEG Models in Depression Detection
Pith reviewed 2026-06-29 13:40 UTC · model grok-4.3
The pith
Different post-hoc explainability methods applied to an EEG-based deep learning model for depression detection produce partially overlapping relevance structures.
A machine-rendered reading of the paper's core claim, the machinery that carries it, and where it could break.
Core claim
The evaluated methods revealed partially convergent attribution patterns, with recurring emphasis on frontal, temporal, and posterior EEG regions, particularly in the right hemisphere. Quantitative comparison demonstrated substantial agreement between gradient- and perturbation-based approaches, while DeepSHAP produced comparatively distinct attribution distributions. At the same time, variability between explainability methods highlighted the influence of methodological assumptions on the resulting explanations. Overall, the results suggest that different post-hoc explainability approaches capture partially overlapping relevance structures in EEG-based deep learning models for depression de
What carries the argument
Global attribution aggregation of five post-hoc methods (DeepSHAP, Integrated Gradients, GradCAM, Occlusion, Permutation Feature Importance) applied inside subject-level stratified 5-fold cross-validation to an InceptionTime classifier on EEG segments for MDD detection.
If this is right
- Attribution patterns remain broadly consistent with prior EEG studies of MDD.
- Methodological assumptions of each explainer visibly shape the resulting maps.
- Post-hoc explainability is useful for inspecting black-box EEG classifiers yet remains limited for clinical biomarker claims.
- The analysis is positioned as exploratory rather than evidence of definitive neurophysiological markers.
Where Pith is reading between the lines
- If the observed overlaps prove stable across datasets, ensembles of multiple explainers could yield more reliable spatial summaries than any single method.
- The right-hemisphere emphasis could motivate targeted channel-selection experiments in future model training.
- Standardized protocols for comparing explainers on the same EEG partitions would reduce variability introduced by methodological choices.
Load-bearing premise
The subject-level stratified 5-fold cross-validation and global attribution aggregation produce stable, method-independent relevance maps that reflect model behavior rather than artifacts of the chosen explainers or data partitioning.
What would settle it
Re-running the identical pipeline with a different random seed for the 5-fold splits or with an additional explainer that yields completely non-overlapping region rankings would falsify the claim of partially overlapping relevance structures.
Figures
read the original abstract
Recent advances in deep learning have enabled increasingly accurate electroencephalography (EEG)-based classification of Major Depressive Disorder (MDD), but the decision-making processes of high-capacity models remain difficult to interpret. This study investigates multiple post-hoc explainability methods applied to an InceptionTime architecture trained for EEG-based MDD detection. The analysis includes Shapley-based, gradient-based, and perturbation-based attribution approaches: DeepSHAP, Integrated Gradients, GradCAM, Occlusion, and Permutation Feature Importance. Explainability analysis was performed within a subject-level stratified 5-fold cross-validation framework using global attribution aggregation across EEG segments and subjects. The evaluated methods revealed partially convergent attribution patterns, with recurring emphasis on frontal, temporal, and posterior EEG regions, particularly in the right hemisphere. Quantitative comparison demonstrated substantial agreement between gradient- and perturbation-based approaches, while DeepSHAP produced comparatively distinct attribution distributions. At the same time, variability between explainability methods highlighted the influence of methodological assumptions on the resulting explanations. Overall, the results suggest that different post-hoc explainability approaches capture partially overlapping relevance structures in EEG-based deep learning models for depression detection. Although the observed attribution patterns are broadly consistent with several previous EEG studies of MDD, the analysis should be interpreted as exploratory rather than evidence of definitive neurophysiological biomarkers or clinical applicability. The study highlights both the usefulness and limitations of post-hoc explainability for interpreting black-box EEG classifiers in psychiatric applications.
Editorial analysis
A structured set of objections, weighed in public.
Referee Report
Summary. The manuscript compares post-hoc explainability methods (DeepSHAP, Integrated Gradients, GradCAM, Occlusion, Permutation Feature Importance) on an InceptionTime model for EEG-based MDD detection. Within a subject-level stratified 5-fold CV framework and global attribution aggregation, it reports partially convergent patterns across methods, with substantial agreement between gradient- and perturbation-based approaches, distinct distributions for DeepSHAP, and recurring emphasis on frontal/temporal/posterior regions (especially right hemisphere). The analysis is framed as exploratory.
Significance. If the partial overlaps are shown to be stable and not artifacts of partitioning or explainer assumptions, the work would usefully illustrate that different post-hoc methods capture overlapping but non-identical relevance structures in EEG deep-learning models, supporting the recommendation to employ multiple explainers rather than relying on any single technique for interpretability in psychiatric applications.
major comments (2)
- [Methods and Results] Methods/Results: The central claim that different explainers capture partially overlapping relevance structures depends on the subject-level stratified 5-fold CV plus global aggregation producing stable, method-independent maps. No per-fold attribution variance, inter-fold overlap statistics, or sensitivity analysis to the aggregation procedure is reported. If fold-to-fold maps differ substantially, the reported convergence between gradient/perturbation methods could be an artifact of the particular partition rather than a property of the InceptionTime model.
- [Abstract and Results] Abstract/Results: The abstract states that quantitative comparison showed 'substantial agreement' between gradient- and perturbation-based methods, yet the provided text supplies no numerical metrics (e.g., correlation coefficients, Dice overlap, or statistical tests), error bars, or details on how agreement was quantified. This absence makes it impossible to evaluate the strength or robustness of the convergence claim.
minor comments (1)
- [Discussion] The manuscript appropriately qualifies its conclusions as exploratory and not evidence of definitive biomarkers; this framing should be retained.
Simulated Author's Rebuttal
We thank the referee for the constructive comments, which highlight important aspects of robustness and quantification. We address each point below.
read point-by-point responses
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Referee: [Methods and Results] Methods/Results: The central claim that different explainers capture partially overlapping relevance structures depends on the subject-level stratified 5-fold CV plus global aggregation producing stable, method-independent maps. No per-fold attribution variance, inter-fold overlap statistics, or sensitivity analysis to the aggregation procedure is reported. If fold-to-fold maps differ substantially, the reported convergence between gradient/perturbation methods could be an artifact of the particular partition rather than a property of the InceptionTime model.
Authors: We agree that the absence of per-fold variance and overlap statistics leaves the stability of the reported patterns unverified. In the revised manuscript we will add (i) per-fold attribution variance maps, (ii) inter-fold Dice overlap coefficients for each explainer, and (iii) a sensitivity comparison of global maps obtained by mean versus median aggregation. These additions will allow readers to judge whether the observed gradient/perturbation convergence is robust across partitions. revision: yes
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Referee: [Abstract and Results] Abstract/Results: The abstract states that quantitative comparison showed 'substantial agreement' between gradient- and perturbation-based methods, yet the provided text supplies no numerical metrics (e.g., correlation coefficients, Dice overlap, or statistical tests), error bars, or details on how agreement was quantified. This absence makes it impossible to evaluate the strength or robustness of the convergence claim.
Authors: The referee correctly notes that the manuscript does not supply explicit numerical metrics for the claimed agreement. We will revise both the abstract and results section to report average Pearson (and Spearman) correlations between attribution maps of gradient- versus perturbation-based methods, together with standard deviations across folds and appropriate statistical tests. These quantitative details will replace the qualitative phrase 'substantial agreement'. revision: yes
Circularity Check
No circularity: empirical comparison with no derivations or self-referential predictions
full rationale
The paper conducts a direct empirical comparison of standard post-hoc explainability methods (DeepSHAP, Integrated Gradients, etc.) applied to a trained InceptionTime model on EEG data within subject-level stratified 5-fold CV. No equations, fitted parameters renamed as predictions, or load-bearing self-citations appear in the provided text. The central claim of partially overlapping attribution patterns is an observation from applying off-the-shelf tools, not a reduction to prior choices or definitions. The skeptic concern about unquantified fold stability is a potential evidentiary gap but does not constitute circularity under the defined criteria.
Axiom & Free-Parameter Ledger
Reference graph
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