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Keywords

Explainable deep learning, Forensic wound analysis, Gunshot wound classification, Injury classification, Court-admissible AI, Explainable AI

Article Type

Original Article

Abstract

Wound analyses conducted in forensics continue to be based on visual interpretation of pathologists and therefore exhibit variations among observers, especially when dealing with unusual injuries. Recent research using deep learning algorithms has proven that automated identification of wounds and interpreting gunshot wounds has achieved success with high levels of accuracy, ranging between 88% on large human datasets in distinguishing exit/entrance wounds and 94% to 98% in shooting distance and shotgun patterns. Nonetheless, most of these models still operate as black boxes. In this systematic review of deep learning methods in forensic wound assessment, there is emphasis placed on three related topics: general injury classification, gunshot wound assessment, and the creation of court-ready AI systems. Using a PRISMA-based selection process of seven relevant primary papers, this review shows how although some AI approaches such as ResNet-152 and ConvNeXt Tiny have shown performance comparable to experts when classifying morphologically distinct wounds, methods for increasing model explainability (Grad-CAM, SHAP, LIME) are virtually nonexistent in the existing literature. Additionally, external validation is often not performed or done in very small sample sizes from one institution or even an animal study and no system in this review met standards for validity and reliability in terms of legal admissibility, including the Daubert standard and Federal Rule of Evidence 707. The review points out three crucial shortcomings in current AI approaches: explainability, validation, and legal admissibility, and calls for further approaches to have these factors in place.

Creative Commons License

Creative Commons Attribution 4.0 International License
This work is licensed under a Creative Commons Attribution 4.0 International License.

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