AccScience Publishing / AIH / Online First / DOI: 10.36922/AIH026270078
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ORIGINAL RESEARCH ARTICLE

An explainable deep learning-based computational framework for stroke prediction using multimodal radiomics features: A retrospective machine learning study

Hayder M. A. Ghanimi1,2 Dharani Kumar Sunkara Venkata3 Venu Karunanithi4 Vidya Sagar Ponnam5 Vedaraj Muthuraj6 Vivekanandhan Vijayarangan7 Aseel Smerat8 Sudhakar Sengan9*
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1 Department of Information Technology, College of Science, University of Warith Al-Anbiyaa, Karbala , Iraq
2 Department of Computer Science, College of Computer Science and Information Technology, University of Kerbala, Karbala , Iraq
3 Department of Biomedical Engineering, GRT Institute of Engineering and Technology, Chennai, Tamil Nadu , India
4 Department of Computer Science and Engineering, Kongu Engineering College, Perundurai, Tamil Nadu , India
5 Department of Computer Science and Engineering, Koneru Lakshmaiah Education Foundation, Vaddeswaram, Andhra Pradesh , India
6 Department of Computer Science and Engineering, Panimalar Engineering College, Chennai, Tamil Nadu , India
7 Department of Information Technology, Vel Tech High Tech Dr. Rangarajan Dr. Sakunthala Engineering College, Chennai, Tamil Nadu , India
8 Department of Educational Sciences, Al-Ahliyya Amman University, Amman , Jordan
9 Department of Computer Science and Engineering, Erode Sengunthar Engineering College Erode, Tamil Nadu , India
Received: 30 June 2026 | Revised: 6 August 2026 | Accepted: 11 August 2026 | Published online: 27 August 2026
© 2026 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
Abstract

Stroke prediction models (SPMs) serve two important roles: accurately recognizing stroke symptoms and informing treatment decisions. The Synthetic Minority Oversampling Technique is typically used for analysis. An improved deep learning model for multimodal radiomic features and data preprocessing on imbalanced datasets is recommended. The chaotic map-guided approach (CMGA) has been applied to generate a feature-importance score, designed to improve the predictability and performance of a traditional model for feature selection (FS). The current study proposes a new butterfly-based spiking neural network (BB-SNN) to improve classification accuracy and reduce computational time. The efficiency of FS increased by 12% with CMGA-based scoring, and the model’s interpretability improved. The proposed SPM achieved 94.80% accuracy, 93.50% sensitivity, and 95.30% specificity, outperforming traditional methods. The deployment of the BB-SNN reduced the training time by 18%, demonstrating the method’s efficiency. The comparative analysis of the proposed SPM showed its efficacy in handling radionics data and addressing class imbalance, making it suitable for the SPM. Using CMGA and BB-SNN substantially enhanced medical diagnostics by effectively predicting strokes. These findings show that the proposed model can be integrated with diagnostic systems to improve the quality of patient care, as it effectively predicts stroke rates.

Graphical abstract
Keywords
Bistable spiking neural networks
Synthetic Minority Oversampling Technique
Stroke prediction models
Feature selection
Chaotic map-guided approach
Funding
None.
Conflict of interest
The authors declare they have no competing interests.
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Artificial Intelligence in Health, Electronic ISSN: 3029-2387 Print ISSN: 3041-0894, Published by AccScience Publishing