Development of a Multi-Disease Diagnostic System Utilizing Convolutional Neural Networks (CNNs): A Systematic Review of Deep Learning Applications in Image-Based Medical Diagnosis

Halomoan Edy Manurung,Fikri Budiman,H. A. Santoso,Aris Marjuni

Published 2025 in 2025 2nd International Conference on Information System and Information Technology (ICISIT)

ABSTRACT

CNN-based multi-disease diagnosis systems enhance medical imaging, enabling detection of up to 15 disorders per image. This systematic review (52 papers, 2021–2025) analyzes trends, deficiencies, and clinical impact. Meta-analysis yielded a pooled AUC-ROC of 0.91 ± 0.04 (95% CI 0.87–0.95), with moderate heterogeneity (I2=58%). Thematic analysis revealed five themes: multi-disease classification (29%), data imbalance (23%), hybrid models (19%), XAI (15%), and computational optimization (14%). Advantages include high accuracy (96.5%) and reduced latency (58%). Disadvantages: geographical bias (68% from China), inadequate preprocessing (28% using CLAHE), and limited interpretability (32% using SHAP/LIME). This study uniquely integrates bias, meta-analysis, and ethics. Recommendations include standardized preprocessing, diverse datasets, and comprehensive XAI for universal health access (SDG 3).

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