Breast cancer (BC) stands as one of the most common malignancies affecting women worldwide, necessitating advancements in diagnostic methodologies for better clinical outcomes. This article provides a comprehensive exploration of the application of Explainable Artificial Intelligence (XAI) techniques in the detection and diagnosis of breast cancer. As Artificial Intelligence (AI) technologies continue to permeate the healthcare sector, particularly in oncology, the need for transparent and interpretable models becomes imperative to enhance clinical decision-making and patient care. This review discusses the integration of various XAI approaches, such as SHAP, LIME, Grad-CAM, and others, with machine learning and deep learning models utilized in breast cancer detection and classification. By investigating the modalities of breast cancer datasets, including mammograms, ultrasounds and their processing with AI, the paper highlights how XAI can lead to more accurate diagnoses and personalized treatment plans. It also examines the challenges in implementing these techniques and the importance of developing standardized metrics for evaluating XAI's effectiveness in clinical settings. Through detailed analysis and discussion, this article aims to highlight the potential of XAI in bridging the gap between complex AI models and practical healthcare applications, thereby fostering trust and understanding among medical professionals and improving patient outcomes.

乳腺癌是全球妇女最常见的恶性肿瘤之一，需要改进诊断方法以获得更好的临床结果。本文全面探讨了可解释人工智能（XAI）技术在乳腺癌检测和诊断中的应用，通过与机器学习和深度学习模型的整合，尤其是与SHAP、LIME、Grad-CAM等XAI方法，分析乳腺癌数据集及其AI处理方式，强调XAI可以提高精确诊断和个性化治疗方案，讨论了实施这些技术的挑战，以及在临床环境中评估XAI有效性的标准化指标的重要性。该文章通过详细分析和讨论旨在凸显XAI在复杂AI模型和实际医疗应用之间搭建桥梁的潜力，从而建立医疗专业人员之间的信任和理解，改善患者的预后效果。

乳腺癌诊断：可解释人工智能（XAI）技术的全面探索