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LDD-VTS: an AI-based framework for lung disease diagnosis using vision transformers and SHAP
Hossam Magdy Balaha1,2, Rawan Ayman Ahmed1, Magdy Hassan Balaha3
1Bioengineering Department, J.B. Speed School of Engineering, University of Louisville, Louisville, 40292 USA.
Health Information Science and Systems
|August 4, 2025
Summary
This study introduces LDD-VTS, an AI framework using Vision Transformers and SHAP for accurate lung disease diagnosis from medical images. It achieves high accuracy in detecting lung cancer and other conditions, improving early detection and treatment.
Area of Science:
- Medical Imaging Analysis
- Artificial Intelligence in Healthcare
- Pulmonology
Background:
- Lung diseases, especially lung cancer, present significant global health challenges with high mortality.
- Current diagnostic methods for lung diseases often lack the desired accuracy and timeliness.
- Early and precise diagnosis is critical for effective patient management and improved outcomes.
Purpose of the Study:
- To develop and evaluate a novel AI framework (LDD-VTS) for enhanced diagnosis and classification of lung diseases.
- To utilize Vision Transformers (ViTs) and SHAP for improved accuracy and interpretability in lung disease detection.
- To process medical imaging data (X-rays, CT scans) for accurate identification of lung abnormalities.
Main Methods:
- Implementation of a novel framework, LDD-VTS, integrating Vision Transformers (ViTs) and SHAP (SHapley Additive exPlanations).
- Processing of diverse medical imaging data, including chest X-rays and CT scans, for lung disease analysis.
- Utilizing the P16-224-In21K model configuration for classification tasks.
Main Results:
- The P16-224-In21K model configuration achieved 98.43% accuracy on the IQ-OTH/NCCD lung cancer dataset.
- The framework demonstrated high precision and recall in identifying lung cancer, viral pneumonia, and lung opacity.
- SHAP integration provided transparent insights into model predictions by highlighting influential image regions.
Conclusions:
- The LDD-VTS framework shows significant potential for transforming lung disease diagnostics through AI.
- The combination of ViTs and SHAP enhances diagnostic accuracy and clinical interpretability.
- This approach facilitates informed decision-making, promoting earlier detection and personalized treatment strategies for lung conditions.

