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Efficient and Accurate Pneumonia Detection Using a Novel Multi-Scale Transformer Approach
Alireza Saber1, Amirreza Fateh2, Pouria Parhami1
1Faculty of Computer Engineering, Shahrood University of Technology, Shahrood 36199-95161, Iran.
Sensors (Basel, Switzerland)
|December 11, 2025
Summary
This study introduces a novel AI approach for detecting pneumonia using chest X-rays. The method enhances diagnostic accuracy and efficiency, offering a valuable tool for medical imaging analysis.
Area of Science:
- Artificial Intelligence
- Medical Imaging
- Computer-Aided Diagnosis
Background:
- Pneumonia is a major global health concern, causing significant morbidity and mortality.
- Chest X-rays are crucial for pneumonia diagnosis but face interpretation challenges due to image variability.
- Automated systems can improve diagnostic consistency and support clinical decisions in pneumonia detection.
Purpose of the Study:
- To develop a novel multi-scale transformer approach for integrated lung segmentation and pneumonia classification.
- To enhance the accuracy and efficiency of automated pneumonia detection from chest X-rays.
- To create a computationally efficient model suitable for resource-limited clinical settings.
Main Methods:
- A lightweight transformer-enhanced TransUNet was utilized for precise lung segmentation (95.68% Dice score).
- Pre-trained ResNet models (ResNet-50, ResNet-101) extracted multi-scale features for classification.
- A convolutional Residual Attention Module and a modified transformer processed features to improve pneumonia detection.
Main Results:
- The proposed method achieved 93.75% accuracy on the Kermany dataset and 96.04% accuracy on the Cohen dataset.
- The lung segmentation component demonstrated high performance with fewer parameters than traditional transformers.
- The integrated approach outperformed existing methods in pneumonia detection accuracy and computational efficiency.
Conclusions:
- The novel multi-scale transformer approach offers a robust and efficient solution for pneumonia detection.
- The unified framework for segmentation and classification enhances diagnostic reliability in medical imaging.
- This AI-driven method shows promise for improving patient outcomes and supporting clinical workflows in pneumonia diagnosis.

