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ESA-YOLOv5m: a lightweight spatial and improved attention-driven detection for brain tumor MRI analysis.

Maram Fahaad Almufareh1, Noshina Tariq2, Mamoona Humayun3

  • 1Department of Information Systems, College of Computer and Information Sciences, Jouf University, Sakaka, Saudi Arabia.

Frontiers in Medicine
|January 5, 2026
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Summary

This study introduces an Enhanced Spatial Attention (ESA)-integrated YOLOv5m model for improved brain tumor detection in MRI scans. The ESA-YOLOv5m framework achieves high accuracy and efficiency, offering a reliable solution for automated diagnosis.

Keywords:
Enhanced Spatial Attention (ESA)Figshare MRI datasetYOLOv5mbrain tumor detectiondeep learningmAPmedical imagingprecision and recall

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Computer Vision

Background:

  • Early and accurate brain tumor detection is crucial for patient outcomes.
  • Conventional deep learning models face challenges with small/low-contrast tumors and computational demands.
  • There is a need for efficient and accurate automated brain tumor detection systems.

Purpose of the Study:

  • To develop a lightweight and efficient framework for brain tumor detection in MRI scans.
  • To enhance the performance of You Only Look Once v5 medium (YOLOv5m) using an Enhanced Spatial Attention (ESA) module.
  • To improve tumor localization accuracy and model generalization for clinical applications.

Main Methods:

  • An Enhanced Spatial Attention (ESA) module was integrated into the YOLOv5m architecture.
  • The ESA module was strategically placed after the Spatial Pyramid Pooling-Fast (SPPF) layer.
  • Experiments were conducted on the Figshare brain tumor MRI dataset (glioma, meningioma, pituitary).

Main Results:

  • ESA-YOLOv5m achieved 90% Precision, 90% Recall, and 91% mAP@0.5, outperforming baseline YOLOv5m by 11-12%.
  • Ablation studies confirmed optimal performance with ESA after the SPPF layer.
  • The model demonstrated stable performance across cross-validation and classwise analyses with minimal computational overhead (<4.3% parameters, <10 ms latency).

Conclusions:

  • Integrating a lightweight spatial attention mechanism significantly enhances brain tumor localization and model generalization.
  • The ESA-YOLOv5m framework offers a reliable, scalable solution for automated brain tumor detection.
  • The model is suitable for clinical decision-support systems and edge healthcare applications.