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Adaptive collaborative feature fusion and shape-aware optimization for multi-scale chest lesion detection.

Yubo Yuan1,2, Chengkang Liu1,2, Qingwen Feng3,4

  • 1School of Information Engineering, Zhengzhou University of Science and Technology, Zhengzhou, 450064, China.

Scientific Reports
|June 12, 2026
PubMed
Summary

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This summary is machine-generated.

This study introduces a novel multi-scale method for detecting chest lesions in X-rays, improving accuracy for small and irregular findings. The approach enhances early diagnosis and clinical decision-making for chest diseases.

Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Radiology

Background:

  • Chest diseases are a leading cause of global mortality.
  • Accurate detection of chest lesions from X-rays is crucial for timely diagnosis.
  • Automated detection faces challenges with lesion variability and precise localization.

Purpose of the Study:

  • To develop an advanced multi-scale method for robust chest lesion detection.
  • To enhance the accuracy and localization of automated systems for complex X-ray images.
  • To improve the identification of small and irregularly shaped lesions.

Main Methods:

  • Proposed a multi-scale chest lesion detection method using adaptive collaborative feature fusion and shape-aware optimization.
  • Developed a Context-Embedded Feature Enhancement Network for global and local feature integration.

Related Experiment Videos

  • Introduced an Adaptive Feature Focusing Network for improved multi-scale feature representation.
  • Implemented a shape-aware optimization strategy with normalized Wasserstein distance and shape-weighted constraints.
  • Main Results:

    • Achieved a 6.3% increase in mean Average Precision (mAP) on the VinDr-CXR dataset.
    • Improved small-lesion detection by 6.4% mAP and mean recall by 8.6% on VinDr-CXR.
    • Demonstrated a 4.2% mAP and 7.8% mean recall improvement on the ChestX-ray8 dataset.

    Conclusions:

    • The proposed method effectively addresses challenges in multi-scale chest lesion detection.
    • The approach shows significant improvements in accuracy and localization robustness.
    • The method exhibits strong generalization capabilities for diverse chest X-ray datasets.