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Deep learning-based classification of colonoscopic images using an attention-enhanced ConvNeXt V2 architecture
Xiaosheng Jin1, Luqian Chen1, Liwei Xue1
1Department of Gastroenterology, The Third Affiliated Hospital of Wenzhou Medical University, Wenzhou, China.
Frontiers in Oncology
|August 8, 2026
Summary
This study introduces an attention-enhanced deep learning model for classifying colonoscopic images, achieving 95% accuracy in detecting colorectal diseases like polyps and ulcerative colitis.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Computer Vision
Background:
- Accurate interpretation of colonoscopic images is crucial for early detection of colorectal diseases.
- Automated classification of these images is challenging due to visual complexity and similarity.
Purpose of the Study:
- To develop an attention-enhanced deep learning framework for robust multi-class classification of colonoscopic images.
- To improve diagnostic performance in identifying conditions such as polyps and ulcerative colitis.
Main Methods:
- Proposed an attention-enhanced deep learning framework utilizing ConvNeXt V2 architecture.
- Integrated a Convolutional Block Attention Module (CBAM) to focus on diagnostically relevant regions.
- Trained and evaluated the model on a balanced dataset of cecum, polyp, and ulcerative colitis images using 5-fold cross-validation and data augmentation.
Main Results:
- Achieved a mean classification accuracy of approximately 95%, outperforming the baseline ConvNeXt V2 model (approx. 90%).
- Obtained a mean precision of 95.1% and an F1-score of 94.9%, indicating reliable classification across all classes.
- Attention visualization confirmed the model's ability to focus on clinically relevant pathological features.
Conclusions:
- Modern convolutional architectures with attention mechanisms enhance diagnostic performance in colonoscopic image analysis.
- The proposed framework offers an efficient tool for automatic classification of colorectal diseases, aiding clinical decision-making.