# Imitating Radiological Scrolling: A Global-Local Attention Model for 3D Chest CT Volumes Multi-Label Anomaly Classification

arXiv: https://arxiv.org/abs/2503.20652 · HTML: https://mlsanity.com/paper/2503.20652/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 25 of its 41 references that are in the map.
- First posted on arXiv 26 Mar 2025.

## Builds on (most cited first, 25 of 25)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [LLaMA: Open and Efficient Foundation Language Models](https://mlsanity.com/paper/2302.13971/) (2023)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [ImageNet Large Scale Visual Recognition Challenge](https://mlsanity.com/paper/1409.0575/) (2014)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [Layer Normalization](https://mlsanity.com/paper/1607.06450/) (2016)
- [Gemma 2: Improving Open Language Models at a Practical Size](https://mlsanity.com/paper/2408.00118/) (2024)
- [GLU Variants Improve Transformer](https://mlsanity.com/paper/2002.05202/) (2020)
- [ViViT: A Video Vision Transformer](https://mlsanity.com/paper/2103.15691/) (2021)
- [Generating Long Sequences with Sparse Transformers](https://mlsanity.com/paper/1904.10509/) (2019)
- [Effective Approaches to Attention-based Neural Machine Translation](https://mlsanity.com/paper/1508.04025/) (2015)
- [Smarter, Better, Faster, Longer: A Modern Bidirectional Encoder for Fast, Memory Efficient, and Long Context Finetuning and Inference](https://mlsanity.com/paper/2412.13663/) (2024)
- [U-Mamba: Enhancing Long-range Dependency for Biomedical Image Segmentation](https://mlsanity.com/paper/2401.04722/) (2024)
- [Swin3D: A Pretrained Transformer Backbone for 3D Indoor Scene Understanding](https://mlsanity.com/paper/2304.06906/) (2023)
- [Recent advances and clinical applications of deep learning in medical image analysis](https://mlsanity.com/paper/2105.13381/) (2021)
- [CT2Rep: Automated Radiology Report Generation for 3D Medical Imaging](https://mlsanity.com/paper/2403.06801/) (2024)
- [ViT-V-Net: Vision Transformer for Unsupervised Volumetric Medical Image Registration](https://mlsanity.com/paper/2104.06468/) (2021)
- [3D Deep Learning on Medical Images: A Review](https://mlsanity.com/paper/2004.00218/) (2020)
- [Machine-Learning-Based Multiple Abnormality Prediction with Large-Scale Chest Computed Tomography Volumes](https://mlsanity.com/paper/2002.04752/) (2020)
- [GenerateCT: Text-Conditional Generation of 3D Chest CT Volumes](https://mlsanity.com/paper/2305.16037/) (2023)
- [A comprehensive overview of deep learning techniques for 3D point cloud classification and semantic segmentation](https://mlsanity.com/paper/2405.11903/) (2024)
- [ConvFormer: Combining CNN and Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2211.08564/) (2022)

## Built on by (most cited first, 2 of 2)

- [Structured Spectral Graph Representation Learning for Multi-label Abnormality Analysis from 3D CT Scans](https://mlsanity.com/paper/2510.10779/) (2025)
- [Structured Spectral Graph Learning for Anomaly Classification in 3D Chest CT Scans](https://mlsanity.com/paper/2508.01045/) (2025)

## Abstract (arXiv)

The rapid increase in the number of Computed Tomography (CT) scan examinations has created an urgent need for automated tools, such as organ segmentation, anomaly classification, and report generation, to assist radiologists with their growing workload. Multi-label classification of Three-Dimensional (3D) CT scans is a challenging task due to the volumetric nature of the data and the variety of anomalies to be detected. Existing deep learning methods based on Convolutional Neural Networks (CNNs) struggle to capture long-range dependencies effectively, while Vision Transformers require extensive pre-training, posing challenges for practical use. Additionally, these existing methods do not explicitly model the radiologist's navigational behavior while scrolling through CT scan slices, which requires both global context understanding and local detail awareness. In this study, we present CT-Scroll, a novel global-local attention model specifically designed to emulate the scrolling behavior of radiologists during the analysis of 3D CT scans. Our approach is evaluated on two public datasets, demonstrating its efficacy through comprehensive experiments and an ablation study that highlights the contribution of each model component.