# Brain Stroke Detection and Classification Using CT Imaging with Transformer Models and Explainable AI

arXiv: https://arxiv.org/abs/2507.09630 · HTML: https://mlsanity.com/paper/2507.09630/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 10 of its 51 references that are in the map.
- First posted on arXiv 13 Jul 2025.

## Builds on (most cited first, 10 of 10)

- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [A ConvNet for the 2020s](https://mlsanity.com/paper/2201.03545/) (2022)
- [Conditional Generative Adversarial Nets](https://mlsanity.com/paper/1411.1784/) (2014)
- [Grad-CAM++: Improved Visual Explanations for Deep Convolutional Networks](https://mlsanity.com/paper/1710.11063/) (2017)
- [Transformer in Transformer](https://mlsanity.com/paper/2103.00112/) (2021)
- [MaxViT: Multi-Axis Vision Transformer](https://mlsanity.com/paper/2204.01697/) (2022)
- [Explainable deep learning models in medical image analysis](https://mlsanity.com/paper/2005.13799/) (2020)
- [MedViT: A Robust Vision Transformer for Generalized Medical Image Classification](https://mlsanity.com/paper/2302.09462/) (2023)
- [A Smart Healthcare System for Monkeypox Skin Lesion Detection and Tracking](https://mlsanity.com/paper/2505.19023/) (2025)

## Abstract (arXiv)

Stroke is one of the leading causes of death globally, making early and accurate diagnosis essential for improving patient outcomes, particularly in emergency settings where timely intervention is critical. CT scans are the key imaging modality because of their speed, accessibility, and cost-effectiveness. This study proposed an artificial intelligence framework for multiclass stroke classification (ischemic, hemorrhagic, and no stroke) using CT scan images from a dataset provided by the Republic of Turkey's Ministry of Health. The proposed method adopted MaxViT, a state-of-the-art Vision Transformer, as the primary deep learning model for image-based stroke classification, with additional transformer variants (vision transformer, transformer-in-transformer, and ConvNext). To enhance model generalization and address class imbalance, we applied data augmentation techniques, including synthetic image generation. The MaxViT model trained with augmentation achieved the best performance, reaching an accuracy and F1-score of 98.00%, outperforming all other evaluated models and the baseline methods. The primary goal of this study was to distinguish between stroke types with high accuracy while addressing crucial issues of transparency and trust in artificial intelligence models. To achieve this, Explainable Artificial Intelligence (XAI) was integrated into the framework, particularly Grad-CAM++. It provides visual explanations of the model's decisions by highlighting relevant stroke regions in the CT scans and establishing an accurate, interpretable, and clinically applicable solution for early stroke detection. This research contributed to the development of a trustworthy AI-assisted diagnostic tool for stroke, facilitating its integration into clinical practice and enhancing access to timely and optimal stroke diagnosis in emergency departments, thereby saving more lives.