# A two-stream network with global-local feature fusion for bone age assessment

arXiv: https://arxiv.org/abs/2512.18331 · HTML: https://mlsanity.com/paper/2512.18331/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 16 of its 44 references that are in the map.
- First posted on arXiv 20 Dec 2025.

## Builds on (most cited first, 16 of 16)

- [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)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Very Deep Convolutional Networks for Large-Scale Image Recognition](https://mlsanity.com/paper/1409.1556/) (2014)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Faster R-CNN: Towards Real-Time Object Detection with Region Proposal Networks](https://mlsanity.com/paper/1506.01497/) (2015)
- [End-to-End Object Detection with Transformers](https://mlsanity.com/paper/2005.12872/) (2020)
- [Rethinking the Inception Architecture for Computer Vision](https://mlsanity.com/paper/1512.00567/) (2015)
- [Going Deeper with Convolutions](https://mlsanity.com/paper/1409.4842/) (2014)
- [Inception-v4, Inception-ResNet and the Impact of Residual Connections on Learning](https://mlsanity.com/paper/1602.07261/) (2016)
- [YOLO9000: Better, Faster, Stronger](https://mlsanity.com/paper/1612.08242/) (2016)
- [OverFeat: Integrated Recognition, Localization and Detection using Convolutional Networks](https://mlsanity.com/paper/1312.6229/) (2013)
- [RFAConv: Receptive-Field Attention Convolution for Improving Convolutional Neural Networks](https://mlsanity.com/paper/2304.03198/) (2023)
- [PRSNet: Part Relation and Selection Network for Bone Age Assessment](https://mlsanity.com/paper/1909.05651/) (2019)
- [SIMBA: Specific Identity Markers for Bone Age Assessment](https://mlsanity.com/paper/2007.05454/) (2020)

## Abstract (arXiv)

Bone Age Assessment (BAA) is a widely used clinical technique that can accurately reflect an individual's growth and development level, as well as maturity. In recent years, although deep learning has advanced the field of bone age assessment, existing methods face challenges in efficiently balancing global features and local skeletal details. This study aims to develop an automated bone age assessment system based on a two-stream deep learning architecture to achieve higher accuracy in bone age assessment. We propose the BoNet+ model incorporating global and local feature extraction channels. A Transformer module is introduced into the global feature extraction channel to enhance the ability in extracting global features through multi-head self-attention mechanism. A RFAConv module is incorporated into the local feature extraction channel to generate adaptive attention maps within multiscale receptive fields, enhancing local feature extraction capabilities. Global and local features are concatenated along the channel dimension and optimized by an Inception-V3 network. The proposed method has been validated on the Radiological Society of North America (RSNA) and Radiological Hand Pose Estimation (RHPE) test datasets, achieving mean absolute errors (MAEs) of 3.81 and 5.65 months, respectively. These results are comparable to the state-of-the-art. The BoNet+ model reduces the clinical workload and achieves automatic, high-precision, and more objective bone age assessment.