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Improving Imbalanced Multi-Label Chest X-Ray Diagnosis via CBAM-Enhanced CNN Backbones

arXiv 2605.02328 ↗First posted 4 May 2026cs.CVcited by 0

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Abstract (arXiv)

Chest radiography is a widely used imaging modality for thoracic disease diagnosis, yet its conventional interpretation remains time-consuming and heavily dependent on expert knowledge. While deep learning has improved diagnostic efficiency through automated feature extraction, challenges such as class imbalance and the localization of multiple co-existing pathologies remain unsolved. In this paper, inspired by the strength of Convolutional Block Attention Module (CBAM) in feature refinement and the capability of CNN blocks in feature extraction, we propose a strategy to integrate CBAM into traditional CNN blocks to enhance performance in multi-label classification tasks. Our method achieves a mean AUC of 0.8695 on ChestXray14 dataset, outperforming several state-of-the-art baselines.Our source code is available at: https://github.com/NNNguyenDuyyy/FETC_CBAM_Enhanced_CNN.git

Key facts. No citing papers in the map yet (data through 7 Oct 2026). Builds on 14 of its 17 references that are in the map. First posted on arXiv 4 May 2026.

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References · 14

  1. 2020An Image is Worth 16x16 Words: Transformers for Image Recognition at Scalecited by 29,915
  2. 2014Very Deep Convolutional Networks for Large-Scale Image Recognitioncited by 15,267
  3. 2021Swin Transformer: Hierarchical Vision Transformer using Shifted Windowscited by 12,082
  4. 2016Densely Connected Convolutional Networkscited by 6,691
  5. 2018CBAM: Convolutional Block Attention Modulecited by 2,463
  6. 2019CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparisoncited by 1,410
  7. 2017A Survey on Deep Learning in Medical Image Analysiscited by 1,182
  8. 2017ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseasescited by 969
  9. 2017CheXNet: Radiologist-Level Pneumonia Detection on Chest X-Rays with Deep Learningcited by 459
  10. 2023MedViT: A Robust Vision Transformer for Generalized Medical Image Classificationcited by 89
  11. 2017Learning to diagnose from scratch by exploiting dependencies among labelscited by 33
  12. 2018Weakly Supervised Deep Learning for Thoracic Disease Classification and Localization on Chest X-rayscited by 21
2 more
  1. 2022SwinCheX: Multi-label classification on chest X-ray images with transformerscited by 12
  2. 2023SynthEnsemble: A Fusion of CNN, Vision Transformer, and Hybrid Models for Multi-Label Chest X-Ray Classificationcited by 5

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