# PelviNeXt: A Modality-Agnostic Hybrid Network for Pelvic Imaging in Women's Health

arXiv: https://arxiv.org/abs/2608.20144 · HTML: https://mlsanity.com/paper/2608.20144/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 7 of its 18 references that are in the map.
- First posted on arXiv 20 Aug 2026.

## Builds on (most cited first, 7 of 7)

- [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)
- [Grad-CAM: Visual Explanations from Deep Networks via Gradient-based Localization](https://mlsanity.com/paper/1610.02391/) (2016)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- [CBAM: Convolutional Block Attention Module](https://mlsanity.com/paper/1807.06521/) (2018)
- [Talking-Heads Attention](https://mlsanity.com/paper/2003.02436/) (2020)
- [Benchmark of Segmentation Techniques for Pelvic Fracture in CT and X-ray: Summary of the PENGWIN 2024 Challenge](https://mlsanity.com/paper/2504.02382/) (2025)

## Abstract (arXiv)

Women's health remains substantially under-resourced in medical imaging research, with pelvic pathologies such as polycystic ovary syndrome (PCOS) and pelvic fracture both suffering from a scarcity of public, well-annotated benchmark data despite their clinical importance. We introduce PelviNeXt, a modality-agnostic hybrid architecture combining a dense convolutional feature extractor, hierarchical channel-spatial attention (H-CBAM), a multi-scale fusion module (MSFM), and talking-heads multi-head self-attention (TH-MHSA), applied without modification to both pelvic ultrasound and X-ray inputs. While benchmarking PelviNeXt on PCOSGen, the only gynaecologist-annotated public PCOS ultrasound dataset, we identified extensive exact and near-duplicate contamination within and across the dataset. We audit this contamination via perceptual hashing, publicly release a deduplicated version of the dataset, and establish the first integrity-audited evaluation protocol and baseline for PCOSGen under 5-fold cross-validation. On the only publicly available pelvic fracture X-ray dataset (PXR150), PelviNeXt exceeds previously reported state-of-the-art results across accuracy, recall, specificity, and AUROC. Ablation studies confirm that each architectural component contributes to performance on both tasks. Our results demonstrate that a single architecture, applied without task-specific modification, can serve as a reliable foundation for pelvic imaging across modalities in data-scarce, under-researched areas of women's health.