# MultiAttenGastro: Multi-Dimensional Attention Augmentation for Gastrointestinal Endoscopy Classification

arXiv: https://arxiv.org/abs/2609.05070 · HTML: https://mlsanity.com/paper/2609.05070/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 15 of its 32 references that are in the map.
- First posted on arXiv 4 Sep 2026.

## Builds on (most cited first, 15 of 15)

- [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)
- [A Unified Approach to Interpreting Model Predictions](https://mlsanity.com/paper/1705.07874/) (2017)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- ["Why Should I Trust You?": Explaining the Predictions of Any Classifier](https://mlsanity.com/paper/1602.04938/) (2016)
- [Squeeze-and-Excitation Networks](https://mlsanity.com/paper/1709.01507/) (2017)
- [CBAM: Convolutional Block Attention Module](https://mlsanity.com/paper/1807.06521/) (2018)
- [Similarity of Neural Network Representations Revisited](https://mlsanity.com/paper/1905.00414/) (2019)
- [Attention U-Net: Learning Where to Look for the Pancreas](https://mlsanity.com/paper/1804.03999/) (2018)
- [Score-CAM: Score-Weighted Visual Explanations for Convolutional Neural Networks](https://mlsanity.com/paper/1910.01279/) (2019)
- [ECA-Net: Efficient Channel Attention for Deep Convolutional Neural Networks](https://mlsanity.com/paper/1910.03151/) (2019)
- [Attention Gated Networks: Learning to Leverage Salient Regions in Medical Images](https://mlsanity.com/paper/1808.08114/) (2018)
- [Coordinate Attention for Efficient Mobile Network Design](https://mlsanity.com/paper/2103.02907/) (2021)
- [Rotate to Attend: Convolutional Triplet Attention Module](https://mlsanity.com/paper/2010.03045/) (2020)
- [Capsule Endoscopy Multi-classification via Gated Attention and Wavelet Transformations](https://mlsanity.com/paper/2410.19363/) (2024)

## Abstract (arXiv)

Automated gastrointestinal (GI) endoscopy classification requires models that generalize across diverse modalities and class distributions, often far from natural-image pretraining. We propose MultiAttenGastro, a plug-and-play attention framework with parallel 1-D channel, 2-D spatial, and 3-D contextual heads, and present the first systematic cross-dataset evaluation across eight CNN and transformer backbones on five public GI datasets (80 backbone--dataset runs). We find that attention effectiveness is not universal but tracks the representational gap between ImageNet features and the target distribution: MultiAttenGastro improves 6 of 8 backbones on Kvasir-Capsule (14-class WCE, large gap; best macro F1 98.33%), is uniformly negative on the small-gap Kvasir-v2 benchmark (0/8), and shows mixed outcomes on datasets with intermediate gap. Five-seed ablation on the strongest case (Kvasir-Capsule, ConvNeXt-Tiny) shows this improvement is directionally consistent, but not statistically decisive (paired t: p=0.47; Wilcoxon: p=0.63), and that individual attention heads are not uniformly beneficial in isolation only their combination yields a positive mean effect. Centered Kernel Alignment (CKA) analysis links this pattern to representational redundancy: low inter-head CKA under large domain gaps coincides with the framework's only consistent gains, while high redundancy under small gaps coincides with its losses. We report these results, including the non-significant margins, as evidence for when and why multi-dimensional attention helps GI endoscopy classification, rather than as a claim that MultiAttenGastro is a strictly superior architectural choice.