# Exponential Pixelating Integral transform with dual fractal features for enhanced chest X-ray abnormality detection

arXiv: https://arxiv.org/abs/2609.10988 · HTML: https://mlsanity.com/paper/2609.10988/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 42 of its 118 references that are in the map.
- First posted on arXiv 10 Sep 2026.

## Builds on (most cited first, 30 of 42)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Very Deep Convolutional Networks for Large-Scale Image Recognition](https://mlsanity.com/paper/1409.1556/) (2014)
- [Densely Connected Convolutional Networks](https://mlsanity.com/paper/1608.06993/) (2016)
- [Rethinking the Inception Architecture for Computer Vision](https://mlsanity.com/paper/1512.00567/) (2015)
- [XGBoost: A Scalable Tree Boosting System](https://mlsanity.com/paper/1603.02754/) (2016)
- [Squeeze-and-Excitation Networks](https://mlsanity.com/paper/1709.01507/) (2017)
- [CBAM: Convolutional Block Attention Module](https://mlsanity.com/paper/1807.06521/) (2018)
- [ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseases](https://mlsanity.com/paper/1705.02315/) (2017)
- [ECA-Net: Efficient Channel Attention for Deep Convolutional Neural Networks](https://mlsanity.com/paper/1910.03151/) (2019)
- [CheXNet: Radiologist-Level Pneumonia Detection on Chest X-Rays with Deep Learning](https://mlsanity.com/paper/1711.05225/) (2017)
- [Can AI help in screening Viral and COVID-19 pneumonia?](https://mlsanity.com/paper/2003.13145/) (2020)
- [Covid-19: Automatic detection from X-Ray images utilizing Transfer Learning with Convolutional Neural Networks](https://mlsanity.com/paper/2003.11617/) (2020)
- [Semi-supervised Medical Image Classification with Relation-driven Self-ensembling Model](https://mlsanity.com/paper/2005.07377/) (2020)
- [Comparison of Deep Learning Approaches for Multi-Label Chest X-Ray Classification](https://mlsanity.com/paper/1803.02315/) (2018)
- [Reliable Tuberculosis Detection using Chest X-ray with Deep Learning, Segmentation and Visualization](https://mlsanity.com/paper/2007.14895/) (2020)
- [Deep Learning-based Patient Re-identification Is able to Exploit the Biometric Nature of Medical Chest X-ray Data](https://mlsanity.com/paper/2103.08562/) (2021)
- [Diagnose like a Radiologist: Attention Guided Convolutional Neural Network for Thorax Disease Classification](https://mlsanity.com/paper/1801.09927/) (2018)
- [ACPL: Anti-curriculum Pseudo-labelling for Semi-supervised Medical Image Classification](https://mlsanity.com/paper/2111.12918/) (2021)
- [Learning to recognize Abnormalities in Chest X-Rays with Location-Aware Dense Networks](https://mlsanity.com/paper/1803.04565/) (2018)
- [Deep Mining External Imperfect Data for Chest X-ray Disease Screening](https://mlsanity.com/paper/2006.03796/) (2020)
- [Learning Hierarchical Attention for Weakly-supervised Chest X-Ray Abnormality Localization and Diagnosis](https://mlsanity.com/paper/2112.12349/) (2021)
- [ImageGCN: Multi-Relational Image Graph Convolutional Networks for Disease Identification with Chest X-rays](https://mlsanity.com/paper/1904.00325/) (2019)
- [Multi-label Thoracic Disease Image Classification with Cross-Attention Networks](https://mlsanity.com/paper/2007.10859/) (2020)
- [Weakly Supervised Deep Learning for Thoracic Disease Classification and Localization on Chest X-rays](https://mlsanity.com/paper/1807.06067/) (2018)
- [UniChest: Conquer-and-Divide Pre-training for Multi-Source Chest X-Ray Classification](https://mlsanity.com/paper/2312.11038/) (2023)
- [Boosted Cascaded Convnets for Multilabel Classification of Thoracic Diseases in Chest Radiographs](https://mlsanity.com/paper/1711.08760/) (2017)
- [SwinCheX: Multi-label classification on chest X-ray images with transformers](https://mlsanity.com/paper/2206.04246/) (2022)
- [ChestNet: A Deep Neural Network for Classification of Thoracic Diseases on Chest Radiography](https://mlsanity.com/paper/1807.03058/) (2018)
- [Deformable Gabor Feature Networks for Biomedical Image Classification](https://mlsanity.com/paper/2012.04109/) (2020)
- [Explainable Knowledge Distillation for On-device Chest X-Ray Classification](https://mlsanity.com/paper/2305.06244/) (2023)

## Abstract (arXiv)

The heightened prevalence of respiratory disorders, particularly exacerbated by a significant upswing in fatalities due to the novel coronavirus, underscores the critical need for early detection and timely intervention. This imperative is paramount, possessing the potential to profoundly impact and safeguard numerous lives. Medically, chest radiography stands out as an essential and economically viable medical imaging approach for diagnosing and assessing the severity of diverse Respiratory Disorders. However, their detection in Chest X-Rays is a cumbersome task even for well-trained radiologists owing to low contrast issues, overlapping of the tissue structures, subjective variability, and the presence of noise. To address these issues, a novel analytical model termed Exponential Pixelating Integral is introduced for the automatic detection of infections in Chest X-Rays in this work. Initially, the presented Exponential Pixelating Integral enhances the pixel intensities to overcome the low-contrast issues that are then polar-transformed followed by their representation using the locally invariant Mandelbrot and Julia fractal geometries for effective distinction of structural features. The collated features labeled Exponential Pixelating Integral with dually characterized fractal features are then classified by the non-parametric multivariate adaptive regression splines to establish an ensemble model between each pair of classes for effective diagnosis of diverse diseases. Rigorous analysis of the proposed classification framework on large medical benchmarked datasets showcases its superiority over its peers by registering a higher classification accuracy and F1 scores ranging from 98.46 to 99.45% and 96.53-98.10% respectively, making it a precise and interpretable automated system for diagnosing respiratory disorders.