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An optimized EfficientNetB0 framework with CLAHE-based preprocessing for accurate multi-class chest X-ray classification

delete2026-03-28
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NAGWA YASEEN HEGAZY *
M
Mohamed S. Sawah
DOI:10.1038/s41598-026-42492-1delete
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Abstract

Abstract

En 中文
Chest radiography remains an essential diagnostic tool for thoracic diseases, yet interpreting overlapping anatomical structures is particularly challenging when multiple pathologies co-occur a common clinical scenario often oversimplified in deep learning approaches. This study presents an optimized EfficientNetB0 framework designed explicitly for multi-label classification of chest X-rays using the NIH dataset, integrating CLAHE-based contrast enhancement, strategic class balancing, and a comparative transfer learning strategy that preserves the dataset’s inherent multi-label complexity. The proposed model achieved superior diagnostic performance with a macro-average AUC of 0.906 and recall of 0.824, outperforming DenseNet121 and MobileNetV2, and demonstrated strong per-class discrimination, especially for Pneumonia (AUC = 0.950) and Cardiomegaly (AUC = 0.946). These results confirm that the framework effectively balances learning capacity and generalization in a realistic multi-label clinical setting, offering a robust, interpretable solution suitable for computer-aided diagnosis where accurate detection of co-occurring thoracic pathologies is critical.
Keywords:
Computational biology and bioinformatics
Diseases
Health care
Mathematics and computing
Medical research
Chest X-ray classification
EfficientNetB0
CLAHE preprocessing
Transfer learning
Thoracic pathology detection
Science
Humanities and Social Sciences
multidisciplinary
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Journal

Scientific Reports cover
Scientific Reports
IF:
3.9
Papers:
28.2W
Citations:
83.5W

Organization

O
October 6 University
Scholars:
137
Papers: 91
Citations: 528
A
ajloun national university
Scholars:
25
Papers: 20
Citations: 0
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