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Beyond Accuracy: Quantifying Pulmonary Attribution in Anatomy-Guided Chest X-Ray Classification Under Domain Shift

Deep-learning models can achieve strong chest X-ray (CXR) classification performance without establishing whether their predictions predominantly rely on pulmonary image content. This study evaluates pulmonary attribution containment as an anatomy-related reliability property distinct from diagnostic performance. We propose DBCA-SegNet-MGAP, a multi-task anatomy-guided CNN-Transformer framework that combines complementary feature representations through bidirectional cross-backbone attention, predicts a soft lung mask, and incorporates this anatomical prior directly into classification through Mask-Guided Adaptive Global Average Pooling (MGAP). Pulmonary attribution containment is quantif...

AuthorsAbdullah Al Mamun, Md. Nasif Osman Khansur, Md Ashraful Hossen Akash et al.
Primary categorycs.CV
Published31 August 2026
Last updated at source31 August 2026
cs.CV
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