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Paper · arXiv

FD-AA: A Lightweight Focal-Diffuse And Attenuation-Aware Head for Incidental Abdominal Abnormality Detection in Chest CT

Routine chest CT captures upper-abdominal structures that may contain clinically relevant incidental abnormalities. Detecting these findings requires feature extraction from organs with different spatial extents and attenuation patterns. We propose FD-AA, a lightweight organ-aware classification head adaptable for frozen 3-D CT encoders. Within each organ, an attenuation-aware module preserves sparse focal evidence, while masked generalized-mean pooling captures diffuse anomaly patterns. In seven abdominal organs, FD-AA with Pillar-0 achieved state-of-the-art (SOTA) performance in both the CT-RATE test set (AUC = 0.798) and the external RAD-ChestCT dataset (AUC = 0.713). More specifically...

AuthorsHaoyan Ding, Kritika Iyer, Halid Yerebakan et al.
Primary categorycs.CV
Published28 September 2026
Last updated at source28 September 2026
cs.CV
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