CoughSense: Five-Class Respiratory Disease Classification via Whisper Encoder Fine-Tuning and Dual-Encoder Cross-Attention Fusion with Balanced Contrastive Learning

Automated cough analysis offers a path to low-cost respiratory screening, but most existing work stops at binary COVID-19 detection. A practical tool needs to tell apart several respiratory conditions from one cough recording on a consumer smartphone. We present CoughSense, a system that sorts cough recordings into five classes. These are healthy, COVID-19, asthma or respiratory condition, bronchitis, and pneumonia. We aggregated 18,301 recordings from four public datasets (Coswara, CoughVID, Virufy, and the West China Hospital Pediatric Cough Dataset) and used the OpenAI Whisper encoder as a pretrained backbone for cough disease classification. The main contribution is active-frame QKV attention pooling, which restricts attention to the first 200 of 1500 encoder tokens. This avoids the silence-dilution problem that arises because a 3-second cough fills only 150 tokens of Whisper's 30-second input window. Other training parts handle the 19 to 1 class imbalance and the four-dataset domain shift. These include WeightedRandomSampler, SpecAugment, Balanced Mixup with forced minority pairing, a supervised contrastive auxiliary loss, FiLM symptom conditioning, and gradient-reversal domain adaptation. A dual-encoder model fuses Whisper with the OPERA-CT respiratory foundation model through cross-attention. CoughSense (Whisper-tiny, 8.6M parameters) reached 82.3 percent balanced accuracy on five-fold cross-validation (macro-F1 of 0.817, AUC of 0.941). It beat an ImageNet-pretrained EfficientNet-B2 by 11.1 points and a ViT trained from scratch by 29.6 points. All five classes passed 74 percent recall and four of five passed 80 percent. The dual-encoder model reached 85.4 percent balanced accuracy. Active-frame pooling is the largest single contributor across all ablation components at 5.1 points, which should help any short-audio task using Whisper as a backbone.

On-Device Continual Learning with Dual-Stage Buffer and Dynamic Loss for Point-of-Care Pneumonia Diagnosis

Deep learning models detect pneumonia from chest X-rays with high accuracy, but the performance declines under domain shifts caused by differences in devices, patients, or institutions. We present PneumoNet, a domain-incremental learning method for point-of-care pneumonia diagnosis in resource-limited settings. PneumoNet combines a lightweight CNN for on-device prediction, a dual-stage balanced buffer for class-balanced replay, and a dynamic class-weighted loss to correct training-batch imbalances. Evaluated on a domain-shifted PneumoniaMNIST dataset simulating five realistic domain change scenarios, PneumoNet achieves 86.6% accuracy with 1.4% forgetting while being smaller and faster than existing baselines. These results highlight PneumoNet's potential to enable adaptive, privacy-preserving diagnostic AI directly on point-of-care medical devices in real-world and pandemic-ready healthcare.

Conditional anomaly detection methods for patient-management alert systems

Anomaly detection methods can be very useful in identifying unusual or interesting patterns in data. A recently proposed conditional anomaly detection framework extends anomaly detection to the problem of identifying anomalous patterns on a subset of attributes in the data. The anomaly always depends (is conditioned) on the value of remaining attributes. The work presented in this paper focuses on instance-based methods for detecting conditional anomalies. The methods rely on the distance metric to identify examples in the dataset that are most critical for detecting the anomaly. We investigate various metrics and metric learning methods to optimize the performance of the instance-based anomaly detection methods. We show the benefits of the instance-based methods on two real-world detection problems: detection of unusual admission decisions for patients with the community-acquired pneumonia and detection of unusual orders of an HPF4 test that is used to confirm Heparin induced thrombocytopenia - a life-threatening condition caused by the Heparin therapy.

CBAM-Enhanced DenseNet121 for Multi-Class Chest X-Ray Classification with Grad-CAM Explainability

Pneumonia remains a leading cause of childhood mortality worldwide, with a heavy burden in low-resource settings such as Bangladesh where radiologist availability is limited. Most existing deep learning approaches treat pneumonia detection as a binary problem, overlooking the clinically critical distinction between bacterial and viral aetiology. This paper proposes CBAM-DenseNet121, a transfer-learning framework that integrates the Convolutional Block Attention Module (CBAM) into DenseNet121 for three-class chest X-ray classification: Normal, Bacterial Pneumonia, and Viral Pneumonia. We also conduct a systematic binary-task baseline study revealing that EfficientNetB3 (73.88%) underperforms even the custom CNN baseline (78.53%) -- a practically important negative finding for medical imaging model selection. To ensure statistical reliability, all experiments were repeated three times with independent random seeds (42, 7, 123), and results are reported as mean +/- standard deviation. CBAM-DenseNet121 achieves 84.29% +/- 1.14% test accuracy with per-class AUC scores of 0.9565 +/- 0.0010, 0.9610 +/- 0.0014, and 0.9187 +/- 0.0037 for bacterial pneumonia, normal, and viral pneumonia respectively. Grad-CAM visualizations confirm that the model attends to anatomically plausible pulmonary regions for each class, supporting interpretable deployment in resource-constrained clinical environments.

Deep Learning CNN for Pneumonia Detection: Advancing Digital Health in Society 5.0

Pneumonia is a serious global health problem, contributing to high morbidity and mortality, especially in areas with limited diagnostic tools and healthcare resources. This study develops a Convolutional Neural Network (CNN) based on deep learning to automatically detect pneumonia from chest X-ray images. The method involves training the model on labeled datasets with preprocessing techniques such as normalization, data augmentation, and image quality enhancement to improve robustness and generalization. Testing results show that the optimized model achieves 91.67% accuracy, ROC-AUC of 0.96, and PR-AUC of 0.95, demonstrating strong performance in distinguishing pneumonia from normal images. In conclusion, this CNN model has significant potential as a fast, consistent, and reliable diagnostic aid, supporting Society 5.0 by integrating artificial intelligence to improve healthcare services and public well-being.

A Hybrid Federated Learning Based Ensemble Approach for Lung Disease Diagnosis Leveraging Fusion of SWIN Transformer and CNN

The significant advancements in computational power cre- ate a vast opportunity for using Artificial Intelligence in different ap- plications of healthcare and medical science. A Hybrid FL-Enabled Ensemble Approach For Lung Disease Diagnosis Leveraging a Combination of SWIN Transformer and CNN is the combination of cutting-edge technology of AI and Federated Learning. Since, medi- cal specialists and hospitals will have shared data space, based on that data, with the help of Artificial Intelligence and integration of federated learning, we can introduce a secure and distributed system for medical data processing and create an efficient and reliable system. The proposed hybrid model enables the detection of COVID-19 and Pneumonia based on x-ray reports. We will use advanced and the latest available tech- nology offered by Tensorflow and Keras along with Microsoft-developed Vision Transformer, that can help to fight against the pandemic that the world has to fight together as a united. We focused on using the latest available CNN models (DenseNet201, Inception V3, VGG 19) and the Transformer model SWIN Transformer in order to prepare our hy- brid model that can provide a reliable solution as a helping hand for the physician in the medical field. In this research, we will discuss how the Federated learning-based Hybrid AI model can improve the accuracy of disease diagnosis and severity prediction of a patient using the real-time continual learning approach and how the integration of federated learn- ing can ensure hybrid model security and keep the authenticity of the information.

Calibrated Bayesian Deep Learning for Explainable Decision Support Systems Based on Medical Imaging

In critical decision support systems based on medical imaging, the reliability of AI-assisted decision-making is as relevant as predictive accuracy. Although deep learning models have demonstrated significant accuracy, they frequently suffer from miscalibration, manifested as overconfidence in erroneous predictions. To facilitate clinical acceptance, it is imperative that models quantify uncertainty in a manner that correlates with prediction correctness, allowing clinicians to identify unreliable outputs for further review. In order to address this necessity, the present paper proposes a generalizable probabilistic optimization framework grounded in Bayesian deep learning. Specifically, a novel Confidence-Uncertainty Boundary Loss (CUB-Loss) is introduced that imposes penalties on high-certainty errors and low-certainty correct predictions, explicitly enforcing alignment between prediction correctness and uncertainty estimates. Complementing this training-time optimization, a Dual Temperature Scaling (DTS) strategy is devised for post-hoc calibration, further refining the posterior distribution to improve intuitive explainability. The proposed framework is validated on three distinct medical imaging tasks: automatic screening of pneumonia, diabetic retinopathy detection, and identification of skin lesions. Empirical results demonstrate that the proposed approach achieves consistent calibration improvements across diverse modalities, maintains robust performance in data-scarce scenarios, and remains effective on severely imbalanced datasets, underscoring its potential for real clinical deployment.

Deep Learning Based CNN Model for Automated Detection of Pneumonia from Chest XRay Images

Pneumonia has been one of the major causes of morbidities and mortality in the world and the prevalence of this disease is disproportionately high among the pediatric and elderly populations especially in resources trained areas Fast and precise diagnosis is a prerequisite for successful clinical intervention but due to inter observer variation fatigue among experts and a shortage of qualified radiologists traditional approaches that rely on manual interpretation of chest radiographs are frequently constrained To address these problems this paper introduces a unified automated diagnostic model using a custom Convolutional Neural Network CNN that can recognize pneumonia in chest Xray images with high precision and at minimal computational expense In contrast like other generic transfer learning based models which often possess redundant parameters the offered architecture uses a tailor made depth wise separable convolutional design which is optimized towards textural characteristics of grayscale medical images Contrast Limited Adaptive Histogram Equalization CLAHE and geometric augmentation are two significant preprocessing techniques used to ensure that the system does not experience class imbalance and is more likely to generalize The system is tested using a dataset of 5863 anterior posterior chest Xrays.

Explainable Deep Learning for Pediatric Pneumonia Detection in Chest X-Ray Images

Background: Pneumonia remains a leading cause of morbidity and mortality among children worldwide, emphasizing the need for accurate and efficient diagnostic support tools. Deep learning has shown strong potential in medical image analysis, particularly for chest X-ray interpretation. This study compares two state-of-the-art convolutional neural network (CNN) architectures for automated pediatric pneumonia detection. Methods: A publicly available dataset of 5,863 pediatric chest X-ray images was used. Images were preprocessed through normalization, resizing, and data augmentation to enhance generalization. DenseNet121 and EfficientNet-B0 were fine-tuned using pretrained ImageNet weights under identical training settings. Performance was evaluated using accuracy, F1-score, Matthews Correlation Coefficient (MCC), and recall. Model explainability was incorporated using Gradient-weighted Class Activation Mapping (Grad-CAM) and Local Interpretable Model-agnostic Explanations (LIME) to visualize image regions influencing predictions. Results: EfficientNet-B0 outperformed DenseNet121, achieving an accuracy of 84.6%, F1-score of 0.8899, and MCC of 0.6849. DenseNet121 achieved 79.7% accuracy, an F1-score of 0.8597, and MCC of 0.5852. Both models demonstrated high recall values above 0.99, indicating strong sensitivity to pneumonia detection. Grad-CAM and LIME visualizations showed consistent focus on clinically relevant lung regions, supporting the reliability of model decisions. Conclusions: EfficientNet-B0 provided a more balanced and computationally efficient performance compared to DenseNet121, making it a strong candidate for clinical deployment. The integration of explainability techniques enhances transparency and trustworthiness in AI-assisted pediatric pneumonia diagnosis.

Generative Diffusion Augmentation with Quantum-Enhanced Discrimination for Medical Image Diagnosis

In biomedical engineering, artificial intelligence has become a pivotal tool for enhancing medical diagnostics, particularly in medical image classification tasks such as detecting pneumonia from chest X-rays and breast cancer screening. However, real-world medical datasets frequently exhibit severe class imbalance, where positive samples substantially outnumber negative samples, leading to biased models with low recall rates for minority classes. This imbalance not only compromises diagnostic accuracy but also poses clinical misdiagnosis risks. To address this challenge, we propose SDA-QEC (Simplified Diffusion Augmentation with Quantum-Enhanced Classification), an innovative framework that integrates simplified diffusion-based data augmentation with quantum-enhanced feature discrimination. Our approach employs a lightweight diffusion augmentor to generate high-quality synthetic samples for minority classes, rebalancing the training distribution. Subsequently, a quantum feature layer embedded within MobileNetV2 architecture enhances the model's discriminative capability through high-dimensional feature mapping in Hilbert space. Comprehensive experiments on coronary angiography image classification demonstrate that SDA-QEC achieves 98.33% accuracy, 98.78% AUC, and 98.33% F1-score, significantly outperforming classical baselines including ResNet18, MobileNetV2, DenseNet121, and VGG16. Notably, our framework simultaneously attains 98.33% sensitivity and 98.33% specificity, achieving a balanced performance critical for clinical deployment. The proposed method validates the feasibility of integrating generative augmentation with quantum-enhanced modeling in real-world medical imaging tasks, offering a novel research pathway for developing highly reliable medical AI systems in small-sample, highly imbalanced, and high-risk diagnostic scenarios.