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LesionScanNet: dual-path convolutional neural network for acute appendicitis diagnosis

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Abstract

Acute appendicitis is an abrupt inflammation of the appendix, which causes symptoms such as abdominal pain, vomiting, and fever. Computed tomography (CT) is a useful tool in accurate diagnosis of acute appendicitis; however, it causes challenges due to factors such as the anatomical structure of the colon and localization of the appendix in CT images. In this paper, a novel Convolutional Neural Network model, namely, LesionScanNet for the computer-aided detection of acute appendicitis has been proposed. For this purpose, a dataset of 2400 CT scan images was collected by the Department of General Surgery at Kanuni Sultan Süleyman Research and Training Hospital, Istanbul, Turkey. LesionScanNet is a lightweight model with 765 K parameters and includes multiple DualKernel blocks, where each block contains a convolution, expansion, separable convolution layers, and skip connections. The DualKernel blocks work with two paths of input image processing, one of which uses 3 × 3 filters, and the other path encompasses 1 × 1 filters. It has been demonstrated that the LesionScanNet model has an accuracy score of 99% on the test set, a value that is greater than the performance of the benchmark deep learning models. In addition, the generalization ability of the LesionScanNet model has been demonstrated on a chest X-ray image dataset for pneumonia and COVID-19 detection. In conclusion, LesionScanNet is a lightweight and robust network achieving superior performance with smaller number of parameters and its usage can be extended to other medical application domains.

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Correspondence to Ercan Avşar.

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There are no competing interests and no funding related to this work.

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The study is approved by the ethical committee of the Kanuni Sultan Suleyman Research and Training Hospital (Approval Date: 11/07/2024, Reference No: 2024.07.157).

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The need for informed consent is waived by the committee due to the retrospective nature of archived datasets and fully anonymized personal information.

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Hariri, M., Aydın, A., Sıbıç, O. et al. LesionScanNet: dual-path convolutional neural network for acute appendicitis diagnosis. Health Inf Sci Syst 13, 3 (2025). https://doi.org/10.1007/s13755-024-00321-7

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