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DOI 10.1177/1759720x251405099

Медицинская библиотека · Therapeutic advances in musculoskeletal disease · 2026

A transfer learning-based approach for automated bone fracture classification in X-ray imaging.

Bhuria Ruchika, Gupta Sheifali, Ghoniem Rania M, Singh Jaibir, Rani Suman, Taye Belayneh Matebie, Bharany Salil

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Аннотация

BACKGROUND

Bone fractures present a significant diagnostic challenge in medical imaging, necessitating accurate and automated classification methods. Recent advancements in deep learning have greatly enhanced the diagnostic precision while reducing human error.

OBJECTIVES

This study proposes an ensemble deep learning model, EnsembleAttenBoneNet, that integrates fine-tuned ResNet50 and EfficientNetB3 models augmented with a Squeeze-and-Excitation (SE) attention mechanism, for robust classification of bone fractures in X-ray images.

DESIGN

The dataset consists of ten distinct fracture categories, such as avulsion, comminuted, greenstick, and pathological fractures.

METHODS

Preprocessing techniques, including resizing, normalization, and augmentation, have been applied to improve generalization. Features extracted from both networks were concatenated and refined using the SE attention module to enhance feature representation.

RESULTS

The proposed model achieved a classification accuracy of 99.48%, outperforming the individual models (EfficientNetB3: 98.56%, ResNet50: 97.86%).

CONCLUSION

Experimental results affirm that integrating deep learning models with attention mechanisms significantly improve diagnostic accuracy, rendering the model a valuable tool for clinical fracture detection. Future research will investigate dataset extension and conduct real-world validation to enhance its usability in medical imaging.

Для цитирования: Bhuria Ruchika, Gupta Sheifali, Ghoniem Rania M, Singh Jaibir, Rani Suman, Taye Belayneh Matebie, Bharany Salil. A transfer learning-based approach for automated bone fracture classification in X-ray imaging.. Therapeutic advances in musculoskeletal disease. 2026. DOI: 10.1177/1759720x251405099.
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