Attention-enhanced deep learning for cervical cytology : combining convolutional networks with multi-head attention and fuzzy logic

2025
journal article
article
3
dc.abstract.enPurpose: Cervical cancer continues to be one of the leading causes of death among females worldwide, and thus early diagnosis by using more advanced diagnostic procedures is crucial. The conventional Pap-smear procedure is accurate but subject to human error; thus, computerised, standardised, and automated diagnosis becomes imperative. Herein we present a novel framework of a fuzzy distance-based ensemble of convolutional neural networks (CNNs) for efficient cervical cancer classification from Pap-smear images. Material and methods: The proposed approach integrates 5 models of CNN - Simple CNN, InceptionV3, Xception, Xception with Attention, and Inception Attention - via attention mechanisms to advance feature learning. A fuzzy distance-based aggregator function is introduced to fuse the predictions of these models optimally as per Euclidean, Manhattan, and cosine distance measures. Four advanced pre-rocessing techniques - wavelet denoising, contrast-limited adaptive histogram equalisation (CLAHE), background correction, and Laplacian sharpening - are employed to construct a cleaner dataset with enhanced image sharpness and segmentation. Results: Experimental outcomes prove that the model is significantly better than state-of-the-art approaches, with an accuracy of 94% on the original dataset and 98.3% on the pre-processed dataset. Conclusions: The method suggested herein has better noise robustness, interpretability through fuzzy logic, and automatic adaptation to various CNN frameworks without fine-tuning. These results acknowledge the promise of fuzzy logic-based CNN ensembles to improve machine-based cervical cancer diagnosis, which could be mapped to better and scalable diagnostic instruments in medical imaging.
dc.contributor.authorVerma, Garima
dc.contributor.authorBarthwal, Anurag
dc.date.accessioned2026-01-28T08:14:51Z
dc.date.available2026-01-28T08:14:51Z
dc.date.createdat2026-01-28T08:14:51Zen
dc.date.issued2025
dc.date.openaccess0
dc.description.accesstimew momencie opublikowania
dc.description.additionalBibliogr. s. e429-e430
dc.description.physicale414-e430
dc.description.versionostateczna wersja wydawcy
dc.description.volume90
dc.identifier.doi10.5114/pjr/207475
dc.identifier.issn1733-134X
dc.identifier.projectDRC AI
dc.identifier.urihttps://ruj.uj.edu.pl/handle/item/570138
dc.languageeng
dc.language.containereng
dc.rightsUdzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licenceCC-BY-NC-ND
dc.rights.urihttp://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.typeotwarte czasopismo
dc.source.integratorfalse
dc.subject.encervical cancer
dc.subject.enCNN
dc.subject.enfuzzy logic
dc.subject.endeep learning
dc.subject.entransfer learning
dc.subject.enimage pre-processing
dc.subtypeArticle
dc.titleAttention-enhanced deep learning for cervical cytology : combining convolutional networks with multi-head attention and fuzzy logic
dc.title.journalPolish Journal of Radiology
dc.typeJournalArticle
dspace.entity.typePublicationen
dc.abstract.en
Purpose: Cervical cancer continues to be one of the leading causes of death among females worldwide, and thus early diagnosis by using more advanced diagnostic procedures is crucial. The conventional Pap-smear procedure is accurate but subject to human error; thus, computerised, standardised, and automated diagnosis becomes imperative. Herein we present a novel framework of a fuzzy distance-based ensemble of convolutional neural networks (CNNs) for efficient cervical cancer classification from Pap-smear images. Material and methods: The proposed approach integrates 5 models of CNN - Simple CNN, InceptionV3, Xception, Xception with Attention, and Inception Attention - via attention mechanisms to advance feature learning. A fuzzy distance-based aggregator function is introduced to fuse the predictions of these models optimally as per Euclidean, Manhattan, and cosine distance measures. Four advanced pre-rocessing techniques - wavelet denoising, contrast-limited adaptive histogram equalisation (CLAHE), background correction, and Laplacian sharpening - are employed to construct a cleaner dataset with enhanced image sharpness and segmentation. Results: Experimental outcomes prove that the model is significantly better than state-of-the-art approaches, with an accuracy of 94% on the original dataset and 98.3% on the pre-processed dataset. Conclusions: The method suggested herein has better noise robustness, interpretability through fuzzy logic, and automatic adaptation to various CNN frameworks without fine-tuning. These results acknowledge the promise of fuzzy logic-based CNN ensembles to improve machine-based cervical cancer diagnosis, which could be mapped to better and scalable diagnostic instruments in medical imaging.
dc.contributor.author
Verma, Garima
dc.contributor.author
Barthwal, Anurag
dc.date.accessioned
2026-01-28T08:14:51Z
dc.date.available
2026-01-28T08:14:51Z
dc.date.createdaten
2026-01-28T08:14:51Z
dc.date.issued
2025
dc.date.openaccess
0
dc.description.accesstime
w momencie opublikowania
dc.description.additional
Bibliogr. s. e429-e430
dc.description.physical
e414-e430
dc.description.version
ostateczna wersja wydawcy
dc.description.volume
90
dc.identifier.doi
10.5114/pjr/207475
dc.identifier.issn
1733-134X
dc.identifier.project
DRC AI
dc.identifier.uri
https://ruj.uj.edu.pl/handle/item/570138
dc.language
eng
dc.language.container
eng
dc.rights
Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 4.0 Międzynarodowa
dc.rights.licence
CC-BY-NC-ND
dc.rights.uri
http://creativecommons.org/licenses/by-nc-nd/4.0/legalcode.pl
dc.share.type
otwarte czasopismo
dc.source.integrator
false
dc.subject.en
cervical cancer
dc.subject.en
CNN
dc.subject.en
fuzzy logic
dc.subject.en
deep learning
dc.subject.en
transfer learning
dc.subject.en
image pre-processing
dc.subtype
Article
dc.title
Attention-enhanced deep learning for cervical cytology : combining convolutional networks with multi-head attention and fuzzy logic
dc.title.journal
Polish Journal of Radiology
dc.type
JournalArticle
dspace.entity.typeen
Publication
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