Automated diagnosis of lung diseases using vision transformer: a comparative study on chest x-ray classification

Background: Lung disease is a significant health issue, particularly in children and elderly individuals. It often results from lung infections and is one of the leading causes of mortality in children. Globally, lung-related diseases claim many lives each year, making early and accurate diagnoses crucial. Radiographs are valuable tools for the diagnosis of such conditions. The most prevalent lung diseases, including pneumonia, asthma, allergies, chronic obstructive pulmonary disease (COPD), bronchitis, emphysema, and lung cancer, represent significant public health challenges. Early prediction of these conditions is critical, as it allows for the identification of risk factors and implementation of preventive measures to reduce the likelihood of disease onset Methods: In this study, we utilized a dataset comprising 3,475 chest X-ray images sourced from from Mendeley Data provided by Talukder, M. A. (2023) [14], categorized into three classes: normal, lung opacity, and pneumonia. We applied five pre-trained deep learning models, including CNN, ResNet50, DenseNet, CheXNet, and U-Net, as well as two transfer learning algorithms such as Vision Transformer (ViT) and Shifted Window (Swin) to classify these images. This approach aims to address diagnostic issues in lung abnormalities by reducing reliance on human intervention through automated classification systems. Our analysis was conducted in both binary and multiclass settings. Results: In the binary classification, we focused on distinguishing between normal and viral pneumonia cases, whereas in the multi-class classification, all three classes (normal, lung opacity, and viral pneumonia) were included. Our proposed methodology (ViT) achieved remarkable performance, with accuracy rates of 99% for binary classification and 95.25% for multiclass classification.