DA OMS-CNN: dual-attention OMS-CNN with 3D swin transformer for early-stage lung cancer detection

Lung cancer is one of the most prevalent and deadly forms of cancer, accounting for a significant portion of cancer-related deaths worldwide. It typically originates in the lung tissues, particularly in the cells lining the airways, and early detection is crucial for improving patient survival rates. Computed tomography (CT) imaging has become a standard tool for lung cancer screening, providing detailed insights into lung structures and facilitating the early identification of cancerous nodules. In this study, an improved Faster R-CNN model is employed to detect early-stage lung cancer. To enhance the performance of Faster R-CNN, a novel dual-attention optimized multi-scale CNN (DA OMS-CNN) architecture is used to extract representative features of nodules at different sizes. Additionally, dual-attention RoIPooling (DA-RoIpooling) is applied in the classification stage to increase the model’s sensitivity. In the false-positive reduction stage, a combination of multiple 3D shift window transformers (3D SwinT) is designed to reduce false-positive nodules. The proposed model was evaluated on the LUNA16 and PN9 datasets. The results demonstrate that integrating DA OMS-CNN, DA-RoIPooling, and 3D SwinT into the improved Faster R-CNN framework achieves a sensitivity of 96.93% and a CPM score of 0.911. Comprehensive experiments demonstrate that the proposed approach not only increases the sensitivity of lung cancer detection but also significantly reduces the number of false-positive nodules. Therefore, the proposed method can serve as a valuable reference for clinical applications.