Abstract

Background: Chest radiography is widely used in clinical workflows; however, exploratory image-level classification across multiple public-dataset categories remains less studied than single-disease classification tasks. We aimed to develop and internally evaluate a compact SqueezeNet-based pipeline for nine-class chest radiograph classification within a public dataset. Low-computational-footprint approaches may be relevant for future research prototypes in resource-constrained settings, particularly when offline operation is desirable; however, no real-world clinical deployment or triage validation was assessed in the present study. Methods: Using a public dataset of 6743 frontal radiographs spanning normal anatomy and eight pathology categories, we extracted 512-dimensional embeddings from a pre-trained SqueezeNet-1.0 (features module with global average pooling) and trained a scikit-learn MLP with a single hidden layer. Performance was assessed with stratified 5-fold cross-validation using accuracy and class-wise precision, recall, and F1; interpretability was examined via confusion matrices and dimensionality reduction techniques (t-SNE, and MDS). Results: The model achieved a mean accuracy of 98.83% across folds, with per-class precision, recall, and F1 generally ≥0.96 and a weighted F1 of 0.99; confusion matrices showed minimal off-diagonal errors, and embedding visualizations revealed well-separated, class-consistent clusters. Conclusions: Compact CNN features coupled with a simple MLP demonstrated strong internal performance for multi-class CXR classification within the evaluated dataset. However, the absence of external validation, the use of synthetically augmented data, and the lack of patient-level provenance metadata substantially limit conclusions regarding generalizability and clinical applicability.

IPC Classification

Keywords