An Explainable and Uncertainty-Aware Lightweight Dynamic Attention-Based Deep Learning Architecture for COVID-19 Detection from Chest X-Rays
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Abstract
Automated COVID-19 detection from chest X-rays faces four barriers: dataset bias, limited cross-distribution generalization, absent uncertainty quantification, and computational overhead. RobustXAI-COVID addresses all four through five contributions: (i) DAM—a per-sample gating scalar α adaptively fuses channel and spatial attention, surpassing fixed CBAM by +1.10%; (ii) CDRT — weighted joint training on COVIDx CXR-4 and ChestX-ray14 yields +0.68% at zero inference overhead; (iii) UE — Shannon entropy deferral reduces misclassification by 45% on flagged samples; (iv) EGT (core XAI contribution) — Grad-CAM++ alignment loss makes anatomically faithful explanations intrinsic, jointly improving accuracy (+0.50%) and heatmap fidelity; (v) KD from ResNet-18 with hybrid CE+Focal loss achieves +1.32%. On COVIDx CXR-4 (n = 1,000): 95.40% accuracy, 97.00% COVID-19 sensitivity, 0.9531 F1, 0.9901 AUC at 5.6M parameters and 12.1 ms CPU latency.
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Publication Details
- Type of Publication:
- Conference Name: IEEE Region 10 TENSYMP 2026
- Date of Conference: 29/06/2026 - 29/06/2026
- Venue: Penang, Malaysia
- Organizer: IEEE Malaysia Section