We present StrokeNeXt, a model for stroke classification in 2D Computed Tomography (CT) images. StrokeNeXt employs a dual-branch design with two ConvNeXt encoders, whose features are fused through a lightweight convolutional decoder based on stacked 1D operations, including a bottleneck projection and transformation layers, and a compact classification head. The model is evaluated on a curated dataset of 6,774 CT images, addressing both stroke detection and subtype classification between ischemic and hemorrhage cases. StrokeNeXt consistently outperforms convolutional and Transformer-based baselines, reaching accuracies and F1-scores of up to 0.988. Paired statistical tests confirm that the performance gains are statistically significant, while class-wise sensitivity and specificity demonstrate robust behavior across diagnostic categories. Calibration analysis shows reduced prediction error compared to competing methods, and confusion matrix results indicate low misclassification rates. In addition, the model exhibits low inference time and fast convergence.
Figures & tables
Figure 1: Overview of the proposed StrokeNeXt architecture. The model processes the input CT image through two parallel ConvNeXt encoders. Their outputs are fused via a custom convolutional decoder composed of a stack operation, a 1D convolutional fusion path with transformation layers, and a classification head.
Figure 2: Sample images from the used dataset in this work.
Stroke is a major cause of death and disability worldwide. Accurate outcome and evolution prediction has the potential to revolutionize stroke care by individualizing clinical decision-making leading to better outcomes. However, despite a plethora of attempts and the rich data provided by neuroimaging, modelling the ultimate fate of brain tissue remains a challenging task. In this work, we apply recent ideas in the field of diffusion probabilistic models to generate a self-supervised semantically meaningful stroke representation from Computed Tomography (CT) images. We then improve this representation by extending the method to accommodate longitudinal images and the time from stroke onset. The effectiveness of our approach is evaluated on a dataset consisting of 5,824 CT images from 3,573 patients across two medical centers with minimal labels. Comparative experiments show that our method achieves the best performance for predicting next-day severity and functional outcome at discharge.
Adam Marcus, Paul Bentley, Daniel Rueckert
Imperial College London, London, UK · Technische Universität München, München, Germany
Brain stroke, known for its high mortality and incidence rates, poses significant health risks and requires rapid intervention for survival. Early diagnosis and preventive measures can greatly reduce life loss and disabilities. Recent advancements in deep learning have led to novel computer-aided diagnostic techniques for early stroke detection. This study proposes an intelligent system that predicts potential strokes using eleven features, evaluated through seven supervised machine learning algorithms. The process includes a literature review, dataset visualization, data preprocessing, and model evaluation. Ensemble methods like Random Forest, Stacking Classifier, and Bagging Classifier achieved high accuracies of 99.52%, while Decision Tree reached 98.24%. Other models, including KNN and TabNet, demonstrated reliable performance, achieving accuracies of 96.73% and 96.49%, respectively. The custom feedforward model achieved 94.91%, while SVC and logistic regression had lower accuracies at 88.06% and 77.03%. The results highlight the effectiveness of ensemble methods in stroke classification.
Md Shahriar Sajid
Department of Electrical & Computer Engineering Rajshahi University of Engineering & Technology
Accurate segmentation of brain stroke lesions in non-contrast computed tomography (NCCT) scans is critical for rapid clinical decision-making, yet remains difficult due to the low contrast between lesion and normal brain tissue, heterogeneous lesion morphology across ischemic and hemorrhagic subtypes, and ambiguous boundaries caused by partial volume effects. Current deep learning approaches primarily optimize region-level overlap but lack explicit boundary modeling, leading to imprecise delineation that can affect volumetric assessment and treatment planning. We propose FSB-Net, a frequency-spatial boundary network that leverages frequency-domain analysis for boundary-aware stroke lesion segmentation. FSB-Net introduces three components: (i) a Wavelet Boundary Detection Head (WBDH) that applies the discrete wavelet transform to multi-scale encoder features, extracting high-frequency sub-bands as boundary representations; (ii) a Frequency-Spatial Cross-Attention Module (FSCAM) that performs bidirectional attention between wavelet boundary features and spatial decoder features for selective boundary enhancement; and (iii) a Spectral Boundary Loss that penalizes high-frequency discrepancies in the Fourier domain to optimize boundary sharpness. Built on a PVTv2-B2 encoder, FSB-Net is evaluated on a public Brain Stroke CT dataset containing both ischemic and hemorrhagic cases. Experimental results show that FSB-Net outperforms U-Net, UNet++, MANet, and DeepLabV3+ across all metrics, achieving state-of-the-art performance in mean Dice, mean IoU, and HD95.
Linke Fan, Xianglong Li, Huixin Huang +1
Tongji University · Shanghai, China · University of Malaya +5