Structured Spectral Graph Representation Learning for Multi-label Abnormality Analysis from 3D CT Scans

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Main Authors: Di Piazza, Theo, Lazarus, Carole, Nempont, Olivier, Boussel, Loic
Format: Preprint
Published: 2025
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author Di Piazza, Theo
Lazarus, Carole
Nempont, Olivier
Boussel, Loic
author_facet Di Piazza, Theo
Lazarus, Carole
Nempont, Olivier
Boussel, Loic
contents With the growing volume of CT examinations, there is an increasing demand for automated tools such as organ segmentation, abnormality detection, and report generation to support radiologists in managing their clinical workload. Multi-label classification of 3D Chest CT scans remains a critical yet challenging problem due to the complex spatial relationships inherent in volumetric data and the wide variability of abnormalities. Existing methods based on 3D convolutional neural networks struggle to capture long-range dependencies, while Vision Transformers often require extensive pre-training on large-scale, domain-specific datasets to perform competitively. In this work of academic research, we propose a 2.5D alternative by introducing a new graph-based framework that represents 3D CT volumes as structured graphs, where axial slice triplets serve as nodes processed through spectral graph convolution, enabling the model to reason over inter-slice dependencies while maintaining complexity compatible with clinical deployment. Our method, trained and evaluated on 3 datasets from independent institutions, achieves strong cross-dataset generalization, and shows competitive performance compared to state-of-the-art visual encoders. We further conduct comprehensive ablation studies to evaluate the impact of various aggregation strategies, edge-weighting schemes, and graph connectivity patterns. Additionally, we demonstrate the broader applicability of our approach through transfer experiments on automated radiology report generation and abdominal CT data.
format Preprint
id arxiv_https___arxiv_org_abs_2510_10779
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Structured Spectral Graph Representation Learning for Multi-label Abnormality Analysis from 3D CT Scans
Di Piazza, Theo
Lazarus, Carole
Nempont, Olivier
Boussel, Loic
Computer Vision and Pattern Recognition
With the growing volume of CT examinations, there is an increasing demand for automated tools such as organ segmentation, abnormality detection, and report generation to support radiologists in managing their clinical workload. Multi-label classification of 3D Chest CT scans remains a critical yet challenging problem due to the complex spatial relationships inherent in volumetric data and the wide variability of abnormalities. Existing methods based on 3D convolutional neural networks struggle to capture long-range dependencies, while Vision Transformers often require extensive pre-training on large-scale, domain-specific datasets to perform competitively. In this work of academic research, we propose a 2.5D alternative by introducing a new graph-based framework that represents 3D CT volumes as structured graphs, where axial slice triplets serve as nodes processed through spectral graph convolution, enabling the model to reason over inter-slice dependencies while maintaining complexity compatible with clinical deployment. Our method, trained and evaluated on 3 datasets from independent institutions, achieves strong cross-dataset generalization, and shows competitive performance compared to state-of-the-art visual encoders. We further conduct comprehensive ablation studies to evaluate the impact of various aggregation strategies, edge-weighting schemes, and graph connectivity patterns. Additionally, we demonstrate the broader applicability of our approach through transfer experiments on automated radiology report generation and abdominal CT data.
title Structured Spectral Graph Representation Learning for Multi-label Abnormality Analysis from 3D CT Scans
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2510.10779