StrokeNeXt: A Siamese-encoder Approach for Brain Stroke Classification in Computed Tomography Imagery

Fuente: arXiv
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Main Authors: Ramos, Leo Thomas, Sappa, Angel D.
Format: Preprint
Published: 2026
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author Ramos, Leo Thomas
Sappa, Angel D.
author_facet Ramos, Leo Thomas
Sappa, Angel D.
contents 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.
format Preprint
id arxiv_https___arxiv_org_abs_2602_15087
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle StrokeNeXt: A Siamese-encoder Approach for Brain Stroke Classification in Computed Tomography Imagery
Ramos, Leo Thomas
Sappa, Angel D.
Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Machine Learning
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.
title StrokeNeXt: A Siamese-encoder Approach for Brain Stroke Classification in Computed Tomography Imagery
topic Image and Video Processing
Artificial Intelligence
Computer Vision and Pattern Recognition
Machine Learning
url https://arxiv.org/abs/2602.15087