An efficient attention Densenet with LSTM for lung disease detection and classification using X-ray images supported by adaptive R2-Unet-based image segmentation.

Lung diseases represent one of the most prevalent health challenges globally, necessitating accurate diagnosis to improve patient outcomes. This work presents a novel deep learning-aided lung disease classification framework comprising three key phases: image acquisition, segmentation, and classification. Initially, chest X-ray images are taken from standard datasets. The lung regions are segmented using an Adaptive Recurrent Residual U-Net (AR2-UNet), whose parameters are optimised using Enhanced Pufferfish Optimisation Algorithm (EPOA) to enhance segmentation accuracy. The segmented images are processed using "Attention-based Densenet with Long Short Term Memory(ADNet-LSTM)" for robust categorisation. Investigational results demonstrate that the proposed model achieves the highest classification accuracy of 93.92%, significantly outperforming several baseline models including ResNet with 90.77%, Inception with 89.55%, DenseNet with 89.66%, and "Long Short Term Memory (LSTM)" with 91.79%. Thus, the proposed framework offers a dependable and efficient solution for lung disease detection, supporting clinicians in early and accurate diagnosis.