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A Vision-Transformer-based Ensemble Model for Multi-label Disease Classification on CT Scans and Chest Radiographs

Journal of ICT Research and Applications (JICTRA) · Vol. 20 No. 2 (2026) · pp. 127–145

DOI
10.5614/itbj.ict.res.appl.2026.20.2.2
ISSN
2338-5499, 2337-5787
Published
2026-08-27
Publisher
DRI - ITB
Language
eng

Abstract

The increase in the volume of X-rays and computed tomography (CT) images has drastically increased the workload on radiologists. As a result, a computer-aided solution with the capability to classify CT scans is needed to reduce this workload. In this paper, a vision-transformer (ViT) based model for multi-disease, ensemble-based classification is proposed. ViT, Data2Vec, and SegFormer models were fine-tuned to carry out the classification of selected diseases, namely, effusion, pneumonia, and pneumothorax. Normal cases of the selected diseases were included in the dataset. The datasets were obtained from two sources: the chest X-ray dataset from the Nigerian Institute of Health Chest Clinic and the optical coherence tomography (OCT) images dataset containing 6,621 images from University of California, San Diego. The images were preprocessed using random cropping, horizontal flipping, and normalization. The dataset was partitioned into training, validation, and testing sets. Model training was done in 10 epochs. The evaluation metrics showed a better performance from ensemble learning compared to other individual transformer models. The weighted average performance for all metrics was 90.56% precision, 90.58% recall, and 90.48% F1 score. The model is useful for classification of multiple diseases and can be used by radiologists.

Keywords

Collaboration network of the authors

7 authors · 15 co-authorship links · 13 across different organisations

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  • Federal University Oye Ekiti
  • Federal University of Technology and Environmental Sciences
  • North-West University
  • University of KwaZulu-Natal
  • The Federal Polytechnic, Ado-Ekiti
  • Different organisations
  • Same organisation
  • Affiliation unknown
  • Thicker line = more joint articles · bigger circle = more articles
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Co-authorOrganisationJoint articles
Lawrence Bunmi AdewoleFederal University Oye Ekiti2
Titilayo Akin-OlayemiThe Federal Polytechnic, Ado-Ekiti2

Affiliations come from OpenAlex; journal OAI-PMH metadata carries none. Authors without an OpenAlex ID are matched by name, which can merge or split people.

Metadata source: OAI-PMH (metadata jurnal) https://journals.itb.ac.id/index.php/jictra/oai, first harvested 26 Okt 2026, last seen 26 Okt 2026.
Original metadata (oai_dc)
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	<dc:title xml:lang="en-US">A Vision-Transformer-based Ensemble Model for Multi-label Disease Classification on CT Scans and Chest Radiographs</dc:title>
	<dc:creator>Fagbuagun, Ojo Abayomi</dc:creator>
	<dc:creator>Ajewole, Ojo Femi</dc:creator>
	<dc:creator>Mogaji, Stephen Alaba</dc:creator>
	<dc:creator>Folorunsho, Olaiya</dc:creator>
	<dc:creator>Akinpelu, Samson Adebisi</dc:creator>
	<dc:subject xml:lang="en-US">C-T scans</dc:subject>
	<dc:subject xml:lang="en-US">classification</dc:subject>
	<dc:subject xml:lang="en-US">deep learning</dc:subject>
	<dc:subject xml:lang="en-US">normalization</dc:subject>
	<dc:subject xml:lang="en-US">vision transformer</dc:subject>
	<dc:subject xml:lang="en-US">stacked ensemble</dc:subject>
	<dc:description xml:lang="en-US">The increase in the volume of X-rays and computed tomography (CT) images has drastically increased the workload on radiologists. As a result, a computer-aided solution with the capability to classify CT scans is needed to reduce this workload. In this paper, a vision-transformer (ViT) based model for multi-disease, ensemble-based classification is proposed. ViT, Data2Vec, and SegFormer models were fine-tuned to carry out the classification of selected diseases, namely, effusion, pneumonia, and pneumothorax. Normal cases of the selected diseases were included in the dataset. The datasets were obtained from two sources: the chest X-ray dataset from the Nigerian Institute of Health Chest Clinic and the optical coherence tomography (OCT) images dataset containing 6,621 images from University of California, San Diego. The images were preprocessed using random cropping, horizontal flipping, and normalization. The dataset was partitioned into training, validation, and testing sets. Model training was done in 10 epochs. The evaluation metrics showed a better performance from ensemble learning compared to other individual transformer models. The weighted average performance for all metrics was 90.56% precision, 90.58% recall, and 90.48% F1 score. The model is useful for classification of multiple diseases and can be used by radiologists.</dc:description>
	<dc:publisher xml:lang="en-US">DRI - ITB</dc:publisher>
	<dc:date>2026-08-27</dc:date>
	<dc:type>info:eu-repo/semantics/article</dc:type>
	<dc:type>info:eu-repo/semantics/publishedVersion</dc:type>
	<dc:type xml:lang="en-US">Peer-reviewed Article</dc:type>
	<dc:format>application/pdf</dc:format>
	<dc:identifier>https://journals.itb.ac.id/index.php/jictra/article/view/24900</dc:identifier>
	<dc:identifier>10.5614/itbj.ict.res.appl.2026.20.2.2</dc:identifier>
	<dc:source xml:lang="en-US">Journal of ICT Research and Applications; Vol. 20 No. 2 (2026); 127-145</dc:source>
	<dc:source>2338-5499</dc:source>
	<dc:source>2337-5787</dc:source>
	<dc:source>10.5614/itbj.ict.res.appl.2026.20.2</dc:source>
	<dc:language>eng</dc:language>
	<dc:relation>https://journals.itb.ac.id/index.php/jictra/article/view/24900/7459</dc:relation>
	<dc:rights xml:lang="en-US">Copyright (c) 2026 Journal of ICT Research and Applications</dc:rights>
</oai_dc:dc>