Hybrid CNN-Attention-LSTM Architecture for Automated Kidney Stone Detection and Classification from Medical Imaging

Deep Learning, Kidney Stone Detection, CNN, Attention Mechanism, LSTM, Medical Image Classification, Computer-Aided Diagnosis, Urolithiasis

Authors

  • Ali Hasan Jalil AL-EBADA Institute of Graduate Studies, Department of Artificial Intelligence and Data Science, Istanbul Aydın University, Istanbul 34035, Türkiye.
  • Ahmed Alkarawi Faculty of Engineering, Istanbul Aydın University, Istanbul 34035, Türkiye.
  • Hayder MOHAMMEDQASIM Computer Engineering Department, Faculty of Engineering, Istanbul Aydın University, Istanbul 34035, Türkiye.
January 26, 2026
January 29, 2026

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There are many common diseases that affect millions of people around the world, and among these diseases is kidney stones (urinary tract stones). Its detection requires accurate and early diagnosis in order for appropriate treatment to be carried out as quickly as possible, because delaying it causes the patient’s condition to deteriorate. Traditional diagnostic methods also rely heavily on the radiologist, which is time-consuming. While this paper presents a new deep learning hybrid architecture that combines convolutional neural networks (CNNs), attention mechanisms, and long-term short-term memory networks (LSTM) in order to automatically detect and also classify kidney stones based on medical images. The proposed model also uses CNN to extract spatial features, attention mechanisms to focus on subject- related domains, and LSTM to capture sequential dependencies in multi-slice CT scans. The model was evaluated on a comprehensive and accurate dataset of 4850 CT images, an accuracy of 96.2%, an accuracy of 95.8%, a recall of 96.5%, and an F1 score of 96.1% were obtained in classification tasks. The attention mechanism performs the precise function of improving interpretability by highlighting areas of interest, making the system clinically applicable. Comparative analysis using state-of-the-art methods including ResNet50, VGG16, and traditional CNN architecture shows superior performance. The proposed architectural design also has an average AUC of 0.95 when applied to four types of stones (calcium oxalate, uric acid, struvite, and cysteine), showing a significant superiority over existing methods of 3-5.