# Higher Chest X-ray Resolution Improves Classification Performance

Source: [Higher Chest X-ray Resolution Improves Classification Performance](<https://www.sota2.com/research/paper/68fa703f1e209131cea49ed7>)

Collection index: [llms.txt](<https://www.sota2.com/research/llms.txt>)

Data updated: 2025-10-26T01:37:08.974Z

Authors: Alessandro Wollek, Sardi Hyska, Bastian Sabel, Michael Ingrisch, Tobias Lasser

Published: 2023-06-09T17:21:52.000Z

## Abstract

Deep learning models for image classification are often trained at a resolution of 224 x 224 pixels for historical and efficiency reasons. However, chest X-rays are acquired at a much higher resolution to display subtle pathologies. This study investigates the effect of training resolution on chest X-ray classification performance, using the chest X-ray 14 dataset. The results show that training with a higher image resolution, specifically 1024 x 1024 pixels, results in the best overall classification performance with a mean AUC of 84.2 % compared to 82.7 % when trained with 256 x 256 pixel images. Additionally, comparison of bounding boxes and GradCAM saliency maps suggest that low resolutions, such as 256 x 256 pixels, are insufficient for identifying small pathologies and force the model to use spurious discriminating features. Our code is publicly available at https://gitlab.lrz.de/IP/cxr-resolution

## Recorded benchmark results

A research result applies to its stated dataset, split, metric and evaluation configuration. Compare like-for-like settings, preserve the metric's unit and direction, and distinguish paper-reported results from independent reproduction. The best result recorded here is not a claim of exhaustive, current global coverage.

## Original sources and implementation

[Original paper](<https://arxiv.org/abs/2306.06051>)

[PDF](<https://arxiv.org/pdf/2306.06051.pdf>)
