Skin Lesion Classification Based on ResNet-50 Enhanced With Adaptive Spatial Feature Fusion
About
Skin cancer classification is challenging due to high inter-class similarity, intra-class variability, and artifacts in dermoscopic images. To address these issues, we propose an improved ResNet-50 with Adaptive Spatial Feature Fusion (ASFF), which adaptively integrates multi-scale semantic and surface features to refine representations and reduce overfitting. The ResNet-50 model is enhanced with an adaptive feature fusion mechanism to achieve more effective multi-scale feature extraction and improve overall performance. Specifically, a dual-branch design fuses high-level semantic and mid-level detail features which use global average pooling and fully connected layers to produce spatial weights, and emphasizes lesion-relevant regions. Evaluated on a balanced subset of ISIC 2020 (3,297 images, randomly selected from the original dataset), the ASFF-based ResNet-50 outperforms multiple CNN baselines, achieving 93.182% accuracy with superior precision, recall, specificity, and F1. It also reaches 0.9670 AUC (P-R) and 0.9717 AUC (ROC). Grad-CAM visualizations show more accurate focus on lesion areas.The proposed model also generalizes well to ISIC 2019 external validation, outperforming the ResNet-50 baseline. These findings demonstrate that the proposed approach provides a more effective and efficient solution for computer-aided skin cancer diagnosis. The generation codes, weights and confusion matrices are open sourced in https://github.com/Grapesea/ASFF-ResNet50-enhanced.