GRANet-Lite: A Lightweight Ghost-Residual Attention Network for Breast Cancer Classification with Comprehensive Histopathological Preprocessing Analysis
Smart HealthDOI10.1016/j.smhl.2026.100661
AUTHORS
Abstract
Breast cancer classification from histopathological images is frequently challenged by staining variability and high computational requirements. This study introduces a novel lightweight convolutional neural network optimized for deployment in resource-constrained clinical environments. The architecture integrates Ghost modules, Squeeze-and-Excitation, and Coordinate Attention mechanisms with residual learning, achieving robust feature representation with only 1.72 million trainable parameters. A systematic evaluation of five preprocessing strategies including Macenko, Vahadane, Reinhard, Ruifrok normalization, and Otsu-based tissue separation was conducted across multiple magnification levels using the BreaKHis dataset. Experimental results indicate that Otsu-based tissue separation at 400x magnification consistently yields superior performance, achieving a 98.54% AUC and 95.33% accuracy. Model interpretability was validated through Grad-CAM++ and Score-CAM to ensure spatially consistent and pathology-relevant feature extraction. By balancing computational efficiency with high diagnostic precision, this framework provides a scalable and explainable solution for breast cancer screening on edge devices and low-resource platforms
- Breast Cancer
- Histopathology
- Lightweight CNN
- Ghost–Residual Attention
- Explainable AI