Pneumonia is one of the main reasons for child mortality, with chest radiography (CXR) being essential for its diagnosis. However, the low radiation exposure in pediatric analysis complicates the accurate detection of pneumonia, making traditional examination ineffective. Progress in medical imaging with convolutional neural networks (CNN) has considerably improved performance, gaining widespread recognition for its effectiveness. This paper proposes an accurate pneumonia detection method based on different deep CNN architectures that combine optimal feature fusion. Enhanced VGG-19, ResNet-50, and MobileNet-V2 are trained on the most widely used pneumonia dataset, applying appropriate transfer learning and fine-tuning strategies. To create an effective feature input, the Chi-Square technique removes inappropriate features from every enhanced CNN. The resulting subsets are subsequently fused horizontally, to generate more diverse and robust feature representation for binary classification. By combining 1000 best features from VGG-19 and MobileNet-V2 models, the suggested approach records the best accuracy (97.59%), Recall (98.33%), and F1-score (98.19%) on the test set based on the supervised support vector machines (SVM) classifier. The achieved results demonstrated that our approach provides a significant enhancement in performance compared to previous studies using various ensemble fusion techniques while ensuring computational efficiency. We project this fused-feature system to significantly aid timely detection of childhood pneumonia, especially within constrained healthcare systems.
Ouerhani et al. (2026) studied this question.