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ORIGINAL RESEARCH article

Front. Microbiol.

Sec. Systems Microbiology

Volume 16 - 2025 | doi: 10.3389/fmicb.2025.1627311

Can deep learning technology really recognize monkeypox? A positive response from the EfficientNet model

Provisionally accepted
Xiaoqian  ZhaoXiaoqian Zhao1,2Long  LyuLong Lyu3Li  ZhangLi Zhang1,2*
  • 1China Medical University, Shenyang, China
  • 2Key Laboratory of Immunodermatology, Ministry of Education, and National Health Commission; National Joint Engineering Research Center for Theranostics of Immunological Skin Diseases, Shen Yang, China
  • 3Central South University, Hunan, China

The final, formatted version of the article will be published soon.

On July 23, 2022, the World Health Organization (WHO) officially declared the monkeypox outbreak a "Public Health Emergency of International Concern" (PHEIC), highlighting the urgent need for effective prevention and control measures worldwide. To assist healthcare managers and medical professionals in efficiently and accurately identifying monkeypox cases from similar conditions, this study proposes a lightweight deep learning model. The model uses EfficientNet as the backbone network and employs transfer learning techniques to transfer the pre-trained EfficientNet parameters, originally trained on the ImageNet dataset, into this model. This approach allows the model to have strong generalization capabilities while controlling the number of parameters and computational complexity. Experimental results show that, compared to existing advanced methods, the proposed method not only has a lower number of parameters (only 4.14M), but also achieves optimal values in most performance metrics, including precision (95.92%), recall (95.69%), F1 score (95.80), ROC AUC (0.998), and PR AUC (0.999). Furthermore, statistical analysis shows that the cross-validation results of this model have no significant differences (p>0.05), which verifies the robustness of the method in monkeypox identification task. Additionally, ablation experiments demonstrate that as the version of EfficientNet's expanded network increases, the model complexity rises, with performance showing a trend of initially increasing before decreasing. In conclusion, the model proposed in this study effectively balances model's complexity and inference accuracy. In practical applications, model selection should be based on the specific needs of decision-makers.

Keywords: auxiliary diagnosis, deep learning, EfficientNet, Image Recognition, Monkeypox

Received: 13 May 2025; Accepted: 23 Jul 2025.

Copyright: © 2025 Zhao, Lyu and Zhang. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Li Zhang, China Medical University, Shenyang, China

Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.