<![CDATA[Accurate detection and classification of fractures in bone x-ray images are crucial for effective medical diagnosis and treatment. In this study, we propose the triple context attention model (TCAN) as a novel approach to address the challenges in this domain. TCAN offers several key contributions that significantly enhance the accuracy and efficiency of bone x-ray image recognition and classification. Firstly, TCAN introduces the coordination attention mechanism, which considers both horizontal and vertical positional data during the recognition process. Secondly, TCAN mitigates the common issue of mislabelling fractures in bone x-ray images, particularly in the you only look once (YOLO) model, due to the absence of positional data during training. Thirdly, TCAN efficiently enhances positional data by focusing on weights, and increasing feature dimension while maintaining a manageable model size. This allows for effective utilization of positional data without computational overhead. Lastly, TCAN combines the visual attention network (VAN) with its capabilities, resulting in a comprehensive system that can handle diverse image dimensions and accurately classify various types of fractures across different body regions. Overall, TCAN presents a promising advancement in medical image analysis, improving fracture detection accuracy and classification efficiency in bone x-ray images, thus aiding in more effective clinical decision-making.]]>
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