M3D-Net: Hierarchical Coordination of Spatial Context, Feature Reuse, and Differential Attention for Mammography Classification

Abstract

Breast image classification requires local detail and global tissue context, yet these cues can weaken as representations deepen. We present M3D-Net, a mammography encoder that hierarchically coordinates multi-scale coordinate attention, bounded dynamic feature reuse, and differential attention through resolution-aware operator placement. Within-stage retrieval preserves access to earlier features, coordinate-aware aggregation integrates local and global context, and differential attention operates at coarse resolutions. We evaluate image-only classification on AISSLab mammography and an adapted image--clinical model on BrEaST ultrasound. Against EdgeNeXt, RepViT, and TransXNet, the proposed implementations achieve the highest recorded validation accuracy and late-training accuracy, with the lowest endpoint cross-entropy loss. Validation accuracies reach 97.78\% and 80.39\%, respectively. These results support further evaluation of hierarchical coordination across breast imaging settings; repeated-seed, component-controlled, and independent evaluations remain necessary.