Research Article

Segmentation-guided explainable smoking detection using SAM and CNN

Number: 066 September 30, 2026

Segmentation-guided explainable smoking detection using SAM and CNN

Abstract

Automatic detection of smoking behavior is of great importance to public health. High classification accuracy is reported in deep learning, but how this works and how it relates to various biases are difficult to explain. To address this gap, a smoking detection model based on Segment Anything Model (SAM), incorporating evolutionary neural networks and Gradient Weighted Class Activation Mapping (Grad-CAM) analyses to suppress background noise, has been proposed. In a study of 1120 images, an accuracy of 88.84% and a Receiver Operating Characteristic - Area Under the Curve (ROC-AUC) value of 0.9613 were obtained. Furthermore, data augmentation strategies were included to improve the robustness and generalization performance of the model, and statistical significance analysis was added to show that the performance improvements provided by the SAM-based approach were not due to random variation. At the same time, the false negative rate, a crucial concept for the health field, was relatively reduced. The analyses confirmed that there is an agreement between the model and hand-to-mouth-smoking interactions. It offers a focused, interpretable, reliable, and practical solution for enclosed spaces.

Keywords

References

  1. [1] World Health Organization, “WHO report on the global tobacco epidemic 2023: Protect people from tobacco smoke,” Geneva: World Health Organization, 2023. [Online]. Available: https://www.who.int/publications/i/item/9789240077164
  2. [2] D. B. Abrams, A. M. Glasser, J. L. Pearson, A. C. Villanti, L. K. Collins, and R. S. Nicura, “Harm minimization and tobacco control: reframing societal views of nicotine use to rapidly save lives,” Annu. Rev. Public Health, vol. 39, no. 1, pp. 193-213, 2018.
  3. [3] E. Akdeniz, “Sigara bağımlılığı sağlığa etkileri ve sigara bıraktırmada kullanılan transteoretik model,” Kırşehir Ahi Evran Üniversitesi Sağlık Bilimleri Dergisi, vol. 2, no. 3, pp. 11-25, 2019.
  4. [4] P. Jha, C. Ramasundarahettige, V. Landsman, B. Rostron, M. Thun, R. N. Anderson, and R. Peto, “21st-century hazards of smoking and benefits of cessation in the United States,” N. Engl. J. Med., vol. 368, no. 4, pp. 341-350, 2013.
  5. [5] W. C. Su, H. L. Juan, J. I. Lee, H. P. Huang, S. C. Chen, and J. H. Geng, “Secondhand smoke increases the risk of developing chronic obstructive pulmonary disease,” Sci. Rep., vol. 14, no. 1, p. 7481, 2024, doi: 10.1038/s41598-024-58038-2.
  6. [6] L. S. Flor, J. A. Anderson, N. Ahmad, A. Aravkin, S. Carr, X. Dai, and E. Gakidou, “Health effects associated with exposure to secondhand smoke: a Burden of Proof study,” Nat. Med., vol. 30, pp. 149-167, 2024, doi: 10.1038/s41591-023- 02743-4.
  7. [7] C. Karabiber, N. Azboy, F. Altıner, B. Avlamaz, B. Özay, Ö. Ulutaş, and T. İnandı, “Tıp fakültesi öğrencilerinin tütün kullanımı hakkında bilgi, tutum ve davranışları,” The Medical Journal of Mustafa Kemal University, vol. 9, no. 33, pp. 21-32, 2018.
  8. [8] A. Navas-Acien, A. Çarkoğlu, G. Ergör, M. Hayran, T. Ergüder, B. Kaplan, and J. E. Cohen, “Compliance with smoke-free legislation within public buildings: a cross-sectional study in Turkey,” Bull. World Health Organ., vol. 94, no. 2, p. 92-102, 2016, doi: 10.2471/BLT.15.158238.

Details

Primary Language

English

Subjects

Biomedical Engineering (Other)

Journal Section

Research Article

Publication Date

September 30, 2026

Submission Date

May 24, 2026

Acceptance Date

August 19, 2026

Published in Issue

Year 2026 Number: 066

APA
Sarı, H. İ., & Keser, K. (2026). Segmentation-guided explainable smoking detection using SAM and CNN. Journal of Scientific Reports-A, 066, 16-34. https://doi.org/10.59313/jsr-a.1958126
AMA
1.Sarı Hİ, Keser K. Segmentation-guided explainable smoking detection using SAM and CNN. JSR-A. 2026;(066):16-34. doi:10.59313/jsr-a.1958126
Chicago
Sarı, Halil İbrahim, and Kübra Keser. 2026. “Segmentation-Guided Explainable Smoking Detection Using SAM and CNN”. Journal of Scientific Reports-A, nos. 066: 16-34. https://doi.org/10.59313/jsr-a.1958126.
EndNote
Sarı Hİ, Keser K (September 1, 2026) Segmentation-guided explainable smoking detection using SAM and CNN. Journal of Scientific Reports-A 066 16–34.
IEEE
[1]H. İ. Sarı and K. Keser, “Segmentation-guided explainable smoking detection using SAM and CNN”, JSR-A, no. 066, pp. 16–34, Sept. 2026, doi: 10.59313/jsr-a.1958126.
ISNAD
Sarı, Halil İbrahim - Keser, Kübra. “Segmentation-Guided Explainable Smoking Detection Using SAM and CNN”. Journal of Scientific Reports-A. 066 (September 1, 2026): 16-34. https://doi.org/10.59313/jsr-a.1958126.
JAMA
1.Sarı Hİ, Keser K. Segmentation-guided explainable smoking detection using SAM and CNN. JSR-A. 2026;:16–34.
MLA
Sarı, Halil İbrahim, and Kübra Keser. “Segmentation-Guided Explainable Smoking Detection Using SAM and CNN”. Journal of Scientific Reports-A, no. 066, Sept. 2026, pp. 16-34, doi:10.59313/jsr-a.1958126.
Vancouver
1.Halil İbrahim Sarı, Kübra Keser. Segmentation-guided explainable smoking detection using SAM and CNN. JSR-A. 2026 Sep. 1;(066):16-34. doi:10.59313/jsr-a.1958126