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MCANet: Medical Image Segmentation with Multi-Scale Cross-Axis Attention (2312.08866v3)

Published 14 Dec 2023 in eess.IV and cs.CV

Abstract: Efficiently capturing multi-scale information and building long-range dependencies among pixels are essential for medical image segmentation because of the various sizes and shapes of the lesion regions or organs. In this paper, we present Multi-scale Cross-axis Attention (MCA) to solve the above challenging issues based on the efficient axial attention. Instead of simply connecting axial attention along the horizontal and vertical directions sequentially, we propose to calculate dual cross attentions between two parallel axial attentions to capture global information better. To process the significant variations of lesion regions or organs in individual sizes and shapes, we also use multiple convolutions of strip-shape kernels with different kernel sizes in each axial attention path to improve the efficiency of the proposed MCA in encoding spatial information. We build the proposed MCA upon the MSCAN backbone, yielding our network, termed MCANet. Our MCANet with only 4M+ parameters performs even better than most previous works with heavy backbones (e.g., Swin Transformer) on four challenging tasks, including skin lesion segmentation, nuclei segmentation, abdominal multi-organ segmentation, and polyp segmentation. Code is available at https://github.com/haoshao-nku/medical_seg.

Citations (4)

Summary

  • The paper introduces a novel Multi-scale Cross-Axis Attention mechanism that enhances segmentation performance by capturing both global and local image context.
  • MCANet leverages strip-shaped convolutions for efficient multi-scale feature extraction, achieving superior mIoU and F1-scores across diverse medical segmentation tasks.
  • The model offers a compact 4M parameter design, outperforming heavier architectures like Swin Transformer with reduced computational demands.

An Analytical Overview of MCANet: A Novel Approach to Medical Image Segmentation

The paper "MCANet: Medical Image Segmentation with Multi-Scale Cross-Axis Attention" introduces a compelling approach to tackling the challenges inherent in medical image segmentation. The researchers offer a method, termed MCANet, which integrates Multi-scale Cross-axis Attention (MCA) to efficiently capture both global and local context within medical images. This method is particularly well-suited for medical image segmentation, addressing the variability in sizes, shapes, and textures of lesions and organs.

Introduction and Motivation

Medical image segmentation is a critical task in the healthcare domain, facilitating precise diagnoses and aiding medical research. The variability in lesion sizes and shapes within medical images poses a unique challenge, requiring robust models capable of capturing complex spatial dependencies. Traditional CNNs, despite successes with architectures like U-Net, often falter due to limited receptive fields and constrained capacity for modeling long-range dependencies. The advent and application of Vision Transformers have improved segmentation outcomes, but at the cost of significant computational demand.

Core Contributions

The core contribution of this paper is the introduction of the Multi-scale Cross-axis Attention (MCA) mechanism. Unlike traditional axial attention mechanisms that process spatial dimensions independently and sequentially, MCA computes dual cross-attentions between parallel axial attentions. This innovation enables the model to better capture global and cross-directional information, addressing the challenge of blurry boundaries and size variations in medical segmentation tasks. Additionally, MCA employs multiple strip-shaped convolutions with varying kernel sizes within each axial path, enhancing spatial encoding efficiency and multi-scale feature extraction.

MCANet builds upon the MSCAN backbone, leveraging its ability to capture rich multi-scale features. The final architecture, with only a modest parameter count of approximately 4 million, achieves superior performance compared to other heavier models like the Swin Transformer on various segmentation benchmarks.

Experimental Evaluation

MCANet was rigorously evaluated across four medical segmentation tasks: skin lesion segmentation, nuclei segmentation, abdominal multi-organ segmentation, and polyp segmentation. It demonstrated superior performance metrics, such as higher mIoU and F1-scores, often outperforming existing state-of-the-art methods. Notably, MCANet achieved these results with substantially fewer computational demands, underscoring its practical utility in real-world medical applications where computational efficiency is crucial.

Implications and Future Directions

The implications of MCANet extend beyond mere performance improvements. By integrating multi-scale convolutions within an attention-based framework, the approach paves a pathway for further research into more computationally efficient segmentation models that do not compromise on the quality of segmentation. The design also provides a template for integrating attention mechanisms into other areas of medical image analysis.

This paper invites several directions for future research. Exploring the integration of MCA with other backbone architectures could enhance its applicability across broader hardware platforms or medical imaging modalities. Additionally, further optimizing the MCA components for even greater efficiency could make the model even more suitable for deployment in resource-constrained environments, such as mobile or field diagnostic tools.

Conclusion

The paper presents an innovative and effective approach for medical image segmentation, addressing key challenges with its Multi-scale Cross-axis Attention mechanism. Through careful architectural design, MCANet delivers state-of-the-art performance with a significantly reduced computational footprint, promising substantial practical benefits in clinical and diagnostic applications. The advancements introduced could inspire future explorations into efficient, scalable, and reliable medical segmentation architectures.

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