Skin lesion segmentation is a critical challenge in computer vision, and it is essential to separate pathological features from healthy skin for diagnostics accurately. Traditional Convolutional Neural Networks (CNNs) are limited by narrow receptive fields, and Transformers face significant computational burdens. This paper presents a novel skin lesion segmentation framework, the Atrous Shifted Parallel Vision Mamba UNet (ASP-VMUNet), which integrates the efficient and scalable Mamba architecture to overcome limitations in traditional CNNs and computationally demanding Transformers. The framework introduces an atrous scan technique that minimizes background interference and expands the receptive field, enhancing Mamba's scanning capabilities. Additionally, the inclusion of a Parallel Vision Mamba (PVM) layer and a shift round operation optimizes feature segmentation and fosters rich inter-segment information exchange. A supplementary CNN branch with a Selective-Kernel (SK) Block further refines the segmentation by blending local and global contextual information. Tested on four benchmark datasets (ISIC16/17/18 and PH2), ASP-VMUNet demonstrates superior performance in skin lesion segmentation, validated by comprehensive ablation studies. This approach not only advances medical image segmentation but also highlights the benefits of hybrid architectures in medical imaging technology. Our code is available at https://github.com/BaoBao0926/ASP-VMUNet/tree/main.
Melanoma is a malignant tumor originating from skin cell lesions. Accurate and efficient segmentation of skin lesions is essential for quantitative medical analysis but remains challenging. To address this, we propose ScaleFusionNet, a segmentation model that integrates Cross-Attention Transformer Module (CATM) and AdaptiveFusionBlock to enhance feature extraction and fusion. The model employs a hybrid architecture encoder that effectively captures both local and global features. We introduce CATM, which utilizes Swin Transformer Blocks and Cross Attention Fusion (CAF) to adaptively refine encoder-decoder feature fusion, reducing semantic gaps and improving segmentation accuracy. Additionally, the AdaptiveFusionBlock is improved by integrating adaptive multi-scale fusion, where Swin Transformer-based attention complements deformable convolution-based multi-scale feature extraction. This enhancement refines lesion boundaries and preserves fine-grained details. ScaleFusionNet achieves Dice scores of 92.94% and 91.65% on ISIC-2016 and ISIC-2018 datasets, respectively, demonstrating its effectiveness in skin lesion analysis. Our code implementation is publicly available at GitHub.
We can achieve fast and consistent early skin cancer detection with recent developments in computer vision and deep learning techniques. However, the existing skin lesion segmentation and classification prediction models run independently, thus missing potential efficiencies from their integrated execution. To unify skin lesion analysis, our paper presents the Gaussian Splatting - Transformer UNet (GS-TransUNet), a novel approach that synergistically combines 2D Gaussian splatting with the Transformer UNet architecture for automated skin cancer diagnosis. Our unified deep learning model efficiently delivers dual-function skin lesion classification and segmentation for clinical diagnosis. Evaluated on ISIC-2017 and PH2 datasets, our network demonstrates superior performance compared to existing state-of-the-art models across multiple metrics through 5-fold cross-validation. Our findings illustrate significant advancements in the precision of segmentation and classification. This integration sets new benchmarks in the field and highlights the potential for further research into multi-task medical image analysis methodologies, promising enhancements in automated diagnostic systems.
This study explores the potential of graph neural networks (GNNs) to enhance semantic segmentation across diverse image modalities. We evaluate the effectiveness of a novel GNN-based U-Net architecture on three distinct datasets: PascalVOC, a standard benchmark for natural image segmentation, WoodScape, a challenging dataset of fisheye images commonly used in autonomous driving, introducing significant geometric distortions; and ISIC2016, a dataset of dermoscopic images for skin lesion segmentation. We compare our proposed UNet-GNN model against established convolutional neural networks (CNNs) based segmentation models, including U-Net and U-Net++, as well as the transformer-based SwinUNet. Unlike these methods, which primarily rely on local convolutional operations or global self-attention, GNNs explicitly model relationships between image regions by constructing and operating on a graph representation of the image features. This approach allows the model to capture long-range dependencies and complex spatial relationships, which we hypothesize will be particularly beneficial for handling geometric distortions present in fisheye imagery and capturing intricate boundaries in medical images. Our analysis demonstrates the versatility of GNNs in addressing diverse segmentation challenges and highlights their potential to improve segmentation accuracy in various applications, including autonomous driving and medical image analysis.
Medical image segmentation is crucial in assisting medical doctors in making diagnoses and enabling accurate automatic diagnosis. While advanced convolutional neural networks (CNNs) excel in segmenting regions of interest with pixel-level precision, they often struggle with long-range dependencies, which is crucial for enhancing model performance. Conversely, transformer architectures leverage attention mechanisms to excel in handling long-range dependencies. However, the computational complexity of transformers grows quadratically, posing resource-intensive challenges, especially with high-resolution medical images. Recent research aims to combine CNN and transformer architectures to mitigate their drawbacks and enhance performance while keeping resource demands low. Nevertheless, existing approaches have not fully leveraged the strengths of both architectures to achieve high accuracy with low computational requirements. To address this gap, we propose a novel architecture for 2D medical image segmentation (QTSeg) that leverages a feature pyramid network (FPN) as the image encoder, a multi-level feature fusion (MLFF) as the adaptive module between encoder and decoder and a multi-query mask decoder (MQM Decoder) as the mask decoder. In the first step, an FPN model extracts pyramid features from the input image. Next, MLFF is incorporated between the encoder and decoder to adapt features from different encoder stages to the decoder. Finally, an MQM Decoder is employed to improve mask generation by integrating query tokens with pyramid features at all stages of the mask decoder. Our experimental results show that QTSeg outperforms state-of-the-art methods across all metrics with lower computational demands than the baseline and the existing methods. Code is available at https://github.com/tpnam0901/QTSeg (v0.1.0)
Accurate medical image segmentation is essential for effective diagnosis and treatment planning but is often challenged by domain shifts caused by variations in imaging devices, acquisition conditions, and patient-specific attributes. Traditional domain generalization methods typically require inclusion of parts of the test domain within the training set, which is not always feasible in clinical settings with limited diverse data. Additionally, although diffusion models have demonstrated strong capabilities in image generation and style transfer, they often fail to preserve the critical structural information necessary for precise medical analysis. To address these issues, we propose a novel medical image segmentation method that combines diffusion models and Structure-Preserving Network for structure-aware one-shot image stylization. Our approach effectively mitigates domain shifts by transforming images from various sources into a consistent style while maintaining the location, size, and shape of lesions. This ensures robust and accurate segmentation even when the target domain is absent from the training data. Experimental evaluations on colonoscopy polyp segmentation and skin lesion segmentation datasets show that our method enhances the robustness and accuracy of segmentation models, achieving superior performance metrics compared to baseline models without style transfer. This structure-aware stylization framework offers a practical solution for improving medical image segmentation across diverse domains, facilitating more reliable clinical diagnoses.
Early detection of skin abnormalities plays a crucial role in diagnosing and treating skin cancer. Segmentation of affected skin regions using AI-powered devices is relatively common and supports the diagnostic process. However, achieving high performance remains a significant challenge due to the need for high-resolution images and the often unclear boundaries of individual lesions. At the same time, medical devices require segmentation models to have a small memory foot-print and low computational cost. Based on these requirements, we introduce a novel lightweight model called MambaU-Lite, which combines the strengths of Mamba and CNN architectures, featuring just over 400K parameters and a computational cost of more than 1G flops. To enhance both global context and local feature extraction, we propose the P-Mamba block, a novel component that incorporates VSS blocks along-side multiple pooling layers, enabling the model to effectively learn multiscale features and enhance segmentation performance. We evaluate the model's performance on two skin datasets, ISIC2018 and PH2, yielding promising results. Our source code will be made publicly available at: https://github.com/nqnguyen812/MambaU-Lite.
Automatic melanoma segmentation is essential for early skin cancer detection, yet challenges arise from the heterogeneity of melanoma, as well as interfering factors like blurred boundaries, low contrast, and imaging artifacts. While numerous algorithms have been developed to address these issues, previous approaches have often overlooked the need to jointly capture spatial and sequential features within dermatological images. This limitation hampers segmentation accuracy, especially in cases with indistinct borders or structurally similar lesions. Additionally, previous models lacked both a global receptive field and high computational efficiency. In this work, we present the xLSTM-VMUNet Model, which jointly capture spatial and sequential features within dermatological images successfully. xLSTM-VMUNet can not only specialize in extracting spatial features from images, focusing on the structural characteristics of skin lesions, but also enhance contextual understanding, allowing more effective handling of complex medical image structures. Experiment results on the ISIC2018 dataset demonstrate that xLSTM-VMUNet outperforms VMUNet by 4.85% on DSC and 6.41% on IoU on the ISIC2017 dataset, by 1.25% on DSC and 2.07% on IoU on the ISIC2018 dataset, with faster convergence and consistently high segmentation performance. Our code is available at https://github.com/FangZhuoyi/XLSTM-VMUNet.
Diagnosing and treating skin diseases require advanced visual skills across domains and the ability to synthesize information from multiple imaging modalities. While current deep learning models excel at specific tasks like skin cancer diagnosis from dermoscopic images, they struggle to meet the complex, multimodal requirements of clinical practice. Here, we introduce PanDerm, a multimodal dermatology foundation model pretrained through self-supervised learning on over 2 million real-world skin disease images from 11 clinical institutions across 4 imaging modalities. We evaluated PanDerm on 28 diverse benchmarks, including skin cancer screening, risk stratification, differential diagnosis of common and rare skin conditions, lesion segmentation, longitudinal monitoring, and metastasis prediction and prognosis. PanDerm achieved state-of-the-art performance across all evaluated tasks, often outperforming existing models when using only 10% of labeled data. We conducted three reader studies to assess PanDerm's potential clinical utility. PanDerm outperformed clinicians by 10.2% in early-stage melanoma detection through longitudinal analysis, improved clinicians' skin cancer diagnostic accuracy by 11% on dermoscopy images, and enhanced non-dermatologist healthcare providers' differential diagnosis by 16.5% across 128 skin conditions on clinical photographs. These results demonstrate PanDerm's potential to improve patient care across diverse clinical scenarios and serve as a model for developing multimodal foundation models in other medical specialties, potentially accelerating the integration of AI support in healthcare.
Skin lesion segmentation is a crucial method for identifying early skin cancer. In recent years, both convolutional neural network (CNN) and Transformer-based methods have been widely applied. Moreover, combining CNN and Transformer effectively integrates global and local relationships, but remains limited by the quadratic complexity of Transformer. To address this, we propose a hybrid architecture based on Mamba and CNN, called SkinMamba. It maintains linear complexity while offering powerful long-range dependency modeling and local feature extraction capabilities. Specifically, we introduce the Scale Residual State Space Block (SRSSB), which captures global contextual relationships and cross-scale information exchange at a macro level, enabling expert communication in a global state. This effectively addresses challenges in skin lesion segmentation related to varying lesion sizes and inconspicuous target areas. Additionally, to mitigate boundary blurring and information loss during model downsampling, we introduce the Frequency Boundary Guided Module (FBGM), providing sufficient boundary priors to guide precise boundary segmentation, while also using the retained information to assist the decoder in the decoding process. Finally, we conducted comparative and ablation experiments on two public lesion segmentation datasets (ISIC2017 and ISIC2018), and the results demonstrate the strong competitiveness of SkinMamba in skin lesion segmentation tasks. The code is available at https://github.com/zs1314/SkinMamba.
Accurate skin lesion segmentation from dermoscopic images is of great importance for skin cancer diagnosis. However, automatic segmentation of melanoma remains a challenging task because it is difficult to incorporate useful texture representations into the learning process. Texture representations are not only related to the local structural information learned by CNN, but also include the global statistical texture information of the input image. In this paper, we propose a trans\textbf{Former} network (\textbf{SkinFormer}) that efficiently extracts and fuses statistical texture representation for \textbf{Skin} lesion segmentation. Specifically, to quantify the statistical texture of input features, a Kurtosis-guided Statistical Counting Operator is designed. We propose Statistical Texture Fusion Transformer and Statistical Texture Enhance Transformer with the help of Kurtosis-guided Statistical Counting Operator by utilizing the transformer's global attention mechanism. The former fuses structural texture information and statistical texture information, and the latter enhances the statistical texture of multi-scale features. {Extensive experiments on three publicly available skin lesion datasets validate that our SkinFormer outperforms other SOAT methods, and our method achieves 93.2\% Dice score on ISIC 2018. It can be easy to extend SkinFormer to segment 3D images in the future.} Our code is available at https://github.com/Rongtao-Xu/SkinFormer.
Skin cancer segmentation poses a significant challenge in medical image analysis. Numerous existing solutions, predominantly CNN-based, face issues related to a lack of global contextual understanding. Alternatively, some approaches resort to large-scale Transformer models to bridge the global contextual gaps, but at the expense of model size and computational complexity. Finally many Transformer based approaches rely primarily on CNN based decoders overlooking the benefits of Transformer based decoding models. Recognizing these limitations, we address the need efficient lightweight solutions by introducing MobileUNETR, which aims to overcome the performance constraints associated with both CNNs and Transformers while minimizing model size, presenting a promising stride towards efficient image segmentation. MobileUNETR has 3 main features. 1) MobileUNETR comprises of a lightweight hybrid CNN-Transformer encoder to help balance local and global contextual feature extraction in an efficient manner; 2) A novel hybrid decoder that simultaneously utilizes low-level and global features at different resolutions within the decoding stage for accurate mask generation; 3) surpassing large and complex architectures, MobileUNETR achieves superior performance with 3 million parameters and a computational complexity of 1.3 GFLOP resulting in 10x and 23x reduction in parameters and FLOPS, respectively. Extensive experiments have been conducted to validate the effectiveness of our proposed method on four publicly available skin lesion segmentation datasets, including ISIC 2016, ISIC 2017, ISIC 2018, and PH2 datasets. The code will be publicly available at: https://github.com/OSUPCVLab/MobileUNETR.git
Variability in medical image segmentation, arising from annotator preferences, expertise, and their choice of tools, has been well documented. While the majority of multi-annotator segmentation approaches focus on modeling annotator-specific preferences, they require annotator-segmentation correspondence. In this work, we introduce the problem of segmentation style discovery, and propose StyleSeg, a segmentation method that learns plausible, diverse, and semantically consistent segmentation styles from a corpus of image-mask pairs without any knowledge of annotator correspondence. StyleSeg consistently outperforms competing methods on four publicly available skin lesion segmentation (SLS) datasets. We also curate ISIC-MultiAnnot, the largest multi-annotator SLS dataset with annotator correspondence, and our results show a strong alignment, using our newly proposed measure AS2, between the predicted styles and annotator preferences. The code and the dataset are available at https://github.com/sfu-mial/StyleSeg.
Development of artificial intelligence (AI) techniques in medical imaging requires access to large-scale and diverse datasets for training and evaluation. In dermatology, obtaining such datasets remains challenging due to significant variations in patient populations, illumination conditions, and acquisition system characteristics. In this work, we propose S-SYNTH, the first knowledge-based, adaptable open-source skin simulation framework to rapidly generate synthetic skin, 3D models and digitally rendered images, using an anatomically inspired multi-layer, multi-component skin and growing lesion model. The skin model allows for controlled variation in skin appearance, such as skin color, presence of hair, lesion shape, and blood fraction among other parameters. We use this framework to study the effect of possible variations on the development and evaluation of AI models for skin lesion segmentation, and show that results obtained using synthetic data follow similar comparative trends as real dermatologic images, while mitigating biases and limitations from existing datasets including small dataset size, lack of diversity, and underrepresentation.
Skin lesion segmentation is key for early skin cancer detection. Challenges in automatic segmentation from dermoscopic images include variations in color, texture, and artifacts of indistinct lesion boundaries. Deep learning methods like CNNs and U-Net have shown promise in addressing these issues. To further aid early diagnosis, especially on mobile devices with limited computing power, we present MUCM-Net. This efficient model combines Mamba State-Space Models with our UCM-Net architecture for improved feature learning and segmentation. MUCM-Net's Mamba-UCM Layer is optimized for mobile deployment, offering high accuracy with low computational needs. Tested on ISIC datasets, it outperforms other methods in accuracy and computational efficiency, making it a scalable tool for early detection in settings with limited resources. Our MUCM-Net source code is available for research and collaboration, supporting advances in mobile health diagnostics and the fight against skin cancer. In order to facilitate accessibility and further research in the field, the MUCM-Net source code is https://github.com/chunyuyuan/MUCM-Net
Skin lesion segmentation is a critical task in computer-aided diagnosis systems for dermatological diseases. Accurate segmentation of skin lesions from medical images is essential for early detection, diagnosis, and treatment planning. In this paper, we propose a new model for skin lesion segmentation namely AC-MambaSeg, an enhanced model that has the hybrid CNN-Mamba backbone, and integrates advanced components such as Convolutional Block Attention Module (CBAM), Attention Gate, and Selective Kernel Bottleneck. AC-MambaSeg leverages the Vision Mamba framework for efficient feature extraction, while CBAM and Selective Kernel Bottleneck enhance its ability to focus on informative regions and suppress background noise. We evaluate the performance of AC-MambaSeg on diverse datasets of skin lesion images including ISIC-2018 and PH2; then compare it against existing segmentation methods. Our model shows promising potential for improving computer-aided diagnosis systems and facilitating early detection and treatment of dermatological diseases. Our source code will be made available at: https://github.com/vietthanh2710/AC-MambaSeg.
Traditionally for improving the segmentation performance of models, most approaches prefer to use adding more complex modules. And this is not suitable for the medical field, especially for mobile medical devices, where computationally loaded models are not suitable for real clinical environments due to computational resource constraints. Recently, state-space models (SSMs), represented by Mamba, have become a strong competitor to traditional CNNs and Transformers. In this paper, we deeply explore the key elements of parameter influence in Mamba and propose an UltraLight Vision Mamba UNet (UltraLight VM-UNet) based on this. Specifically, we propose a method for processing features in parallel Vision Mamba, named PVM Layer, which achieves excellent performance with the lowest computational load while keeping the overall number of processing channels constant. We conducted comparisons and ablation experiments with several state-of-the-art lightweight models on three skin lesion public datasets and demonstrated that the UltraLight VM-UNet exhibits the same strong performance competitiveness with parameters of only 0.049M and GFLOPs of 0.060. In addition, this study deeply explores the key elements of parameter influence in Mamba, which will lay a theoretical foundation for Mamba to possibly become a new mainstream module for lightweighting in the future. The code is available from https://github.com/wurenkai/UltraLight-VM-UNet .
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.
In this paper, we introduce U-Net v2, a new robust and efficient U-Net variant for medical image segmentation. It aims to augment the infusion of semantic information into low-level features while simultaneously refining high-level features with finer details. For an input image, we begin by extracting multi-level features with a deep neural network encoder. Next, we enhance the feature map of each level by infusing semantic information from higher-level features and integrating finer details from lower-level features through Hadamard product. Our novel skip connections empower features of all the levels with enriched semantic characteristics and intricate details. The improved features are subsequently transmitted to the decoder for further processing and segmentation. Our method can be seamlessly integrated into any Encoder-Decoder network. We evaluate our method on several public medical image segmentation datasets for skin lesion segmentation and polyp segmentation, and the experimental results demonstrate the segmentation accuracy of our new method over state-of-the-art methods, while preserving memory and computational efficiency. Code is available at: https://github.com/yaoppeng/U-Net_v2
Computer-aided diagnosis of skin diseases is an important tool. However, the interpretability of computer-aided diagnosis is currently poor. Dermatologists and patients cannot intuitively understand the learning and prediction process of neural networks, which will lead to a decrease in the credibility of computer-aided diagnosis. In addition, traditional methods need to be trained using negative samples in order to predict the presence or absence of a lesion, but medical data is often in short supply. In this paper, we propose a multiple high-order attention interaction model (MHA-UNet) for use in a highly explainable skin lesion segmentation task. MHA-UNet is able to obtain the presence or absence of a lesion by explainable reasoning without the need for training on negative samples. Specifically, we propose a high-order attention interaction mechanism that introduces squeeze attention to a higher level for feature attention. In addition, a multiple high-order attention interaction (MHAblock) module is proposed by combining the different features of different orders. For classifying the presence or absence of lesions, we conducted classification experiments on several publicly available datasets in the absence of negative samples, based on explainable reasoning about the interaction of 5 attention orders of MHAblock. The highest positive detection rate obtained from the experiments was 81.0% and the highest negative detection rate was 83.5%. For segmentation experiments, comparison experiments of the proposed method with 13 medical segmentation models and external validation experiments with 8 state-of-the-art models in three public datasets and our clinical dataset demonstrate the state-of-the-art performance of our model. The code is available from https://github.com/wurenkai/MHA-UNet.