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Hierarchical agent transformer network for COVID-19 infection segmentation
Yi Tian1, Qi Mao1, Wenfeng Wang1
1College of Electronic and Electrical Engineering, Shanghai University of Engineering Science, Shanghai, 201620, People's Republic of China.
Biomedical Physics & Engineering Express
|February 27, 2025
Summary
A new Hierarchical Agent Transformer Network (HATNet) improves COVID-19 lesion segmentation on CT scans. This model balances accuracy and efficiency, outperforming existing methods for better clinical diagnosis.
Area of Science:
- Medical Image Analysis
- Artificial Intelligence in Healthcare
- Radiology
Background:
- Accurate segmentation of COVID-19 infection is vital for patient management.
- Convolutional Neural Networks (CNNs) struggle with irregular lesion shapes.
- Transformer models offer global context but are computationally intensive and have suboptimal feature integration.
Purpose of the Study:
- To develop an efficient and accurate deep learning model for COVID-19 lesion segmentation.
- To address the limitations of existing CNN and Transformer models in medical image segmentation.
- To propose the Hierarchical Agent Transformer Network (HATNet) for improved COVID-19 detection.
Main Methods:
- Proposed Hierarchical Agent Transformer Network (HATNet) with an encoder-bridge-decoder architecture.
- Utilized agent Transformer blocks with linear complexity and a diversity restoration module (DRM) for subtle feature detection.
- Integrated an improved pyramid pooling module (IPPM) for global context and a full-scale bidirectional feature pyramid network (FsBiFPN) with a border-refinement module (BRM) for edge precision.
Main Results:
- HATNet achieved Dice scores of 84.14% on COVID-19-CT-Seg and 81.22% on CC-CCII datasets.
- Demonstrated superior segmentation performance compared to state-of-the-art models.
- Showcased significant advantages in model parameters and computational complexity.
Conclusions:
- HATNet effectively balances segmentation accuracy and computational efficiency for COVID-19 lesion segmentation.
- The proposed model exhibits strong potential for clinical deployment in medical imaging.
- HATNet offers a promising advancement in automated analysis of CT scans for COVID-19.

