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MedScale-Former: Self-guided multiscale transformer for medical image segmentation
Sanaz Karimijafarbigloo1, Reza Azad2, Amirhossein Kazerouni3
1Faculty of Informatics and Data Science, University of Regensburg, Regensburg, Germany.
Medical Image Analysis
|April 10, 2025
Summary
This study introduces a novel dual-branch transformer network for medical image segmentation, reducing reliance on labeled data. The method achieves superior performance in segmenting skin lesions, lung organs, and plasma cells.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Computer Vision
Background:
- Accurate medical image segmentation is vital for automated clinical decisions.
- Supervised deep learning methods require extensive labeled data, posing a significant challenge.
- Existing methods struggle with data scarcity and boundary definition.
Purpose of the Study:
- To develop a novel self-supervised deep learning approach for medical image segmentation.
- To overcome the limitations of data-hungry supervised methods.
- To improve segmentation accuracy and boundary definition without extensive manual labeling.
Main Methods:
- A dual-branch transformer network operating on two scales to capture global and local information.
- Leveraging semantic dependencies between scales for inter-scale consistency (self-supervised learning).
- Incorporating spatial stability loss for self-supervised content clustering and a selective kernel regional attention module for boundary refinement.
Main Results:
- Demonstrated superior performance in segmentation tasks compared to state-of-the-art methods.
- Achieved accurate segmentation of skin lesions, lung organs, and multiple myeloma plasma cells.
- The proposed method effectively reduces the need for large labeled datasets.
Conclusions:
- The novel dual-branch transformer network offers a powerful self-supervised approach for medical image segmentation.
- This method significantly enhances segmentation accuracy and boundary definition.
- It provides a viable solution for clinical applications where labeled data is scarce.

