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Multi-class segmentation of knee MRI based on hybrid attention
Yuhang Xiang1, Xinglin Zhang2, Tao Meng2,3
1School of Medical Information Engineering, Gannan Medical University, Ganzhou, China.
Frontiers in Medicine
|June 26, 2025
Summary
This study introduces a novel HASA-ResUNet model for knee MRI segmentation, significantly improving accuracy for small structures like the anterior cruciate ligament and enhancing overall segmentation performance.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Computer Vision
Background:
- Accurate knee MRI segmentation is vital for diagnosing knee conditions.
- Existing methods struggle with class imbalance and small structure feature detection.
Purpose of the Study:
- To improve multi-class segmentation of knee MRI images.
- To address limitations of existing segmentation methods, particularly class imbalance and feature extraction for small structures.
Main Methods:
- Developed a Hierarchical Feature Enhancement Fusion (HFEF) module for multi-level feature integration.
- Introduced an Atrous Squeeze Attention (ASA) module for multi-scale feature focus and long-range dependency capture.
- Optimized the loss function to handle class imbalance and limited data.
Main Results:
- The HASA-ResUNet model achieved a 12.12% improvement in Intersection over Union (IoU) for the anterior cruciate ligament.
- Demonstrated a 3.32% improvement in mean Intersection over Union (mIoU) across all classes compared to U-Net.
- Showcased enhanced segmentation performance for low-frequency and small-sized classes.
Conclusions:
- The proposed hybrid attention and multi-scale strategy effectively addresses class imbalance in knee MRI segmentation.
- The HASA-ResUNet model significantly improves segmentation accuracy for critical knee structures.
- This approach enhances overall segmentation performance for degenerative knee disease and sports injury analysis.
