Cascaded Spatial and Depth Attention UNet for Hippocampus Segmentation

This study introduces a novel enhancement to the UNet architecture, termed Cascaded Spatial and Depth Attention U-Net (CSDA-UNet), tailored specifically for precise hippocampus segmentation in T1-weighted brain MRI scans. The proposed architecture integrates two key attention mechanisms: a Spatial Attention (SA) module, which refines spatial feature representations by producing attention maps from the deepest convolutional layer and modulating the matching object features; and an Inter-Slice Attention (ISA) module, which enhances volumetric uniformity by integrating related information from adjacent slices, thereby reinforcing the model's capacity to capture inter-slice dependencies. The CSDA-UNet is assessed using hippocampal segmentation data derived from the Alzheimer's Disease Neuroimaging Initiative (ADNI) and Decathlon, two benchmark studies widely employed in neuroimaging research. The proposed model outperforms state-of-the-art methods, achieving a Dice coefficient of 0.9512 and an IoU score of 0.9345 on ADNI and Dice scores of 0.9907/0.8963 (train/validation) and an IoU score of 0.9816/0.8132 (train/validation) on the Decathlon dataset across multiple quantitative metrics. These improvements underscore the efficacy of the proposed dual-attention framework in accurately explaining small, asymmetrical structures such as the hippocampus, while maintaining computational efficiency suitable for clinical deployment.