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CoviSwin: A Deep Vision Transformer for Automatic Segmentation of COVID-19 CT Scans
Alhanouf Alsenan1, Belgacem Ben Youssef1, Haikel S Alhichri2
1Department of Computer Engineering, King Saud University, P.O. Box 51178, Riyadh 11543, Saudi Arabia.
Bioengineering (Basel, Switzerland)
|November 27, 2025
Summary
CoviSwin, a novel Transformer network, precisely segments COVID-19 lesions in CT scans. This advanced model improves upon existing methods for accurate lung lesion identification in patients.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Computer Vision
Background:
- Accurate segmentation of COVID-19 lesions in chest CT scans is crucial for patient care.
- Existing segmentation methods face challenges due to heterogeneous lesion appearances and limited labeled data.
Purpose of the Study:
- To introduce CoviSwin, a Transformer-based U-shaped network for enhanced COVID-19 lesion segmentation in CT scans.
- To address limitations of current methods in handling diverse lesion appearances and data scarcity.
Main Methods:
- Developed CoviSwin, a U-shaped encoder-decoder network integrating Swin Transformer V2, attention, and residual connections.
- Employed a two-phase training strategy using SemiSeg and MedSeg datasets.
- The network captures both global context and fine-grained details for precise segmentation.
Main Results:
- CoviSwin achieved a mean sensitivity of 0.790 ± 0.012 and a Dice Similarity Coefficient (DSC) of 0.781 ± 0.0068.
- The model demonstrated a specificity of 0.962 ± 0.0049.
- Outperformed recent models like NextSeg and GFNet in sensitivity by 8.07% and 7.48%, respectively.
Conclusions:
- CoviSwin shows significant potential as an effective tool for clinical COVID-19 lesion segmentation.
- The model's architecture and training strategy contribute to its superior performance.
- Highlights the advancement in AI-driven medical image analysis for infectious diseases.

