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HCViT-Net: Hybrid CNN and multi scale query transformer network for dermatological image segmentation
Wei Jiao1, Jianghui Xu1, Yijiao Fang1
1Department of Anesthesiology, Fudan University Shanghai Cancer Center, Shanghai, China.
Journal of Applied Clinical Medical Physics
|November 27, 2025
Summary
A new lightweight deep learning model, HCViT-Net, enhances dermoscopic lesion segmentation by balancing global context and local details. This efficient approach offers improved accuracy for clinical dermatology applications.
Area of Science:
- Artificial Intelligence
- Medical Image Analysis
- Computer Vision
Background:
- Dermoscopic lesion segmentation is vital in dermatology.
- Current methods face challenges in integrating global context and local details efficiently for clinical use.
Purpose of the Study:
- To develop a lightweight model for dermoscopic lesion segmentation.
- The model aims to capture long-range spatial dependencies and fine-grained boundary details.
- Achieve a favorable accuracy-efficiency trade-off for practical clinical deployment.
Main Methods:
- Proposed a lightweight hybrid model, HCViT-Net, with an encoder-decoder architecture.
- Incorporated a multi-scale query transformer (MSQFormer) for efficient global context capture.
- Introduced a wavelet-guided attention refinement module (WARM) to enhance boundary details.
Main Results:
- Achieved high mean intersection-over-union (mIoU) scores of 87.76% (ISIC 2017) and 87.45% (ISIC 2018).
- The model has only 5.76M parameters and 7.51 GFLOPs, indicating low computational cost.
- Demonstrated competitive performance compared to existing methods with significantly reduced computational requirements.
Conclusions:
- HCViT-Net offers an excellent accuracy-efficiency trade-off for dermoscopic lesion segmentation.
- The model improves segmentation accuracy with a low computational footprint.
- Shows strong potential for integration into clinical dermatology workflows.

