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DEW-Net: A W-Shaped Dual-Encoder Network with Attention Fusion Mechanisms for Pathological H&E Image Segmentation.

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    A new DEW-Net model accurately segments programmed cell death-ligand 1 (PD-L1) expression in lung cancer images. This method improves segmentation accuracy by effectively fusing local and global features, outperforming existing approaches.

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    Area of Science:

    • Digital pathology
    • Medical image analysis
    • Computational oncology

    Background:

    • Accurate segmentation of programmed cell death-ligand 1 (PD-L1) expression in lung squamous cell carcinoma (LSCC) is crucial for treatment decisions.
    • Pathological H&E images present challenges due to morphological heterogeneity and varied expression area sizes.
    • Existing hybrid CNN-Transformer models struggle with effective information fusion, limiting PD-L1 segmentation accuracy.

    Purpose of the Study:

    • To develop an advanced deep learning model for precise pixel-level segmentation of PD-L1 expression in LSCC.
    • To enhance information interaction and reduce redundant data during feature fusion in pathological image analysis.
    • To improve the accuracy and generalization capability of PD-L1 segmentation models.

    Main Methods:

    • Proposed a W-shaped dual-encoder network (DEW-Net) integrating a CNN encoder and a Swin Transformer encoder in parallel.
    • Introduced a Cross-Attention Fusion (CAF) module for improved semantic feature fusion and information interaction.
    • Incorporated Channel Attention (CA) and Bilateral-voting Position Attention (BPA) modules to refine feature representation and reduce noise.

    Main Results:

    • DEW-Net achieved superior performance on PD-L1 segmentation tasks across four datasets.
    • The model reached a Dice Similarity Coefficient (DSC) of 79.93% and an Intersection over Union (IoU) of 71.27% on the PD-L1 segmentation dataset.
    • Demonstrated significant improvements over state-of-the-art (SOTA) methods in segmentation accuracy and generalization.

    Conclusions:

    • The proposed DEW-Net effectively addresses the challenges of PD-L1 segmentation in LSCC pathological images.
    • Novel attention fusion mechanisms enhance feature interaction and reduce redundant information, leading to higher segmentation accuracy.
    • DEW-Net shows strong potential for clinical application in precision oncology and biomarker analysis.