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PAC-Net: patch adaptive cut-off network with differentiable module-wise K-learning for robust and efficient medical

Xiang Pan1, Weiming Zhu2, Herong Zheng3

  • 1Department of Computer Science and Technology, Zhejiang University of Technology, LiuHe Road 233, Hangzhou, Zhejiang, 310014, China.

Physics in Medicine and Biology
|June 29, 2026
PubMed
Summary

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This summary is machine-generated.

This study introduces PACNet, a novel medical image segmentation network with an adaptive attention mechanism. PACNet improves segmentation accuracy and robustness by learning data-dependent sparsity, outperforming existing methods.

Area of Science:

  • Medical Image Analysis
  • Computer Vision
  • Machine Learning

Background:

  • Sparse attention networks in medical image segmentation often use fixed K values, limiting adaptation to diverse lesion sizes and shapes.
  • This rigidity hinders robustness and segmentation accuracy in medical image analysis systems.

Purpose of the Study:

  • To develop an adaptive, differentiable sparse attention mechanism for medical image segmentation.
  • To enhance the robustness and segmentation accuracy of medical image analysis systems.

Main Methods:

  • Proposed PACNet (Patch Adaptive Cut-off Network) with an Entropy-Guided Differentiable K-Selection (EGDK) module.
  • EGDK learns data-dependent sparsity ratios using Gaussian Soft Indexing and a Straight-Through Estimator (STE) for end-to-end differentiability.
Keywords:
Attention based Medical Image SegmentationEntropy-Guided Differentiable K-SelectionGaussian Soft IndexingPatch Adaptive Cut-offStraight-Through Estimator

Related Experiment Videos

  • Evaluated on eight datasets across five imaging modalities.
  • Main Results:

    • PACNet achieved a superior average Dice Similarity Coefficient (DSC) of 90.57% across eight datasets.
    • Outperformed BRAU-Net++ by +1.79% in average DSC.
    • Demonstrated efficiency with 6.82M parameters and 6.02G FLOPs.

    Conclusions:

    • Adaptive and differentiable K selection is superior to fixed or discrete methods for medical image segmentation.
    • PACNet effectively reduces background noise and preserves fine anatomical details.
    • Presents a practical and clinically relevant solution for robust medical image segmentation.