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TokenUNet: A new case for transformers integration in efficient and interpretable 3D UNets for brain imaging
Louis Fabrice Tshimanga1,2,3, Andrea Zanola1,2, Federico Del Pup2,3
1Department of Neuroscience, University of Padua, Padua, Italy.
Plos One
|August 5, 2026
Summary
TokenUNet integrates Transformers into UNets for efficient 3D medical image segmentation. This novel approach significantly reduces computational demands, enabling faster training and deployment on common hardware without compromising performance.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Computer Vision
Background:
- Transformers offer powerful global interactions in medical imaging but face computational challenges.
- Existing models like SwinUNETR integrate Transformers into UNets by tokenizing inputs, leading to quadratic scaling issues with attention mechanisms.
- The cubic scaling of 3D input resolution exacerbates computational demands, limiting deployment on standard hardware.
Purpose of the Study:
- To introduce TokenUNet, a family of 3D segmentation models designed for computationally constrained environments.
- To mitigate computational challenges associated with Transformers in 3D medical imaging.
- To develop a more efficient alternative to existing Transformer-based UNet models.
Main Methods:
- TokenUNet incorporates TokenLearner and TokenFuser modules within a UNet architecture.
- The convolutional encoder is maintained, with TokenLearner applied to 3D feature maps to pool tokens, decoupling token number from input size.
- The model was evaluated on the BraTS challenge dataset for glioma segmentation.
Main Results:
- Tokenization effectively encodes task-relevant information and produces interpretable attention maps.
- TokenUNet achieved a memory footprint of 38%, inference computation time of 10%, and parameter count of 17% compared to SwinUNETR.
- Statistically equivalent Dice score performance was observed with nnunetv2 5-fold cross-validation.
Conclusions:
- TokenUNet offers a computationally efficient solution for 3D medical image segmentation, suitable for limited hardware.
- The approach facilitates efficient model optimization, fine-tuning, and transfer learning in resource-constrained settings.
- This work accelerates the development and diversification of AI approaches in 3D medical imaging research.