FAFuse: A Four-Axis Fusion framework of CNN and Transformer for medical image segmentation.

Journal: Computers in biology and medicine
Published Date:

Abstract

Medical image segmentation is crucial for accurate diagnosis and treatment in the medical field. In recent years, convolutional neural networks (CNNs) and Transformers have been frequently adopted as network architectures in medical image segmentation. The convolution operation is limited in modeling long-range dependencies because it can only extract local information through the limited receptive field. In comparison, Transformers demonstrate excellent capability in modeling long-range dependencies but are less effective in capturing local information. Hence, effectively modeling long-range dependencies while preserving local information is essential for accurate medical image segmentation. In this paper, we propose a four-axis fusion framework called FAFuse, which can exploit the advantages of CNN and Transformer. As the core component of our FAFuse, a Four-Axis Fusion module (FAF) is proposed to efficiently fuse global and local information. FAF combines Four-Axis attention (height, width, main diagonal, and counter diagonal axial attention), a multi-scale convolution, and a residual structure with a depth-separable convolution and a Hadamard product. Furthermore, we also introduce deep supervision to enhance gradient flow and improve overall performance. Our approach achieves state-of-the-art segmentation accuracy on three publicly available medical image segmentation datasets. The code is available at https://github.com/cczu-xiao/FAFuse.

Authors

  • Shoukun Xu
    Aliyun School of Big Data, Changzhou University, Changzhou, Jiangsu, 213164, China.
  • Dehao Xiao
    Aliyun School of Big Data, Changzhou University, Changzhou, Jiangsu, 213164, China.
  • Baohua Yuan
    Aliyun School of Big Data, Changzhou University, Changzhou, Jiangsu, 213164, China; Jiangsu Engineering Research Center of Digital Twinning Technology for Key Equipment in Petrochemical Process, Changzhou University, Changzhou, Jiangsu, 213164, China. Electronic address: yuanbaohua@cczu.edu.cn.
  • Yi Liu
    Department of Interventional Therapy, Ningbo No. 2 Hospital, Ningbo, China.
  • Xueyuan Wang
    Aliyun School of Big Data, Changzhou University, Changzhou, Jiangsu, 213164, China.
  • Ning Li
    Department of Respiratory and Critical Care Medicine, Center for Respiratory Medicine, the Fourth Affiliated Hospital of School of Medicine, and International School of Medicine, International Institutes of Medicine, Zhejiang University, Yiwu, China.
  • Lin Shi
    Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Shatin, China.
  • Jialu Chen
    Aliyun School of Big Data, Changzhou University, Changzhou, Jiangsu, 213164, China.
  • Ju-Xiao Zhang
    College of Information and Mathematics Science, Nanjing Normal University of Special Education, Nanjing 210038, Jiangsu, China.
  • Yanhao Wang
    School of Data Science and Engineering, East China Normal University, Shanghai 200062, China.
  • Jianfeng Cao
    Department of Electrical Engineering, City University of Hong Kong, Hong Kong, 999077, China.
  • Yeqin Shao
  • Mingjie Jiang
    Department of Electrical Engineering, City University of Hong Kong, 999077, Hong Kong, China.