Medical image segmentation of abdominal organs in CT scans remains challenging due to complex anatomical structures, low contrast, and variable organ boundaries. To address these limitations, we propose GDCA-TransUNet, built upon the TransUNet architecture, which integrates Dual Cross Attention (DCA) and Attention Gates (AGs). The DCA module enhances feature fusion in skip connections by modeling channel-wise and spatial dependencies between encoder and decoder features, while AGs suppress irrelevant background regions, ensuring a sharper focus on relevant organ boundaries. Evaluated on the Synapse multi-organ CT dataset, GDCA-TransUNet achieves a mean Dice score of 79.98%, outperforming TransUNet (77.48%) and SwinUNet (79.13%). Notably, it achieves 61.97% Dice for the pancreas, demonstrating significant improvements for small and complex organs. By enhancing multi-organ segmentation, particularly for intricate structures, our GDCA-TransUNet has the potential to improve the precision of radiotherapy planning and surgical interventions, where accurate organ delineation is crucial for successful outcomes and personalized treatment strategies.

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GDCA-TransUNet for Dual-Stage Attention Enhanced Multi-organ Segmentation in Abdominal CT Images

  • Manjir Gurung,
  • Ronald Bbosa,
  • Kafui Efio-Akolly,
  • Feng Liu,
  • Ruoshan Kong

摘要

Medical image segmentation of abdominal organs in CT scans remains challenging due to complex anatomical structures, low contrast, and variable organ boundaries. To address these limitations, we propose GDCA-TransUNet, built upon the TransUNet architecture, which integrates Dual Cross Attention (DCA) and Attention Gates (AGs). The DCA module enhances feature fusion in skip connections by modeling channel-wise and spatial dependencies between encoder and decoder features, while AGs suppress irrelevant background regions, ensuring a sharper focus on relevant organ boundaries. Evaluated on the Synapse multi-organ CT dataset, GDCA-TransUNet achieves a mean Dice score of 79.98%, outperforming TransUNet (77.48%) and SwinUNet (79.13%). Notably, it achieves 61.97% Dice for the pancreas, demonstrating significant improvements for small and complex organs. By enhancing multi-organ segmentation, particularly for intricate structures, our GDCA-TransUNet has the potential to improve the precision of radiotherapy planning and surgical interventions, where accurate organ delineation is crucial for successful outcomes and personalized treatment strategies.