Daily Papers

Deep learning, particularly convolutional neural networks (CNNs) and Transformers, has significantly advanced 3D medical image segmentation. While CNNs are highly effective at capturing local features, their limited receptive fields may hinder performance in complex clinical scenarios. In contrast, Transformers excel at modeling long-range dependencies but are computationally intensive, making them expensive to train and deploy. Recently, the Mamba architecture, based on the State Space Model (SSM), has been proposed to efficiently model long-range dependencies while maintaining linear computational complexity. However, its application in medical image segmentation reveals shortcomings, particularly in capturing critical local features essential for accurate delineation of clinical regions. In this study, we propose MambaClinix, a novel U-shaped architecture for medical image segmentation that integrates a hierarchical gated convolutional network(HGCN) with Mamba in an adaptive stage-wise framework. This design significantly enhances computational efficiency and high-order spatial interactions, enabling the model to effectively capture both proximal and distal relationships in medical images. Specifically, our HGCN is designed to mimic the attention mechanism of Transformers by a purely convolutional structure, facilitating high-order spatial interactions in feature maps while avoiding the computational complexity typically associated with Transformer-based methods. Additionally, we introduce a region-specific Tversky loss, which emphasizes specific pixel regions to improve auto-segmentation performance, thereby optimizing the model's decision-making process. Experimental results on five benchmark datasets demonstrate that the proposed MambaClinix achieves high segmentation accuracy while maintaining low model complexity.

Medical image segmentation remains particularly challenging for complex and low-contrast anatomical structures. In this paper, we introduce the U-Transformer network, which combines a U-shaped architecture for image segmentation with self- and cross-attention from Transformers. U-Transformer overcomes the inability of U-Nets to model long-range contextual interactions and spatial dependencies, which are arguably crucial for accurate segmentation in challenging contexts. To this end, attention mechanisms are incorporated at two main levels: a self-attention module leverages global interactions between encoder features, while cross-attention in the skip connections allows a fine spatial recovery in the U-Net decoder by filtering out non-semantic features. Experiments on two abdominal CT-image datasets show the large performance gain brought out by U-Transformer compared to U-Net and local Attention U-Nets. We also highlight the importance of using both self- and cross-attention, and the nice interpretability features brought out by U-Transformer.

Automatic medical image segmentation has made great progress benefit from the development of deep learning. However, most existing methods are based on convolutional neural networks (CNNs), which fail to build long-range dependencies and global context connections due to the limitation of receptive field in convolution operation. Inspired by the success of Transformer in modeling the long-range contextual information, some researchers have expended considerable efforts in designing the robust variants of Transformer-based U-Net. Moreover, the patch division used in vision transformers usually ignores the pixel-level intrinsic structural features inside each patch. To alleviate these problems, we propose a novel deep medical image segmentation framework called Dual Swin Transformer U-Net (DS-TransUNet), which might be the first attempt to concurrently incorporate the advantages of hierarchical Swin Transformer into both encoder and decoder of the standard U-shaped architecture to enhance the semantic segmentation quality of varying medical images. Unlike many prior Transformer-based solutions, the proposed DS-TransUNet first adopts dual-scale encoder subnetworks based on Swin Transformer to extract the coarse and fine-grained feature representations of different semantic scales. As the core component for our DS-TransUNet, a well-designed Transformer Interactive Fusion (TIF) module is proposed to effectively establish global dependencies between features of different scales through the self-attention mechanism. Furthermore, we also introduce the Swin Transformer block into decoder to further explore the long-range contextual information during the up-sampling process. Extensive experiments across four typical tasks for medical image segmentation demonstrate the effectiveness of DS-TransUNet, and show that our approach significantly outperforms the state-of-the-art methods.

Recently, many attempts have been made to construct a transformer base U-shaped architecture, and new methods have been proposed that outperformed CNN-based rivals. However, serious problems such as blockiness and cropped edges in predicted masks remain because of transformers' patch partitioning operations. In this work, we propose a new U-shaped architecture for medical image segmentation with the help of the newly introduced focal modulation mechanism. The proposed architecture has asymmetric depths for the encoder and decoder. Due to the ability of the focal module to aggregate local and global features, our model could simultaneously benefit the wide receptive field of transformers and local viewing of CNNs. This helps the proposed method balance the local and global feature usage to outperform one of the most powerful transformer-based U-shaped models called Swin-UNet. We achieved a 1.68% higher DICE score and a 0.89 better HD metric on the Synapse dataset. Also, with extremely limited data, we had a 4.25% higher DICE score on the NeoPolyp dataset. Our implementations are available at: https://github.com/givkashi/Focal-UNet

Medical image segmentation is an essential prerequisite for developing healthcare systems, especially for disease diagnosis and treatment planning. On various medical image segmentation tasks, the u-shaped architecture, also known as U-Net, has become the de-facto standard and achieved tremendous success. However, due to the intrinsic locality of convolution operations, U-Net generally demonstrates limitations in explicitly modeling long-range dependency. Transformers, designed for sequence-to-sequence prediction, have emerged as alternative architectures with innate global self-attention mechanisms, but can result in limited localization abilities due to insufficient low-level details. In this paper, we propose TransUNet, which merits both Transformers and U-Net, as a strong alternative for medical image segmentation. On one hand, the Transformer encodes tokenized image patches from a convolution neural network (CNN) feature map as the input sequence for extracting global contexts. On the other hand, the decoder upsamples the encoded features which are then combined with the high-resolution CNN feature maps to enable precise localization. We argue that Transformers can serve as strong encoders for medical image segmentation tasks, with the combination of U-Net to enhance finer details by recovering localized spatial information. TransUNet achieves superior performances to various competing methods on different medical applications including multi-organ segmentation and cardiac segmentation. Code and models are available at https://github.com/Beckschen/TransUNet.

Semantic segmentation of brain tumors is a fundamental medical image analysis task involving multiple MRI imaging modalities that can assist clinicians in diagnosing the patient and successively studying the progression of the malignant entity. In recent years, Fully Convolutional Neural Networks (FCNNs) approaches have become the de facto standard for 3D medical image segmentation. The popular "U-shaped" network architecture has achieved state-of-the-art performance benchmarks on different 2D and 3D semantic segmentation tasks and across various imaging modalities. However, due to the limited kernel size of convolution layers in FCNNs, their performance of modeling long-range information is sub-optimal, and this can lead to deficiencies in the segmentation of tumors with variable sizes. On the other hand, transformer models have demonstrated excellent capabilities in capturing such long-range information in multiple domains, including natural language processing and computer vision. Inspired by the success of vision transformers and their variants, we propose a novel segmentation model termed Swin UNEt TRansformers (Swin UNETR). Specifically, the task of 3D brain tumor semantic segmentation is reformulated as a sequence to sequence prediction problem wherein multi-modal input data is projected into a 1D sequence of embedding and used as an input to a hierarchical Swin transformer as the encoder. The swin transformer encoder extracts features at five different resolutions by utilizing shifted windows for computing self-attention and is connected to an FCNN-based decoder at each resolution via skip connections. We have participated in BraTS 2021 segmentation challenge, and our proposed model ranks among the top-performing approaches in the validation phase. Code: https://monai.io/research/swin-unetr

Diffusion Transformers (DiTs) introduce the transformer architecture to diffusion tasks for latent-space image generation. With an isotropic architecture that chains a series of transformer blocks, DiTs demonstrate competitive performance and good scalability; but meanwhile, the abandonment of U-Net by DiTs and their following improvements is worth rethinking. To this end, we conduct a simple toy experiment by comparing a U-Net architectured DiT with an isotropic one. It turns out that the U-Net architecture only gain a slight advantage amid the U-Net inductive bias, indicating potential redundancies within the U-Net-style DiT. Inspired by the discovery that U-Net backbone features are low-frequency-dominated, we perform token downsampling on the query-key-value tuple for self-attention and bring further improvements despite a considerable amount of reduction in computation. Based on self-attention with downsampled tokens, we propose a series of U-shaped DiTs (U-DiTs) in the paper and conduct extensive experiments to demonstrate the extraordinary performance of U-DiT models. The proposed U-DiT could outperform DiT-XL/2 with only 1/6 of its computation cost. Codes are available at https://github.com/YuchuanTian/U-DiT.

Computer-aided medical image segmentation has been applied widely in diagnosis and treatment to obtain clinically useful information of shapes and volumes of target organs and tissues. In the past several years, convolutional neural network (CNN) based methods (e.g., U-Net) have dominated this area, but still suffered from inadequate long-range information capturing. Hence, recent work presented computer vision Transformer variants for medical image segmentation tasks and obtained promising performances. Such Transformers model long-range dependency by computing pair-wise patch relations. However, they incur prohibitive computational costs, especially on 3D medical images (e.g., CT and MRI). In this paper, we propose a new method called Dilated Transformer, which conducts self-attention for pair-wise patch relations captured alternately in local and global scopes. Inspired by dilated convolution kernels, we conduct the global self-attention in a dilated manner, enlarging receptive fields without increasing the patches involved and thus reducing computational costs. Based on this design of Dilated Transformer, we construct a U-shaped encoder-decoder hierarchical architecture called D-Former for 3D medical image segmentation. Experiments on the Synapse and ACDC datasets show that our D-Former model, trained from scratch, outperforms various competitive CNN-based or Transformer-based segmentation models at a low computational cost without time-consuming per-training process.

In this paper, we present Uformer, an effective and efficient Transformer-based architecture for image restoration, in which we build a hierarchical encoder-decoder network using the Transformer block. In Uformer, there are two core designs. First, we introduce a novel locally-enhanced window (LeWin) Transformer block, which performs nonoverlapping window-based self-attention instead of global self-attention. It significantly reduces the computational complexity on high resolution feature map while capturing local context. Second, we propose a learnable multi-scale restoration modulator in the form of a multi-scale spatial bias to adjust features in multiple layers of the Uformer decoder. Our modulator demonstrates superior capability for restoring details for various image restoration tasks while introducing marginal extra parameters and computational cost. Powered by these two designs, Uformer enjoys a high capability for capturing both local and global dependencies for image restoration. To evaluate our approach, extensive experiments are conducted on several image restoration tasks, including image denoising, motion deblurring, defocus deblurring and deraining. Without bells and whistles, our Uformer achieves superior or comparable performance compared with the state-of-the-art algorithms. The code and models are available at https://github.com/ZhendongWang6/Uformer.

U-shaped networks and its variants have demonstrated exceptional results for medical image segmentation. In this paper, we propose a novel dual self-distillation (DSD) framework in U-shaped networks for volumetric medical image segmentation. DSD distills knowledge from the ground-truth segmentation labels to the decoder layers. Additionally, DSD also distills knowledge from the deepest decoder and encoder layer to the shallower decoder and encoder layers respectively of a single U-shaped network. DSD is a general training strategy that could be attached to the backbone architecture of any U-shaped network to further improve its segmentation performance. We attached DSD on several state-of-the-art U-shaped backbones, and extensive experiments on various public 3D medical image segmentation datasets (cardiac substructure, brain tumor and Hippocampus) demonstrated significant improvement over the same backbones without DSD. On average, after attaching DSD to the U-shaped backbones, we observed an increase of 2.82\%, 4.53\% and 1.3\% in Dice similarity score, a decrease of 7.15 mm, 6.48 mm and 0.76 mm in the Hausdorff distance, for cardiac substructure, brain tumor and Hippocampus segmentation, respectively. These improvements were achieved with negligible increase in the number of trainable parameters and training time. Our proposed DSD framework also led to significant qualitative improvements for cardiac substructure, brain tumor and Hippocampus segmentation over the U-shaped backbones. The source code is publicly available at https://github.com/soumbane/DualSelfDistillation.

Over the past decade, U-Net has been the dominant architecture in medical image segmentation, leading to the development of thousands of U-shaped variants. Despite its widespread adoption, there is still no comprehensive benchmark to systematically evaluate their performance and utility, largely because of insufficient statistical validation and limited consideration of efficiency and generalization across diverse datasets. To bridge this gap, we present U-Bench, the first large-scale, statistically rigorous benchmark that evaluates 100 U-Net variants across 28 datasets and 10 imaging modalities. Our contributions are threefold: (1) Comprehensive Evaluation: U-Bench evaluates models along three key dimensions: statistical robustness, zero-shot generalization, and computational efficiency. We introduce a novel metric, U-Score, which jointly captures the performance-efficiency trade-off, offering a deployment-oriented perspective on model progress. (2) Systematic Analysis and Model Selection Guidance: We summarize key findings from the large-scale evaluation and systematically analyze the impact of dataset characteristics and architectural paradigms on model performance. Based on these insights, we propose a model advisor agent to guide researchers in selecting the most suitable models for specific datasets and tasks. (3) Public Availability: We provide all code, models, protocols, and weights, enabling the community to reproduce our results and extend the benchmark with future methods. In summary, U-Bench not only exposes gaps in previous evaluations but also establishes a foundation for fair, reproducible, and practically relevant benchmarking in the next decade of U-Net-based segmentation models. The project can be accessed at: https://fenghetan9.github.io/ubench. Code is available at: https://github.com/FengheTan9/U-Bench.

Medical image segmentation is a cornerstone of modern clinical diagnostics. While Vision Transformers that leverage shifted window-based self-attention have established new benchmarks in this field, they are often hampered by a critical limitation: their localized attention mechanism struggles to effectively fuse local details with global context. This deficiency is particularly detrimental to challenging tasks such as the segmentation of microtumors and miniature organs, where both fine-grained boundary definition and broad contextual understanding are paramount. To address this gap, we propose HBFormer, a novel Hybrid-Bridge Transformer architecture. The 'Hybrid' design of HBFormer synergizes a classic U-shaped encoder-decoder framework with a powerful Swin Transformer backbone for robust hierarchical feature extraction. The core innovation lies in its 'Bridge' mechanism, a sophisticated nexus for multi-scale feature integration. This bridge is architecturally embodied by our novel Multi-Scale Feature Fusion (MFF) decoder. Departing from conventional symmetric designs, the MFF decoder is engineered to fuse multi-scale features from the encoder with global contextual information. It achieves this through a synergistic combination of channel and spatial attention modules, which are constructed from a series of dilated and depth-wise convolutions. These components work in concert to create a powerful feature bridge that explicitly captures long-range dependencies and refines object boundaries with exceptional precision. Comprehensive experiments on challenging medical image segmentation datasets, including multi-organ, liver tumor, and bladder tumor benchmarks, demonstrate that HBFormer achieves state-of-the-art results, showcasing its outstanding capabilities in microtumor and miniature organ segmentation. Code and models are available at: https://github.com/lzeeorno/HBFormer.

Diffusion models have shown exceptional performance in visual generation tasks. Recently, these models have shifted from traditional U-Shaped CNN-Attention hybrid structures to fully transformer-based isotropic architectures. While these transformers exhibit strong scalability and performance, their reliance on complicated self-attention operation results in slow inference speeds. Contrary to these works, we rethink one of the simplest yet fastest module in deep learning, 3x3 Convolution, to construct a scaled-up purely convolutional diffusion model. We first discover that an Encoder-Decoder Hourglass design outperforms scalable isotropic architectures for Conv3x3, but still under-performing our expectation. Further improving the architecture, we introduce sparse skip connections to reduce redundancy and improve scalability. Based on the architecture, we introduce conditioning improvements including stage-specific embeddings, mid-block condition injection, and conditional gating. These improvements lead to our proposed Diffusion CNN (DiC), which serves as a swift yet competitive diffusion architecture baseline. Experiments on various scales and settings show that DiC surpasses existing diffusion transformers by considerable margins in terms of performance while keeping a good speed advantage. Project page: https://github.com/YuchuanTian/DiC

Diffusion models with their powerful expressivity and high sample quality have enabled many new applications and use-cases in various domains. For sample generation, these models rely on a denoising neural network that generates images by iterative denoising. Yet, the role of denoising network architecture is not well-studied with most efforts relying on convolutional residual U-Nets. In this paper, we study the effectiveness of vision transformers in diffusion-based generative learning. Specifically, we propose a new model, denoted as Diffusion Vision Transformers (DiffiT), which consists of a hybrid hierarchical architecture with a U-shaped encoder and decoder. We introduce a novel time-dependent self-attention module that allows attention layers to adapt their behavior at different stages of the denoising process in an efficient manner. We also introduce latent DiffiT which consists of transformer model with the proposed self-attention layers, for high-resolution image generation. Our results show that DiffiT is surprisingly effective in generating high-fidelity images, and it achieves state-of-the-art (SOTA) benchmarks on a variety of class-conditional and unconditional synthesis tasks. In the latent space, DiffiT achieves a new SOTA FID score of 1.73 on ImageNet-256 dataset. Repository: https://github.com/NVlabs/DiffiT

In the realm of medical image segmentation, both CNN-based and Transformer-based models have been extensively explored. However, CNNs exhibit limitations in long-range modeling capabilities, whereas Transformers are hampered by their quadratic computational complexity. Recently, State Space Models (SSMs), exemplified by Mamba, have emerged as a promising approach. They not only excel in modeling long-range interactions but also maintain a linear computational complexity. In this paper, leveraging state space models, we propose a U-shape architecture model for medical image segmentation, named Vision Mamba UNet (VM-UNet). Specifically, the Visual State Space (VSS) block is introduced as the foundation block to capture extensive contextual information, and an asymmetrical encoder-decoder structure is constructed with fewer convolution layers to save calculation cost. We conduct comprehensive experiments on the ISIC17, ISIC18, and Synapse datasets, and the results indicate that VM-UNet performs competitively in medical image segmentation tasks. To our best knowledge, this is the first medical image segmentation model constructed based on the pure SSM-based model. We aim to establish a baseline and provide valuable insights for the future development of more efficient and effective SSM-based segmentation systems. Our code is available at https://github.com/JCruan519/VM-UNet.

We introduce Home-made Diffusion Model (HDM), an efficient yet powerful text-to-image diffusion model optimized for training (and inferring) on consumer-grade hardware. HDM achieves competitive 1024x1024 generation quality while maintaining a remarkably low training cost of $535-620 using four RTX5090 GPUs, representing a significant reduction in computational requirements compared to traditional approaches. Our key contributions include: (1) Cross-U-Transformer (XUT), a novel U-shape transformer, Cross-U-Transformer (XUT), that employs cross-attention for skip connections, providing superior feature integration that leads to remarkable compositional consistency; (2) a comprehensive training recipe that incorporates TREAD acceleration, a novel shifted square crop strategy for efficient arbitrary aspect-ratio training, and progressive resolution scaling; and (3) an empirical demonstration that smaller models (343M parameters) with carefully crafted architectures can achieve high-quality results and emergent capabilities, such as intuitive camera control. Our work provides an alternative paradigm of scaling, demonstrating a viable path toward democratizing high-quality text-to-image generation for individual researchers and smaller organizations with limited computational resources.

Recent Diffusion Transformers (e.g., DiT) have demonstrated their powerful effectiveness in generating high-quality 2D images. However, it is still being determined whether the Transformer architecture performs equally well in 3D shape generation, as previous 3D diffusion methods mostly adopted the U-Net architecture. To bridge this gap, we propose a novel Diffusion Transformer for 3D shape generation, namely DiT-3D, which can directly operate the denoising process on voxelized point clouds using plain Transformers. Compared to existing U-Net approaches, our DiT-3D is more scalable in model size and produces much higher quality generations. Specifically, the DiT-3D adopts the design philosophy of DiT but modifies it by incorporating 3D positional and patch embeddings to adaptively aggregate input from voxelized point clouds. To reduce the computational cost of self-attention in 3D shape generation, we incorporate 3D window attention into Transformer blocks, as the increased 3D token length resulting from the additional dimension of voxels can lead to high computation. Finally, linear and devoxelization layers are used to predict the denoised point clouds. In addition, our transformer architecture supports efficient fine-tuning from 2D to 3D, where the pre-trained DiT-2D checkpoint on ImageNet can significantly improve DiT-3D on ShapeNet. Experimental results on the ShapeNet dataset demonstrate that the proposed DiT-3D achieves state-of-the-art performance in high-fidelity and diverse 3D point cloud generation. In particular, our DiT-3D decreases the 1-Nearest Neighbor Accuracy of the state-of-the-art method by 4.59 and increases the Coverage metric by 3.51 when evaluated on Chamfer Distance.

We propose a novel method for discovering shape regions that strongly correlate with user-prescribed tags. For example, given a collection of chairs tagged as either "has armrest" or "lacks armrest", our system correctly highlights the armrest regions as the main distinctive parts between the two chair types. To obtain point-wise predictions from shape-wise tags we develop a novel neural network architecture that is trained with tag classification loss, but is designed to rely on segmentation to predict the tag. Our network is inspired by U-Net, but we replicate shallow U structures several times with new skip connections and pooling layers, and call the resulting architecture "WU-Net". We test our method on segmentation benchmarks and show that even with weak supervision of whole shape tags, our method can infer meaningful semantic regions, without ever observing shape segmentations. Further, once trained, the model can process shapes for which the tag is entirely unknown. As a bonus, our architecture is directly operational under full supervision and performs strongly on standard benchmarks. We validate our method through experiments with many variant architectures and prior baselines, and demonstrate several applications.

With the rising industrial attention to 3D virtual modeling technology, generating novel 3D content based on specified conditions (e.g. text) has become a hot issue. In this paper, we propose a new generative 3D modeling framework called Diffusion-SDF for the challenging task of text-to-shape synthesis. Previous approaches lack flexibility in both 3D data representation and shape generation, thereby failing to generate highly diversified 3D shapes conforming to the given text descriptions. To address this, we propose a SDF autoencoder together with the Voxelized Diffusion model to learn and generate representations for voxelized signed distance fields (SDFs) of 3D shapes. Specifically, we design a novel UinU-Net architecture that implants a local-focused inner network inside the standard U-Net architecture, which enables better reconstruction of patch-independent SDF representations. We extend our approach to further text-to-shape tasks including text-conditioned shape completion and manipulation. Experimental results show that Diffusion-SDF generates both higher quality and more diversified 3D shapes that conform well to given text descriptions when compared to previous approaches. Code is available at: https://github.com/ttlmh/Diffusion-SDF

We propose a novel point cloud U-Net diffusion architecture for 3D generative modeling capable of generating high-quality and diverse 3D shapes while maintaining fast generation times. Our network employs a dual-branch architecture, combining the high-resolution representations of points with the computational efficiency of sparse voxels. Our fastest variant outperforms all non-diffusion generative approaches on unconditional shape generation, the most popular benchmark for evaluating point cloud generative models, while our largest model achieves state-of-the-art results among diffusion methods, with a runtime approximately 70% of the previously state-of-the-art PVD. Beyond unconditional generation, we perform extensive evaluations, including conditional generation on all categories of ShapeNet, demonstrating the scalability of our model to larger datasets, and implicit generation which allows our network to produce high quality point clouds on fewer timesteps, further decreasing the generation time. Finally, we evaluate the architecture's performance in point cloud completion and super-resolution. Our model excels in all tasks, establishing it as a state-of-the-art diffusion U-Net for point cloud generative modeling. The code is publicly available at https://github.com/JohnRomanelis/SPVD.git.

Deep convolutional networks (CNNs) have exhibited their potential in image inpainting for producing plausible results. However, in most existing methods, e.g., context encoder, the missing parts are predicted by propagating the surrounding convolutional features through a fully connected layer, which intends to produce semantically plausible but blurry result. In this paper, we introduce a special shift-connection layer to the U-Net architecture, namely Shift-Net, for filling in missing regions of any shape with sharp structures and fine-detailed textures. To this end, the encoder feature of the known region is shifted to serve as an estimation of the missing parts. A guidance loss is introduced on decoder feature to minimize the distance between the decoder feature after fully connected layer and the ground-truth encoder feature of the missing parts. With such constraint, the decoder feature in missing region can be used to guide the shift of encoder feature in known region. An end-to-end learning algorithm is further developed to train the Shift-Net. Experiments on the Paris StreetView and Places datasets demonstrate the efficiency and effectiveness of our Shift-Net in producing sharper, fine-detailed, and visually plausible results. The codes and pre-trained models are available at https://github.com/Zhaoyi-Yan/Shift-Net.