In recent years, deep learning-based networks have achieved state-of-the-art performance in medical image segmentation. Among the existing networks, U-Net has been successfully applied on medical image segmentation. In this paper, we propose an extension of U-Net, Bi-directional ConvLSTM U-Net with Densely connected convolutions (BCDU-Net), for medical image segmentation, in which we take full advantages of U-Net, bi-directional ConvLSTM (BConvLSTM) and the mechanism of dense convolutions. Instead of a simple concatenation in the skip connection of U-Net, we employ BConvLSTM to combine the feature maps extracted from the corresponding encoding path and the previous decoding up-convolutional layer in a non-linear way. To strengthen feature propagation and encourage feature reuse, we use densely connected convolutions in the last convolutional layer of the encoding path. Finally, we can accelerate the convergence speed of the proposed network by employing batch normalization (BN). The proposed model is evaluated on three datasets of: retinal blood vessel segmentation, skin lesion segmentation, and lung nodule segmentation, achieving state-of-the-art performance.

Convolutional neural networks (CNNs) have been the de facto standard in a diverse set of computer vision tasks for many years. Especially, deep neural networks based on seminal architectures such as U-shaped model with skip-connections or atrous convolution with pyramid pooling have been tailored to a wide range of medical image analysis tasks. The main advantage of such architectures is that they are prone to detaining versatile local features. However, as a general consensus, CNNs fail to capture long-range dependencies and spatial correlations due to the intrinsic property of confined receptive field size of convolution operations. Alternatively, Transformer, profiting from global information modeling that stems from the self-attention mechanism, has recently attained remarkable performance in natural language processing and computer vision. Nevertheless, previous studies prove that both local and global features are critical for a deep model in dense prediction, such as segmenting complicated structures with disparate shapes and configurations. To this end, this paper proposes TransDeepLab, a novel DeepLab-like pure Transformer for medical image segmentation. Specifically, we exploit hierarchical Swin-Transformer with shifted windows to extend the DeepLabv3 and model the Atrous Spatial Pyramid Pooling (ASPP) module. A thorough search of the relevant literature yielded that we are the first to model the seminal DeepLab model with a pure Transformer-based model. Extensive experiments on various medical image segmentation tasks verify that our approach performs superior or on par with most contemporary works on an amalgamation of Vision Transformer and CNN-based methods, along with a significant reduction of model complexity. The codes and trained models are publicly available at github..

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Despite the initial belief that Convolutional Neural Networks (CNNs) are driven by shapes to perform visual recognition tasks, recent evidence suggests that texture bias in CNNs provides higher performing and more robust models. This contrasts with the perceptual bias in the human visual cortex, which has a stronger preference towards shape components. Perceptual differences may explain why CNNs achieve humanlevel performance when large labeled datasets are available, but their performance significantly degrades in low-labeled data scenarios, such as few-shot semantic segmentation. To remove the texture bias in the context of few-shot learning, we propose a novel architecture that integrates a set of Difference of Gaussians (DoG) to attenuate high-frequency local components in the feature space. This produces a set of modified feature maps, whose high-frequency components are diminished at different standard deviation values of the Gaussian distribution in the spatial domain. As this results in multiple feature maps for a single image, we employ a bi-directional convolutional long-short-term-memory to efficiently merge the multi scale-space representations. We perform extensive experiments on two well-known few-shot segmentation benchmarks -Pascal i5 and FSS-1000-and demonstrate that our method outperforms significantly state-of-the-art approaches.

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