The self-attention mechanism of Transformers,which captures long-range contextual information,has demonstrated significant potential in image segmentation.However,their ability to learn local,contextual relationships ...The self-attention mechanism of Transformers,which captures long-range contextual information,has demonstrated significant potential in image segmentation.However,their ability to learn local,contextual relationships between pixels requires further improvement.Previous methods face challenges in efficiently managing multi-scale fea-tures of different granularities from the encoder backbone,leaving room for improvement in their global representation and feature extraction capabilities.To address these challenges,we propose a novel Decoder with Multi-Head Feature Receptors(DMHFR),which receives multi-scale features from the encoder backbone and organizes them into three feature groups with different granularities:coarse,fine-grained,and full set.These groups are subsequently processed by Multi-Head Feature Receptors(MHFRs)after feature capture and modeling operations.MHFRs include two Three-Head Feature Receptors(THFRs)and one Four-Head Feature Receptor(FHFR).Each group of features is passed through these MHFRs and then fed into axial transformers,which help the model capture long-range dependencies within the features.The three MHFRs produce three distinct feature outputs.The output from the FHFR serves as auxiliary auxiliary features in the prediction head,and the prediction output and their losses will eventually be aggregated.Experimental results show that the Transformer using DMHFR outperforms 15 state of the arts(SOTA)methods on five public datasets.Specifically,it achieved significant improvements in mean DICE scores over the classic Parallel Reverse Attention Network(PraNet)method,with gains of 4.1%,2.2%,1.4%,8.9%,and 16.3%on the CVC-ClinicDB,Kvasir-SEG,CVC-T,CVC-ColonDB,and ETIS-LaribPolypDB datasets,respectively.展开更多
1 Introduction The huize Zn-Pb ore district in Yunnan province is locatedinthecentralsouthernofthe Sichuan—Yunnan—GuizhouPb-ZnPoly-metallic Mineralization Area in the southwestern margin of the Yangtze Block,and is ...1 Introduction The huize Zn-Pb ore district in Yunnan province is locatedinthecentralsouthernofthe Sichuan—Yunnan—GuizhouPb-ZnPoly-metallic Mineralization Area in the southwestern margin of the Yangtze Block,and is strictly controlled by fault structures.It has developed to one of the famous production bases of lead&zinc and germanium in China.展开更多
BACKGROUND Breast non-mass-like lesions(NMLs)account for 9.2%of all breast lesions.The specificity of the ultrasound diagnosis of NMLs is low,and it cannot be objectively classified according to the 5th Edition of the...BACKGROUND Breast non-mass-like lesions(NMLs)account for 9.2%of all breast lesions.The specificity of the ultrasound diagnosis of NMLs is low,and it cannot be objectively classified according to the 5th Edition of the Breast Imaging Reporting and Data System(BI-RADS).Contrast-enhanced ultrasound(CEUS)can help to differentiate and classify breast lesions but there are few studies on NMLs alone.AIM To analyze the features of benign and malignant breast NMLs in grayscale ultrasonography(US),color Doppler flow imaging(CDFI)and CEUS,and to explore the efficacy of the combined diagnosis of NMLs and the effect of CEUS on the BI-RADS classification of NMLs.METHODS A total of 51 breast NMLs verified by pathology were analyzed in our hospital from January 2017 to April 2019.All lesions were examined by US,CDFI and CEUS,and their features from those examinations were analyzed.With pathology as the gold standard,binary logic regression was used to analyze the independent risk factors for malignant breast NMLs,and a regression equation was established to calculate the efficiency of combined diagnosis.Based on the regression equation,the combined diagnostic efficiency of US combined with CEUS(US+CEUS)was determined.The initial BI-RADS-US classification of NMLs was adjusted according to the independent risk factors identified by CEUS,and the diagnostic efficiency of CEUS combined with BI-RADS(CEUS+BI-RADS)was calculated based on the results.ROC curves were drawn to compare the diagnostic values of the three methods,including US,US+CEUS,and CEUS+BI-RADS,for benign and malignant NMLs.RESULTS Microcalcification,enhancement time,enhancement intensity,lesion scope,and peripheral blood vessels were significantly different between benign and malignant NMLs.Among these features,microcalcification,higher enhancement,and lesion scope were identified as independent risk factors for malignant breast NMLs.When US,US+CEUS,and CEUS+BI-RADS were used to identify the benign and malignant breast NMLs,their sensitivity rates were 82.6%,91.3%,and 87.0%,respectively;their specificity rates were 71.4%,89.2%,and 92.9%,respectively;their positive predictive values were 70.4%,87.5%,and 90.9%,respectively;their negative predictive values were 83.3%,92.6%,and 89.7%,respectively;their accuracy rates were 76.5%,90.2%,and 90.2%,respectively;and their corresponding areas under ROC curves were 0.752,0.877 and 0.903,respectively.Z tests showed that the area under the ROC curve of US was statistically smaller than that of US+CEUS and CEUS+BI-RADS,and there was no statistical difference between US+CEUS and CEUS+BI-RADS.CONCLUSION US combined with CEUS can improve diagnostic efficiency for NMLs.The adjustment of the BI-RADS classification according to the features of contrastenhanced US of NMLs enables the diagnostic results to be simple and intuitive,facilitates the management of NMLs,and effectively reduces the incidence of unnecessary biopsy.展开更多
基金supported by Xiamen Medical and Health Guidance Project in 2021(No.3502Z20214ZD1070)supported by a grant from Guangxi Key Laboratory of Machine Vision and Intelligent Control,China(No.2023B02).
文摘The self-attention mechanism of Transformers,which captures long-range contextual information,has demonstrated significant potential in image segmentation.However,their ability to learn local,contextual relationships between pixels requires further improvement.Previous methods face challenges in efficiently managing multi-scale fea-tures of different granularities from the encoder backbone,leaving room for improvement in their global representation and feature extraction capabilities.To address these challenges,we propose a novel Decoder with Multi-Head Feature Receptors(DMHFR),which receives multi-scale features from the encoder backbone and organizes them into three feature groups with different granularities:coarse,fine-grained,and full set.These groups are subsequently processed by Multi-Head Feature Receptors(MHFRs)after feature capture and modeling operations.MHFRs include two Three-Head Feature Receptors(THFRs)and one Four-Head Feature Receptor(FHFR).Each group of features is passed through these MHFRs and then fed into axial transformers,which help the model capture long-range dependencies within the features.The three MHFRs produce three distinct feature outputs.The output from the FHFR serves as auxiliary auxiliary features in the prediction head,and the prediction output and their losses will eventually be aggregated.Experimental results show that the Transformer using DMHFR outperforms 15 state of the arts(SOTA)methods on five public datasets.Specifically,it achieved significant improvements in mean DICE scores over the classic Parallel Reverse Attention Network(PraNet)method,with gains of 4.1%,2.2%,1.4%,8.9%,and 16.3%on the CVC-ClinicDB,Kvasir-SEG,CVC-T,CVC-ColonDB,and ETIS-LaribPolypDB datasets,respectively.
基金supported by the Funds for the program of the National Natural Science Foundation (Noes. 41572060, U1133602)Projects of YM Lab (2011)Innovation Team of Yunnan province and KMUST (2008,2012)
文摘1 Introduction The huize Zn-Pb ore district in Yunnan province is locatedinthecentralsouthernofthe Sichuan—Yunnan—GuizhouPb-ZnPoly-metallic Mineralization Area in the southwestern margin of the Yangtze Block,and is strictly controlled by fault structures.It has developed to one of the famous production bases of lead&zinc and germanium in China.
文摘BACKGROUND Breast non-mass-like lesions(NMLs)account for 9.2%of all breast lesions.The specificity of the ultrasound diagnosis of NMLs is low,and it cannot be objectively classified according to the 5th Edition of the Breast Imaging Reporting and Data System(BI-RADS).Contrast-enhanced ultrasound(CEUS)can help to differentiate and classify breast lesions but there are few studies on NMLs alone.AIM To analyze the features of benign and malignant breast NMLs in grayscale ultrasonography(US),color Doppler flow imaging(CDFI)and CEUS,and to explore the efficacy of the combined diagnosis of NMLs and the effect of CEUS on the BI-RADS classification of NMLs.METHODS A total of 51 breast NMLs verified by pathology were analyzed in our hospital from January 2017 to April 2019.All lesions were examined by US,CDFI and CEUS,and their features from those examinations were analyzed.With pathology as the gold standard,binary logic regression was used to analyze the independent risk factors for malignant breast NMLs,and a regression equation was established to calculate the efficiency of combined diagnosis.Based on the regression equation,the combined diagnostic efficiency of US combined with CEUS(US+CEUS)was determined.The initial BI-RADS-US classification of NMLs was adjusted according to the independent risk factors identified by CEUS,and the diagnostic efficiency of CEUS combined with BI-RADS(CEUS+BI-RADS)was calculated based on the results.ROC curves were drawn to compare the diagnostic values of the three methods,including US,US+CEUS,and CEUS+BI-RADS,for benign and malignant NMLs.RESULTS Microcalcification,enhancement time,enhancement intensity,lesion scope,and peripheral blood vessels were significantly different between benign and malignant NMLs.Among these features,microcalcification,higher enhancement,and lesion scope were identified as independent risk factors for malignant breast NMLs.When US,US+CEUS,and CEUS+BI-RADS were used to identify the benign and malignant breast NMLs,their sensitivity rates were 82.6%,91.3%,and 87.0%,respectively;their specificity rates were 71.4%,89.2%,and 92.9%,respectively;their positive predictive values were 70.4%,87.5%,and 90.9%,respectively;their negative predictive values were 83.3%,92.6%,and 89.7%,respectively;their accuracy rates were 76.5%,90.2%,and 90.2%,respectively;and their corresponding areas under ROC curves were 0.752,0.877 and 0.903,respectively.Z tests showed that the area under the ROC curve of US was statistically smaller than that of US+CEUS and CEUS+BI-RADS,and there was no statistical difference between US+CEUS and CEUS+BI-RADS.CONCLUSION US combined with CEUS can improve diagnostic efficiency for NMLs.The adjustment of the BI-RADS classification according to the features of contrastenhanced US of NMLs enables the diagnostic results to be simple and intuitive,facilitates the management of NMLs,and effectively reduces the incidence of unnecessary biopsy.
