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Dual encoding feature filtering generalized attention UNET for retinal vessel segmentation
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作者 ISLAM Md Tauhidul WU Da-Wen +6 位作者 TANG Qing-Qing ZHAO Kai-Yang YIN Teng LI Yan-Fei SHANG Wen-Yi LIU Jing-Yu ZHANG Hai-Xian 《四川大学学报(自然科学版)》 北大核心 2025年第1期79-95,共17页
Retinal blood vessel segmentation is crucial for diagnosing ocular and cardiovascular diseases.Although the introduction of U-Net in 2015 by Olaf Ronneberger significantly advanced this field,yet issues like limited t... Retinal blood vessel segmentation is crucial for diagnosing ocular and cardiovascular diseases.Although the introduction of U-Net in 2015 by Olaf Ronneberger significantly advanced this field,yet issues like limited training data,imbalance data distribution,and inadequate feature extraction persist,hindering both the segmentation performance and optimal model generalization.Addressing these critical issues,the DEFFA-Unet is proposed featuring an additional encoder to process domain-invariant pre-processed inputs,thereby improving both richer feature encoding and enhanced model generalization.A feature filtering fusion module is developed to ensure the precise feature filtering and robust hybrid feature fusion.In response to the task-specific need for higher precision where false positives are very costly,traditional skip connections are replaced with the attention-guided feature reconstructing fusion module.Additionally,innovative data augmentation and balancing methods are proposed to counter data scarcity and distribution imbalance,further boosting the robustness and generalization of the model.With a comprehensive suite of evaluation metrics,extensive validations on four benchmark datasets(DRIVE,CHASEDB1,STARE,and HRF)and an SLO dataset(IOSTAR),demonstrate the proposed method’s superiority over both baseline and state-of-the-art models.Particularly the proposed method significantly outperforms the compared methods in cross-validation model generalization. 展开更多
关键词 Vessel segmentation Data balancing Data augmentation dual encoder Attention Mechanism Model generalization
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Stochastic Augmented-Based Dual-Teaching for Semi-Supervised Medical Image Segmentation
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作者 Hengyang Liu Yang Yuan +2 位作者 Pengcheng Ren Chengyun Song Fen Luo 《Computers, Materials & Continua》 SCIE EI 2025年第1期543-560,共18页
Existing semi-supervisedmedical image segmentation algorithms use copy-paste data augmentation to correct the labeled-unlabeled data distribution mismatch.However,current copy-paste methods have three limitations:(1)t... Existing semi-supervisedmedical image segmentation algorithms use copy-paste data augmentation to correct the labeled-unlabeled data distribution mismatch.However,current copy-paste methods have three limitations:(1)training the model solely with copy-paste mixed pictures from labeled and unlabeled input loses a lot of labeled information;(2)low-quality pseudo-labels can cause confirmation bias in pseudo-supervised learning on unlabeled data;(3)the segmentation performance in low-contrast and local regions is less than optimal.We design a Stochastic Augmentation-Based Dual-Teaching Auxiliary Training Strategy(SADT),which enhances feature diversity and learns high-quality features to overcome these problems.To be more precise,SADT trains the Student Network by using pseudo-label-based training from Teacher Network 1 and supervised learning with labeled data,which prevents the loss of rare labeled data.We introduce a bi-directional copy-pastemask with progressive high-entropy filtering to reduce data distribution disparities and mitigate confirmation bias in pseudo-supervision.For the mixed images,Deep-Shallow Spatial Contrastive Learning(DSSCL)is proposed in the feature spaces of Teacher Network 2 and the Student Network to improve the segmentation capabilities in low-contrast and local areas.In this procedure,the features retrieved by the Student Network are subjected to a random feature perturbation technique.On two openly available datasets,extensive trials show that our proposed SADT performs much better than the state-ofthe-art semi-supervised medical segmentation techniques.Using only 10%of the labeled data for training,SADT was able to acquire a Dice score of 90.10%on the ACDC(Automatic Cardiac Diagnosis Challenge)dataset. 展开更多
关键词 SEMI-SUPERVISED medical image segmentation contrastive learning stochastic augmented
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Enhanced Cutaneous Melanoma Segmentation in Dermoscopic Images Using a Dual U-Net Framework with Multi-Path Convolution Block Attention Module and SE-Res-Conv
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作者 Kun Lan Feiyang Gao +2 位作者 Xiaoliang Jiang Jianzhen Cheng Simon Fong 《Computers, Materials & Continua》 2025年第9期4805-4824,共20页
With the continuous development of artificial intelligence and machine learning techniques,there have been effective methods supporting the work of dermatologist in the field of skin cancer detection.However,object si... With the continuous development of artificial intelligence and machine learning techniques,there have been effective methods supporting the work of dermatologist in the field of skin cancer detection.However,object significant challenges have been presented in accurately segmenting melanomas in dermoscopic images due to the objects that could interfere human observations,such as bubbles and scales.To address these challenges,we propose a dual U-Net network framework for skin melanoma segmentation.In our proposed architecture,we introduce several innovative components that aim to enhance the performance and capabilities of the traditional U-Net.First,we establish a novel framework that links two simplified U-Nets,enabling more comprehensive information exchange and feature integration throughout the network.Second,after cascading the second U-Net,we introduce a skip connection between the decoder and encoder networks,and incorporate a modified receptive field block(MRFB),which is designed to capture multi-scale spatial information.Third,to further enhance the feature representation capabilities,we add a multi-path convolution block attention module(MCBAM)to the first two layers of the first U-Net encoding,and integrate a new squeeze-and-excitation(SE)mechanism with residual connections in the second U-Net.To illustrate the performance of our proposed model,we conducted comprehensive experiments on widely recognized skin datasets.On the ISIC-2017 dataset,the IoU value of our proposed model increased from 0.6406 to 0.6819 and the Dice coefficient increased from 0.7625 to 0.8023.On the ISIC-2018 dataset,the IoU value of proposed model also improved from 0.7138 to 0.7709,while the Dice coefficient increased from 0.8285 to 0.8665.Furthermore,the generalization experiments conducted on the jaw cyst dataset from Quzhou People’s Hospital further verified the outstanding segmentation performance of the proposed model.These findings collectively affirm the potential of our approach as a valuable tool in supporting clinical decision-making in the field of skin cancer detection,as well as advancing research in medical image analysis. 展开更多
关键词 dual U-Net skin lesion segmentation squeeze-and-excitation modified receptive field block multi-path convolution block attention module
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Bilateral Dual-Residual Real-Time Semantic Segmentation Network
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作者 Shijie Xiang Dong Zhou +1 位作者 Dan Tian Zihao Wang 《Computers, Materials & Continua》 2025年第4期497-515,共19页
Real-time semantic segmentation tasks place stringent demands on network inference speed,often requiring a reduction in network depth to decrease computational load.However,shallow networks tend to exhibit degradation... Real-time semantic segmentation tasks place stringent demands on network inference speed,often requiring a reduction in network depth to decrease computational load.However,shallow networks tend to exhibit degradation in feature extraction completeness and inference accuracy.Therefore,balancing high performance with real-time requirements has become a critical issue in the study of real-time semantic segmentation.To address these challenges,this paper proposes a lightweight bilateral dual-residual network.By introducing a novel residual structure combined with feature extraction and fusion modules,the proposed network significantly enhances representational capacity while reducing computational costs.Specifically,an improved compound residual structure is designed to optimize the efficiency of information propagation and feature extraction.Furthermore,the proposed feature extraction and fusion module enables the network to better capture multi-scale information in images,improving the ability to detect both detailed and global semantic features.Experimental results on the publicly available Cityscapes dataset demonstrate that the proposed lightweight dual-branch network achieves outstanding performance while maintaining low computational complexity.In particular,the network achieved a mean Intersection over Union(mIoU)of 78.4%on the Cityscapes validation set,surpassing many existing semantic segmentation models.Additionally,in terms of inference speed,the network reached 74.5 frames per second when tested on an NVIDIA GeForce RTX 3090 GPU,significantly improving real-time performance. 展开更多
关键词 REAL-TIME residual structure semantic segmentation feature fusion
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Dual-Stream Attention-Based Classification Network for Tibial Plateau Fractures via Diffusion Model Augmentation and Segmentation Map Integration
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作者 Yi Xie Zhi-wei Hao +8 位作者 Xin-meng Wang Hong-lin Wang Jia-ming Yang Hong Zhou Xu-dong Wang Jia-yao Zhang Hui-wen Yang Peng-ran Liu Zhe-wei Ye 《Current Medical Science》 2025年第1期57-69,共13页
Objective This study aimed to explore a novel method that integrates the segmentation guidance classification and the dif-fusion model augmentation to realize the automatic classification for tibial plateau fractures(... Objective This study aimed to explore a novel method that integrates the segmentation guidance classification and the dif-fusion model augmentation to realize the automatic classification for tibial plateau fractures(TPFs).Methods YOLOv8n-cls was used to construct a baseline model on the data of 3781 patients from the Orthopedic Trauma Center of Wuhan Union Hospital.Additionally,a segmentation-guided classification approach was proposed.To enhance the dataset,a diffusion model was further demonstrated for data augmentation.Results The novel method that integrated the segmentation-guided classification and diffusion model augmentation sig-nificantly improved the accuracy and robustness of fracture classification.The average accuracy of classification for TPFs rose from 0.844 to 0.896.The comprehensive performance of the dual-stream model was also significantly enhanced after many rounds of training,with both the macro-area under the curve(AUC)and the micro-AUC increasing from 0.94 to 0.97.By utilizing diffusion model augmentation and segmentation map integration,the model demonstrated superior efficacy in identifying SchatzkerⅠ,achieving an accuracy of 0.880.It yielded an accuracy of 0.898 for SchatzkerⅡandⅢand 0.913 for SchatzkerⅣ;for SchatzkerⅤandⅥ,the accuracy was 0.887;and for intercondylar ridge fracture,the accuracy was 0.923.Conclusion The dual-stream attention-based classification network,which has been verified by many experiments,exhibited great potential in predicting the classification of TPFs.This method facilitates automatic TPF assessment and may assist surgeons in the rapid formulation of surgical plans. 展开更多
关键词 Artificial intelligence YOLOv8 Tibial plateau fracture Diffusion model augmentation segmentation map
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Enhancing 3D U-Net with Residual and Squeeze-and-Excitation Attention Mechanisms for Improved Brain Tumor Segmentation in Multimodal MRI
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作者 Yao-Tien Chen Nisar Ahmad Khursheed Aurangzeb 《Computer Modeling in Engineering & Sciences》 2025年第7期1197-1224,共28页
Accurate and efficient brain tumor segmentation is essential for early diagnosis,treatment planning,and clinical decision-making.However,the complex structure of brain anatomy and the heterogeneous nature of tumors pr... Accurate and efficient brain tumor segmentation is essential for early diagnosis,treatment planning,and clinical decision-making.However,the complex structure of brain anatomy and the heterogeneous nature of tumors present significant challenges for precise anomaly detection.While U-Net-based architectures have demonstrated strong performance in medical image segmentation,there remains room for improvement in feature extraction and localization accuracy.In this study,we propose a novel hybrid model designed to enhance 3D brain tumor segmentation.The architecture incorporates a 3D ResNet encoder known for mitigating the vanishing gradient problem and a 3D U-Net decoder.Additionally,to enhance the model’s generalization ability,Squeeze and Excitation attention mechanism is integrated.We introduce Gabor filter banks into the encoder to further strengthen the model’s ability to extract robust and transformation-invariant features from the complex and irregular shapes typical in medical imaging.This approach,which is not well explored in current U-Net-based segmentation frameworks,provides a unique advantage by enhancing texture-aware feature representation.Specifically,Gabor filters help extract distinctive low-level texture features,reducing the effects of texture interference and facilitating faster convergence during the early stages of training.Our model achieved Dice scores of 0.881,0.846,and 0.819 for Whole Tumor(WT),Tumor Core(TC),and Enhancing Tumor(ET),respectively,on the BraTS 2020 dataset.Cross-validation on the BraTS 2021 dataset further confirmed the model’s robustness,yielding Dice score values of 0.887 for WT,0.856 for TC,and 0.824 for ET.The proposed model outperforms several state-of-the-art existing models,particularly in accurately identifying small and complex tumor regions.Extensive evaluations suggest integrating advanced preprocessing with an attention-augmented hybrid architecture offers significant potential for reliable and clinically valuable brain tumor segmentation. 展开更多
关键词 3D MRI artificial intelligence deep learning AI in healthcare attention mechanism U-Net medical image analysis brain tumor segmentation BraTS 2021 BraTS 2020
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内镜下Dual刀联合电圈套器治疗胃巨大结石2例
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作者 黄忠 程芳 魏尉 《现代消化及介入诊疗》 2025年第3期391-392,共2页
胃结石是一种常见的消化道疾病,治疗方法有三种:药物治疗、内镜下治疗和手术治疗。使用中药排石、药物溶石法等药物治疗方法,治疗时间较长,治疗效果差;外科手术创伤大,可能出现并发症。近年来,内镜下治疗逐渐成为首选,内镜下治疗包括激... 胃结石是一种常见的消化道疾病,治疗方法有三种:药物治疗、内镜下治疗和手术治疗。使用中药排石、药物溶石法等药物治疗方法,治疗时间较长,治疗效果差;外科手术创伤大,可能出现并发症。近年来,内镜下治疗逐渐成为首选,内镜下治疗包括激光微爆破法、高频电碎石法、网篮或圈套器切割碎石法,以及活检钳、异物钳直接钳夹碎石法等^([1]),但对表面坚硬的巨大胃结石,治疗难度较大。 展开更多
关键词 dual 电圈套器 胃镜 巨大胃结石
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ARGA-Unet:Advanced U-net segmentation model using residual grouped convolution and attention mechanism for brain tumor MRI image segmentation 被引量:1
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作者 Siyi XUN Yan ZHANG +7 位作者 Sixu DUAN Mingwei WANG Jiangang CHEN Tong TONG Qinquan GAO Chantong LAM Menghan HU Tao TAN 《虚拟现实与智能硬件(中英文)》 EI 2024年第3期203-216,共14页
Background Magnetic resonance imaging(MRI)has played an important role in the rapid growth of medical imaging diagnostic technology,especially in the diagnosis and treatment of brain tumors owing to its non invasive c... Background Magnetic resonance imaging(MRI)has played an important role in the rapid growth of medical imaging diagnostic technology,especially in the diagnosis and treatment of brain tumors owing to its non invasive characteristics and superior soft tissue contrast.However,brain tumors are characterized by high non uniformity and non-obvious boundaries in MRI images because of their invasive and highly heterogeneous nature.In addition,the labeling of tumor areas is time-consuming and laborious.Methods To address these issues,this study uses a residual grouped convolution module,convolutional block attention module,and bilinear interpolation upsampling method to improve the classical segmentation network U-net.The influence of network normalization,loss function,and network depth on segmentation performance is further considered.Results In the experiments,the Dice score of the proposed segmentation model reached 97.581%,which is 12.438%higher than that of traditional U-net,demonstrating the effective segmentation of MRI brain tumor images.Conclusions In conclusion,we use the improved U-net network to achieve a good segmentation effect of brain tumor MRI images. 展开更多
关键词 Brain tumor MRI U-net segmentATION Attention mechanism Deep learning
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DCFNet:An Effective Dual-Branch Cross-Attention Fusion Network for Medical Image Segmentation
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作者 Chengzhang Zhu Renmao Zhang +5 位作者 Yalong Xiao Beiji Zou Xian Chai Zhangzheng Yang Rong Hu Xuanchu Duan 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第7期1103-1128,共26页
Automatic segmentation of medical images provides a reliable scientific basis for disease diagnosis and analysis.Notably,most existing methods that combine the strengths of convolutional neural networks(CNNs)and Trans... Automatic segmentation of medical images provides a reliable scientific basis for disease diagnosis and analysis.Notably,most existing methods that combine the strengths of convolutional neural networks(CNNs)and Transformers have made significant progress.However,there are some limitations in the current integration of CNN and Transformer technology in two key aspects.Firstly,most methods either overlook or fail to fully incorporate the complementary nature between local and global features.Secondly,the significance of integrating the multiscale encoder features from the dual-branch network to enhance the decoding features is often disregarded in methods that combine CNN and Transformer.To address this issue,we present a groundbreaking dual-branch cross-attention fusion network(DCFNet),which efficiently combines the power of Swin Transformer and CNN to generate complementary global and local features.We then designed the Feature Cross-Fusion(FCF)module to efficiently fuse local and global features.In the FCF,the utilization of the Channel-wise Cross-fusion Transformer(CCT)serves the purpose of aggregatingmulti-scale features,and the Feature FusionModule(FFM)is employed to effectively aggregate dual-branch prominent feature regions from the spatial perspective.Furthermore,within the decoding phase of the dual-branch network,our proposed Channel Attention Block(CAB)aims to emphasize the significance of the channel features between the up-sampled features and the features generated by the FCFmodule to enhance the details of the decoding.Experimental results demonstrate that DCFNet exhibits enhanced accuracy in segmentation performance.Compared to other state-of-the-art(SOTA)methods,our segmentation framework exhibits a superior level of competitiveness.DCFNet’s accurate segmentation of medical images can greatly assist medical professionals in making crucial diagnoses of lesion areas in advance. 展开更多
关键词 Convolutional neural networks Swin Transformer dual branch medical image segmentation feature cross fusion
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Individual tree segmentation in occluded complex forest stands through ellipsoid directional searching and point compensation 被引量:1
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作者 Qingjun Zhang Shangshu Cai Xinlian Liang 《Forest Ecosystems》 CSCD 2024年第6期832-847,共16页
Terrestrial laser scanning(TLS)accurately captures tree structural information and provides prerequisites for treescale estimations of forest biophysical attributes.Quantifying tree-scale attributes from TLS point clo... Terrestrial laser scanning(TLS)accurately captures tree structural information and provides prerequisites for treescale estimations of forest biophysical attributes.Quantifying tree-scale attributes from TLS point clouds requires segmentation,yet the occlusion effects severely affect the accuracy of automated individual tree segmentation.In this study,we proposed a novel method using ellipsoid directional searching and point compensation algorithms to alleviate occlusion effects.Firstly,region growing and point compensation algorithms are used to determine the location of tree roots.Secondly,the neighbor points are extracted within an ellipsoid neighborhood to mitigate occlusion effects compared with k-nearest neighbor(KNN).Thirdly,neighbor points are uniformly subsampled by the directional searching algorithm based on the Fibonacci principle in multiple spatial directions to reduce memory consumption.Finally,a graph describing connectivity between a point and its neighbors is constructed,and it is utilized to complete individual tree segmentation based on the shortest path algorithm.The proposed method was evaluated on a public TLS dataset comprising six forest plots with three complexity categories in Evo,Finland,and it reached the highest mean accuracy of 77.5%,higher than previous studies on tree detection.We also extracted and validated the tree structure attributes using manual segmentation reference values.The RMSE,RMSE%,bias,and bias%of tree height,crown base height,crown projection area,crown surface area,and crown volume were used to evaluate the segmentation accuracy,respectively.Overall,the proposed method avoids many inherent limitations of current methods and can accurately map canopy structures in occluded complex forest stands. 展开更多
关键词 Terrestrial laser scanning Individual tree segmentation GRAPH The shortest path Ellipsoid directional searching Point compensation
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Building Facade Point Clouds Segmentation Based on Optimal Dual-Scale Feature Descriptors 被引量:1
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作者 Zijian Zhang Jicang Wu 《Journal of Computer and Communications》 2024年第6期226-245,共20页
To address the current issues of inaccurate segmentation and the limited applicability of segmentation methods for building facades in point clouds, we propose a facade segmentation algorithm based on optimal dual-sca... To address the current issues of inaccurate segmentation and the limited applicability of segmentation methods for building facades in point clouds, we propose a facade segmentation algorithm based on optimal dual-scale feature descriptors. First, we select the optimal dual-scale descriptors from a range of feature descriptors. Next, we segment the facade according to the threshold value of the chosen optimal dual-scale descriptors. Finally, we use RANSAC (Random Sample Consensus) to fit the segmented surface and optimize the fitting result. Experimental results show that, compared to commonly used facade segmentation algorithms, the proposed method yields more accurate segmentation results, providing a robust data foundation for subsequent 3D model reconstruction of buildings. 展开更多
关键词 3D Laser Scanning Point Clouds Building Facade segmentation Point Cloud Processing Feature Descriptors
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U-Net Based Dual-Pooling Segmentation of Bone Metastases in Thoracic SPECT Bone Scintigrams
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作者 Yang He Qiang Lin +1 位作者 Yongchun Cao Zhengxing Man 《Journal of Computer and Communications》 2024年第4期60-71,共12页
In order to enhance the performance of the CNN-based segmentation models for bone metastases, this study proposes a segmentation method that integrates dual-pooling, DAC, and RMP modules. The network consists of disti... In order to enhance the performance of the CNN-based segmentation models for bone metastases, this study proposes a segmentation method that integrates dual-pooling, DAC, and RMP modules. The network consists of distinct feature encoding and decoding stages, with dual-pooling modules employed in encoding stages to maintain the background information needed for bone scintigrams diagnosis. Both the DAC and RMP modules are utilized in the bottleneck layer to address the multi-scale problem of metastatic lesions. Experimental evaluations on 306 clinical SPECT data have demonstrated that the proposed method showcases a substantial improvement in both DSC and Recall scores by 3.28% and 6.55% compared the baseline. Exhaustive case studies illustrate the superiority of the methodology. 展开更多
关键词 Tumor Bone Metastasis Bone Scintigram Lesion segmentation CNN dual Pooling
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Segmentation of Head and Neck Tumors Using Dual PET/CT Imaging:Comparative Analysis of 2D,2.5D,and 3D Approaches Using UNet Transformer
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作者 Mohammed A.Mahdi Shahanawaj Ahamad +3 位作者 Sawsan A.Saad Alaa Dafhalla Alawi Alqushaibi Rizwan Qureshi 《Computer Modeling in Engineering & Sciences》 SCIE EI 2024年第12期2351-2373,共23页
The segmentation of head and neck(H&N)tumors in dual Positron Emission Tomography/Computed Tomogra-phy(PET/CT)imaging is a critical task in medical imaging,providing essential information for diagnosis,treatment p... The segmentation of head and neck(H&N)tumors in dual Positron Emission Tomography/Computed Tomogra-phy(PET/CT)imaging is a critical task in medical imaging,providing essential information for diagnosis,treatment planning,and outcome prediction.Motivated by the need for more accurate and robust segmentation methods,this study addresses key research gaps in the application of deep learning techniques to multimodal medical images.Specifically,it investigates the limitations of existing 2D and 3D models in capturing complex tumor structures and proposes an innovative 2.5D UNet Transformer model as a solution.The primary research questions guiding this study are:(1)How can the integration of convolutional neural networks(CNNs)and transformer networks enhance segmentation accuracy in dual PET/CT imaging?(2)What are the comparative advantages of 2D,2.5D,and 3D model configurations in this context?To answer these questions,we aimed to develop and evaluate advanced deep-learning models that leverage the strengths of both CNNs and transformers.Our proposed methodology involved a comprehensive preprocessing pipeline,including normalization,contrast enhancement,and resampling,followed by segmentation using 2D,2.5D,and 3D UNet Transformer models.The models were trained and tested on three diverse datasets:HeckTor2022,AutoPET2023,and SegRap2023.Performance was assessed using metrics such as Dice Similarity Coefficient,Jaccard Index,Average Surface Distance(ASD),and Relative Absolute Volume Difference(RAVD).The findings demonstrate that the 2.5D UNet Transformer model consistently outperformed the 2D and 3D models across most metrics,achieving the highest Dice and Jaccard values,indicating superior segmentation accuracy.For instance,on the HeckTor2022 dataset,the 2.5D model achieved a Dice score of 81.777 and a Jaccard index of 0.705,surpassing other model configurations.The 3D model showed strong boundary delineation performance but exhibited variability across datasets,while the 2D model,although effective,generally underperformed compared to its 2.5D and 3D counterparts.Compared to related literature,our study confirms the advantages of incorporating additional spatial context,as seen in the improved performance of the 2.5D model.This research fills a significant gap by providing a detailed comparative analysis of different model dimensions and their impact on H&N segmentation accuracy in dual PET/CT imaging. 展开更多
关键词 PET/CT imaging tumor segmentation weighted fusion transformer multi-modal imaging deep learning neural networks clinical oncology
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Lung cancer metastasis-induced distal esophageal segmental spasm confirmed by individualized peroral endoscopic myotomy:A case report
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作者 Hong Shi Su-Yu Chen +2 位作者 Zhao-Fei Xie Li-Lin Lin Yan Jiang 《World Journal of Gastrointestinal Surgery》 SCIE 2024年第10期3321-3327,共7页
BACKGROUND Peroral endoscopic myotomy(POEM)has been widely performed as a standard treatment for achalasia;however,its efficacy and safety for treating distal esophageal segmental spasms induced by cancer metastasis r... BACKGROUND Peroral endoscopic myotomy(POEM)has been widely performed as a standard treatment for achalasia;however,its efficacy and safety for treating distal esophageal segmental spasms induced by cancer metastasis remain unknown.CASE SUMMARY A 72-year-old male was referred to our hospital and complained of progressive dysphagia for two years.Endoscopy revealed a 2 cm long segment esophageal stenosis with intact mucosa and normal cardia.Computed tomography showed a right upper lung mass,and pathology of the right pleural effusion confirmed the diagnosis of right upper lung adenocarcinoma with multiple rib and mediastinal lymph node metastases and right malignant pleural effusion.Individualized POEM was performed first to alleviate dysphagia,and the final diagnosis was changed to esophageal muscle metastasis arising from lung adenocarcinoma.After treatment,the patient could eat soft solid food and received multiple rounds of pembrolizumab-combination chemotherapy.The patient’s progression-free survival was approximately 16 months.Long stable disease was obtained during the 24-month follow-up.CONCLUSION The incidence of distal esophageal segmental spasms induced by muscular metastasis arising from lung adenocarcinoma is extremely low.Individualized POEM can effectively improve a patient’s nutritional status before subsequent chemotherapy can be combined with immune checkpoint inhibitors. 展开更多
关键词 Peroral endoscopic myotomy Distal esophageal segmental spasm Lung cancer Esophageal metastasis Case report
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MG-SLAM: RGB-D SLAM Based on Semantic Segmentation for Dynamic Environment in the Internet of Vehicles 被引量:1
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作者 Fengju Zhang Kai Zhu 《Computers, Materials & Continua》 2025年第2期2353-2372,共20页
The Internet of Vehicles (IoV) has become an important direction in the field of intelligent transportation, in which vehicle positioning is a crucial part. SLAM (Simultaneous Localization and Mapping) technology play... The Internet of Vehicles (IoV) has become an important direction in the field of intelligent transportation, in which vehicle positioning is a crucial part. SLAM (Simultaneous Localization and Mapping) technology plays a crucial role in vehicle localization and navigation. Traditional Simultaneous Localization and Mapping (SLAM) systems are designed for use in static environments, and they can result in poor performance in terms of accuracy and robustness when used in dynamic environments where objects are in constant movement. To address this issue, a new real-time visual SLAM system called MG-SLAM has been developed. Based on ORB-SLAM2, MG-SLAM incorporates a dynamic target detection process that enables the detection of both known and unknown moving objects. In this process, a separate semantic segmentation thread is required to segment dynamic target instances, and the Mask R-CNN algorithm is applied on the Graphics Processing Unit (GPU) to accelerate segmentation. To reduce computational cost, only key frames are segmented to identify known dynamic objects. Additionally, a multi-view geometry method is adopted to detect unknown moving objects. The results demonstrate that MG-SLAM achieves higher precision, with an improvement from 0.2730 m to 0.0135 m in precision. Moreover, the processing time required by MG-SLAM is significantly reduced compared to other dynamic scene SLAM algorithms, which illustrates its efficacy in locating objects in dynamic scenes. 展开更多
关键词 Visual SLAM dynamic scene semantic segmentation GPU acceleration key segmentation frame
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基于Dual-Path Skip-Transformer的轻量级语音增强网络 被引量:1
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作者 琚吴涵 孙成立 +2 位作者 陈飞龙 丁碧云 郭桥生 《计算机工程与应用》 北大核心 2025年第15期209-217,共9页
解耦式语音增强方法将语音去噪任务解耦为幅度估计与复频谱估计两个子任务,可以获得比传统幅度谱语音增强更好的效果。Transformer由于其捕获长距离依赖关系的能力,成为解耦式语音增强模型的关键组件。然而,Transformer较高的计算复杂... 解耦式语音增强方法将语音去噪任务解耦为幅度估计与复频谱估计两个子任务,可以获得比传统幅度谱语音增强更好的效果。Transformer由于其捕获长距离依赖关系的能力,成为解耦式语音增强模型的关键组件。然而,Transformer较高的计算复杂度限制了其在边缘设备的应用。提出了一种解耦式语音增强网络DPST-SENet(dualpath skip-Transformer speech enhancement network)。具体而言,DPST-SENet能够在幅度分支中抑制主要噪声分量,同时在复频谱分支中消除残余噪声并隐式增强相位信息。该网络引入Dual-Path Skip-Transformer模块,它能有效重用Dual-Path Transformer模块建模的信息,在降低参数量和计算复杂度的同时保持出色的性能。实验结果表明,DPST-SENet在48 kHz全频带语音数据集VoiceBank+DEMAND上的语音质量感知评估(perceptual evaluation of speech quality,PESQ)得分为3.16,优于ICASSP 2022深度噪声抑制挑战赛冠军模型MTFAA,且模型参数更少。 展开更多
关键词 语音增强 全频带 双路径网络 并行去噪 轻量化
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Real-world evidence on the efficacy and safety of vonoprazanamoxicillin dual therapy for Helicobacter pylori treatment in elderly patients
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作者 Wen Gao Jing-Wen Li +3 位作者 Hui Ye Xue-Zhi Zhang Jian-Xiang Liu Hong Cheng 《World Journal of Gastroenterology》 SCIE CAS 2025年第1期68-78,共11页
BACKGROUND A dual therapy regimen containing amoxicillin is a common treatment option for the eradication of Helicobacter pylori(H.pylori).While substantial research supports the efficacy and safety of vonoprazan and ... BACKGROUND A dual therapy regimen containing amoxicillin is a common treatment option for the eradication of Helicobacter pylori(H.pylori).While substantial research supports the efficacy and safety of vonoprazan and amoxicillin(VA)dual therapy in the general population,there is still a lack of studies specifically focusing on its safety in elderly patients.AIM To evaluate efficacy and safety of VA dual therapy as first-line or rescue treatment for H.pylori in elderly patients.METHODS As a real-world retrospective study,data were collected from elderly patients aged 60 years and above who accepted VA dual therapy(vonoprazan 20 mg twice daily+amoxicillin 1000 mg thrice daily for 14 days)for H.pylori eradication in the Department of Gastroenterology at Peking University First Hospital between June 2020 and January 2024.H.pylori status was evaluated by^(13)C-urease breath test 6 weeks after treatment.All adverse events(AEs)during treatment were recorded.RESULTS In total,401 cases were screened.Twenty-one cases were excluded due to loss to follow-up,lack of re-examination,or unwillingness to take medication.The total of 380 included cases comprised 250 who received VA dual therapy as first-line treatment and 130 who received VA dual therapy as rescue treatment.H.pylori was successfully eradicated in 239 cases(95.6%)in the first-line treatment group and 116 cases(89.2%)in the rescue treatment group.The overall incidence of AEs was 9.5%for both groups.Specifically,9.2%of patients experienced an AE in the first-line treatment group and 10.0%in the rescue treatment group.Five patients discontinued treatment due to AE,with a discontinuation rate of 1.3%.No serious AE occurred.CONCLUSION The VA dual therapy regimen as a first-line treatment and a rescue therapy was effective and safe for elderly patients aged 60 and older. 展开更多
关键词 Helicobacter pylori Vonoprazan AMOXICILLIN dual therapy ELDERLY
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Dual heterogeneous structure enabled ultrahigh strength and ductility across a broad temperature range in CrCoNi-based medium-entropy alloy 被引量:1
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作者 Kang Tu Bo Li +2 位作者 Zonglin Li Kaisheng Ming Shijian Zheng 《Journal of Materials Science & Technology》 2025年第4期46-59,共14页
Developing alloys with exceptional strength-ductility combinations across a broad temperature range is crucial for advanced structural applications.The emerging face-centered cubic medium-entropy alloys(MEAs)demonstra... Developing alloys with exceptional strength-ductility combinations across a broad temperature range is crucial for advanced structural applications.The emerging face-centered cubic medium-entropy alloys(MEAs)demonstrate outstanding mechanical properties at both ambient and cryogenic temperatures.They are anticipated to extend their applicability to elevated temperatures,owing to their inherent advantages in leveraging multiple strengthening and deformation mechanisms.Here,a dual heterostructure,comprising of heterogeneous grain structure with heterogeneous distribution of the micro-scale Nb-rich Laves phases,is introduced in a CrCoNi-based MEA through thermo-mechanical processing.Additionally,a high-density nano-coherentγ’phase is introduced within the grains through isothermal aging treatments.The superior thermal stability of the heterogeneously distributed precipitates enables the dual heterostructure to persist at temperatures up to 1073 K,allowing the MEA to maintain excellent mechanical properties across a wide temperature range.The yield strength of the dual-heterogeneous-structured MEA reaches up to 1.2 GPa,1.1 GPa,0.8 GPa,and 0.6 GPa,coupled with total elongation values of 28.6%,28.4%,12.6%,and 6.1%at 93 K,298 K,873 K,and 1073 K,respectively.The high yield strength primar-ily stems from precipitation strengthening and hetero-deformation-induced strengthening.The high flow stress and low stacking fault energy of the dual-heterogeneous-structured MEA promote the formation of high-density stacking faults and nanotwins during deformation from 93 K to 1073 K,and their density increase with decreasing deformation temperature.This greatly contributes to the enhanced strainhardening capability and ductility across a wide temperature range.This study offers a practical solution for designing dual-heterogeneous-structured MEAs with both high yield strength and large ductility across a wide temperature range. 展开更多
关键词 Medium-entropy alloy dual heterogeneous structure Strength-ductility synergy Cryogenic temperatures Elevated temperatures
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High-Precision Brain Tumor Segmentation using a Progressive Layered U-Net(PLU-Net)with Multi-Scale Data Augmentation and Attention Mechanisms on Multimodal Magnetic Resonance Imaging 被引量:1
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作者 Noman Ahmed Siddiqui Muhammad Tahir Qadri +1 位作者 Muhammad Ovais Akhter Zain Anwar Ali 《Instrumentation》 2025年第1期77-92,共16页
Brain tumors present significant challenges in medical diagnosis and treatment,where early detection is crucial for reducing morbidity and mortality rates.This research introduces a novel deep learning model,the Progr... Brain tumors present significant challenges in medical diagnosis and treatment,where early detection is crucial for reducing morbidity and mortality rates.This research introduces a novel deep learning model,the Progressive Layered U-Net(PLU-Net),designed to improve brain tumor segmentation accuracy from Magnetic Resonance Imaging(MRI)scans.The PLU-Net extends the standard U-Net architecture by incorporating progressive layering,attention mechanisms,and multi-scale data augmentation.The progressive layering involves a cascaded structure that refines segmentation masks across multiple stages,allowing the model to capture features at different scales and resolutions.Attention gates within the convolutional layers selectively focus on relevant features while suppressing irrelevant ones,enhancing the model's ability to delineate tumor boundaries.Additionally,multi-scale data augmentation techniques increase the diversity of training data and boost the model's generalization capabilities.Evaluated on the BraTS 2021 dataset,the PLU-Net achieved state-of-the-art performance with a dice coefficient of 0.91,specificity of 0.92,sensitivity of 0.89,Hausdorff95 of 2.5,outperforming other modified U-Net architectures in segmentation accuracy.These results underscore the effectiveness of the PLU-Net in improving brain tumor segmentation from MRI scans,supporting clinicians in early diagnosis,treatment planning,and the development of new therapies. 展开更多
关键词 brain tumor segmentation MRI machine learning BraTS deep learning model PLU-Net
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A narrow-band blue emitting phosphor by co-doping Bi^(3+)and alkali metal ions(Li^(+),Na^(+)and K^(+))with dual luminescence center 被引量:1
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作者 Lang Ruan Zeyun Zhou +5 位作者 Yi Hu Ruifeng Peng Xiaoyan Chen Ming Cheng Zhi Zhou Mao Xia 《Journal of Rare Earths》 2025年第3期543-551,I0005,共10页
The technology of solid-state lighting has developed for decades in various industries.Phosphor,as an element part,determines the application domain of lighting products.For instance,blue and redemitting phosphors are... The technology of solid-state lighting has developed for decades in various industries.Phosphor,as an element part,determines the application domain of lighting products.For instance,blue and redemitting phosphors are required in the process of plant supplementing light,arrow-band emitting phosphors are applied to backlight displays,etc.In this work,a Bi^(3+)-activated blue phosphor was obtained in a symmetrical and co mpact crystal structure of Gd3Sb07(GSO).Then,the co-doping strategy of alkali metal ions(Li^(+),Na^(+),and K^(+))was used to optimize the performance.The result shows that the photoluminescence intensity is increased by 2.1 times and 1.3 times respectively by introducing Li~+and K^(+)ions.Not only that,it also achieves narrow-band emitting with the full width of half-maximum(FWHM)reaching 42 nm through Na^(+)doping,and its excitation peak position also shifts from 322 to 375 nm,which can be well excited by near-ultraviolet(NUV)light emitting diode(LED)chips(365 nm).Meanwhile,the electroluminescence spectrum of GSO:0.6 mol%Bi^(3+),3 wt%Na^(+)matches up to 93.39%of the blue part of the absorption spectrum of chlorophyll a.In summary,the Bi^(3+)-activated blue phosphor reported in this work can synchronously meet the requirements of plant light replenishment and field emission displays. 展开更多
关键词 Bismuth ion Alkali metal ion Narrow-band blue emitting dual luminescent centers Rare earths
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