IEA-Net: Internal and External Dual-Attention Medical Segmentation Network with High-Performance Convolutional Blocks

Currently, deep learning is developing rapidly in the field of image segmentation, and medical image segmentation is one of the key applications in this field. Conventional CNN has achieved great success in general medical image segmentation tasks, but it has feature loss in the feature extraction part and lacks the ability to explicitly model remote dependencies, which makes it difficult to adapt to the task of human organ segmentation. Although methods containing attention mechanisms have made good progress in the field of semantic segmentation, most of the current attention mechanisms are limited to a single sample, while the number of samples of human organ images is large, ignoring the correlation between the samples is not conducive to image segmentation. In order to solve these problems, an internal and external dual-attention segmentation network (IEA-Net) is proposed in this paper, and the ICSwR (interleaved convolutional system with residual) module and the IEAM module are designed in this network. The ICSwR contains interleaved convolution and hopping connection, which are used for the initial extraction of the features in the encoder part. The IEAM module (internal and external dual-attention module) consists of the LGGW-SA (local-global Gaussian-weighted self-attention) module and the EA module, which are in a tandem structure. The LGGW-SA module focuses on learning local-global feature correlations within individual samples for efficient feature extraction. Meanwhile, the EA module is designed to capture inter-sample connections, addressing multi-sample complexities. Additionally, skip connections will be incorporated into each IEAM module within both the encoder and decoder to reduce feature loss. We tested our method on the Synapse multi-organ segmentation dataset and the ACDC cardiac segmentation dataset, and the experimental results show that the proposed method achieves better performance than other state-of-the-art methods.