Diego Adame

Diego Adame, Fabian Vazquez, Jose A. Nunez et al.

CNN- and Transformer-based architectures have achieved strong performance in medical image segmentation, but CNNs are limited in modeling long-range dependencies, while Transformers often suffer from quadratic computational and memory complexity. State space models, especially Mamba-based networks, offer an efficient alternative with linear sequence complexity. However, existing Mamba segmentation models still face two limitations: pixel-wise directional scanning can disrupt local 2D spatial structure, and simple summation-based fusion of scan directions cannot adapt well to diverse object sizes, shapes, and boundaries. To address these issues, we propose \textit{Patch-MoE Mamba}, a patch-ordered mixture-of-experts state space architecture for medical image segmentation. It introduces a hierarchical patch-ordered scanning mechanism that preserves local spatial neighborhoods while capturing multi-scale context, and an MoE-based directional fusion module that adaptively combines multiple Mamba scanner outputs using four directional experts, a learnable concatenation expert, and residual directional aggregation. Experiments on five public polyp segmentation benchmarks and the ISIC 2017/2018 skin lesion segmentation datasets demonstrate the effectiveness and generality of Patch-MoE Mamba.

Diego Adame, Jose A. Nunez, Fabian Vazquez et al.

Convolutional neural network (CNN) and Transformer-based architectures are two dominant deep learning models for polyp segmentation. However, CNNs have limited capability for modeling long-range dependencies, while Transformers incur quadratic computational complexity. Recently, State Space Models such as Mamba have been recognized as a promising approach for polyp segmentation because they not only model long-range interactions effectively but also maintain linear computational complexity. However, Mamba-based architectures still struggle to capture topological features (e.g., connected components, loops, voids), leading to inaccurate boundary delineation and polyp segmentation. To address these limitations, we propose a new approach called Topo-VM-UNetV2, which encodes topological features into the Mamba-based state-of-the-art polyp segmentation model, VM-UNetV2. Our method consists of two stages: Stage 1: VM-UNetV2 is used to generate probability maps (PMs) for the training and test images, which are then used to compute topology attention maps. Specifically, we first compute persistence diagrams of the PMs, then we generate persistence score maps by assigning persistence values (i.e., the difference between death and birth times) of each topological feature to its birth location, finally we transform persistence scores into attention weights using the sigmoid function. Stage 2: These topology attention maps are integrated into the semantics and detail infusion (SDI) module of VM-UNetV2 to form a topology-guided semantics and detail infusion (Topo-SDI) module for enhancing the segmentation results. Extensive experiments on five public polyp segmentation datasets demonstrate the effectiveness of our proposed method. The code will be made publicly available.

Pengfei Gu, Haoteng Tang, Islam A. Ebeid et al.

Recent advancements in foundation models, such as the Segment Anything Model (SAM), have shown strong performance in various vision tasks, particularly image segmentation, due to their impressive zero-shot segmentation capabilities. However, effectively adapting such models for medical image classification is still a less explored topic. In this paper, we introduce a new framework to adapt SAM for medical image classification. First, we utilize the SAM image encoder as a feature extractor to capture segmentation-based features that convey important spatial and contextual details of the image, while freezing its weights to avoid unnecessary overhead during training. Next, we propose a novel Spatially Localized Channel Attention (SLCA) mechanism to compute spatially localized attention weights for the feature maps. The features extracted from SAM's image encoder are processed through SLCA to compute attention weights, which are then integrated into deep learning classification models to enhance their focus on spatially relevant or meaningful regions of the image, thus improving classification performance. Experimental results on three public medical image classification datasets demonstrate the effectiveness and data-efficiency of our approach.

Jose Angel Nuñez, Fabian Vazquez, Diego Adame et al.

Colorectal cancer is one of the deadliest cancers today, but it can be prevented through early detection of malignant polyps in the colon, primarily via colonoscopies. While this method has saved many lives, human error remains a significant challenge, as missing a polyp could have fatal consequences for the patient. Deep learning (DL) polyp detectors offer a promising solution. However, existing DL polyp detectors often mistake white light reflections from the endoscope for polyps, which can lead to false positives.To address this challenge, in this paper, we propose a novel data augmentation approach that artificially adds more white light reflections to create harder training scenarios. Specifically, we first generate a bank of artificial lights using the training dataset. Then we find the regions of the training images that we should not add these artificial lights on. Finally, we propose a sliding window method to add the artificial light to the areas that fit of the training images, resulting in augmented images. By providing the model with more opportunities to make mistakes, we hypothesize that it will also have more chances to learn from those mistakes, ultimately improving its performance in polyp detection. Experimental results demonstrate the effectiveness of our new data augmentation method.