Jiayan Chen

Jiayan Chen, Kai Li, Zhanjin Wang et al.

Hepatic echinococcosis (HE) is a prevalent disease in economically underdeveloped pastoral areas, where adequate medical resources are usually lacking. Existing methods often ignore multi-scale feature fusion or focus only on feature fusion between adjacent levels, which may lead to insufficient feature fusion. To address these issues, we propose HES-UNet, an efficient and accurate model for HE lesion segmentation. This model combines convolutional layers and attention modules to capture local and global features. During downsampling, the multi-directional downsampling block (MDB) is employed to integrate high-frequency and low-frequency features, effectively extracting image details. The multi-scale aggregation block (MAB) aggregates multi-scale feature information. In contrast, the multi-scale upsampling Block (MUB) learns highly abstract features and supplies this information to the skip connection module to fuse multi-scale features. Due to the distinct regional characteristics of HE, there is currently no publicly available high-quality dataset for training our model. We collected CT slice data from 268 patients at a certain hospital to train and evaluate the model. The experimental results show that HES-UNet achieves state-of-the-art performance on our dataset, achieving an overall Dice Similarity Coefficient (DSC) of 89.21%, which is 1.09% higher than that of TransUNet. The project page is available at https://chenjiayan-qhu.github.io/HES-UNet-page.

Jiayan Chen, Kai Li, Yulu Zhao et al.

Hepatic echinococcosis (HE) is a widespread parasitic disease in underdeveloped pastoral areas with limited medical resources. While CNN-based and Transformer-based models have been widely applied to medical image segmentation, CNNs lack global context modeling due to local receptive fields, and Transformers, though capable of capturing long-range dependencies, are computationally expensive. Recently, state space models (SSMs), such as Mamba, have gained attention for their ability to model long sequences with linear complexity. In this paper, we propose EAGLE, a U-shaped network composed of a Progressive Visual State Space (PVSS) encoder and a Hybrid Visual State Space (HVSS) decoder that work collaboratively to achieve efficient and accurate segmentation of hepatic echinococcosis (HE) lesions. The proposed Convolutional Vision State Space Block (CVSSB) module is designed to fuse local and global features, while the Haar Wavelet Transformation Block (HWTB) module compresses spatial information into the channel dimension to enable lossless downsampling. Due to the lack of publicly available HE datasets, we collected CT slices from 260 patients at a local hospital. Experimental results show that EAGLE achieves state-of-the-art performance with a Dice Similarity Coefficient (DSC) of 89.76%, surpassing MSVM-UNet by 1.61%.