mlsanityData to 7 Oct 2026

UNet 3+: A Full-Scale Connected UNet for Medical Image Segmentation

arXiv 2004.08790 ↗First posted 19 Apr 2020eess.IV cs.CV cs.LGcited by 331

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Abstract (arXiv)

Recently, a growing interest has been seen in deep learning-based semantic segmentation. UNet, which is one of deep learning networks with an encoder-decoder architecture, is widely used in medical image segmentation. Combining multi-scale features is one of important factors for accurate segmentation. UNet++ was developed as a modified Unet by designing an architecture with nested and dense skip connections. However, it does not explore sufficient information from full scales and there is still a large room for improvement. In this paper, we propose a novel UNet 3+, which takes advantage of full-scale skip connections and deep supervisions. The full-scale skip connections incorporate low-level details with high-level semantics from feature maps in different scales; while the deep supervision learns hierarchical representations from the full-scale aggregated feature maps. The proposed method is especially benefiting for organs that appear at varying scales. In addition to accuracy improvements, the proposed UNet 3+ can reduce the network parameters to improve the computation efficiency. We further propose a hybrid loss function and devise a classification-guided module to enhance the organ boundary and reduce the over-segmentation in a non-organ image, yielding more accurate segmentation results. The effectiveness of the proposed method is demonstrated on two datasets. The code is available at: github.com/ZJUGiveLab/UNet-Version

Key facts. Cited by 331 papers in the map (data through 7 Oct 2026). First posted on arXiv 19 Apr 2020.

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Cited by year (2026 to 7 Oct)

Citing papers per year: 2021: 26; 2022: 61; 2023: 69; 2024: 79; 2025: 62; 2026: 34.

331 papers.

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  1. 2021Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentationcited by 1,218
  2. 2021Medical Transformer: Gated Axial-Attention for Medical Image Segmentationcited by 319
  3. 2021UCTransNet: Rethinking the Skip Connections in U-Net from a Channel-wise Perspective with Transformercited by 197
  4. 2022Medical Image Segmentation Review: The success of U-Netcited by 190
  5. 2022UNeXt: MLP-based Rapid Medical Image Segmentation Networkcited by 185
  6. 2024U-KAN Makes Strong Backbone for Medical Image Segmentation and Generationcited by 176
  7. 2021Dense Nested Attention Network for Infrared Small Target Detectioncited by 132
  8. 2021DS-TransUNet:Dual Swin Transformer U-Net for Medical Image Segmentationcited by 126
  9. 2024FeatUp: A Model-Agnostic Framework for Features at Any Resolutioncited by 114
  10. 2022UNETR++: Delving into Efficient and Accurate 3D Medical Image Segmentationcited by 112
  11. 2021MISSFormer: An Effective Medical Image Segmentation Transformercited by 103
  12. 2021Mixed Transformer U-Net For Medical Image Segmentationcited by 95
38 more
  1. 2022HiFormer: Hierarchical Multi-scale Representations Using Transformers for Medical Image Segmentationcited by 94
  2. 2023Semantic Segmentation using Vision Transformers: A surveycited by 73
  3. 2024EMCAD: Efficient Multi-scale Convolutional Attention Decoding for Medical Image Segmentationcited by 64
  4. 2022MALUNet: A Multi-Attention and Light-weight UNet for Skin Lesion Segmentationcited by 59
  5. 2021Medical Image Segmentation Using Squeeze-and-Expansion Transformerscited by 56
  6. 2021AFTer-UNet: Axial Fusion Transformer UNet for Medical Image Segmentationcited by 48
  7. 2024BigGait: Learning Gait Representation You Want by Large Vision Modelscited by 44
  8. 2022AAU-net: An Adaptive Attention U-net for Breast Lesions Segmentation in Ultrasound Imagescited by 43
  9. 2022DCSAU-Net: A Deeper and More Compact Split-Attention U-Net for Medical Image Segmentationcited by 37
  10. 2022D-Former: A U-shaped Dilated Transformer for 3D Medical Image Segmentationcited by 35
  11. 2022TransNorm: Transformer Provides a Strong Spatial Normalization Mechanism for a Deep Segmentation Modelcited by 34
  12. 2023Multi-scale Hierarchical Vision Transformer with Cascaded Attention Decoding for Medical Image Segmentationcited by 34
  13. 2022Contextual Attention Network: Transformer Meets U-Netcited by 33
  14. 2023CMUNeXt: An Efficient Medical Image Segmentation Network based on Large Kernel and Skip Fusioncited by 31
  15. 2022CMU-Net: A Strong ConvMixer-based Medical Ultrasound Image Segmentation Networkcited by 29
  16. 2022DAE-Former: Dual Attention-guided Efficient Transformer for Medical Image Segmentationcited by 27
  17. 2023Advancing Parsimonious Deep Learning Weather Prediction using the HEALPix Meshcited by 27
  18. 2024Cross-Modal Conditioned Reconstruction for Language-guided Medical Image Segmentationcited by 27
  19. 2021More than Encoder: Introducing Transformer Decoder to Upsamplecited by 26
  20. 2024Modality-agnostic Domain Generalizable Medical Image Segmentation by Multi-Frequency in Multi-Scale Attentioncited by 26
  21. 2024M4oE: A Foundation Model for Medical Multimodal Image Segmentation with Mixture of Expertscited by 26
  22. 2022YOLOPv2: Better, Faster, Stronger for Panoptic Driving Perceptioncited by 25
  23. 2025MedSAM3: Delving into Segment Anything with Medical Conceptscited by 25
  24. 2024UN-SAM: Universal Prompt-Free Segmentation for Generalized Nuclei Imagescited by 22
  25. 2023G-CASCADE: Efficient Cascaded Graph Convolutional Decoding for 2D Medical Image Segmentationcited by 21
  26. 2021Hierarchical Self-Supervised Learning for Medical Image Segmentation Based on Multi-Domain Data Aggregationcited by 18
  27. 2024Pick of the Bunch: Detecting Infrared Small Targets Beyond Hit-Miss Trade-Offs via Selective Rank-Aware Attentioncited by 17
  28. 2021Adaptive Contrast for Image Regression in Computer-Aided Disease Assessmentcited by 16
  29. 2023DA-TransUNet: Integrating Spatial and Channel Dual Attention with Transformer U-Net for Medical Image Segmentationcited by 16
  30. 2023E2ENet: Dynamic Sparse Feature Fusion for Accurate and Efficient 3D Medical Image Segmentationcited by 16
  31. 2024GM-DF: Generalized Multi-Scenario Deepfake Detectioncited by 16
  32. 2021BiX-NAS: Searching Efficient Bi-directional Architecture for Medical Image Segmentationcited by 13
  33. 2022Global Extreme Heat Forecasting Using Neural Weather Modelscited by 13
  34. 2022Rethinking the Unpretentious U-net for Medical Ultrasound Image Segmentationcited by 13
  35. 2023Adjacent-Level Feature Cross-Fusion With 3-D CNN for Remote Sensing Image Change Detectioncited by 13
  36. 2023Boundary Difference Over Union Loss For Medical Image Segmentationcited by 13
  37. 2024HiDiff: Hybrid Diffusion Framework for Medical Image Segmentationcited by 13
  38. 2024SegStitch: Multidimensional Transformer for Robust and Efficient Medical Imaging Segmentationcited by 13

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