# CASPIANET++: A Multidimensional Channel-Spatial Asymmetric Attention Network with Noisy Student Curriculum Learning Paradigm for Brain Tumor Segmentation

arXiv: https://arxiv.org/abs/2107.04099 · HTML: https://mlsanity.com/paper/2107.04099/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 25 of its 51 references that are in the map.
- First posted on arXiv 8 Jul 2021.

## Builds on (most cited first, 25 of 25)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [mixup: Beyond Empirical Risk Minimization](https://mlsanity.com/paper/1710.09412/) (2017)
- [Fully Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1411.4038/) (2014)
- [Squeeze-and-Excitation Networks](https://mlsanity.com/paper/1709.01507/) (2017)
- [Attention U-Net: Learning Where to Look for the Pancreas](https://mlsanity.com/paper/1804.03999/) (2018)
- [Self-training with Noisy Student improves ImageNet classification](https://mlsanity.com/paper/1911.04252/) (2019)
- [Simple Copy-Paste is a Strong Data Augmentation Method for Instance Segmentation](https://mlsanity.com/paper/2012.07177/) (2020)
- [Rethinking Pre-training and Self-training](https://mlsanity.com/paper/2006.06882/) (2020)
- [3D MRI brain tumor segmentation using autoencoder regularization](https://mlsanity.com/paper/1810.11654/) (2018)
- [Attention Gated Networks: Learning to Leverage Salient Regions in Medical Images](https://mlsanity.com/paper/1808.08114/) (2018)
- [Efficient Multi-Scale 3D CNN with Fully Connected CRF for Accurate Brain Lesion Segmentation](https://mlsanity.com/paper/1603.05959/) (2016)
- [Hierarchical Multi-Scale Attention for Semantic Segmentation](https://mlsanity.com/paper/2005.10821/) (2020)
- [Brain Tumor Segmentation with Deep Neural Networks](https://mlsanity.com/paper/1505.03540/) (2015)
- [Concurrent Spatial and Channel Squeeze & Excitation in Fully Convolutional Networks](https://mlsanity.com/paper/1803.02579/) (2018)
- [nnU-Net for Brain Tumor Segmentation](https://mlsanity.com/paper/2011.00848/) (2020)
- [Multi-scale self-guided attention for medical image segmentation](https://mlsanity.com/paper/1906.02849/) (2019)
- [SegNet: A Deep Convolutional Encoder-Decoder Architecture for Robust Semantic Pixel-Wise Labelling](https://mlsanity.com/paper/1505.07293/) (2015)
- [Attention-Guided Curriculum Learning for Weakly Supervised Classification and Localization of Thoracic Diseases on Chest Radiographs](https://mlsanity.com/paper/1807.07532/) (2018)
- [3D Dilated Multi-Fiber Network for Real-time Brain Tumor Segmentation in MRI](https://mlsanity.com/paper/1904.03355/) (2019)
- [One-pass Multi-task Networks with Cross-task Guided Attention for Brain Tumor Segmentation](https://mlsanity.com/paper/1906.01796/) (2019)
- [Modality-Pairing Learning for Brain Tumor Segmentation](https://mlsanity.com/paper/2010.09277/) (2020)
- [Autofocus Layer for Semantic Segmentation](https://mlsanity.com/paper/1805.08403/) (2018)
- [ROAM: Random Layer Mixup for Semi-Supervised Learning in Medical Imaging](https://mlsanity.com/paper/2003.09439/) (2020)
- [Transfer Learning for Brain Tumor Segmentation](https://mlsanity.com/paper/1912.12452/) (2019)

## Built on by (most cited first, 1 of 1)

- [RADIFUSION: A multi-radiomics deep learning based breast cancer risk prediction model using sequential mammographic images with image attention and bilateral asymmetry refinement](https://mlsanity.com/paper/2304.00257/) (2023)

## Abstract (arXiv)

Convolutional neural networks (CNNs) have been used quite successfully for semantic segmentation of brain tumors. However, current CNNs and attention mechanisms are stochastic in nature and neglect the morphological indicators used by radiologists to manually annotate regions of interest. In this paper, we introduce a channel and spatial wise asymmetric attention (CASPIAN) by leveraging the inherent structure of tumors to detect regions of saliency. To demonstrate the efficacy of our proposed layer, we integrate this into a well-established convolutional neural network (CNN) architecture to achieve higher Dice scores, with less GPU resources. Also, we investigate the inclusion of auxiliary multiscale and multiplanar attention branches to increase the spatial context crucial in semantic segmentation tasks. The resulting architecture is the new CASPIANET++, which achieves Dice Scores of 91.19% whole tumor, 87.6% for tumor core and 81.03% for enhancing tumor. Furthermore, driven by the scarcity of brain tumor data, we investigate the Noisy Student method for segmentation tasks. Our new Noisy Student Curriculum Learning paradigm, which infuses noise incrementally to increase the complexity of the training images exposed to the network, further boosts the enhancing tumor region to 81.53%. Additional validation performed on the BraTS2020 data shows that the Noisy Student Curriculum Learning method works well without any additional training or finetuning.
