# TransClaw U-Net: Claw U-Net with Transformers for Medical Image Segmentation

arXiv: https://arxiv.org/abs/2107.05188 · HTML: https://mlsanity.com/paper/2107.05188/

## Key facts

- Cited by 41 papers in the map (data through 14 Oct 2026).
- Builds on 24 of its 33 references that are in the map.
- First posted on arXiv 12 Jul 2021.

## Builds on (most cited first, 24 of 24)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Fully Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1411.4038/) (2014)
- [Training data-efficient image transformers & distillation through attention](https://mlsanity.com/paper/2012.12877/) (2020)
- [Aggregated Residual Transformations for Deep Neural Networks](https://mlsanity.com/paper/1611.05431/) (2016)
- [Pyramid Scene Parsing Network](https://mlsanity.com/paper/1612.01105/) (2016)
- [Non-local Neural Networks](https://mlsanity.com/paper/1711.07971/) (2017)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [Attention U-Net: Learning Where to Look for the Pancreas](https://mlsanity.com/paper/1804.03999/) (2018)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [UNETR: Transformers for 3D Medical Image Segmentation](https://mlsanity.com/paper/2103.10504/) (2021)
- [Deformable ConvNets v2: More Deformable, Better Results](https://mlsanity.com/paper/1811.11168/) (2018)
- [UNet++: Redesigning Skip Connections to Exploit Multiscale Features in Image Segmentation](https://mlsanity.com/paper/1912.05074/) (2019)
- [Relation Networks for Object Detection](https://mlsanity.com/paper/1711.11575/) (2017)
- [Attention Gated Networks: Learning to Leverage Salient Regions in Medical Images](https://mlsanity.com/paper/1808.08114/) (2018)
- [CE-Net: Context Encoder Network for 2D Medical Image Segmentation](https://mlsanity.com/paper/1903.02740/) (2019)
- [Recurrent Residual Convolutional Neural Network based on U-Net (R2U-Net) for Medical Image Segmentation](https://mlsanity.com/paper/1802.06955/) (2018)
- [Domain Adaptive Relational Reasoning for 3D Multi-Organ Segmentation](https://mlsanity.com/paper/2005.09120/) (2020)
- [Automatic 3D Cardiovascular MR Segmentation with Densely-Connected Volumetric ConvNets](https://mlsanity.com/paper/1708.00573/) (2017)
- [Claw U-Net: A Unet-based Network with Deep Feature Concatenation for Scleral Blood Vessel Segmentation](https://mlsanity.com/paper/2010.10163/) (2020)

## Built on by (most cited first, 30 of 41)

- [Transformers in Medical Imaging: A Survey](https://mlsanity.com/paper/2201.09873/) (2022)
- [nnFormer: Interleaved Transformer for Volumetric Segmentation](https://mlsanity.com/paper/2109.03201/) (2021)
- [Mixed Transformer U-Net For Medical Image Segmentation](https://mlsanity.com/paper/2111.04734/) (2021)
- [Transformers in Medical Image Analysis: A Review](https://mlsanity.com/paper/2202.12165/) (2022)
- [Transforming medical imaging with Transformers? A comparative review of key properties, current progresses, and future perspectives](https://mlsanity.com/paper/2206.01136/) (2022)
- [The Fully Convolutional Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2206.00566/) (2022)
- [SegFormer3D: an Efficient Transformer for 3D Medical Image Segmentation](https://mlsanity.com/paper/2404.10156/) (2024)
- [Cross-Modal Conditioned Reconstruction for Language-guided Medical Image Segmentation](https://mlsanity.com/paper/2404.02845/) (2024)
- [Transformers in Healthcare: A Survey](https://mlsanity.com/paper/2307.00067/) (2023)
- [A survey on attention mechanisms for medical applications: are we moving towards better algorithms?](https://mlsanity.com/paper/2204.12406/) (2022)
- [BATFormer: Towards Boundary-Aware Lightweight Transformer for Efficient Medical Image Segmentation](https://mlsanity.com/paper/2206.14409/) (2022)
- [SMAFormer: Synergistic Multi-Attention Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2409.00346/) (2024)
- [Pretrained ViTs Yield Versatile Representations For Medical Images](https://mlsanity.com/paper/2303.07034/) (2023)
- [SegStitch: Multidimensional Transformer for Robust and Efficient Medical Imaging Segmentation](https://mlsanity.com/paper/2408.00496/) (2024)
- [MIST: Medical Image Segmentation Transformer with Convolutional Attention Mixing (CAM) Decoder](https://mlsanity.com/paper/2310.19898/) (2023)
- [The Lighter The Better: Rethinking Transformers in Medical Image Segmentation Through Adaptive Pruning](https://mlsanity.com/paper/2206.14413/) (2022)
- [Attention Mechanisms in Medical Image Segmentation: A Survey](https://mlsanity.com/paper/2305.17937/) (2023)
- [MaxViT-UNet: Multi-Axis Attention for Medical Image Segmentation](https://mlsanity.com/paper/2305.08396/) (2023)
- [MISSU: 3D Medical Image Segmentation via Self-distilling TransUNet](https://mlsanity.com/paper/2206.00902/) (2022)
- [RWKV-UNet: Improving UNet with Long-Range Cooperation for Effective Medical Image Segmentation](https://mlsanity.com/paper/2501.08458/) (2025)
- [UNet-2022: Exploring Dynamics in Non-isomorphic Architecture](https://mlsanity.com/paper/2210.15566/) (2022)
- [Transformers Meet Visual Learning Understanding: A Comprehensive Review](https://mlsanity.com/paper/2203.12944/) (2022)
- [Full Contextual Attention for Multi-resolution Transformers in Semantic Segmentation](https://mlsanity.com/paper/2212.07890/) (2022)
- [SwinCross: Cross-modal Swin Transformer for Head-and-Neck Tumor Segmentation in PET/CT Images](https://mlsanity.com/paper/2302.03861/) (2023)
- [CIS-UNet: Multi-Class Segmentation of the Aorta in Computed Tomography Angiography via Context-Aware Shifted Window Self-Attention](https://mlsanity.com/paper/2401.13049/) (2024)
- [HResFormer: Hybrid Residual Transformer for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/2412.11458/) (2024)
- [Towards more precise automatic analysis: a comprehensive survey of deep learning-based multi-organ segmentation](https://mlsanity.com/paper/2303.00232/) (2023)
- [Unlocking Fine-Grained Details with Wavelet-based High-Frequency Enhancement in Transformers](https://mlsanity.com/paper/2308.13442/) (2023)
- [Deep models for stroke segmentation: do complex architectures always perform better?](https://mlsanity.com/paper/2403.17177/) (2024)
- [Characterizing Renal Structures with 3D Block Aggregate Transformers](https://mlsanity.com/paper/2203.02430/) (2022)

## Abstract (arXiv)

In recent years, computer-aided diagnosis has become an increasingly popular topic. Methods based on convolutional neural networks have achieved good performance in medical image segmentation and classification. Due to the limitations of the convolution operation, the long-term spatial features are often not accurately obtained. Hence, we propose a TransClaw U-Net network structure, which combines the convolution operation with the transformer operation in the encoding part. The convolution part is applied for extracting the shallow spatial features to facilitate the recovery of the image resolution after upsampling. The transformer part is used to encode the patches, and the self-attention mechanism is used to obtain global information between sequences. The decoding part retains the bottom upsampling structure for better detail segmentation performance. The experimental results on Synapse Multi-organ Segmentation Datasets show that the performance of TransClaw U-Net is better than other network structures. The ablation experiments also prove the generalization performance of TransClaw U-Net.