mlsanityData to 7 Oct 2026

Medical Image Segmentation Review: The success of U-Net

arXiv 2211.14830 ↗First posted 27 Nov 2022eess.IV cs.CVcited by 190

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Abstract (arXiv)

Automatic medical image segmentation is a crucial topic in the medical domain and successively a critical counterpart in the computer-aided diagnosis paradigm. U-Net is the most widespread image segmentation architecture due to its flexibility, optimized modular design, and success in all medical image modalities. Over the years, the U-Net model achieved tremendous attention from academic and industrial researchers. Several extensions of this network have been proposed to address the scale and complexity created by medical tasks. Addressing the deficiency of the naive U-Net model is the foremost step for vendors to utilize the proper U-Net variant model for their business. Having a compendium of different variants in one place makes it easier for builders to identify the relevant research. Also, for ML researchers it will help them understand the challenges of the biological tasks that challenge the model. To address this, we discuss the practical aspects of the U-Net model and suggest a taxonomy to categorize each network variant. Moreover, to measure the performance of these strategies in a clinical application, we propose fair evaluations of some unique and famous designs on well-known datasets. We provide a comprehensive implementation library with trained models for future research. In addition, for ease of future studies, we created an online list of U-Net papers with their possible official implementation. All information is gathered in https://github.com/NITR098/Awesome-U-Net repository.

Key facts. Cited by 190 papers in the map (data through 7 Oct 2026). Builds on 116 of its 198 references that are in the map. First posted on arXiv 27 Nov 2022.

Builds on

116 of 198 references.

References · 116

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50 most cited of 116 All 116 (JSON)

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Cited by year (2026 to 7 Oct)

Citing papers per year: 2022: 1; 2023: 23; 2024: 43; 2025: 86; 2026: 37.

190 papers.

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  1. 2024Exploring scalable medical image encoders beyond text supervisioncited by 129
  2. 2023Implicit Neural Representation in Medical Imaging: A Comparative Surveycited by 88
  3. 2023Foundational Models in Medical Imaging: A Comprehensive Survey and Future Visioncited by 74
  4. 2024Large-Scale 3D Medical Image Pre-training with Geometric Context Priorscited by 34
  5. 2023Loss Functions in the Era of Semantic Segmentation: A Survey and Outlookcited by 33
  6. 2023Beyond Self-Attention: Deformable Large Kernel Attention for Medical Image Segmentationcited by 30
  7. 2024Interactive Medical Image Segmentation: A Benchmark Dataset and Baselinecited by 30
  8. 2024Foundation Models for Biomedical Image Segmentation: A Surveycited by 28
  9. 2022DAE-Former: Dual Attention-guided Efficient Transformer for Medical Image Segmentationcited by 27
  10. 2024Cross-Modal Conditioned Reconstruction for Language-guided Medical Image Segmentationcited by 27
  11. 2023Continual Learning in Medical Image Analysis: A Comprehensive Review of Recent Advancements and Future Prospectscited by 22
  12. 2025Noise-Consistent Siamese-Diffusion for Medical Image Synthesis and Segmentationcited by 21
38 more
  1. 2024Retrieval-augmented Few-shot Medical Image Segmentation with Foundation Modelscited by 20
  2. 2025SegDINO: An Efficient Design for Medical and Natural Image Segmentation with DINO-V3cited by 20
  3. 2023DA-TransUNet: Integrating Spatial and Channel Dual Attention with Transformer U-Net for Medical Image Segmentationcited by 16
  4. 2025Boosting Vision Semantic Density with Anatomy Normality Modeling for Medical Vision-language Pre-trainingcited by 14
  5. 2023DermoSegDiff: A Boundary-aware Segmentation Diffusion Model for Skin Lesion Delineationcited by 12
  6. 2025MRI-CORE: A Foundation Model for Magnetic Resonance Imagingcited by 12
  7. 2023Enhancing Medical Image Segmentation with TransCeption: A Multi-Scale Feature Fusion Approachcited by 11
  8. 2023Learning with Explicit Shape Priors for Medical Image Segmentationcited by 10
  9. 2023Deep Learning in Breast Cancer Imaging: A Decade of Progress and Future Directionscited by 10
  10. 2025Diffusion-empowered AutoPrompt MedSAMcited by 10
  11. 2024Benchmarking Deep Learning Models on NVIDIA Jetson Nano for Real-Time Systems: An Empirical Investigationcited by 9
  12. 2024Conformal Performance Range Prediction for Segmentation Output Quality Controlcited by 8
  13. 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Reviewcited by 8
  14. 2025Recent Advances in Medical Imaging Segmentation: A Surveycited by 8
  15. 2025MAUP: Training-free Multi-center Adaptive Uncertainty-aware Prompting for Cross-domain Few-shot Medical Image Segmentationcited by 8
  16. 2023Comparative Analysis of Segment Anything Model and U-Net for Breast Tumor Detection in Ultrasound and Mammography Imagescited by 7
  17. 2024BRAU-Net++: U-Shaped Hybrid CNN-Transformer Network for Medical Image Segmentationcited by 7
  18. 2024Pathology Foundation Modelscited by 7
  19. 2024SAM-Mamba: Mamba Guided SAM Architecture for Generalized Zero-Shot Polyp Segmentationcited by 7
  20. 2025MIRAGE: Multimodal foundation model and benchmark for comprehensive retinal OCT image analysiscited by 7
  21. 2025LVM4CSI: Enabling Direct Application of Pre-Trained Large Vision Models for Wireless Channel Taskscited by 7
  22. 2023U-Netmer: U-Net meets Transformer for medical image segmentationcited by 6
  23. 2023SA2-Net: Scale-aware Attention Network for Microscopic Image Segmentationcited by 6
  24. 2025Alleviating Textual Reliance in Medical Language-guided Segmentation via Prototype-driven Semantic Approximationcited by 6
  25. 2025Generalized Parallel Scaling with Interdependent Generationscited by 6
  26. 2023Self-supervised Semantic Segmentation: Consistency over Transformationcited by 5
  27. 2024MSA2Net: Multi-scale Adaptive Attention-guided Network for Medical Image Segmentationcited by 5
  28. 2025You Point, I Learn: Online Adaptation of Interactive Segmentation Models for Handling Distribution Shifts in Medical Imagingcited by 5
  29. 2025From Gaze to Insight: Bridging Human Visual Attention and Vision Language Model Explanation for Weakly-Supervised Medical Image Segmentationcited by 5
  30. 2025CENet: Context Enhancement Network for Medical Image Segmentationcited by 5
  31. 2025MambaVesselNet++: A Hybrid CNN-Mamba Architecture for Medical Image Segmentationcited by 5
  32. 2025Uncertainty-aware Cross-training for Semi-supervised Medical Image Segmentationcited by 5
  33. 2024LHU-Net: a Lean Hybrid U-Net for Cost-efficient, High-performance Volumetric Segmentationcited by 4
  34. 2024SkinMamba: A Precision Skin Lesion Segmentation Architecture with Cross-Scale Global State Modeling and Frequency Boundary Guidancecited by 4
  35. 2024A Physics-Inspired Deep Learning Framework with Polar Coordinate Attention for Ptychographic Imagingcited by 4
  36. 2025A Physics-Informed Deep Learning Model for MRI Brain Motion Correctioncited by 4
  37. 2025DiffAtlas: GenAI-fying Atlas Segmentation via Image-Mask Diffusioncited by 4
  38. 2025Zeus: Zero-shot LLM Instruction for Union Segmentation in Multimodal Medical Imagingcited by 4

50 most cited of 190 All 190 (JSON)