# TEC-Net: Vision Transformer Embrace Convolutional Neural Networks for Medical Image Segmentation

arXiv: https://arxiv.org/abs/2306.04086 · HTML: https://mlsanity.com/paper/2306.04086/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 31 of its 52 references that are in the map.
- First posted on arXiv 7 Jun 2023.

## Builds on (most cited first, 30 of 31)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [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)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [Rich feature hierarchies for accurate object detection and semantic segmentation](https://mlsanity.com/paper/1311.2524/) (2013)
- [Pyramid Vision Transformer: A Versatile Backbone for Dense Prediction without Convolutions](https://mlsanity.com/paper/2102.12122/) (2021)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [UNet++: A Nested U-Net Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1807.10165/) (2018)
- [Deformable Convolutional Networks](https://mlsanity.com/paper/1703.06211/) (2017)
- [3D U-Net: Learning Dense Volumetric Segmentation from Sparse Annotation](https://mlsanity.com/paper/1606.06650/) (2016)
- [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)
- [CvT: Introducing Convolutions to Vision Transformers](https://mlsanity.com/paper/2103.15808/) (2021)
- [Skin Lesion Analysis Toward Melanoma Detection 2018: A Challenge Hosted by the International Skin Imaging Collaboration (ISIC)](https://mlsanity.com/paper/1902.03368/) (2019)
- [The Liver Tumor Segmentation Benchmark (LiTS)](https://mlsanity.com/paper/1901.04056/) (2019)
- [Self-Supervised Pre-Training of Swin Transformers for 3D Medical Image Analysis](https://mlsanity.com/paper/2111.14791/) (2021)
- [GhostNet: More Features from Cheap Operations](https://mlsanity.com/paper/1911.11907/) (2019)
- [Dynamic Convolution: Attention over Convolution Kernels](https://mlsanity.com/paper/1912.03458/) (2019)
- [Medical Transformer: Gated Axial-Attention for Medical Image Segmentation](https://mlsanity.com/paper/2102.10662/) (2021)
- [Transformers in Medical Imaging: A Survey](https://mlsanity.com/paper/2201.09873/) (2022)
- [CE-Net: Context Encoder Network for 2D Medical Image Segmentation](https://mlsanity.com/paper/1903.02740/) (2019)
- [UCTransNet: Rethinking the Skip Connections in U-Net from a Channel-wise Perspective with Transformer](https://mlsanity.com/paper/2109.04335/) (2021)
- [Recurrent Residual Convolutional Neural Network based on U-Net (R2U-Net) for Medical Image Segmentation](https://mlsanity.com/paper/1802.06955/) (2018)
- [Transformation Consistent Self-ensembling Model for Semi-supervised Medical Image Segmentation](https://mlsanity.com/paper/1903.00348/) (2019)
- [CrossFormer: A Versatile Vision Transformer Hinging on Cross-scale Attention](https://mlsanity.com/paper/2108.00154/) (2021)
- [Involution: Inverting the Inherence of Convolution for Visual Recognition](https://mlsanity.com/paper/2103.06255/) (2021)
- [CA-Net: Comprehensive Attention Convolutional Neural Networks for Explainable Medical Image Segmentation](https://mlsanity.com/paper/2009.10549/) (2020)
- [Boundary-aware Transformers for Skin Lesion Segmentation](https://mlsanity.com/paper/2110.03864/) (2021)

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

- [A Recent Survey of Vision Transformers for Medical Image Segmentation](https://mlsanity.com/paper/2312.00634/) (2023)

## Abstract (arXiv)

The hybrid architecture of convolution neural networks (CNN) and Transformer has been the most popular method for medical image segmentation. However, the existing networks based on the hybrid architecture suffer from two problems. First, although the CNN branch can capture image local features by using convolution operation, the vanilla convolution is unable to achieve adaptive extraction of image features. Second, although the Transformer branch can model the global information of images, the conventional self-attention only focuses on the spatial self-attention of images and ignores the channel and cross-dimensional self-attention leading to low segmentation accuracy for medical images with complex backgrounds. To solve these problems, we propose vision Transformer embrace convolutional neural networks for medical image segmentation (TEC-Net). Our network has two advantages. First, dynamic deformable convolution (DDConv) is designed in the CNN branch, which not only overcomes the difficulty of adaptive feature extraction using fixed-size convolution kernels, but also solves the defect that different inputs share the same convolution kernel parameters, effectively improving the feature expression ability of CNN branch. Second, in the Transformer branch, a (shifted)-window adaptive complementary attention module ((S)W-ACAM) and compact convolutional projection are designed to enable the network to fully learn the cross-dimensional long-range dependency of medical images with few parameters and calculations. Experimental results show that the proposed TEC-Net provides better medical image segmentation results than SOTA methods including CNN and Transformer networks. In addition, our TEC-Net requires fewer parameters and computational costs and does not rely on pre-training. The code is publicly available at https://github.com/SR0920/TEC-Net.