# AttResDU-Net: Medical Image Segmentation Using Attention-based Residual Double U-Net

arXiv: https://arxiv.org/abs/2306.14255 · HTML: https://mlsanity.com/paper/2306.14255/

## Key facts

- Cited by 4 papers in the map (data through 14 Oct 2026).
- Builds on 23 of its 38 references that are in the map.
- First posted on arXiv 25 Jun 2023.

## Builds on (most cited first, 23 of 23)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Very Deep Convolutional Networks for Large-Scale Image Recognition](https://mlsanity.com/paper/1409.1556/) (2014)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Squeeze-and-Excitation Networks](https://mlsanity.com/paper/1709.01507/) (2017)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [Rethinking Atrous Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1706.05587/) (2017)
- [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)
- [Attention U-Net: Learning Where to Look for the Pancreas](https://mlsanity.com/paper/1804.03999/) (2018)
- [A Survey on Deep Learning in Medical Image Analysis](https://mlsanity.com/paper/1702.05747/) (2017)
- [Skin Lesion Analysis Toward Melanoma Detection 2018: A Challenge Hosted by the International Skin Imaging Collaboration (ISIC)](https://mlsanity.com/paper/1902.03368/) (2019)
- [Generalised Dice overlap as a deep learning loss function for highly unbalanced segmentations](https://mlsanity.com/paper/1707.03237/) (2017)
- [Albumentations: fast and flexible image augmentations](https://mlsanity.com/paper/1809.06839/) (2018)
- [Skin Lesion Analysis Toward Melanoma Detection: A Challenge at the 2017 International Symposium on Biomedical Imaging (ISBI), Hosted by the International Skin Imaging Collaboration (ISIC)](https://mlsanity.com/paper/1710.05006/) (2017)
- [PraNet: Parallel Reverse Attention Network for Polyp Segmentation](https://mlsanity.com/paper/2006.11392/) (2020)
- [ResUNet++: An Advanced Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1911.07067/) (2019)
- [Medical Image Segmentation Using Deep Learning: A Survey](https://mlsanity.com/paper/2009.13120/) (2020)
- [DS-TransUNet:Dual Swin Transformer U-Net for Medical Image Segmentation](https://mlsanity.com/paper/2106.06716/) (2021)
- [DoubleU-Net: A Deep Convolutional Neural Network for Medical Image Segmentation](https://mlsanity.com/paper/2006.04868/) (2020)
- [UACANet: Uncertainty Augmented Context Attention for Polyp Segmentation](https://mlsanity.com/paper/2107.02368/) (2021)
- [MSRF-Net: A Multi-Scale Residual Fusion Network for Biomedical Image Segmentation](https://mlsanity.com/paper/2105.07451/) (2021)
- [Less is More: Lighter and Faster Deep Neural Architecture for Tomato Leaf Disease Classification](https://mlsanity.com/paper/2109.02394/) (2021)

## Built on by (most cited first, 4 of 4)

- [Polyper: Boundary Sensitive Polyp Segmentation](https://mlsanity.com/paper/2312.08735/) (2023)
- [Rethinking Decoder Design: Improving Biomarker Segmentation Using Depth-to-Space Restoration and Residual Linear Attention](https://mlsanity.com/paper/2506.18335/) (2025)
- [SPEEDNet: Salient Pyramidal Enhancement Encoder-Decoder Network for Colonoscopy Images](https://mlsanity.com/paper/2312.01128/) (2023)
- [Few-Shot Learning Pipeline for Monkeypox Skin Disease Classification Using CNN Feature Extractors](https://mlsanity.com/paper/2605.05034/) (2026)

## Abstract (arXiv)

Manually inspecting polyps from a colonoscopy for colorectal cancer or performing a biopsy on skin lesions for skin cancer are time-consuming, laborious, and complex procedures. Automatic medical image segmentation aims to expedite this diagnosis process. However, numerous challenges exist due to significant variations in the appearance and sizes of objects with no distinct boundaries. This paper proposes an attention-based residual Double U-Net architecture (AttResDU-Net) that improves on the existing medical image segmentation networks. Inspired by the Double U-Net, this architecture incorporates attention gates on the skip connections and residual connections in the convolutional blocks. The attention gates allow the model to retain more relevant spatial information by suppressing irrelevant feature representation from the down-sampling path for which the model learns to focus on target regions of varying shapes and sizes. Moreover, the residual connections help to train deeper models by ensuring better gradient flow. We conducted experiments on three datasets: CVC Clinic-DB, ISIC 2018, and the 2018 Data Science Bowl datasets and achieved Dice Coefficient scores of 94.35%, 91.68% and 92.45% respectively. Our results suggest that AttResDU-Net can be facilitated as a reliable method for automatic medical image segmentation in practice.