# Multi-level feature fusion network combining attention mechanisms for polyp segmentation

arXiv: https://arxiv.org/abs/2309.10219 · HTML: https://mlsanity.com/paper/2309.10219/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 32 of its 81 references that are in the map.
- First posted on arXiv 19 Sep 2023.

## Builds on (most cited first, 30 of 32)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [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)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Mask R-CNN](https://mlsanity.com/paper/1703.06870/) (2017)
- [Batch Normalization: Accelerating Deep Network Training by Reducing Internal Covariate Shift](https://mlsanity.com/paper/1502.03167/) (2015)
- [Fully Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1411.4038/) (2014)
- [Squeeze-and-Excitation Networks](https://mlsanity.com/paper/1709.01507/) (2017)
- [Non-local Neural Networks](https://mlsanity.com/paper/1711.07971/) (2017)
- [UNet++: A Nested U-Net Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1807.10165/) (2018)
- [Inception-v4, Inception-ResNet and the Impact of Residual Connections on Learning](https://mlsanity.com/paper/1602.07261/) (2016)
- [PVT v2: Improved Baselines with Pyramid Vision Transformer](https://mlsanity.com/paper/2106.13797/) (2021)
- [Kvasir-SEG: A Segmented Polyp Dataset](https://mlsanity.com/paper/1911.07069/) (2019)
- [Structure-measure: A New Way to Evaluate Foreground Maps](https://mlsanity.com/paper/1708.00786/) (2017)
- [PraNet: Parallel Reverse Attention Network for Polyp Segmentation](https://mlsanity.com/paper/2006.11392/) (2020)
- [Enhanced-alignment Measure for Binary Foreground Map Evaluation](https://mlsanity.com/paper/1805.10421/) (2018)
- [A Benchmark for Endoluminal Scene Segmentation of Colonoscopy Images](https://mlsanity.com/paper/1612.00799/) (2016)
- [F3Net: Fusion, Feedback and Focus for Salient Object Detection](https://mlsanity.com/paper/1911.11445/) (2019)
- [BAM: Bottleneck Attention Module](https://mlsanity.com/paper/1807.06514/) (2018)
- [Polyp-PVT: Polyp Segmentation with Pyramid Vision Transformers](https://mlsanity.com/paper/2108.06932/) (2021)
- [Shallow Attention Network for Polyp Segmentation](https://mlsanity.com/paper/2108.00882/) (2021)
- [Automatic Polyp Segmentation via Multi-scale Subtraction Network](https://mlsanity.com/paper/2108.05082/) (2021)
- [HarDNet-MSEG: A Simple Encoder-Decoder Polyp Segmentation Neural Network that Achieves over 0.9 Mean Dice and 86 FPS](https://mlsanity.com/paper/2101.07172/) (2021)
- [UACANet: Uncertainty Augmented Context Attention for Polyp Segmentation](https://mlsanity.com/paper/2107.02368/) (2021)
- [Adaptive Context Selection for Polyp Segmentation](https://mlsanity.com/paper/2301.04799/) (2023)
- [Enhanced U-Net: A Feature Enhancement Network for Polyp Segmentation](https://mlsanity.com/paper/2105.00999/) (2021)
- [Polyp Detection and Segmentation using Mask R-CNN: Does a Deeper Feature Extractor CNN Always Perform Better?](https://mlsanity.com/paper/1907.09180/) (2019)
- [Graph-FCN for image semantic segmentation](https://mlsanity.com/paper/2001.00335/) (2020)
- [LA-HCN: Label-based Attention for Hierarchical Multi-label TextClassification Neural Network](https://mlsanity.com/paper/2009.10938/) (2020)

## Built on by (most cited first, 2 of 2)

- [MNet-SAt: A Multiscale Network with Spatial-enhanced Attention for Segmentation of Polyps in Colonoscopy](https://mlsanity.com/paper/2412.19464/) (2024)
- [FocusNet: Transformer-enhanced Polyp Segmentation with Local and Pooling Attention](https://mlsanity.com/paper/2504.13597/) (2025)

## Abstract (arXiv)

Clinically, automated polyp segmentation techniques have the potential to significantly improve the efficiency and accuracy of medical diagnosis, thereby reducing the risk of colorectal cancer in patients. Unfortunately, existing methods suffer from two significant weaknesses that can impact the accuracy of segmentation. Firstly, features extracted by encoders are not adequately filtered and utilized. Secondly, semantic conflicts and information redundancy caused by feature fusion are not attended to. To overcome these limitations, we propose a novel approach for polyp segmentation, named MLFF-Net, which leverages multi-level feature fusion and attention mechanisms. Specifically, MLFF-Net comprises three modules: Multi-scale Attention Module (MAM), High-level Feature Enhancement Module (HFEM), and Global Attention Module (GAM). Among these, MAM is used to extract multi-scale information and polyp details from the shallow output of the encoder. In HFEM, the deep features of the encoders complement each other by aggregation. Meanwhile, the attention mechanism redistributes the weight of the aggregated features, weakening the conflicting redundant parts and highlighting the information useful to the task. GAM combines features from the encoder and decoder features, as well as computes global dependencies to prevent receptive field locality. Experimental results on five public datasets show that the proposed method not only can segment multiple types of polyps but also has advantages over current state-of-the-art methods in both accuracy and generalization ability.