# TransCC: Transformer Network for Coronary Artery CCTA Segmentation

arXiv: https://arxiv.org/abs/2310.04779 · HTML: https://mlsanity.com/paper/2310.04779/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 29 of its 56 references that are in the map.
- First posted on arXiv 7 Oct 2023.

## Builds on (most cited first, 29 of 29)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [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)
- [Delving Deep into Rectifiers: Surpassing Human-Level Performance on ImageNet Classification](https://mlsanity.com/paper/1502.01852/) (2015)
- [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)
- [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)
- [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)
- [Revisiting Unreasonable Effectiveness of Data in Deep Learning Era](https://mlsanity.com/paper/1707.02968/) (2017)
- [Transformer in Transformer](https://mlsanity.com/paper/2103.00112/) (2021)
- [Self-Supervised Pre-Training of Swin Transformers for 3D Medical Image Analysis](https://mlsanity.com/paper/2111.14791/) (2021)
- [Road Extraction by Deep Residual U-Net](https://mlsanity.com/paper/1711.10684/) (2017)
- [3D MRI brain tumor segmentation using autoencoder regularization](https://mlsanity.com/paper/1810.11654/) (2018)
- [Medical Transformer: Gated Axial-Attention for Medical Image Segmentation](https://mlsanity.com/paper/2102.10662/) (2021)
- [TransBTS: Multimodal Brain Tumor Segmentation Using Transformer](https://mlsanity.com/paper/2103.04430/) (2021)
- [TransFuse: Fusing Transformers and CNNs for Medical Image Segmentation](https://mlsanity.com/paper/2102.08005/) (2021)
- [LocalViT: Analyzing Locality in Vision Transformers](https://mlsanity.com/paper/2104.05707/) (2021)
- [ResUNet++: An Advanced Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1911.07067/) (2019)
- [Recurrent Residual Convolutional Neural Network based on U-Net (R2U-Net) for Medical Image Segmentation](https://mlsanity.com/paper/1802.06955/) (2018)
- [DS-TransUNet:Dual Swin Transformer U-Net for Medical Image Segmentation](https://mlsanity.com/paper/2106.06716/) (2021)
- [LeViT-UNet: Make Faster Encoders with Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2107.08623/) (2021)
- [Convolution-Free Medical Image Segmentation using Transformers](https://mlsanity.com/paper/2102.13645/) (2021)
- [An attempt at beating the 3D U-Net](https://mlsanity.com/paper/1908.02182/) (2019)
- [Direct detection of pixel-level myocardial infarction areas via a deep-learning algorithm](https://mlsanity.com/paper/1706.03182/) (2017)

## Abstract (arXiv)

The accurate segmentation of Coronary Computed Tomography Angiography (CCTA) images holds substantial clinical value for the early detection and treatment of Coronary Heart Disease (CHD). The Transformer, utilizing a self-attention mechanism, has demonstrated commendable performance in the realm of medical image processing. However, challenges persist in coronary segmentation tasks due to (1) the damage to target local structures caused by fixed-size image patch embedding, and (2) the critical role of both global and local features in medical image segmentation tasks.To address these challenges, we propose a deep learning framework, TransCC, that effectively amalgamates the Transformer and convolutional neural networks for CCTA segmentation. Firstly, we introduce a Feature Interaction Extraction (FIE) module designed to capture the characteristics of image patches, thereby circumventing the loss of semantic information inherent in the original method. Secondly, we devise a Multilayer Enhanced Perceptron (MEP) to augment attention to local information within spatial dimensions, serving as a complement to the self-attention mechanism. Experimental results indicate that TransCC outperforms existing methods in segmentation performance, boasting an average Dice coefficient of 0.730 and an average Intersection over Union (IoU) of 0.582. These results underscore the effectiveness of TransCC in CCTA image segmentation.