# Med-DANet V2: A Flexible Dynamic Architecture for Efficient Medical Volumetric Segmentation

arXiv: https://arxiv.org/abs/2310.18656 · HTML: https://mlsanity.com/paper/2310.18656/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 40 of its 51 references that are in the map.
- First posted on arXiv 28 Oct 2023.

## Builds on (most cited first, 30 of 40)

- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Categorical Reparameterization with Gumbel-Softmax](https://mlsanity.com/paper/1611.01144/) (2016)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [Estimating or Propagating Gradients Through Stochastic Neurons for Conditional Computation](https://mlsanity.com/paper/1308.3432/) (2013)
- [FitNets: Hints for Thin Deep Nets](https://mlsanity.com/paper/1412.6550/) (2014)
- [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)
- [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)
- [ShuffleNet V2: Practical Guidelines for Efficient CNN Architecture Design](https://mlsanity.com/paper/1807.11164/) (2018)
- [UNETR: Transformers for 3D Medical Image Segmentation](https://mlsanity.com/paper/2103.10504/) (2021)
- [XNOR-Net: ImageNet Classification Using Binary Convolutional Neural Networks](https://mlsanity.com/paper/1603.05279/) (2016)
- [Swin UNETR: Swin Transformers for Semantic Segmentation of Brain Tumors in MRI Images](https://mlsanity.com/paper/2201.01266/) (2022)
- [Identifying the Best Machine Learning Algorithms for Brain Tumor Segmentation, Progression Assessment, and Overall Survival Prediction in the BRATS Challenge](https://mlsanity.com/paper/1811.02629/) (2018)
- [PACT: Parameterized Clipping Activation for Quantized Neural Networks](https://mlsanity.com/paper/1805.06085/) (2018)
- [Not All Patches are What You Need: Expediting Vision Transformers via Token Reorganizations](https://mlsanity.com/paper/2202.07800/) (2022)
- [Road Extraction by Deep Residual U-Net](https://mlsanity.com/paper/1711.10684/) (2017)
- [TransBTS: Multimodal Brain Tumor Segmentation Using Transformer](https://mlsanity.com/paper/2103.04430/) (2021)
- [The state of the art in kidney and kidney tumor segmentation in contrast-enhanced CT imaging: Results of the KiTS19 Challenge](https://mlsanity.com/paper/1912.01054/) (2019)
- [Learning to Quantize Deep Networks by Optimizing Quantization Intervals with Task Loss](https://mlsanity.com/paper/1808.05779/) (2018)
- [Mixed Precision Quantization of ConvNets via Differentiable Neural Architecture Search](https://mlsanity.com/paper/1812.00090/) (2018)
- [Apprentice: Using Knowledge Distillation Techniques To Improve Low-Precision Network Accuracy](https://mlsanity.com/paper/1711.05852/) (2017)
- [AutoQ: Automated Kernel-Wise Neural Network Quantization](https://mlsanity.com/paper/1902.05690/) (2019)
- [Towards Mixed-Precision Quantization of Neural Networks via Constrained Optimization](https://mlsanity.com/paper/2110.06554/) (2021)
- [Spatially Adaptive Inference with Stochastic Feature Sampling and Interpolation](https://mlsanity.com/paper/2003.08866/) (2020)
- [Dynamic Region-Aware Convolution](https://mlsanity.com/paper/2003.12243/) (2020)
- [AFTer-UNet: Axial Fusion Transformer UNet for Medical Image Segmentation](https://mlsanity.com/paper/2110.10403/) (2021)
- [AdaFocus V2: End-to-End Training of Spatial Dynamic Networks for Video Recognition](https://mlsanity.com/paper/2112.14238/) (2021)

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

- [Sub-Region-Aware Modality Fusion and Adaptive Prompting for Multi-Modal Brain Tumor Segmentation](https://mlsanity.com/paper/2601.15734/) (2026)

## Abstract (arXiv)

Recent works have shown that the computational efficiency of 3D medical image (e.g. CT and MRI) segmentation can be impressively improved by dynamic inference based on slice-wise complexity. As a pioneering work, a dynamic architecture network for medical volumetric segmentation (i.e. Med-DANet) has achieved a favorable accuracy and efficiency trade-off by dynamically selecting a suitable 2D candidate model from the pre-defined model bank for different slices. However, the issues of incomplete data analysis, high training costs, and the two-stage pipeline in Med-DANet require further improvement. To this end, this paper further explores a unified formulation of the dynamic inference framework from the perspective of both the data itself and the model structure. For each slice of the input volume, our proposed method dynamically selects an important foreground region for segmentation based on the policy generated by our Decision Network and Crop Position Network. Besides, we propose to insert a stage-wise quantization selector to the employed segmentation model (e.g. U-Net) for dynamic architecture adapting. Extensive experiments on BraTS 2019 and 2020 show that our method achieves comparable or better performance than previous state-of-the-art methods with much less model complexity. Compared with previous methods Med-DANet and TransBTS with dynamic and static architecture respectively, our framework improves the model efficiency by up to nearly 4.1 and 17.3 times with comparable segmentation results on BraTS 2019.
