# Rotate to Scan: UNet-like Mamba with Triplet SSM Module for Medical Image Segmentation

arXiv: https://arxiv.org/abs/2403.17701 · HTML: https://mlsanity.com/paper/2403.17701/

## Key facts

- Cited by 12 papers in the map (data through 14 Oct 2026).
- Placed in Mamba for medical image analysis, one of 10 directions in State-space sequence models (S4, Mamba).
- Builds on 36 of its 44 references that are in the map.
- First posted on arXiv 26 Mar 2024.

## Placed in

- State-space sequence models (S4, Mamba) / [Mamba for medical image analysis](https://mlsanity.com/ssm/mamba-for-medical-image-analysis/)

## Builds on (most cited first, 30 of 36)

- [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)
- [Mamba: Linear-Time Sequence Modeling with Selective State Spaces](https://mlsanity.com/paper/2312.00752/) (2023)
- [CBAM: Convolutional Block Attention Module](https://mlsanity.com/paper/1807.06521/) (2018)
- [Efficiently Modeling Long Sequences with Structured State Spaces](https://mlsanity.com/paper/2111.00396/) (2021)
- [Xception: Deep Learning with Depthwise Separable Convolutions](https://mlsanity.com/paper/1610.02357/) (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)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [Vision Mamba: Efficient Visual Representation Learning with Bidirectional State Space Model](https://mlsanity.com/paper/2401.09417/) (2024)
- [Dual Attention Network for Scene Segmentation](https://mlsanity.com/paper/1809.02983/) (2018)
- [VMamba: Visual State Space Model](https://mlsanity.com/paper/2401.10166/) (2024)
- [UNETR: Transformers for 3D Medical Image Segmentation](https://mlsanity.com/paper/2103.10504/) (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)
- [Kvasir-SEG: A Segmented Polyp Dataset](https://mlsanity.com/paper/1911.07069/) (2019)
- [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)
- [Medical Transformer: Gated Axial-Attention for Medical Image Segmentation](https://mlsanity.com/paper/2102.10662/) (2021)
- [VM-UNet: Vision Mamba UNet for Medical Image Segmentation](https://mlsanity.com/paper/2402.02491/) (2024)
- [TransFuse: Fusing Transformers and CNNs for Medical Image Segmentation](https://mlsanity.com/paper/2102.08005/) (2021)
- [Coordinate Attention for Efficient Mobile Network Design](https://mlsanity.com/paper/2103.02907/) (2021)
- [A Benchmark for Endoluminal Scene Segmentation of Colonoscopy Images](https://mlsanity.com/paper/1612.00799/) (2016)
- [MultiResUNet : Rethinking the U-Net Architecture for Multimodal Biomedical Image Segmentation](https://mlsanity.com/paper/1902.04049/) (2019)
- [nnFormer: Interleaved Transformer for Volumetric Segmentation](https://mlsanity.com/paper/2109.03201/) (2021)
- [BAM: Bottleneck Attention Module](https://mlsanity.com/paper/1807.06514/) (2018)
- [Mamba-UNet: UNet-Like Pure Visual Mamba for Medical Image Segmentation](https://mlsanity.com/paper/2402.05079/) (2024)
- [DS-TransUNet:Dual Swin Transformer U-Net for Medical Image Segmentation](https://mlsanity.com/paper/2106.06716/) (2021)
- [Rotate to Attend: Convolutional Triplet Attention Module](https://mlsanity.com/paper/2010.03045/) (2020)

## Built on by (most cited first, 12 of 12)

- [State Space Model for New-Generation Network Alternative to Transformers: A Survey](https://mlsanity.com/paper/2404.09516/) (2024)
- [Vision Mamba: A Comprehensive Survey and Taxonomy](https://mlsanity.com/paper/2405.04404/) (2024)
- [A Survey on Visual Mamba](https://mlsanity.com/paper/2404.15956/) (2024)
- [Serp-Mamba: Advancing High-Resolution Retinal Vessel Segmentation with Selective State-Space Model](https://mlsanity.com/paper/2409.04356/) (2024)
- [Mamba in Vision: A Comprehensive Survey of Techniques and Applications](https://mlsanity.com/paper/2410.03105/) (2024)
- [SliceMamba with Neural Architecture Search for Medical Image Segmentation](https://mlsanity.com/paper/2407.08481/) (2024)
- [PointABM:Integrating Bidirectional State Space Model with Multi-Head Self-Attention for Point Cloud Analysis](https://mlsanity.com/paper/2406.06069/) (2024)
- [Venturing into Uncharted Waters: The Navigation Compass from Transformer to Mamba](https://mlsanity.com/paper/2406.16722/) (2024)
- [DSDFormer: An Innovative Transformer-Mamba Framework for Robust High-Precision Driver Distraction Identification](https://mlsanity.com/paper/2409.05587/) (2024)
- [DSS-GAN: Directional State Space GAN with Mamba backbone for Class-Conditional Image Synthesis](https://mlsanity.com/paper/2603.17637/) (2026)
- [TopoMamba: Topology-Aware Scanning and Fusion for Segmenting Heterogeneous Medical Visual Media](https://mlsanity.com/paper/2604.25545/) (2026)
- [A Unified Benchmark of Deep Learning Models for Multi-task 3D Brain Tumor Segmentation from Magnetic Resonance Imaging](https://mlsanity.com/paper/2607.28858/) (2026)

## Abstract (arXiv)

Image segmentation holds a vital position in the realms of diagnosis and treatment within the medical domain. Traditional convolutional neural networks (CNNs) and Transformer models have made significant advancements in this realm, but they still encounter challenges because of limited receptive field or high computing complexity. Recently, State Space Models (SSMs), particularly Mamba and its variants, have demonstrated notable performance in the field of vision. However, their feature extraction methods may not be sufficiently effective and retain some redundant structures, leaving room for parameter reduction. Motivated by previous spatial and channel attention methods, we propose Triplet Mamba-UNet. The method leverages residual VSS Blocks to extract intensive contextual features, while Triplet SSM is employed to fuse features across spatial and channel dimensions. We conducted experiments on ISIC17, ISIC18, CVC-300, CVC-ClinicDB, Kvasir-SEG, CVC-ColonDB, and Kvasir-Instrument datasets, demonstrating the superior segmentation performance of our proposed TM-UNet. Additionally, compared to the previous VM-UNet, our model achieves a one-third reduction in parameters.