# A Mutual Inclusion Mechanism for Precise Boundary Segmentation in Medical Images

arXiv: https://arxiv.org/abs/2404.08201 · HTML: https://mlsanity.com/paper/2404.08201/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 27 of its 41 references that are in the map.
- First posted on arXiv 12 Apr 2024.

## Builds on (most cited first, 27 of 27)

- [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)
- [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)
- [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)
- [Neural Machine Translation by Jointly Learning to Align and Translate](https://mlsanity.com/paper/1409.0473/) (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)
- [Attention U-Net: Learning Where to Look for the Pancreas](https://mlsanity.com/paper/1804.03999/) (2018)
- [Show, Attend and Tell: Neural Image Caption Generation with Visual Attention](https://mlsanity.com/paper/1502.03044/) (2015)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [Effective Approaches to Attention-based Neural Machine Translation](https://mlsanity.com/paper/1508.04025/) (2015)
- [Dual Attention Network for Scene Segmentation](https://mlsanity.com/paper/1809.02983/) (2018)
- [Skin Lesion Analysis Toward Melanoma Detection 2018: A Challenge Hosted by the International Skin Imaging Collaboration (ISIC)](https://mlsanity.com/paper/1902.03368/) (2019)
- [UNet 3+: A Full-Scale Connected UNet for Medical Image Segmentation](https://mlsanity.com/paper/2004.08790/) (2020)
- [ResUNet-a: a deep learning framework for semantic segmentation of remotely sensed data](https://mlsanity.com/paper/1904.00592/) (2019)
- [UCTransNet: Rethinking the Skip Connections in U-Net from a Channel-wise Perspective with Transformer](https://mlsanity.com/paper/2109.04335/) (2021)
- [MultiResUNet : Rethinking the U-Net Architecture for Multimodal Biomedical Image Segmentation](https://mlsanity.com/paper/1902.04049/) (2019)
- [DRAW: A Recurrent Neural Network For Image Generation](https://mlsanity.com/paper/1502.04623/) (2015)
- [DS-TransUNet:Dual Swin Transformer U-Net for Medical Image Segmentation](https://mlsanity.com/paper/2106.06716/) (2021)
- [Dual Attention Networks for Multimodal Reasoning and Matching](https://mlsanity.com/paper/1611.00471/) (2016)
- [Mixed Transformer U-Net For Medical Image Segmentation](https://mlsanity.com/paper/2111.04734/) (2021)
- [SA-UNet: Spatial Attention U-Net for Retinal Vessel Segmentation](https://mlsanity.com/paper/2004.03696/) (2020)
- [TransNorm: Transformer Provides a Strong Spatial Normalization Mechanism for a Deep Segmentation Model](https://mlsanity.com/paper/2207.13415/) (2022)
- [AA-TransUNet: Attention Augmented TransUNet For Nowcasting Tasks](https://mlsanity.com/paper/2202.04996/) (2022)
- [DA-TransUNet: Integrating Spatial and Channel Dual Attention with Transformer U-Net for Medical Image Segmentation](https://mlsanity.com/paper/2310.12570/) (2023)

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

- [SAM2-3dMed: Empowering SAM2 for 3D Medical Image Segmentation](https://mlsanity.com/paper/2510.08967/) (2025)

## Abstract (arXiv)

In medical imaging, accurate image segmentation is crucial for quantifying diseases, assessing prognosis, and evaluating treatment outcomes. However, existing methods lack an in-depth integration of global and local features, failing to pay special attention to abnormal regions and boundary details in medical images. To this end, we present a novel deep learning-based approach, MIPC-Net, for precise boundary segmentation in medical images. Our approach, inspired by radiologists' working patterns, features two distinct modules: (i) Mutual Inclusion of Position and Channel Attention (MIPC) module: To enhance the precision of boundary segmentation in medical images, we introduce the MIPC module, which enhances the focus on channel information when extracting position features and vice versa; (ii) GL-MIPC-Residue: To improve the restoration of medical images, we propose the GL-MIPC-Residue, a global residual connection that enhances the integration of the encoder and decoder by filtering out invalid information and restoring the most effective information lost during the feature extraction process. We evaluate the performance of the proposed model using metrics such as Dice coefficient (DSC) and Hausdorff Distance (HD) on three publicly accessible datasets: Synapse, ISIC2018-Task, and Segpc. Our ablation study shows that each module contributes to improving the quality of segmentation results. Furthermore, with the assistance of both modules, our approach outperforms state-of-the-art methods across all metrics on the benchmark datasets, notably achieving a 2.23mm reduction in HD on the Synapse dataset, strongly evidencing our model's enhanced capability for precise image boundary segmentation. Codes will be available at https://github.com/SUN-1024/MIPC-Net.