# GCtx-UNet: Efficient Network for Medical Image Segmentation

arXiv: https://arxiv.org/abs/2406.05891 · HTML: https://mlsanity.com/paper/2406.05891/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 17 of its 31 references that are in the map.
- First posted on arXiv 9 Jun 2024.

## Builds on (most cited first, 17 of 17)

- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [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)
- [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)
- [Kvasir-SEG: A Segmented Polyp Dataset](https://mlsanity.com/paper/1911.07069/) (2019)
- [UNet++: Redesigning Skip Connections to Exploit Multiscale Features in Image Segmentation](https://mlsanity.com/paper/1912.05074/) (2019)
- [PraNet: Parallel Reverse Attention Network for Polyp Segmentation](https://mlsanity.com/paper/2006.11392/) (2020)
- [UNet 3+: A Full-Scale Connected UNet for Medical Image Segmentation](https://mlsanity.com/paper/2004.08790/) (2020)
- [Transformers in Medical Imaging: A Survey](https://mlsanity.com/paper/2201.09873/) (2022)
- [Global Context Vision Transformers](https://mlsanity.com/paper/2206.09959/) (2022)
- [TransDeepLab: Convolution-Free Transformer-based DeepLab v3+ for Medical Image Segmentation](https://mlsanity.com/paper/2208.00713/) (2022)
- [TransClaw U-Net: Claw U-Net with Transformers for Medical Image Segmentation](https://mlsanity.com/paper/2107.05188/) (2021)
- [Enhancing Medical Image Segmentation with TransCeption: A Multi-Scale Feature Fusion Approach](https://mlsanity.com/paper/2301.10847/) (2023)

## Abstract (arXiv)

Medical image segmentation is crucial for disease diagnosis and monitoring. Though effective, the current segmentation networks such as UNet struggle with capturing long-range features. More accurate models such as TransUNet, Swin-UNet, and CS-UNet have higher computation complexity. To address this problem, we propose GCtx-UNet, a lightweight segmentation architecture that can capture global and local image features with accuracy better or comparable to the state-of-the-art approaches. GCtx-UNet uses vision transformer that leverages global context self-attention modules joined with local self-attention to model long and short range spatial dependencies. GCtx-UNet is evaluated on the Synapse multi-organ abdominal CT dataset, the ACDC cardiac MRI dataset, and several polyp segmentation datasets. In terms of Dice Similarity Coefficient (DSC) and Hausdorff Distance (HD) metrics, GCtx-UNet outperformed CNN-based and Transformer-based approaches, with notable gains in the segmentation of complex and small anatomical structures. Moreover, GCtx-UNet is much more efficient than the state-of-the-art approaches with smaller model size, lower computation workload, and faster training and inference speed, making it a practical choice for clinical applications.