# Spatial-Frequency Dual Progressive Attention Network For Medical Image Segmentation

arXiv: https://arxiv.org/abs/2406.07952 · HTML: https://mlsanity.com/paper/2406.07952/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 23 of its 39 references that are in the map.
- First posted on arXiv 12 Jun 2024.

## Builds on (most cited first, 23 of 23)

- [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)
- [Very Deep Convolutional Networks for Large-Scale Image Recognition](https://mlsanity.com/paper/1409.1556/) (2014)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [Pyramid Scene Parsing Network](https://mlsanity.com/paper/1612.01105/) (2016)
- [CBAM: Convolutional Block Attention Module](https://mlsanity.com/paper/1807.06521/) (2018)
- [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)
- [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)
- [Skin Lesion Analysis Toward Melanoma Detection 2018: A Challenge Hosted by the International Skin Imaging Collaboration (ISIC)](https://mlsanity.com/paper/1902.03368/) (2019)
- [Transformers in Medical Imaging: A Survey](https://mlsanity.com/paper/2201.09873/) (2022)
- [Visual Attention Network](https://mlsanity.com/paper/2202.09741/) (2022)
- [EGE-UNet: an Efficient Group Enhanced UNet for skin lesion segmentation](https://mlsanity.com/paper/2307.08473/) (2023)
- [Beyond Self-Attention: Deformable Large Kernel Attention for Medical Image Segmentation](https://mlsanity.com/paper/2309.00121/) (2023)
- [ACC-UNet: A Completely Convolutional UNet model for the 2020s](https://mlsanity.com/paper/2308.13680/) (2023)
- [A Survey on Deep Learning for Skin Lesion Segmentation](https://mlsanity.com/paper/2206.00356/) (2022)
- [TransNuSeg: A Lightweight Multi-Task Transformer for Nuclei Segmentation](https://mlsanity.com/paper/2307.08051/) (2023)
- [CTooth: A Fully Annotated 3D Dataset and Benchmark for Tooth Volume Segmentation on Cone Beam Computed Tomography Images](https://mlsanity.com/paper/2206.08778/) (2022)
- [FsaNet: Frequency Self-attention for Semantic Segmentation](https://mlsanity.com/paper/2211.15595/) (2022)
- [Progressive Multi-scale Consistent Network for Multi-class Fundus Lesion Segmentation](https://mlsanity.com/paper/2205.15720/) (2022)

## Built on by (most cited first, 2 of 2)

- [Phi-SegNet: Phase-Integrated Supervision for Medical Image Segmentation](https://mlsanity.com/paper/2601.16064/) (2026)
- [Uncertainty-Guided Dual-Domain Learning for Reliable Skin Lesion Segmentation](https://mlsanity.com/paper/2605.09600/) (2026)

## Abstract (arXiv)

In medical images, various types of lesions often manifest significant differences in their shape and texture. Accurate medical image segmentation demands deep learning models with robust capabilities in multi-scale and boundary feature learning. However, previous networks still have limitations in addressing the above issues. Firstly, previous networks simultaneously fuse multi-level features or employ deep supervision to enhance multi-scale learning. However, this may lead to feature redundancy and excessive computational overhead, which is not conducive to network training and clinical deployment. Secondly, the majority of medical image segmentation networks exclusively learn features in the spatial domain, disregarding the abundant global information in the frequency domain. This results in a bias towards low-frequency components, neglecting crucial high-frequency information. To address these problems, we introduce SF-UNet, a spatial-frequency dual-domain attention network. It comprises two main components: the Multi-scale Progressive Channel Attention (MPCA) block, which progressively extract multi-scale features across adjacent encoder layers, and the lightweight Frequency-Spatial Attention (FSA) block, with only 0.05M parameters, enabling concurrent learning of texture and boundary features from both spatial and frequency domains. We validate the effectiveness of the proposed SF-UNet on three public datasets. Experimental results show that compared to previous state-of-the-art (SOTA) medical image segmentation networks, SF-UNet achieves the best performance, and achieves up to 9.4% and 10.78% improvement in DSC and IOU. Codes will be released at https://github.com/nkicsl/SF-UNet.