# MAPUNetR: A Hybrid Vision Transformer and U-Net Architecture for Efficient and Interpretable Medical Image Segmentation

arXiv: https://arxiv.org/abs/2410.22223 · HTML: https://mlsanity.com/paper/2410.22223/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 25 of its 36 references that are in the map.
- First posted on arXiv 29 Oct 2024.

## Builds on (most cited first, 25 of 25)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [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)
- [Rethinking Atrous Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1706.05587/) (2017)
- [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)
- [UNETR: Transformers for 3D Medical Image Segmentation](https://mlsanity.com/paper/2103.10504/) (2021)
- [Swin UNETR: Swin Transformers for Semantic Segmentation of Brain Tumors in MRI Images](https://mlsanity.com/paper/2201.01266/) (2022)
- [Skin Lesion Analysis Toward Melanoma Detection 2018: A Challenge Hosted by the International Skin Imaging Collaboration (ISIC)](https://mlsanity.com/paper/1902.03368/) (2019)
- [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)
- [Self-Supervised Pre-Training of Swin Transformers for 3D Medical Image Analysis](https://mlsanity.com/paper/2111.14791/) (2021)
- [Medical Transformer: Gated Axial-Attention for Medical Image Segmentation](https://mlsanity.com/paper/2102.10662/) (2021)
- [TransBTS: Multimodal Brain Tumor Segmentation Using Transformer](https://mlsanity.com/paper/2103.04430/) (2021)
- [Skin Lesion Analysis toward Melanoma Detection: A Challenge at the International Symposium on Biomedical Imaging (ISBI) 2016, hosted by the International Skin Imaging Collaboration (ISIC)](https://mlsanity.com/paper/1605.01397/) (2016)
- [DS-TransUNet:Dual Swin Transformer U-Net for Medical Image Segmentation](https://mlsanity.com/paper/2106.06716/) (2021)
- [HiFormer: Hierarchical Multi-scale Representations Using Transformers for Medical Image Segmentation](https://mlsanity.com/paper/2207.08518/) (2022)
- [TransDeepLab: Convolution-Free Transformer-based DeepLab v3+ for Medical Image Segmentation](https://mlsanity.com/paper/2208.00713/) (2022)
- [Boundary-aware Transformers for Skin Lesion Segmentation](https://mlsanity.com/paper/2110.03864/) (2021)
- [TransNorm: Transformer Provides a Strong Spatial Normalization Mechanism for a Deep Segmentation Model](https://mlsanity.com/paper/2207.13415/) (2022)
- [Multi-task Federated Learning for Heterogeneous Pancreas Segmentation](https://mlsanity.com/paper/2108.08537/) (2021)
- [BiTr-Unet: a CNN-Transformer Combined Network for MRI Brain Tumor Segmentation](https://mlsanity.com/paper/2109.12271/) (2021)
- [BEFUnet: A Hybrid CNN-Transformer Architecture for Precise Medical Image Segmentation](https://mlsanity.com/paper/2402.08793/) (2024)
- [MT-TransUNet: Mediating Multi-Task Tokens in Transformers for Skin Lesion Segmentation and Classification](https://mlsanity.com/paper/2112.01767/) (2021)
- [MISSU: 3D Medical Image Segmentation via Self-distilling TransUNet](https://mlsanity.com/paper/2206.00902/) (2022)

## Abstract (arXiv)

Medical image segmentation is pivotal in healthcare, enhancing diagnostic accuracy, informing treatment strategies, and tracking disease progression. This process allows clinicians to extract critical information from visual data, enabling personalized patient care. However, developing neural networks for segmentation remains challenging, especially when preserving image resolution, which is essential in detecting subtle details that influence diagnoses. Moreover, the lack of transparency in these deep learning models has slowed their adoption in clinical practice. Efforts in model interpretability are increasingly focused on making these models' decision-making processes more transparent. In this paper, we introduce MAPUNetR, a novel architecture that synergizes the strengths of transformer models with the proven U-Net framework for medical image segmentation. Our model addresses the resolution preservation challenge and incorporates attention maps highlighting segmented regions, increasing accuracy and interpretability. Evaluated on the BraTS 2020 dataset, MAPUNetR achieved a dice score of 0.88 and a dice coefficient of 0.92 on the ISIC 2018 dataset. Our experiments show that the model maintains stable performance and potential as a powerful tool for medical image segmentation in clinical practice.
