# Hybrid(Transformer+CNN)-based Polyp Segmentation

arXiv: https://arxiv.org/abs/2508.09189 · HTML: https://mlsanity.com/paper/2508.09189/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 28 of its 56 references that are in the map.
- First posted on arXiv 8 Aug 2025.

## Builds on (most cited first, 28 of 28)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [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)
- [Fully Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1411.4038/) (2014)
- [SegFormer: Simple and Efficient Design for Semantic Segmentation with Transformers](https://mlsanity.com/paper/2105.15203/) (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)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [Swin UNETR: Swin Transformers for Semantic Segmentation of Brain Tumors in MRI Images](https://mlsanity.com/paper/2201.01266/) (2022)
- [PVT v2: Improved Baselines with Pyramid Vision Transformer](https://mlsanity.com/paper/2106.13797/) (2021)
- [Kvasir-SEG: A Segmented Polyp Dataset](https://mlsanity.com/paper/1911.07069/) (2019)
- [PraNet: Parallel Reverse Attention Network for Polyp Segmentation](https://mlsanity.com/paper/2006.11392/) (2020)
- [Road Extraction by Deep Residual U-Net](https://mlsanity.com/paper/1711.10684/) (2017)
- [Understanding Robustness of Transformers for Image Classification](https://mlsanity.com/paper/2103.14586/) (2021)
- [A Benchmark for Endoluminal Scene Segmentation of Colonoscopy Images](https://mlsanity.com/paper/1612.00799/) (2016)
- [ResUNet++: An Advanced Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1911.07067/) (2019)
- [Polyp-PVT: Polyp Segmentation with Pyramid Vision Transformers](https://mlsanity.com/paper/2108.06932/) (2021)
- [DoubleU-Net: A Deep Convolutional Neural Network for Medical Image Segmentation](https://mlsanity.com/paper/2006.04868/) (2020)
- [A Comprehensive Study on Colorectal Polyp Segmentation with ResUNet++, Conditional Random Field and Test-Time Augmentation](https://mlsanity.com/paper/2107.12435/) (2021)
- [DDANet: Dual Decoder Attention Network for Automatic Polyp Segmentation](https://mlsanity.com/paper/2012.15245/) (2020)
- [Automated polyp detection in colon capsule endoscopy](https://mlsanity.com/paper/1305.1912/) (2013)
- [ColonFormer: An Efficient Transformer based Method for Colon Polyp Segmentation](https://mlsanity.com/paper/2205.08473/) (2022)
- [NanoNet: Real-Time Polyp Segmentation in Video Capsule Endoscopy and Colonoscopy](https://mlsanity.com/paper/2104.11138/) (2021)
- [EffiSegNet: Gastrointestinal Polyp Segmentation through a Pre-Trained EfficientNet-based Network with a Simplified Decoder](https://mlsanity.com/paper/2407.16298/) (2024)
- [Pyramid-Focus-Augmentation: Medical Image Segmentation with Step-Wise Focus](https://mlsanity.com/paper/2012.07430/) (2020)

## Abstract (arXiv)

Colonoscopy is still the main method of detection and segmentation of colonic polyps, and recent advancements in deep learning networks such as U-Net, ResUNet, Swin-UNet, and PraNet have made outstanding performance in polyp segmentation. Yet, the problem is extremely challenging due to high variation in size, shape, endoscopy types, lighting, imaging protocols, and ill-defined boundaries (fluid, folds) of the polyps, rendering accurate segmentation a challenging and problematic task. To address these critical challenges in polyp segmentation, we introduce a hybrid (Transformer + CNN) model that is crafted to enhance robustness against evolving polyp characteristics. Our hybrid architecture demonstrates superior performance over existing solutions, particularly in addressing two critical challenges: (1) accurate segmentation of polyps with ill-defined margins through boundary-aware attention mechanisms, and (2) robust feature extraction in the presence of common endoscopic artifacts, including specular highlights, motion blur, and fluid occlusions. Quantitative evaluations reveal significant improvements in segmentation accuracy (Recall improved by 1.76%, i.e., 0.9555, accuracy improved by 0.07%, i.e., 0.9849) and artifact resilience compared to state-of-the-art polyp segmentation methods.