Enhancing Deep Learning–Based Subabdominal MR Image Segmentation During Rectal Cancer Treatment: Exploiting Multiscale Feature Pyramid Network and Bidirectional Cross‐Attention Mechanism

Yu Xiao, Xin Nian Yang, Sijuan Huang, Lihua Guo · International Journal of Biomedical Imaging · 2025

Background: This study is aimed at solving the misalignment and semantic gap caused by multiple convolutional and pooling operations in U‐Net while segmenting subabdominal MR images during rectal cancer treatment. Methods: We propose a new approach for MR Image Segmentation based on a multiscale feature pyramid network and a bidirectional cross‐attention mechanism. Our approach comprises two innovative modules: (1) We use dilated convolution and a multiscale feature pyramid network in the encoding phase to mitigate the semantic gap, and (2) we implement a bidirectional cross‐attention mechanism to preserve spatial information in U‐Net and reduce misalignment. Results: Experimental results on a subabdominal MR image dataset demonstrate that our proposed method outperforms existing methods. Conclusion: A multiscale feature pyramid network effectively reduces the semantic gap, and the bidirectional cross‐attention mechanism facilitates feature alignment between the encoding and decoding stages.

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