Abstract

Segmentation of skin lesions is a challenging task because of the wide range of skin lesion shapes, sizes, colors, and texture types. In the past few years, deep learning networks such as U-Net have been successfully applied to medical image segmentation and exhibited faster and more accurate performance. In this paper, we propose an extended version of U-Net for the segmentation of skin lesions using the concept of the triple attention mechanism. We first selected regions using attention coefficients computed by the attention gate and contextual information. Second, a dual attention decoding module consisting of spatial attention and channel attention was used to capture the spatial correlation between features and improve segmentation performance. The combination of the three attentional mechanisms helped the network to focus on a more relevant field of view of the target. The proposed model was evaluated using three datasets, ISIC-2016, ISIC-2017, and PH2. The experimental results demonstrated the effectiveness of our method with strong robustness to the presence of irregular borders, lesion and skin smooth transitions, noise, and artifacts.

Highlights

  • All three datasets provided original images and paired skin lesion segmentation maps annotated by specialist dermatologists

  • The aim of this paper was the effectiveness of the three attention mechanisms for skin lesion segmentation, and our experimental results provide strong evidence for the hypothesis presented in the paper

  • We proposed a triple-attention-based image segmentation algorithm for skin lesions

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Summary

Introduction

Skin cancer is one of the most common and deadly cancers. In 2020, the American Cancer Society reported that there will be approximately 100,350 new cases of melanoma and about 6850 people will die from this cancer [1]. Non-melanoma cancers are responsible for a large number of deaths. The World Health Organization (WHO) reported that 2–3 million non-melanoma skin cancers and 132,000 melanoma skin cancers occur globally each year [2]. With early detection and diagnosis, melanoma can be excised to ensure full recovery. Survival rates exceed 95% in cases of early diagnosis and less than 20% in cases of late detection [3]. Accurate analysis of medical images is important for early diagnosis and treatment of skin diseases

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