MAPPNet: A Multi-Scale Attention Pyramid Pooling Network for Dental Calculus Segmentation

Abstract

Dental diseases are among the most prevalent diseases globally, and accurate segmentation of dental calculus images plays a crucial role in periodontal disease diagnosis and treatment planning. However, the current methods are not stable and reliable enough due to the variable morphology of dental calculus and the blurring of the boundaries between the dental edges and the surrounding tissues; therefore, our hope is to propose an accurate and reliable calculus segmentation algorithm to improve the efficiency of clinical detection. We propose a multi-scale attention pyramid pooling network (MAPPNet) to enhance the performance of dental calculus segmentation. The network incorporates a multi-scale fusion strategy in both the encoder and decoder, forming a model with a dual-ended multi-scale structure. This design, in contrast to employing a multi-scale fusion scheme at a single end, enables more effective capturing of features from diverse scales. Furthermore, the attention pyramid pooling module (APPM) reconstructs the features on this map by leveraging a spatial-first and channel-second attention mechanism. APPM enables the network to adaptively adjust the weights of different locations and channels in the feature map, thereby enhancing the perception of important regions and key features. Experimental evaluation of our collected dental calculus segmentation dataset demonstrates the superior performance of MAPPNet, which achieves an intersection-over-union of 81.46% and an accuracy rate of 98.35%. Additionally, on two publicly available datasets, ISIC2018 (skin lesion dataset) and Kvasir-SEG (gastrointestinal polyp segmentation dataset), MAPPNet achieved an intersection-over-union of 76.48% and 91.38%, respectively. These results validate the effectiveness of our proposed network in accurately segmenting lesion regions and achieving high accuracy rates, surpassing many existing segmentation methods.