In clinical conditions limited by equipment, attaining lightweight skin lesion segmentation is pivotal as it facilitates the integration of the model into diverse medical devices, thereby enhancing operational efficiency. However, the lightweight design of the model may face accuracy degradation, especially when dealing with complex images such as skin lesion images with irregular regions, blurred boundaries, and oversized boundaries. To address these challenges, we propose an efficient lightweight attention network (ELANet) for the skin lesion segmentation task. In ELANet, two different attention mechanisms of the bilateral residual module (BRM) can achieve complementary information, which enhances the sensitivity to features in spatial and channel dimensions, respectively, and then multiple BRMs are stacked for efficient feature extraction of the input information. In addition, the network acquires global information and improves segmentation accuracy by putting feature maps of different scales through multi-scale attention fusion (MAF) operations. Finally, we evaluate the performance of ELANet on three publicly available datasets, ISIC2016, ISIC2017, and ISIC2018, and the experimental results show that our algorithm can achieve 89.87%, 81.85%, and 82.87% of the mIoU on the three datasets with a parametric of 0.459 M, which is an excellent balance between accuracy and lightness and is superior to many existing segmentation methods.
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