Lesion Segmentation Research Articles

SCIseg: Automatic Segmentation of Intramedullary Lesions in Spinal Cord Injury on T2-weighted MRI Scans.

"Just Accepted" papers have undergone full peer review and have been accepted for publication in Radiology: Artificial Intelligence. This article will undergo copyediting, layout, and proof review before it is published in its final version. Please note that during production of the final copyedited article, errors may be discovered which could affect the content. Purpose To develop a deep learning tool for the automatic segmentation of the spinal cord and intramedullary lesions in spinal cord injury (SCI) on T2-weighted MRI scans. Materials and Methods This retrospective study included MRI data acquired between July 2002 and February 2023 from 191 patients with SCI (mean age, 48.1 years ± 17.9 [SD]; 142 males). The data consisted of T2-weighted MRI acquired using different scanner manufacturers with various image resolutions (isotropic and anisotropic) and orientations (axial and sagittal). Patients had different lesion etiologies (traumatic, ischemic, and hemorrhagic) and lesion locations across the cervical, thoracic and lumbar spine. A deep learning model, SCIseg, was trained in a three-phase process involving active learning for the automatic segmentation of intramedullary SCI lesions and the spinal cord. The segmentations from the proposed model were visually and quantitatively compared with those from three other open-source methods (PropSeg, DeepSeg and contrast-agnostic, all part of the Spinal Cord Toolbox). Wilcoxon signed-rank test was used to compare quantitative MRI biomarkers of SCI (lesion volume, lesion length, and maximal axial damage ratio) derived from the manual reference standard lesion masks and biomarkers obtained automatically with SCIseg segmentations. Results SCIseg achieved a Dice score of 0.92 ± 0.07 (mean ± SD) and 0.61 ± 0.27 for spinal cord and SCI lesion segmentation, respectively. There was no evidence of a difference between lesion length (P = .42) and maximal axial damage ratio (P = .16) computed from manually annotated lesions and the lesion segmentations obtained using SCIseg. Conclusion SCIseg accurately segmented intramedullary lesions on a diverse dataset of T2-weighted MRI scans and extracted relevant lesion biomarkers (namely, lesion volume, lesion length, and maximal axial damage ratio). SCIseg is open-source and accessible through the Spinal Cord Toolbox (v6.2 and above). Published under a CC BY 4.0 license.

An automated pheochromocytoma and paraganglioma lesion segmentation AI-model at whole-body 68Ga- DOTATATE PET/CT.

Somatostatin receptor (SSR) targeting radiotracer 68Ga-DOTATATE is used for Positron Emission Tomography (PET)/Computed Tomography (CT) imaging to assess patients with Pheochromocytoma and paraganglioma (PPGL), rare types of Neuroendocrine tumor (NET) which can metastasize thereby becoming difficult to quantify. The goal of this study is to develop an artificial intelligence (AI) model for automated lesion segmentation on whole-body 3D DOTATATE-PET/CT and to automate the tumor burden calculation. 132 68Ga-DOTATATE PET/CT scans from 38 patients with metastatic and inoperable PPGL, were split into 70, and 62 scans, from 20, and 18 patients for training, and test sets, respectively. The training set was further divided into patient-stratified 5 folds for cross-validation. 3D-full resolution nnUNet configuration was trained with 5-fold cross-validation. The model's detection performance was evaluated at both scan and lesion levels for the PPGL test set and two other clinical cohorts with NET (n = 9) and olfactory neuroblastoma (ONB, n = 5). Additionally, quantitative statistical analysis of PET parameters including SUVmax, total lesion uptake (TLU), and total tumor volume (TTV), was conducted. The nnUNet AI model achieved an average 5-fold validation dice similarity coefficient of 0.84 at the scan level. The model achieved dice similarity coefficients (DSC) of 0.88, 0.6, and 0.67 at the scan level, the sensitivity of 86%, 61.13%, and 61.64%, and a positive predictive value of 89%, 74%, and 86.54% at the lesion level for the PPGL test, NET and ONB cohorts, respectively. For PPGL cohorts, smaller lesions with low uptake were missed by the AI model (p < 0.001). Anatomical region-based failure analysis showed most of the false negative and false positive lesions within the liver for all the cohorts, mainly due to the high physiologic liver background activity and image noise on 68Ga- DOTATATE PET scans. The developed deep learning-based AI model showed reliable performance for automated segmentation of metastatic PPGL lesions on whole-body 68Ga-DOTATATE-PET/CT images, which may be beneficial for tumor burden estimation for objective evaluation during therapy follow-up. https://www. gov/study/NCT03206060 , https://www. gov/study/NCT04086485 , https://www. gov/study/NCT05012098 .

Compound attention embedded dual channel encoder-decoder for ms lesion segmentation from brain MRI

Compound attention embedded dual channel encoder-decoder for ms lesion segmentation from brain MRI

AI-Assisted Detection and Localization of Spinal Metastatic Lesions

Objectives: The integration of machine learning and radiomics in medical imaging has significantly advanced diagnostic and prognostic capabilities in healthcare. This study focuses on developing and validating an artificial intelligence (AI) model using U-Net architectures for the accurate detection and segmentation of spinal metastases from computed tomography (CT) images, addressing both osteolytic and osteoblastic lesions. Methods: Our methodology employs multiple variations of the U-Net architecture and utilizes two distinct datasets: one consisting of 115 polytrauma patients for vertebra segmentation and another comprising 38 patients with documented spinal metastases for lesion detection. Results: The model demonstrated strong performance in vertebra segmentation, achieving Dice Similarity Coefficient (DSC) values between 0.87 and 0.96. For metastasis segmentation, the model achieved a DSC of 0.71 and an F-beta score of 0.68 for lytic lesions but struggled with sclerotic lesions, obtaining a DSC of 0.61 and an F-beta score of 0.57, reflecting challenges in detecting dense, subtle bone alterations. Despite these limitations, the model successfully identified isolated metastatic lesions beyond the spine, such as in the sternum, indicating potential for broader skeletal metastasis detection. Conclusions: The study concludes that AI-based models can augment radiologists’ capabilities by providing reliable second-opinion tools, though further refinements and diverse training data are needed for optimal performance, particularly for sclerotic lesion segmentation. The annotated CT dataset produced and shared in this research serves as a valuable resource for future advancements.

Segmentation of periapical lesions with automatic deep learning on panoramic radiographs: an artificial intelligence study

Periapical periodontitis may manifest as a radiographic lesion radiographically. Periapical lesions are amongst the most common dental pathologies that present as periapical radiolucencies on panoramic radiographs. The objective of this research is to assess the diagnostic accuracy of an artificial intelligence (AI) model based on U²-Net architecture in the detection of periapical lesions on dental panoramic radiographs and to determine whether they can be useful in aiding clinicians with diagnosis of periapical lesions and improving their clinical workflow. 400 panoramic radiographs that included at least one periapical radiolucency were selected retrospectively. 780 periapical radiolucencies in these anonymized radiographs were manually labeled by two independent examiners. These radiographs were later used to train the AI model based on U²-Net architecture trained using a deep supervision algorithm. An AI model based on the U²-Net architecture was implemented. The model achieved a dice score of 0.8 on the validation set and precision, recall, and F1-score of 0.82, 0.77, and 0.8 respectively on the test set. This study has shown that an AI model based on U²-Net architecture can accurately diagnose periapical lesions on panoramic radiographs. The research provides evidence that AI-based models have promising applications as adjunct tools for dentists in diagnosing periapical radiolucencies and procedure planning. Further studies with larger data sets would be required to improve the diagnostic accuracy of AI-based detection models.

Segmentation of Infarct Lesions and Prognosis Prediction for Acute Ischemic Stroke using Non-Contrast CT Scans

Background and PurposeIschemic stroke is the most common type of stroke and the second leading cause of global mortality. Prompt and accurate diagnosis is crucial for effective treatment. Non-contrast CT (NCCT) scans are commonly employed as the first-line imaging modality to identify the infarct lesion and affected brain areas, as well as to make prognostic predictions to guide the subsequent treatment planning. However, visual evaluation of infarct lesions in NCCT scans can be subjective and inconsistent due to reliance on expert experience. MethodsIn this study, we propose an automatic method using VB-Net with dual-channel inputs to segment acute infarct lesions (AIL) on NCCT scans and extract affected ASPECTS (Alberta Stroke Program Early CT Score) regions. Secondly, we establish a prediction model to distinguish reperfused patients from non-reperfused patients after treatment, based on multi-dimensional radiological features of baseline NCCT and stroke onset time. Thirdly, we create a prediction model estimating the infarct volume after a period of time, by combining NCCT infarct volume, radiological features, and surgical decision. ResultsThe median Dice coefficient of the AIL segmentation network is 0.76. Based on this, the patient triage model has an AUC of 0.837 (95% confidence interval [CI]: 0.734-0.941), sensitivity of 0.833 (95% CI: 0.626-0.953). The predicted follow-up infarct volume correlates strongly with the DWI ground truth, with a Pearson correlation coefficient of 0.931. ConclusionsOur proposed pipeline offers qualitative and quantitative assessment of infarct lesions based on NCCT scans, facilitating physicians in patient triage and prognosis prediction.

Prediction of femoral head collapse in osteonecrosis using deep learning segmentation and radiomics texture analysis of MRI

BackgroundFemoral head collapse is a critical pathological change and is regarded as turning point in disease progression in osteonecrosis of the femoral head (ONFH). In this study, we aim to build an automatic femoral head collapse prediction pipeline for ONFH based on magnetic resonance imaging (MRI) radiomics.MethodsIn the segmentation model development dataset, T1-weighted MRI of 222 hips from two hospitals were retrospectively collected and randomly split into training (n = 190) and test (n = 32) sets. In the prognosis prediction model development dataset, 206 hips were also retrospectively collected from two hospitals and divided into training set (n = 155) and external test set (n = 51) according to data source. A deep learning model for automatic lesion segmentation was trained with nnU-Net, from which three-dimensional regions of interest were segmented and a total of 107 radiomics features were extracted. After intra-class correlation coefficients screening, feature correlation coefficient screening and Least Absolute Shrinkage and Selection Operator regression feature selection, a machine learning model for ONFH prognosis prediction was trained with Logistic Regression (LR) and Light Gradient Boosting Machine (LightGBM) algorithm.ResultsThe segmentation model achieved an average dice similarity coefficient of 0.848 and an average 95% Hausdorff distance of 3.794 in the test set, compared to the manual segmentation results. After feature selection, nine radiomics features were included in the prognosis prediction model. External test showed that the LightGBM model exhibited acceptable predictive performance. The area under the curve (AUC) of the prediction model was 0.851 (95% CI: 0.7268–0.9752), with an accuracy of 0.765, sensitivity of 0.833, and specificity of 0.727. Decision curve analysis showed that the LightGBM model exhibited favorable clinical utility.ConclusionThis study presents an automated pipeline for predicting femoral head collapse in ONFH with acceptable performance. Further research is necessary to determine the clinical applicability of this radiomics-based approach and to assess its potential to assist in treatment decision-making for ONFH.

Enhanced Skin Lesion Segmentation and Classification Through Ensemble Models

This study addresses challenges in skin cancer detection, particularly issues like class imbalance and the varied appearance of lesions, which complicate segmentation and classification tasks. The research employs deep learning ensemble models for both segmentation (using U-Net, SegNet, and DeepLabV3) and classification (using VGG16, ResNet-50, and Inception-V3). The ISIC dataset is balanced through oversampling in classification, and preprocessing techniques such as data augmentation and post-processing are applied in segmentation to increase robustness. The ensemble model outperformed individual models, achieving a Dice Coefficient of 0.93, an IoU of 0.90, and an accuracy of 0.95 for segmentation, with 90% accuracy on the original dataset and 99% on the balanced dataset for classification. The use of ensemble models and balanced datasets proved highly effective in improving the accuracy and reliability of automated skin lesion analysis, supporting dermatologists in early detection efforts.

Results from the autoPET challenge on fully automated lesion segmentation in oncologic PET/CT imaging

Results from the autoPET challenge on fully automated lesion segmentation in oncologic PET/CT imaging

Radiomics for Predicting Prognostic Factors in Breast Cancer: Insights from Contrast-Enhanced Mammography (CEM)

Objectives: To evaluate the correlation between radiomic features extracted from contrast-enhanced mammography (CEM) tumor lesions and peritumoral background with prognostic factors in breast cancer (BC). Methods: In this retrospective, single-center study, 134 women with histologically confirmed breast cancer underwent CEM examination. Radiomic features were extracted from manually segmented lesions and lesion contours were automatically delineated using PyRadiomics. The extracted features were categorized into seven classes: First-order Features, Shape Features (2D), Gray Level Co-occurrence Matrix (GLCM), Gray Level Run Length Matrix (GLRLM), Gray Level Size Zone Matrix (GLSZM), and Neighboring Gray Tone Difference Matrix (NGTDM). Histological examination assessed tumor type, grade, receptor structure (ER, PgR, HER2), Ki67 index, and lymph node involvement. Pearson correlation and multivariate regression were applied to evaluate associations between radiomic features and prognostic factors. Results: Significant correlations were found between First-order Features and prognostic factors such as ER, PgR, and Ki67 (p &lt; 0.05). GLCM-based texture features showed strong associations with Ki67 and HER2 (p &lt; 0.01). Radiomic features from peritumoral regions, especially shape and GLSZM metrics, were significantly correlated with Ki67 and lymph node involvement. Conclusions: Radiomic analysis of both tumor and peritumoral regions offers significant insights into BC prognosis. These findings support the integration of radiomics into personalized diagnostic and therapeutic strategies, potentially improving clinical decision making in BC management.

HGLeNet DEEP LEARNING FOR SKIN CANCER DETECTION WITH SKIN LESION SEGMENTATION

Skin cancer is deemed to be the most dangerous type of cancer. It occurs due to the damage caused to the DNA and if left untreated can lead to death. Various methods have been devised over the last few years for skin cancer detection. However, their performance was affected by various challenges in image analysis, like color illumination variations, differences in shape, size, etc. Therefore, to tackle these issues the novel framework, deep learning (DL) technique for accurate skin cancer detection and lesion segmentation is developed. Primarily, the skin image is pre-processed by employing a weighted median filtering to eradicate the noises contained. Then, the segmentation of skin lesions is carried out by employing the efficient neural network (ENet). After that, augmentation is accomplished to avoid overfitting, and later, feature extraction is carried out. At last, skin cancer detection is effectuated with the help of hybrid GoogleNet-LeNet (HGLeNet), which is obtained by merging GoogleNet and LeNet, here layers are modified using the regression concept. Furthermore, the introduced framework is examined for its effectiveness through accuracy, sensitivity and specificity. Moreover, HGLeNet attained the highest accuracy of 0.922, sensitivity of 0.928, as well as specificity of 0.924.

Structural design and biomechanical analysis of a combined titanium and polyetheretherketone cage based on PE-PLIF fusion.

In lumbar spinal fusion, the titanium cage tends to cause stress shielding due to their high elastic modulus, which can lead to degenerative lesions in adjacent spinal segments. Furthermore, polyetheretherketone (PEEK) cages have certain material characteristics that do not promote bone ingrowth and fusion stability. In this study, a new cage was designed, and its biomechanical performance in percutaneous endoscopic posterior lumbar interbody fusion (PE-PLIF) was analyzed using the finite element (FE) method. A complete model of the L4-L5 lumbar spine was established, and static and harmonic vibration FE analysis models were developed based on it. The biomechanical properties of titanium, PEEK, and combined cage in PE-PLIF fusion were compared. The strain capacity of the combined fusion increased by 9.5% when compared to the titanium fusion. The surgical model under the combined fusion reduces the L5 endplate stress by 12% in the forward flexion condition and the fusion stress by 17% in the vibration condition compared to the model supported by the titanium fusion, and the differences in screw stress and mobility among the three models are not significant in multiple conditions. Consequently, the combined cage demonstrates a certain reduction in the stress-shielding effect when compared to the titanium cage; it has better fusion effect and provides theoretical support and guidance for the design of the clinical fusion cage.

DMA‐Net: A dual branch encoder and multi‐scale cross attention fusion network for skin lesion segmentation

AbstractAutomatic segmentation of skin lesion is an important step in computer‐aided diagnosis. However, due to the significant variations in the size and shape of the lesion areas, as well as the low contrast with normal skin tissue, the boundaries are not clearly distinguishable, leading to a high possibility of incorrect segmentation. Therefore, this task is highly challenging. To overcome these difficulties, this paper proposes a medical image segmentation architecture named dual branch encoder and multi‐scale cross attention fusion network, which includes a dual‐branch encoder based on convolutional neural network and an improved channel‐enhanced Mamba to comprehensively extract local and global information from dermoscopy images. Additionally, to enhance the feature interaction and fusion of local and global information, a multi‐scale cross attention fusion module is adopted to cross‐merge features in different directions and at different scales, maximizing the advantages of the dual‐branch encoder and achieving precise segmentation of skin lesions. Extensive experiments are conducted on three public skin lesion datasets: ISIC‐2018, ISIC‐2017, and ISIC‐2016, to verify the effectiveness and superiority of the proposed method. The dice similarity coefficient scores on the three datasets reached 81.77%, 81.68% and 85.60%, respectively, surpassing most state‐of‐the‐art methods.

Breast Lesion Detection for Ultrasound Images Using MaskFormer

This study evaluates the performance of the MaskFormer model for segmenting and classifying breast lesions using ultrasound images, addressing ultrasound’s limitations. Ultrasound used for breast cancer detection faces challenges like low image contrast and difficulty in the detection of small or multiple lesions, further complicated by variability based on operator skill. Initial experiments with U-Net and other CNN-based models revealed constraints, such as early plateauing in model loss, which indicated suboptimal learning and performance. In contrast, MaskFormer demonstrated continuous improvement, achieving higher precision in breast lesion segmentation and significantly reducing both false positives and false negatives. Comparative analysis showed MaskFormer’s superior performance, with the highest precision and recall rates for malignant lesions and an overall mean average precision (mAP) of 0.943. The model’s ability to detect a diverse range of breast lesions, including those potentially missed by the human eye, especially by less experienced practitioners, underscores its potential. These findings suggest that integrating AI models like MaskFormer could greatly enhance ultrasound performance for breast cancer detection, providing reliable, operator-independent image analysis and potentially improving patient outcomes on a global scale.

Revolutionizing endometriosis treatment: automated surgical operation through artificial intelligence and robotic vision.

Clinical limitations due to poverty significantly impact the lives and health of many individuals globally. Nevertheless, this challenge can be addressed with modern technologies, particularly through robotics and artificial intelligence. This study aims to address these challenges using advanced technologies in robotic surgery and artificial intelligence, proposing a method to fully automate endometriosis robotic surgery with a focus on interpretability, accuracy, and reliability. A methodology for fully automatic endometriosis surgery is introduced. Given the complexity of endometriosis lesions detection, they are categorized by their anatomical location to improve system interpretability. Then, three ensemble U-Net frameworks are designed to detect and localize common types of endometriosis lesions intraoperatively. A cross-training approach is employed, exploring U-Net models with diverse neural architectures-such as ResNet50, ResNet101, VGG19, InceptionV3, MobileNet, and EfficientNetB7-to develop U-Net ensemble models for precise endometriosis lesions segmentation. A novel image augmentation technique is also introduced, enhancing the segmentation models' accuracy and reliability. Furthermore, two U-Net models are developed to localize the ovaries and uterus, mitigating unexpected noise and bolstering the method's accuracy and reliability. The image segmentation models, assessed using the Intersection over Union (IoU) metric, achieved outstanding results: 97.57% for ovarian, 96.35% for uterine, and 92.58% for peritoneal endometriosis. This study proposes a fully automatic method for some common types of endometriosis surgery, including ovarian endometriomas and superficial endometriosis. This method is centered around three ensemble U-Net frameworks and a noise reduction technique using two additional U-Nets for localizing the ovaries and uterus. This approach has the potential to significantly improve the accuracy and reliability of robotic surgeries, potentially reducing healthcare costs and improving outcomes for patients worldwide.

PSOR10 Presentation Time: 12:15 PM: Automated Segmentation of PSMA-Dominant Lesions for Brachytherapy Planning in Radiorecurrent Prostate Cancer

PSOR10 Presentation Time: 12:15 PM: Automated Segmentation of PSMA-Dominant Lesions for Brachytherapy Planning in Radiorecurrent Prostate Cancer

MUCM-Net: a Mamba powered UCM-Net for skin lesion segmentation

Aim: Skin lesion segmentation is critical for early skin cancer detection. Challenges in automatic segmentation from dermoscopic images include variations in color, texture, and artifacts of indistinct lesion boundaries. This study aims to develop and evaluate MUCM-Net, a lightweight and efficient model for skin lesion segmentation, leveraging Mamba state-space models integrated with UCM-Net architecture optimized for mobile deployment and early skin cancer detection. Methods: MUCM-Net combines Convolutional Neural Networks (CNNs), multi-layer perceptions (MLPs), and Mamba elements into a hybrid feature learning module. Results: The model was trained and tested on the International Skin Imaging Collaboration (ISIC) 2017 and ISIC2018 datasets, consisting of 2,000 and 2,594 dermoscopic images, respectively. Critical metrics for evaluation included Dice Similarity Coefficient (DSC), sensitivity (SE), specificity (SP), and accuracy (ACC). The model’s computational efficiency was also assessed by measuring Giga Floating-point Operations Per Second (GFLOPS) and the number of parameters. MUCM-Net demonstrated superior performance in skin lesion segmentation with an average DSC of 0.91 on the ISIC2017 dataset and 0.89 on the ISIC2018 dataset, outperforming existing models. It achieved high SE (0.93), SP (0.95), and ACC (0.92) with low computational demands (0.055–0.064 GFLOPS). Conclusions: The model’s innovative Mamba-UCM layer significantly enhanced feature learning while maintaining efficiency that is suitable for mobile devices. MUCM-Net establishes a new standard in lightweight skin lesion segmentation, balancing exceptional ACC with efficient computational performance. Its ability to perform well on mobile devices makes it a scalable tool for early skin cancer detection in resource-limited settings. The open-source availability of MUCM-Net supports further research and collaboration, promoting advances in mobile health diagnostics and the fight against skin cancer. MUCM-Net source code will be posted on https://github.com/chunyuyuan/MUCM-Net.

Lesion Segmentation and Cancer Detection of Skin Using Le-Net Based Fire Gannet Optimization

Lesion Segmentation and Cancer Detection of Skin Using Le-Net Based Fire Gannet Optimization

Perceptual super-resolution in multiple sclerosis MRI.

Magnetic resonance imaging (MRI) is crucial for diagnosing and monitoring of multiple sclerosis (MS) as it is used to assess lesions in the brain and spinal cord. However, in real-world clinical settings, MRI scans are often acquired with thick slices, limiting their utility for automated quantitative analyses. This work presents a single-image super-resolution (SR) reconstruction framework that leverages SR convolutional neural networks (CNN) to enhance the through-plane resolution of structural MRI in people with MS (PwMS). Our strategy involves the supervised fine-tuning of CNN architectures, guided by a content loss function that promotes perceptual quality, as well as reconstruction accuracy, to recover high-level image features. Extensive evaluation with MRI data of PwMS shows that our SR strategy leads to more accurate MRI reconstructions than competing methods. Furthermore, it improves lesion segmentation on low-resolution MRI, approaching the performance achievable with high-resolution images. Results demonstrate the potential of our SR framework to facilitate the use of low-resolution retrospective MRI from real-world clinical settings to investigate quantitative image-based biomarkers of MS.

Addressing Challenges in Skin Cancer Diagnosis: A Convolutional Swin Transformer Approach.

Skin cancer is one of the top three hazardous cancer types, and it is caused by the abnormal proliferation of tumor cells. Diagnosing skin cancer accurately and early is crucial for saving patients' lives. However, it is a challenging task due to various significant issues, including lesion variations in texture, shape, color, and size; artifacts (hairs); uneven lesion boundaries; and poor contrast. To solve these issues, this research proposes a novel Convolutional Swin Transformer (CSwinformer) method for segmenting and classifying skin lesions accurately. The framework involves phases such as data preprocessing, segmentation, and classification. In the first phase, Gaussian filtering, Z-score normalization, and augmentation processes are executed to remove unnecessary noise, re-organize the data, and increase data diversity. In the phase of segmentation, we design a new model "Swinformer-Net" integrating Swin Transformer and U-Net frameworks, to accurately define a region of interest. At the final phase of classification, the segmented outcome is input into the newly proposed module "Multi-Scale Dilated Convolutional Neural Network meets Transformer (MD-CNNFormer)," where the data samples are classified into respective classes. We use four benchmark datasets-HAM10000, ISBI 2016, PH2, and Skin Cancer ISIC for evaluation. The results demonstrated the designed framework's better efficiency against the traditional approaches. The proposed method provided classification accuracy of 98.72%, pixel accuracy of 98.06%, and dice coefficient of 97.67%, respectively. The proposed method offered a promising solution in skin lesion segmentation and classification, supporting clinicians to accurately diagnose skin cancer.