融合CNN与视觉变换器，提升医学图像分割的鲁棒性

Deep learning has shown great potential for automated medical image segmentation to improve the precision and speed of disease diagnostics. However, the task presents significant difficulties due to variations in the scale, shape, texture, and contrast of the pathologies. Traditional convolutional neural network (CNN) models have certain limitations when it comes to effectively modelling multiscale context information and facilitating information interaction between skip connections across levels. To overcome these limitations, a novel deep learning architecture is introduced for medical image segmentation, taking advantage of CNNs and vision transformers. Our proposed model, named TBConvL-Net, involves a hybrid network that combines the local features of a CNN encoder-decoder architecture with long-range and temporal dependencies using biconvolutional long-short-term memory (LSTM) networks and vision transformers (ViT). This enables the model to capture contextual channel relationships in the data and account for the uncertainty of segmentation over time. Additionally, we introduce a novel composite loss function that considers both the segmentation robustness and the boundary agreement of the predicted output with the gold standard. Our proposed model shows consistent improvement over the state of the art on ten publicly available datasets of seven different medical imaging modalities.