混合CNN与Mamba的3D模型，提升脑部分割速度与精度

Widely used traditional pipelines for subcortical brain segmentation are often inefficient and slow, particularly when processing large datasets. Furthermore, deep learning models face challenges due to the high resolution of MRI images and the large number of anatomical classes involved. To address these limitations, we developed a 3D patch-based hybrid CNN-Mamba model that leverages Mamba's selective scan algorithm, thereby enhancing segmentation accuracy and efficiency for 3D inputs. This retrospective study utilized 1784 T1-weighted MRI scans from a diverse, multi-site dataset of healthy individuals. The dataset was divided into training, validation, and testing sets with a 1076/345/363 split. The scans were obtained from 1.5T and 3T MRI machines. Our model's performance was validated against several benchmarks, including other CNN-Mamba, CNN-Transformer, and pure CNN networks, using FreeSurfer-generated ground truths. We employed the Dice Similarity Coefficient (DSC), Volume Similarity (VS), and Average Symmetric Surface Distance (ASSD) as evaluation metrics. Statistical significance was determined using the Wilcoxon signed-rank test with a threshold of P < 0.05. The proposed model achieved the highest overall performance across all metrics (DSC 0.88383; VS 0.97076; ASSD 0.33604), significantly outperforming all non-Mamba-based models (P < 0.001). While the model did not show significant improvement in DSC or VS compared to another Mamba-based model (P-values of 0.114 and 0.425), it demonstrated a significant enhancement in ASSD (P < 0.001) with approximately 20% fewer parameters. In conclusion, our proposed hybrid CNN-Mamba architecture offers an efficient and accurate approach for 3D subcortical brain segmentation, demonstrating potential advantages over existing methods. Code is available at: https://github.com/aaroncao06/MedSegMamba.