arXiv:2602.15072cs.CVcs.AI2026-02

受人脑视觉系统启发,提升结肠镜下息肉分割精度与可解释性。

GRAFNet: Multiscale Retinal Processing via Guided Cortical Attention Feedback for Enhancing Medical Image Polyp Segmentation

  • 模拟大脑视觉皮层反馈机制,分层融合多尺度特征
  • 在5个数据集上实现3-8%的Dice分数提升,泛化能力提高10-20%
  • 适合医学图像分割研究者及临床辅助诊断系统开发者

准确分割结肠镜图像中的息肉对癌症预防至关重要,但面临三大挑战:(1)形态差异大(从平坦到隆起),(2)与正常结构(如皱褶、血管)视觉相似,(3)需强健的多尺度检测能力。现有深度学习方法存在单向处理、多尺度融合弱、缺乏解剖约束等问题,常导致假阳性(误分割正常结构)和假阴性(漏检微小平坦病变)。本文提出GRAFNet,一种受人脑视觉系统启发的架构。其包含三个核心模块:(1)导向异构注意力模块(GAAM),模拟定向选择性皮层神经元以突出息肉边界;(2)多尺度视网膜模块(MSRM),复现视网膜神经节细胞通路实现并行多特征分析;(3)导向皮层注意反馈模块(GCAFM),采用预测编码进行迭代优化。三者集成于息肉编码-解码模块(PEDM),通过自适应分辨率反馈保持空间-语义一致性。在五个公开基准(Kvasir-SEG、CVC-300、CVC-ColonDB、CVC-Clinic、PolypGen)上的实验表明,性能持续达到领先水平,Dice分数提升3-8%,泛化能力高出10-20%,且提供可解释的决策路径。本工作建立了神经计算原理连接AI精度与临床可信推理的新范式。代码已开源。

原文摘要 · Abstract (English)

Accurate polyp segmentation in colonoscopy is essential for cancer prevention but remains challenging due to: (1) high morphological variability (from flat to protruding lesions), (2) strong visual similarity to normal structures such as folds and vessels, and (3) the need for robust multi-scale detection. Existing deep learning approaches suffer from unidirectional processing, weak multi-scale fusion, and the absence of anatomical constraints, often leading to false positives (over-segmentation of normal structures) and false negatives (missed subtle flat lesions). We propose GRAFNet, a biologically inspired architecture that emulates the hierarchical organisation of the human visual system. GRAFNet integrates three key modules: (1) a Guided Asymmetric Attention Module (GAAM) that mimics orientation-tuned cortical neurones to emphasise polyp boundaries, (2) a MultiScale Retinal Module (MSRM) that replicates retinal ganglion cell pathways for parallel multi-feature analysis, and (3) a Guided Cortical Attention Feedback Module (GCAFM) that applies predictive coding for iterative refinement. These are unified in a Polyp Encoder-Decoder Module (PEDM) that enforces spatial-semantic consistency via resolution-adaptive feedback. Extensive experiments on five public benchmarks (Kvasir-SEG, CVC-300, CVC-ColonDB, CVC-Clinic, and PolypGen) demonstrate consistent state-of-the-art performance, with 3-8% Dice improvements and 10-20% higher generalisation over leading methods, while offering interpretable decision pathways. This work establishes a paradigm in which neural computation principles bridge the gap between AI accuracy and clinically trustworthy reasoning. Code is available at https://github.com/afofanah/GRAFNet.

医学图像分割注意力机制多尺度特征可解释性

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