{"about":{"site":"https://codewithpapers.app","non_affiliation":"Code with Papers and Syntology are not affiliated with, endorsed by, or sponsored by Papers with Code, Meta, or the pwc-archive mirror.","licence":"CC BY-SA 4.0","licence_url":"https://creativecommons.org/licenses/by-sa/4.0/legalcode","attribution":"https://codewithpapers.app/attribution","modified":"archive material modified by Syntology; see the attribution page"},"url":"/paper/mist-medical-image-segmentation-transformer","title":"MIST: Medical Image Segmentation Transformer with Convolutional Attention Mixing (CAM) Decoder","arxiv_id":"2310.19898","date":"2023-10-30","proceeding":null,"authors":["Md Motiur Rahman","Shiva Shokouhmand","Smriti Bhatt","Miad Faezipour"],"abstract":"One of the common and promising deep learning approaches used for medical image segmentation is transformers, as they can capture long-range dependencies among the pixels by utilizing self-attention. Despite being successful in medical image segmentation, transformers face limitations in capturing local contexts of pixels in multimodal dimensions. We propose a Medical Image Segmentation Transformer (MIST) incorporating a novel Convolutional Attention Mixing (CAM) decoder to address this issue. MIST has two parts: a pre-trained multi-axis vision transformer (MaxViT) is used as an encoder, and the encoded feature representation is passed through the CAM decoder for segmenting the images. In the CAM decoder, an attention-mixer combining multi-head self-attention, spatial attention, and squeeze and excitation attention modules is introduced to capture long-range dependencies in all spatial dimensions. Moreover, to enhance spatial information gain, deep and shallow convolutions are used for feature extraction and receptive field expansion, respectively. The integration of low-level and high-level features from different network stages is enabled by skip connections, allowing MIST to suppress unnecessary information. The experiments show that our MIST transformer with CAM decoder outperforms the state-of-the-art models specifically designed for medical image segmentation on the ACDC and Synapse datasets. Our results also demonstrate that adding the CAM decoder with a hierarchical transformer improves segmentation performance significantly. Our model with data and code is publicly available on GitHub.","url_abs":"https://arxiv.org/abs/2310.19898v1","url_pdf":"https://arxiv.org/pdf/2310.19898v1.pdf","source":{"archive":"pwc-archive (Hugging Face), CC BY-SA 4.0","snapshot":"2025-07-28","licence_url":"https://creativecommons.org/licenses/by-sa/4.0/legalcode","row_kind":"abstracts"},"code_links":[{"paper_slug":"mist-medical-image-segmentation-transformer","repo_url":"https://github.com/rahman-motiur/mist","is_official":1,"mentioned_in_paper":1,"mentioned_in_github":0,"framework":"pytorch","reach":null}],"tasks":[{"task_slug":"decoder","task_name":"Decoder"},{"task_slug":"image-segmentation","task_name":"Image Segmentation"},{"task_slug":"medical-image-segmentation","task_name":"Medical Image Segmentation"},{"task_slug":"segmentation","task_name":"Segmentation"},{"task_slug":"semantic-segmentation","task_name":"Semantic Segmentation"}],"methods":[{"method_slug":"absolute-position-encodings","method_name":"Absolute Position Encodings"},{"method_slug":"adam","method_name":"Adam"},{"method_slug":"attention","method_name":"Attention"},{"method_slug":"bpe","method_name":"BPE"},{"method_slug":"cam","method_name":"CAM"},{"method_slug":"dense-connections","method_name":"Dense Connections"},{"method_slug":"dropout","method_name":"Dropout"},{"method_slug":"label-smoothing","method_name":"Label Smoothing"},{"method_slug":"layer-normalization","method_name":"Layer Normalization"},{"method_slug":"linear-layer","method_name":"Linear Layer"},{"method_slug":"multi-head-attention","method_name":"Multi-Head Attention"},{"method_slug":"position-wise-feed-forward-layer","method_name":"Position-Wise Feed-Forward Layer"},{"method_slug":"residual-connection","method_name":"Residual Connection"},{"method_slug":"softmax","method_name":"Softmax"},{"method_slug":"transformer","method_name":"Transformer"},{"method_slug":"vision-transformer","method_name":"Vision Transformer"}],"datasets_introduced":[],"methods_introduced":[],"results":[{"leaderboard":"/sota/medical-image-segmentation-on-automatic","task":"Medical Image Segmentation","dataset":"Automatic Cardiac Diagnosis Challenge (ACDC)","model":"MIST","rank_in_archive_order":5,"of":20,"metrics":{"Avg DSC":"92.56"},"uses_additional_data":false},{"leaderboard":"/sota/medical-image-segmentation-on-synapse-multi","task":"Medical Image Segmentation","dataset":"Synapse multi-organ CT","model":"MIST","rank_in_archive_order":6,"of":23,"metrics":{"Avg DSC":"86.92","Avg HD":"11.07"},"uses_additional_data":false}],"syntology":{"atlas_url":"https://app.syntology.ai/?focus=2310.19898","mcp":null,"developers":"https://syntology.ai/developers"},"arxiv_metadata":null,"syntology_extracted_results":null}