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Feb 11

Cross-Shaped Windows Transformer with Self-supervised Pretraining for Clinically Significant Prostate Cancer Detection in Bi-parametric MRI

Multiparametric magnetic resonance imaging (mpMRI) has demonstrated promising results in prostate cancer (PCa) detection using deep convolutional neural networks (CNNs). Recently, transformers have achieved competitive performance compared to CNNs in computer vision. Large-scale transformers need abundant annotated data for training, which are difficult to obtain in medical imaging. Self-supervised learning can effectively leverage unlabeled data to extract useful semantic representations without annotation and its associated costs. This can improve model performance on downstream tasks with limited labelled data and increase generalizability. We introduce a novel end-to-end Cross-Shaped windows (CSwin) transformer UNet model, CSwin UNet, to detect clinically significant prostate cancer (csPCa) in prostate bi-parametric MR imaging (bpMRI) and demonstrate the effectiveness of our proposed self-supervised pre-training framework. Using a large prostate bpMRI dataset with 1500 patients, we first pre-train CSwin transformer using multi-task self-supervised learning to improve data-efficiency and network generalizability. We then finetuned using lesion annotations to perform csPCa detection. Five-fold cross validation shows that self-supervised CSwin UNet achieves 0.888 AUC and 0.545 Average Precision (AP), significantly outperforming four state-of-the-art models (Swin UNETR, DynUNet, Attention UNet, UNet). Using a separate bpMRI dataset with 158 patients, we evaluated our model robustness to external hold-out data. Self-supervised CSwin UNet achieves 0.79 AUC and 0.45 AP, still outperforming all other comparable methods and demonstrating generalization to a dataset shift.

  • 11 authors
·
Apr 30, 2023

CSWin Transformer: A General Vision Transformer Backbone with Cross-Shaped Windows

We present CSWin Transformer, an efficient and effective Transformer-based backbone for general-purpose vision tasks. A challenging issue in Transformer design is that global self-attention is very expensive to compute whereas local self-attention often limits the field of interactions of each token. To address this issue, we develop the Cross-Shaped Window self-attention mechanism for computing self-attention in the horizontal and vertical stripes in parallel that form a cross-shaped window, with each stripe obtained by splitting the input feature into stripes of equal width. We provide a mathematical analysis of the effect of the stripe width and vary the stripe width for different layers of the Transformer network which achieves strong modeling capability while limiting the computation cost. We also introduce Locally-enhanced Positional Encoding (LePE), which handles the local positional information better than existing encoding schemes. LePE naturally supports arbitrary input resolutions, and is thus especially effective and friendly for downstream tasks. Incorporated with these designs and a hierarchical structure, CSWin Transformer demonstrates competitive performance on common vision tasks. Specifically, it achieves 85.4\% Top-1 accuracy on ImageNet-1K without any extra training data or label, 53.9 box AP and 46.4 mask AP on the COCO detection task, and 52.2 mIOU on the ADE20K semantic segmentation task, surpassing previous state-of-the-art Swin Transformer backbone by +1.2, +2.0, +1.4, and +2.0 respectively under the similar FLOPs setting. By further pretraining on the larger dataset ImageNet-21K, we achieve 87.5% Top-1 accuracy on ImageNet-1K and high segmentation performance on ADE20K with 55.7 mIoU. The code and models are available at https://github.com/microsoft/CSWin-Transformer.

  • 8 authors
·
Jul 1, 2021

MK-UNet: Multi-kernel Lightweight CNN for Medical Image Segmentation

In this paper, we introduce MK-UNet, a paradigm shift towards ultra-lightweight, multi-kernel U-shaped CNNs tailored for medical image segmentation. Central to MK-UNet is the multi-kernel depth-wise convolution block (MKDC) we design to adeptly process images through multiple kernels, while capturing complex multi-resolution spatial relationships. MK-UNet also emphasizes the images salient features through sophisticated attention mechanisms, including channel, spatial, and grouped gated attention. Our MK-UNet network, with a modest computational footprint of only 0.316M parameters and 0.314G FLOPs, represents not only a remarkably lightweight, but also significantly improved segmentation solution that provides higher accuracy over state-of-the-art (SOTA) methods across six binary medical imaging benchmarks. Specifically, MK-UNet outperforms TransUNet in DICE score with nearly 333times and 123times fewer parameters and FLOPs, respectively. Similarly, when compared against UNeXt, MK-UNet exhibits superior segmentation performance, improving the DICE score up to 6.7% margins while operating with 4.7times fewer #Params. Our MK-UNet also outperforms other recent lightweight networks, such as MedT, CMUNeXt, EGE-UNet, and Rolling-UNet, with much lower computational resources. This leap in performance, coupled with drastic computational gains, positions MK-UNet as an unparalleled solution for real-time, high-fidelity medical diagnostics in resource-limited settings, such as point-of-care devices. Our implementation is available at https://github.com/SLDGroup/MK-UNet.

  • 2 authors
·
Sep 22, 2025