MFG-Seg: multi-level feature guide segmentation framework in endoscopy via dual-decoder fusion strategy
Year: 2026
Type: article
Abstract: Endoscopy-based lesion segmentation is essential for the early detection of neoplastic lesions. Framed as a dense-prediction task on high-resolution mucosal panoramas, its automated and precise contouring alleviates clinicians’ real-time cognitive burden, while yielding quantitative biomarkers to stratify patient risk and guide subsequent therapeutic strategies. However, three key challenges persist in current methods: (1) multi-scale confusion due to diverse lesion morphologies that resemble surrounding tissues; (2) weak boundaries that hinder foreground-background distinction; (3) over-reliance on training data that limits cross-dataset generalization. We propose MFG-Seg, a Multi-Level Feature Guide Segmentation Framework with a dual-decoder architecture. We design a Boundary-Aware (BA) decoder as the primary decoder, which effectively mitigates the loss of boundary details caused by deep encoder layers. In addition, we introduce a Multi-scale Selective Attention (MSA) decoder as the auxiliary decoder, which augments discrimination of confusing textures via multi-scale fine-grained features and cross-attention. Extensive experiments on six datasets validate MFG-Seg’s superior performance, achieving a lightweight design with only 25.39M parameters and 7.19 GFLOPs. Compared with existing methods, MFG-Seg demonstrates significant improvements in generalization accuracy and clinical deployability for endoscopic images diagnosis.
Authors: Chenjun Xu, Yongjun Zhu, Jiahao Zhang, Jiawen Qi, Fang Huang, Xinyi Zhang, Ruiyuan Li, Shanxiong Chen
Institutions: Southwest University, Chongqing Medical University
Language: English
Topic: AI in cancer detection
Subfield: Artificial Intelligence
Field: Computer Science
Domain: Physical Sciences
Open Access status: gold
Estimated APC paid: $1,990
OpenAlex ID: W7142534473
