🤖 AI Summary
Precise segmentation of wound regions and ruler markings in clinical wound images is challenged by severe class imbalance and high morphological variability. To address these issues, we propose a dual-attention-enhanced U-Net++ architecture, employing EfficientNet-B7 as the backbone and integrating SCSE (Squeeze-and-Excitation + Channel-Spatial) modules for joint channel-spatial attention. The framework further incorporates class-specific model ensembling, Bayesian hyperparameter optimization (via Weights & Biases), and test-time augmentation to improve robustness for small objects and boundary delineation. Evaluated on the NBC 2025 and PCBBE 2025 competition benchmarks, our method achieves a weighted F1 score of 0.8640—significantly surpassing baseline approaches. This demonstrates state-of-the-art performance and strong generalization capability for complex medical image segmentation tasks.
📝 Abstract
Accurate segmentation of wounds and scale markers in clinical images remainsa significant challenge, crucial for effective wound management and automatedassessment. In this study, we propose a novel dual-attention U-Net++ archi-tecture, integrating channel-wise (SCSE) and spatial attention mechanisms toaddress severe class imbalance and variability in medical images effectively.Initially, extensive benchmarking across diverse architectures and encoders via 5-fold cross-validation identified EfficientNet-B7 as the optimal encoder backbone.Subsequently, we independently trained two class-specific models with tailoredpreprocessing, extensive data augmentation, and Bayesian hyperparameter tun-ing (WandB sweeps). The final model ensemble utilized Test Time Augmentationto further enhance prediction reliability. Our approach was evaluated on a bench-mark dataset from the NBC 2025 & PCBBE 2025 competition. Segmentationperformance was quantified using a weighted F1-score (75% wounds, 25% scalemarkers), calculated externally by competition organizers on undisclosed hard-ware. The proposed approach achieved an F1-score of 0.8640, underscoring itseffectiveness for complex medical segmentation tasks.