Yue Cao, Quansong He, Kaishen Wang, Jianlong Xiong, Zhang Yi, Tao He
{"title":"Enhancing feature fusion of U-like networks with dynamic skip connections","authors":"Yue Cao, Quansong He, Kaishen Wang, Jianlong Xiong, Zhang Yi, Tao He","doi":"10.1016/j.media.2026.104010","DOIUrl":null,"url":null,"abstract":"<div><div>U-like networks have become fundamental frameworks in medical image segmentation through skip connections that bridge high-level semantics and low-level spatial details. Despite their success, conventional skip connections exhibit two key limitations: inter-feature constraints and intra-feature constraints. The inter-feature constraint refers to the static nature of feature fusion in traditional skip connections, where information is transmitted along fixed pathways regardless of feature content. The intra-feature constraint arises from the insufficient modeling of multi-scale feature interactions, thereby hindering the effective aggregation of global contextual information. To overcome these limitations, we propose a novel Dynamic Skip Connection (DSC) block that fundamentally enhances cross-layer connectivity through adaptive mechanisms. The DSC block integrates two complementary components: (1) Test-Time Training (TTT) module: This module addresses the inter-feature constraint by enabling dynamic adaptation of hidden representations during inference, facilitating content-aware feature refinement. (2) Dynamic Multi-Scale Kernel (DMSK) module: To mitigate the intra-feature constraint, this module adaptively selects kernel sizes based on global contextual cues, enhancing the network’s capacity for multi-scale feature integration. The DSC block is architecture-agnostic and can be seamlessly incorporated into existing U-like network structures. Extensive experiments demonstrate the plug-and-play effectiveness of the proposed DSC block across CNN-based, Transformer-based, hybrid CNN-Transformer, and Mamba-based U-like networks. The code is available at <span><span>https://github.com/BlackJack-Cao/U-like-Networks-with-DSC</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":18328,"journal":{"name":"Medical image analysis","volume":"110 ","pages":"Article 104010"},"PeriodicalIF":11.8000,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Medical image analysis","FirstCategoryId":"5","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S1361841526000794","RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2026/2/26 0:00:00","PubModel":"Epub","JCR":"Q1","JCRName":"COMPUTER SCIENCE, ARTIFICIAL INTELLIGENCE","Score":null,"Total":0}
引用次数: 0
Abstract
U-like networks have become fundamental frameworks in medical image segmentation through skip connections that bridge high-level semantics and low-level spatial details. Despite their success, conventional skip connections exhibit two key limitations: inter-feature constraints and intra-feature constraints. The inter-feature constraint refers to the static nature of feature fusion in traditional skip connections, where information is transmitted along fixed pathways regardless of feature content. The intra-feature constraint arises from the insufficient modeling of multi-scale feature interactions, thereby hindering the effective aggregation of global contextual information. To overcome these limitations, we propose a novel Dynamic Skip Connection (DSC) block that fundamentally enhances cross-layer connectivity through adaptive mechanisms. The DSC block integrates two complementary components: (1) Test-Time Training (TTT) module: This module addresses the inter-feature constraint by enabling dynamic adaptation of hidden representations during inference, facilitating content-aware feature refinement. (2) Dynamic Multi-Scale Kernel (DMSK) module: To mitigate the intra-feature constraint, this module adaptively selects kernel sizes based on global contextual cues, enhancing the network’s capacity for multi-scale feature integration. The DSC block is architecture-agnostic and can be seamlessly incorporated into existing U-like network structures. Extensive experiments demonstrate the plug-and-play effectiveness of the proposed DSC block across CNN-based, Transformer-based, hybrid CNN-Transformer, and Mamba-based U-like networks. The code is available at https://github.com/BlackJack-Cao/U-like-Networks-with-DSC.
期刊介绍:
Medical Image Analysis serves as a platform for sharing new research findings in the realm of medical and biological image analysis, with a focus on applications of computer vision, virtual reality, and robotics to biomedical imaging challenges. The journal prioritizes the publication of high-quality, original papers contributing to the fundamental science of processing, analyzing, and utilizing medical and biological images. It welcomes approaches utilizing biomedical image datasets across all spatial scales, from molecular/cellular imaging to tissue/organ imaging.