Simple is what you need for efficient and accurate medical image segmentation

While modern segmentation models often prioritize performance over practicality, we advocate a design philosophy prioritizing simplicity and efficiency, and attempted high performance segmentation model design. This paper presents SimpleUNet, a scalable ultra-lightweight medical image segmentation model with three key innovations: (1) A partial feature selection mechanism in skip connections for redundancy reduction while enhancing segmentation performance; (2) A fixed-width architecture that prevents exponential parameter growth across network stages; (3) An adaptive feature fusion module achieving enhanced representation with minimal computational overhead. With a record-breaking 16 KB parameter configuration, SimpleUNet outperforms LBUNet and other lightweight benchmarks across multiple public datasets. The 0.67 MB variant achieves superior efficiency (8.60 GFLOPs) and accuracy, attaining a mean DSC/IoU of 85.76%/75.60% on multi-center breast lesion datasets, surpassing both U-Net and TransUNet. Evaluations on skin lesion datasets (ISIC 2017/2018: mDice 84.86%/88.77%) and endoscopic polyp segmentation (KVASIR-SEG: 86.46%/76.48% mDice/mIoU) confirm consistent dominance over state-of-the-art models. This work demonstrates that extreme model compression need not compromise performance, providing new insights for efficient and accurate medical image segmentation. Codes can be found at https://github.com/Frankyu5666666/SimpleUNet.

MS-UMamba: An Improved Vision Mamba Unet for Fetal Abdominal Medical Image Segmentation

Recently, Mamba-based methods have become popular in medical image segmentation due to their lightweight design and long-range dependency modeling capabilities. However, current segmentation methods frequently encounter challenges in fetal ultrasound images, such as enclosed anatomical structures, blurred boundaries, and small anatomical structures. To address the need for balancing local feature extraction and global context modeling, we propose MS-UMamba, a novel hybrid convolutional-mamba model for fetal ultrasound image segmentation. Specifically, we design a visual state space block integrated with a CNN branch (SS-MCAT-SSM), which leverages Mamba's global modeling strengths and convolutional layers' local representation advantages to enhance feature learning. In addition, we also propose an efficient multi-scale feature fusion module that integrates spatial attention mechanisms, which Integrating feature information from different layers enhances the feature representation ability of the model. Finally, we conduct extensive experiments on a non-public dataset, experimental results demonstrate that MS-UMamba model has excellent performance in segmentation performance.

DCD: A Semantic Segmentation Model for Fetal Ultrasound Four-Chamber View

Accurate segmentation of anatomical structures in the apical four-chamber (A4C) view of fetal echocardiography is essential for early diagnosis and prenatal evaluation of congenital heart disease (CHD). However, precise segmentation remains challenging due to ultrasound artifacts, speckle noise, anatomical variability, and boundary ambiguity across different gestational stages. To reduce the workload of sonographers and enhance segmentation accuracy, we propose DCD, an advanced deep learning-based model for automatic segmentation of key anatomical structures in the fetal A4C view. Our model incorporates a Dense Atrous Spatial Pyramid Pooling (Dense ASPP) module, enabling superior multi-scale feature extraction, and a Convolutional Block Attention Module (CBAM) to enhance adaptive feature representation. By effectively capturing both local and global contextual information, DCD achieves precise and robust segmentation, contributing to improved prenatal cardiac assessment.

FAMSeg: Fetal Femur and Cranial Ultrasound Segmentation Using Feature-Aware Attention and Mamba Enhancement

Accurate ultrasound image segmentation is a prerequisite for precise biometrics and accurate assessment. Relying on manual delineation introduces significant errors and is time-consuming. However, existing segmentation models are designed based on objects in natural scenes, making them difficult to adapt to ultrasound objects with high noise and high similarity. This is particularly evident in small object segmentation, where a pronounced jagged effect occurs. Therefore, this paper proposes a fetal femur and cranial ultrasound image segmentation model based on feature perception and Mamba enhancement to address these challenges. Specifically, a longitudinal and transverse independent viewpoint scanning convolution block and a feature perception module were designed to enhance the ability to capture local detail information and improve the fusion of contextual information. Combined with the Mamba-optimized residual structure, this design suppresses the interference of raw noise and enhances local multi-dimensional scanning. The system builds global information and local feature dependencies, and is trained with a combination of different optimizers to achieve the optimal solution. After extensive experimental validation, the FAMSeg network achieved the fastest loss reduction and the best segmentation performance across images of varying sizes and orientations.

FPDANet: A Multi-Section Classification Model for Intelligent Screening of Fetal Ultrasound

ResNet has been widely used in image classification tasks due to its ability to model the residual dependence of constant mappings for linear computation. However, the ResNet method adopts a unidirectional transfer of features and lacks an effective method to correlate contextual information, which is not effective in classifying fetal ultrasound images in the classification task, and fetal ultrasound images have problems such as low contrast, high similarity, and high noise. Therefore, we propose a bilateral multi-scale information fusion network-based FPDANet to address the above challenges. Specifically, we design the positional attention mechanism (DAN) module, which utilizes the similarity of features to establish the dependency of different spatial positional features and enhance the feature representation. In addition, we design a bilateral multi-scale (FPAN) information fusion module to capture contextual and global feature dependencies at different feature scales, thereby further improving the model representation. FPDANet classification results obtained 91.05\% and 100\% in Top-1 and Top-5 metrics, respectively, and the experimental results proved the effectiveness and robustness of FPDANet.