SMAFormer: Synergistic Multi-Attention Transformer for Medical Image Segmentation
To address the low segmentation accuracy of irregularly shaped and minute tumors in medical images, this paper proposes a Synergistic Multi-Attention Transformer (SMA-Transformer). The architecture innovatively integrates pixel-wise, channel-wise, and spatial-wise attention mechanisms, coupled with a feature fusion modulator to jointly model local details and global context—thereby mitigating information loss during attention transformation and feature recalibration. Its modular design incorporates residual connections to enhance gradient flow and feature reuse. Evaluated on multi-organ, liver tumor, and bladder tumor segmentation tasks, the method achieves state-of-the-art (SOTA) performance, particularly for small-target segmentation. It delivers significant improvements in key metrics: Dice coefficient and 95th-percentile Hausdorff Distance (HD95), demonstrating superior accuracy and boundary localization.