🤖 AI Summary
To address the challenges of segmenting small targets (e.g., tumors) and severe class imbalance in medical imaging, this paper proposes a novel paradigm based on Euclidean distance map regression—replacing direct segmentation mask prediction with continuous distance map estimation followed by thresholding. Methodologically, we introduce a first-of-its-kind shape-aware joint loss function that simultaneously optimizes geometric fidelity of the predicted distance map and boundary localization accuracy. Our approach employs a U-Net variant architecture trained with a weighted L1 regression loss and a Hausdorff distance–driven boundary constraint. Evaluated on multiple benchmarks—including Skin Lesion and Cell Nuclei datasets—our method achieves consistent improvements: Dice score gains of 3.2–5.8%, a 12.7% increase in small-object recall, and a 21% reduction in boundary localization error. These results demonstrate substantial mitigation of class imbalance and enhanced capacity for geometrically accurate shape modeling.