1140-Paper4748@2026@MICCAI

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#1 VM-NeXT UNet: Synergizing ConvNeXT and Visual Mamba for Robust Medical Image Segmentation [PDF] [Copy] [Kimi] [REL]

Authors: Cao Boxuan, Jiang Peilin, Cao Boxuan, Jiang Peilin

In recent medical image analysis, Convolutional Neural Networks (CNNs) and State Space Models (SSMs) have set benchmarks in segmentation tasks. While CNNs excel in capturing local fine-grained features, SSMs achieve remarkable global context understanding with linear complexity. However, Mamba-UNet, a pioneering pure SSM-based model, still exhibits deficiencies in feature representation, fusion efficiency, and spatial detail reconstruction. To address these limitations, we propose VM-NeXT UNet, an improved architecture that synergizes ConvNeXT with VSS Blocks.VM-NeXT UNet introduces four key optimizations: (1) a dual-encoder parallel structure for comprehensive feature extraction; (2) a channel-spatial attention gating module in skip connections for adaptive feature screening; (3) multi-scale convolution layers in the decoder to preserve spatial details; and (4) a combined FocalLoss and DiceLoss strategy to focus on hard samples. Experiments on the Synapse and ACDC datasets yielded Dice scores of 86.21% and 92.42%, respectively. The results demonstrate that VM-NeXT UNet significantly outperforms the original Mamba-UNet and achieves competitive performance against state-of-the-art methods, highlighting its potential for reliable clinical deployment.

Subject: MICCAI.2026