MCSF-Net: a multi-scale channel spatial fusion network for real-time polyp segmentation

Colorectal cancer is a globally prevalent cancer type that necessitates prompt screening. Colonoscopy is the established diagnostic technique for identifying colorectal polyps. However, missed polyp rates remain a concern. Early detection of polyps, while still precancerous, is vital for minimizing cancer-related mortality and economic impact. In the clinical setting, precise segmentation of polyps from colonoscopy images can provide valuable diagnostic and surgical information. Recent advances in computer-aided diagnostic systems, specifically those based on deep learning techniques, have shown promise in improving the detection rates of missed polyps, and thereby assisting gastroenterologists in improving polyp identification. In the present investigation, we introduce MCSF-Net, a real-time automatic segmentation framework that utilizes a multi-scale channel space fusion network. The proposed architecture leverages a multi-scale fusion module in conjunction with spatial and channel attention mechanisms to effectively amalgamate high-dimensional multi-scale features. Additionally, a feature complementation module is employed to extract boundary cues from low-dimensional features, facilitating enhanced representation of low-level features while keeping computational complexity to a minimum. Furthermore, we incorporate shape blocks to facilitate better model supervision for precise identification of boundary features of polyps. Our extensive evaluation of the proposed MCSF-Net on five publicly available benchmark datasets reveals that it outperforms several existing state-of-the-art approaches with respect to different evaluation metrics. The proposed approach runs at an impressive ∼45 FPS, demonstrating notable advantages in terms of scalability and real-time segmentation.