Deep learning-based medical image segmentation technology aims at automatic recognizing and annotating objects on the medical image. Non-local attention and feature learning by multi-scale methods are widely used to model network, which drives progress in medical image segmentation. However, those attention mechanism methods have weakly non-local receptive fields strengthened connection for small objects in medical images. Then, the features of important small objects in abstract or coarse feature maps may be deserted, which leads to unsatisfactory performance. Moreover, the existing multi-scale methods only simply focus on different sizes of view, whose sparse multi-scale features collected are not abundant enough for small objects segmentation. In this work, a multi-dimensional attention segmentation model with cascade multi-scale convolution is proposed to predict accurate segmentation for small objects in medical images. As the weight function, multi-dimensional attention modules provide coefficient modification for significant/informative small objects features. Furthermore, The cascade multi-scale convolution modules in each skip-connection path are exploited to capture multi-scale features in different semantic depth. The proposed method is evaluated on three datasets: KiTS19, Pancreas CT of Decathlon-10, and MICCAI 2018 LiTS Challenge, demonstrating better segmentation performances than the state-of-the-art baselines.
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