Neighborhood Self-Dissimilarity Attention for Medical Image Segmentation

Medical image segmentation based on neural networks is pivotal in promoting digital health equity. The attention mechanism increasingly serves as a key component in modern neural networks, as it enables the network to focus on regions of interest, thus improving the segmentation accuracy in medical images. However, current attention mechanisms confront an accuracy-complexity trade-off paradox: accuracy gains demand higher computational costs, while reducing complexity sacrifices model accuracy. Such a contradiction inherently restricts the real-world deployment of attention mechanisms in resource-limited settings, thus exacerbating healthcare disparities. To overcome this dilemma, we propose a parameter-free Neighborhood Self-Dissimilarity Attention (NSDA), inspired by radiologists' diagnostic patterns of prioritizing regions exhibiting substantial differences during clinical image interpretation.