CAANet: CAM-guided Adaptive Attention Network for Weakly Supervised Semantic Segmentation of Thyroid Nodules

Deep learning-based thyroid ultrasound image segmentation is of great importance in clinical diagnosis. The Weakly Supervised Semantic Segmentation (WSSS) models requiring only Image-level Labels (IL) reduce the dependence on pixel-level labels. However, due to the lack of position of the objects in image-level labels, WSSS methods with IL are generally based on Class Activation Map (CAM) that can locate the objects. Nowadays, channel attention, which is one of the effective tools to extract object features from images, has been widely used in semantic segmentation tasks. Unfortunately, due to the large differences in the size and discriminative features of thyroid nodules, the mainstream channel attention is unable to perform flexible feature extraction for nodules, leading to the problem of under-segmentation or over-segmentation in the predicted results of the model. To overcome this issue, we propose a dynamic channel attention network that can extract features of thyroid nodules adaptively, called the CAM-guided Adaptive Attention Network (CAANet). In detail, CAANet can pay different attention to the overall and discriminative features of nodules based on the information provided by CAM. Finally, to verify the effectiveness of our method, we perform experimental comparisons with recent WSSS methods and the mainstream channel attention methods on the thyroid ultrasound image dataset. The evaluation results show that our method has better performance improvement, with a mean Intersection over Union (IoU) of 52.713%.