Abstract: Highlights•We propose the Cross-Directional Morphological-Aware Module (CMAM) by embedding learnable offset parameters into axial convolutions, adaptively adjusting convolution pathways to accommodate diverse local structures, thereby enhancing the capability to capture axial anatomical features.•We employ a hierarchical multi-scale architecture that enables parallel feature extraction through multi-scale convolution kernels, systematically identifying morphological differences and variation patterns across anatomical structures of varying dimensions.•We propose the Double Cross-Attention Module (DCAM) that generates axial attention maps through CMAM-derived morphological features, enhancing cross-axial anatomical representation while improving overall model performance.
External IDs:dblp:journals/ijon/HuangFZLT25
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