SGDC: Structurally-Guided Dynamic Convolution for Medical Image Segmentation

Published: 14 Feb 2026, Last Modified: 16 Mar 2026MIDL 2026 PosterEveryoneRevisionsBibTeXCC BY 4.0
Keywords: Medical Image Segmentation, Dynamic Convolution, Structure Preservation, Feature Refinement, Boundary Awareness
TL;DR: We address the structural detail loss caused by average pooling in dynamic convolutions by introducing a pooling-free, structure-guided mechanism for medical image segmentation
Abstract: Spatially variant dynamic convolution provides a principled way of integrating spatial adap- tivity into deep neural networks. However, mainstream designs in medical segmentation commonly generate dynamic kernels through average pooling, which implicitly collapses high-frequency spatial details into a coarse, spatially-compressed representation, leading to over-smoothed predictions that degrade the fidelity of fine-grained clinical structures. To address this limitation, we propose a novel Structure-Guided Dynamic Convolution (SGDC) mechanism, which leverages an explicitly supervised structure-extraction branch to guide the generation of dynamic kernels and gating signals for structure-aware feature modulation. Specifically, the high-fidelity boundary information from this auxiliary branch is fused with semantic features to enable spatially-precise feature modulation. This design replaces context aggregation with pixel-wise structural guidance, effectively preventing the information loss in average pooling. Experimental results show that SGDC achieves state- of-the-art performance on ISIC 2016, PH2, ISIC 2018, and CoNIC datasets, delivering superior boundary fidelity by reducing the Hausdorff Distance (HD95) by 2.05, and pro- viding consistent IoU gains of 0.99%-1.49% over pooling-based baselines. Moreover, the mechanism exhibits strong potential for extension to other fine-grained, structure-sensitive vision tasks, such as small-object detection, offering a principled solution for maintaining structural integrity in medical image analysis. To facilitate reproducibility and encourage further research, the implementation for both our SGE and SGDC methods is publicly available at https://github.com/solstice0621/SGDC.
Primary Subject Area: Segmentation
Secondary Subject Area: Detection and Diagnosis
Registration Requirement: Yes
Reproducibility: https://github.com/solstice0621/SGDC
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