Explainable attention based breast tumor segmentation using a combination of UNet, ResNet, DenseNet, and EfficientNet models

This study utilizes the Breast Ultrasound Image (BUSI) dataset to present a deep learning technique for breast tumor segmentation based on a modified UNet architecture. To improve segmentation accuracy, the model integrates attention mechanisms, such as the Convolutional Block Attention Module (CBAM) and Non-Local Attention, with advanced encoder architectures, including ResNet, DenseNet, and EfficientNet. These attention mechanisms enable the model to focus more effectively on relevant tumor areas, resulting in significant performance improvements. Models incorporating attention mechanisms outperformed those without, as reflected in superior evaluation metrics. The effects of Dice Loss and Binary Cross-Entropy (BCE) Loss on the model's performance were also analyzed. Dice Loss maximized the overlap between predicted and actual segmentation masks, leading to more precise boundary delineation, while BCE Loss achieved higher recall, improving the detection of tumor areas. Grad-CAM visualizations further demonstrated that attention-based models enhanced interpretability by accurately highlighting tumor areas. The findings denote that combining advanced encoder architectures, attention mechanisms, and the UNet framework can yield more reliable and accurate breast tumor segmentation. Future research will explore the use of multi-modal imaging, real-time deployment for clinical applications, and more advanced attention mechanisms to further improve segmentation performance.