Abstract
The acurate segmentation and classification of nuclei in histological images are crucial for the diagnosis and treatment of colorectal cancer. However, the aggregation of nuclei and intra-class variability in histology images present significant challenges for nuclei segmentation and classification. In addition, the imbalance of various nuclei classes exacerbates the difficulty of nuclei classification and segmentation using deep learning models. To address these challenges, we present a novel attention-enhanced residual refinement network (AER-Net), which consists of one encoder and three decoder branches that have same network structure. In addition to the nuclei instance segmentation branch and nuclei classification branch, one branch is used to predict the vertical and horizontal distance from each pixel to its nuclear center, which is combined with output by the segmentation branch to improve the final segmentation results. The AER-Net utilizes an attention-enhanced encoder module to focus on more valuable features. To further refine predictions and achieve more accurate results, an attention-enhancing residual refinement module is employed at the end of each encoder branch. Moreover, the coarse predictions and refined predictions are combined by using a loss function that employs cross-entropy loss and generalized dice loss to efficiently tackle the challenge of class imbalance among nuclei in histology images. Compared with other state-of-the-art methods on two colorectal cancer datasets and a pan-cancer dataset, AER-Net demonstrates outstanding performance, validating its effectiveness in nuclear segmentation and classification.