Adaptive Decomposition and Shared Weight Volumetric Transformer Blocks for Efficient Patch-free 3D Medical Image Segmentation.

High resolution (HR) 3D medical image segmentation is vital for an accurate diagnosis. However, in the field of medical imaging, it is still a challenging task to achieve a high segmentation performance with cost-effective and feasible computation resources. Previous methods commonly use patch-sampling to reduce the input size, but this inevitably harms the global context and decreases the model's performance. In recent years, a few patch-free strategies have been presented to deal with this issue, but either they have limited performance due to their over-simplified model structures or they follow a complicated training process. In this study, to effectively address these issues, we present Adaptive Decomposition (A-Decomp) and Shared Weight Volumetric Transformer Blocks (SW-VTB). A-Decomp can adaptively decompose features and reduce their spatial size, which greatly lowers GPU memory consumption. SW-VTB is able to capture long-range dependencies at a low cost with its lightweight design and cross-scale weight-sharing mechanism. Our proposed cross-scale weight-sharing approach enhances the network's ability to capture scale-invariant core semantic information in addition to reducing parameter numbers. By combining these two designs together, we present a novel patch-free segmentation framework named VolumeFormer. Experimental results on two datasets show that VolumeFormer outperforms existing patch-based and patch-free methods with a comparatively fast inference speed and relatively compact design. Code is available at: https://github.com/Dootmaan/VolumeFormer.