DASNet: Disturbance-Aware Lesion Segmentation Network on Medical Images

Abstract

Lesions in medical imaging exhibit considerable variability in location and size, while image quality is frequently compromised by noise and artifacts. These complex disturbance patterns undermine the stability of feature extraction and significantly complicate precise segmentation. To address these challenges, we propose the Disturbance-Aware Lesion Segmentation Network (DASNet), a segmentation framework based on probabilistic modeling, designed to achieve robust feature representation under diverse disturbing conditions. DASNet introduces a dual-encoder architecture to separately capture observable and latent disturbances: the spatial adaptive encoder is employed to extract visible deformation features of lesions (positional offset and area proportion), while the Gaussian distribution encoder models latent uncertainties in the feature space, regularized by posterior probability supervision to align learned distributions with true lesion feature distributions. The representations from both encoders are integrated during the decoding phase, guiding the generation of reliable features. Extensive experiments conducted on ultrasound, dermoscopy, and colonoscopy datasets demonstrate that DASNet consistently achieves superior segmentation accuracy and exhibits strong generalization across multiple imaging modalities.