This study aimed to solve the semantic gap and misalignment issue between encoding and decoding because of multiple convolutional and pooling operations in U-Net when segmenting subabdominal MRI images during rectal cancer treatment. A MRI Image Segmentation is proposed based on a multi-scale feature pyramid network and dual attention mechanism. Our innovation is the design of two modules: 1) a dilated convolution and multi-scale feature pyramid network are used in the encoding to avoid the semantic gap. 2) a dual attention mechanism is designed to maintain spatial information of U-Net and reduce misalignment. Experiments on a subabdominal MRI image dataset show the proposed method achieves better performance than others methods. In conclusion, a multi-scale feature pyramid network can reduce the semantic gap, and the dual attention mechanism can make an alignment of features between encoding and decoding.

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