LCM-UNet: Scale-Selective Mamba with Reparameterizable Multi-Basis Local Modeling for Lightweight Skin Lesion Segmentation

Recent segmentation models have demonstrated promising efficiency by aggressively reducing parameter counts and computational complexity. However, these models often struggle to accurately delineate fine lesion boundaries and texture patterns essential for early skin cancer diagnosis and treatment planning. In this paper, we propose MambaLiteUNet, a compact yet robust segmentation framework that integrates Mamba state space modeling into a U-Net architecture, along with three key modules: Adaptive Multi-Branch Mamba Feature Fusion (AMF), Local-Global Feature Mixing (LGFM), and Cross-Gated Attention (CGA). These modules are designed to enhance local-global feature interaction, preserve spatial details, and improve the quality of skip connections. MambaLiteUNet achieves an average IoU of 87.12% and average Dice score of 93.09% across ISIC2017, ISIC2018, HAM10000, and PH2 benchmarks, outperforming state-of-the-art models. Compared to U-Net, our model improves average IoU and Dice by 7.72 and 4.61 points, respectively, while reducing parameters by 93.6% and GFLOPs by 97.6%. Additionally, in domain generalization with six unseen lesion categories, MambaLiteUNet achieves 77.61% IoU and 87.23% Dice, performing best among all evaluated models. Our extensive experiments demonstrate that MambaLiteUNet achieves a strong balance between accuracy and efficiency, making it a competitive and practical solution for dermatological image segmentation. Our code is publicly available at: https://github.com/maklachur/MambaLiteUNet.

We present LightMIS, a scalable family of ultra-lightweight convolutional networks for 2D binary medical image segmentation without a learned stage-wise decoder. LightMIS aligns the outputs of a five-level encoder to a common resolution using Scale-Aligned Projection blocks, aggregates them once, and refines the fused representation with an Adaptive Fusion Cascade. The cascade combines Adaptive Kernel Fusion with the proposed Progressive Receptive Fusion module, which uses temporary channel expansion, complementary depthwise receptive fields, and progressive cross-branch information transfer. We evaluate LightMIS-T, LightMIS-S, and LightMIS using five-fold cross-validation under a common nnU-Net v2.3.1 protocol on DRIVE, Kvasir-SEG, DSB18, BUSI, ISIC-2017, and ISIC-2018. Full LightMIS contains 0.131 M parameters and requires 0.575 GFLOPs for a $3\times256\times256$ input, achieving modality-macro Dice and IoU scores of 86.71% and 78.99%, respectively. Mobile U-ViT obtains 86.75% Dice and 79.07% IoU, so the observed differences are 0.04 and 0.08 percentage points. Relative to Mobile U-ViT, nnWNet, and nnU-Net, LightMIS reduces parameter count by 90.58$-$99.61% and GFLOPs by 82.54$-$96.14%. On an Arm Mali-G52 MC2 GPU, all LightMIS variants achieve full GPU delegation, with median delegated latency ranging from 53.31 ms for LightMIS-T to 138.31 ms for LightMIS. These results demonstrate a favorable accuracy-complexity trade-off and on-device execution feasibility for the evaluated tasks. The code is publicly available at https://github.com/AndreiiArhire/LightMIS.

Accurate boundary delineation remains a persistent challenge in dermoscopic image segmentation because of blurred lesion margins, heterogeneous textures, and complex background artifacts. From a signal-processing perspective, lesion boundaries represent high-frequency components that are highly susceptible to aliasing, noise amplification, and information loss. Consequently, repeated downsampling and feature transformations in conventional convolutional architectures often lead to severely degraded boundary representations. To address these limitations, we propose EA-LiteUNet, an edge-adaptive and computationally efficient U-Net variant specifically designed for boundary-sensitive medical image segmentation. The architecture integrates three core mechanisms: (1) boundary-aware representation learning to suppress aliasing and preserve high-frequency structural details; (2) attention-guided feature modulation to selectively enhance boundary-relevant responses across multi-scale features; and (3) a resource-adaptive inference strategy to dynamically balance segmentation accuracy and computational efficiency. Extensive evaluations across three public dermoscopic datasets demonstrate that EA-LiteUNet consistently achieves superior boundary precision. Specifically, on the ISIC 2018 dataset, the method significantly reduces the 95% Hausdorff Distance (HD95) to 12.89 pixels while maintaining a robust Dice score of 92.08%. Notably, this strong performance is achieved with an ultralightweight configuration of merely 0.29M parameters and 1.17 GFLOPs. Ablation studies further validate the complementary effects of these components, confirming their contribution to enhanced boundary fidelity and stable optimization.