Deep Skin Lesion Segmentation with Transformer-CNN Fusion: Toward Intelligent Skin Cancer Analysis

This paper proposes a high-precision semantic segmentation method based on an improved TransUNet architecture to address the challenges of complex lesion structures, blurred boundaries, and significant scale variations in skin lesion images. The method integrates a transformer module into the traditional encoder-decoder framework to model global semantic information, while retaining a convolutional branch to preserve local texture and edge features. This enhances the model's ability to perceive fine-grained structures. A boundary-guided attention mechanism and multi-scale upsampling path are also designed to improve lesion boundary localization and segmentation consistency. To verify the effectiveness of the approach, a series of experiments were conducted, including comparative studies, hyperparameter sensitivity analysis, data augmentation effects, input resolution variation, and training data split ratio tests. Experimental results show that the proposed model outperforms existing representative methods in mIoU, mDice, and mAcc, demonstrating stronger lesion recognition accuracy and robustness. In particular, the model achieves better boundary reconstruction and structural recovery in complex scenarios, making it well-suited for the key demands of automated segmentation tasks in skin lesion analysis.

Xin Wang, Xiaopei Zhang, Xingang Wang · 2025