VML-UNet: Fusing Vision Mamba and Lightweight Attention Mechanism for Skin Lesion Segmentation

Deep learning has advanced medical image segmentation, yet existing methods struggle with complex anatomical structures. Mainstream models, such as CNN, Transformer, and hybrid architectures, face challenges including insufficient information representation and redundant complexity, which limit their clinical deployment. Developing efficient and lightweight networks is crucial for accurate lesion localization and optimized clinical workflows. We propose the VML-UNet, a lightweight segmentation network with core innovations including the CPMamba module and the multi-scale local supervision module (MLSM). The CPMamba module integrates the visual state space (VSS) block and a channel prior attention mechanism to enable efficient modeling of spatial relationships with linear computational complexity through dynamic channel-space weight allocation, while preserving channel feature integrity. The MLSM enhances local feature perception and reduces the inference burden. Comparative experiments were conducted on three public datasets, including ISIC2017, ISIC2018, and PH2, with ablation experiments performed on ISIC2017. VML-UNet achieves 0.53 M parameters, 2.18 MB memory usage, and 1.24 GFLOPs time complexity, with its performance on the datasets outperforming comparative networks, validating its effectiveness. This study provides valuable references for developing lightweight, high-performance skin lesion segmentation networks, advancing the field of skin lesion segmentation.