Early detection of colorectal polyps is crucial for clinical screening and cancer prevention, where accurate and efficient automatic segmentation plays a pivotal role. However, colonoscopy images often suffer from low contrast, blurred boundaries, and scale variations, making segmentation challenging. Existing encoder-decoder networks (e.g., U-Net) suffer from asymmetric supervision and feature redundancy, which in turn lead to semantic inconsistency and loss of fine details. While deeper or hybrid designs alleviate these issues, their high complexity and computational burden limit feasibility in real-time clinical practice. To address these challenges, we propose a lightweight segmentation framework, Hierarchical Contextual Attention Network (HCA-Net), consisting of the Redundancy-Suppressed Dual-Path Downsampling (RS-DPD) module and the Boundary-Aware Semantic Alignment Upsampling (BA-SAU) module, applied to the encoder and decoder, respectively. RS-DPD suppresses redundancy while preserving fine-grained details through a dual-path design, whereas BA-SAU leverages cross-layer contextual attention to enforce semantic consistency and enhance boundary sensitivity. Both modules are built upon our proposed Hierarchical Contextual Attention (HCA) mechanism, which combines convolutional projection with pooling-based compression to achieve efficient global modeling and accurate local boundary restoration. In addition, a composite boundary-aware loss function is designed to improve pixel-level accuracy, structural consistency, and robustness in low-contrast and boundary-ambiguous regions. Extensive experiments on public colorectal polyp datasets demonstrate that HCA-Net achieves state-of-the-art (SOTA) segmentation accuracy with significantly improved efficiency, while maintaining robustness under low-contrast and blurred-boundary conditions.
Li et al. (Thu,) studied this question.