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Paper · arXiv

Does Your ViT Still Need U-Net for Segmentation?

Medical image segmentation is dominated by U-Net-style encoder-decoder architectures. Vision Transformers (ViTs) overcome the limited receptive field of convolutional networks through self-attention, enabling modeling of long-range dependencies. Early ViT-based segmentation methods typically retained U-Net-style decoders because pretrained ViT representations were insufficient to support accurate dense prediction. Recent advances in large-scale pretraining have redefined the representation capability of ViTs, reducing the reliance on U-Net-style decoder architectures in modern vision models. This prompts two questions: Is the U-Net paradigm still necessary for medical image segmentation? ...

AuthorsXin Li, Wenhui Zhu, Xuanzhao Dong et al.
Primary categorycs.CV
Published30 June 2026
Last updated at source30 June 2026
cs.CV
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