Attention-based generative adversarial network in medical imaging: : A narrative review

As a popular probabilistic generative model, generative adversarial network (GAN) has been successfully used not only in natural image processing, but also in medical image analysis and computer-aided diagnosis. Despite the various advantages, the applications of GAN in medical image analysis face new challenges. The introduction of attention mechanisms, which resemble the human visual system that focuses on the task-related local image area for certain information extraction, has drawn increasing interest. Recently proposed transformer-based architectures that leverage self-attention mechanism encode long-range dependencies and learn representations that are highly expressive. This motivates us to summarize the applications of using transformer-based GAN for medical image analysis. We reviewed recent advances in techniques combining various attention modules with different adversarial training schemes, and their applications in medical segmentation, synthesis and detection. Several recent studies have shown that attention modules can be effectively incorporated into a GAN model in detecting lesion areas and extracting diagnosis-related feature information precisely, thus providing a useful tool for medical image processing and diagnosis. This review indicates that research on the medical imaging analysis of GAN and attention mechanisms is still at an early stage despite the great potential. We highlight the attention-based generative adversarial network is an efficient and promising computational model advancing future research and applications in medical image analysis.