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Architecture: EfficientNet-B7 encoder + ASPP + CBAM + TAM + UNet decoder.
Checkpoint: Track B multiclass, ulcer Dice = 0.927 (Bootstrap CI: [0.917, 0.936]).
"""
import torch
import torch.nn as nn
import torch.nn.functional as F
import segmentation_models_pytorch as smp
import numpy as np
import cv2
from pathlib import Path
IMG_SIZE = 512
MEAN = np.array([0.485, 0.456, 0.406])
STD = np.array([0.229, 0.224, 0.225])
CLASS_NAMES = {0: "background", 1: "foot", 2: "perilesion", 3: "ulcer"}
CLASS_COLORS = {
0: (0, 0, 0),
1: (0, 255, 0),
2: (255, 165, 0),
3: (255, 0, 0),
}
# ---------------------------------------------------------------------------
# Architecture modules (match checkpoint weights exactly)
# ---------------------------------------------------------------------------
class ChannelAttention(nn.Module):
def __init__(self, channels, reduction=16):
super().__init__()
self.mlp = nn.Sequential(
nn.Linear(channels, channels // reduction, bias=False),
nn.ReLU(inplace=True),
nn.Linear(channels // reduction, channels, bias=False),
)
def forward(self, x):
avg_out = self.mlp(x.mean(dim=[2, 3]))
max_out = self.mlp(x.amax(dim=[2, 3]))
attn = torch.sigmoid(avg_out + max_out).unsqueeze(-1).unsqueeze(-1)
return x * attn
class SpatialAttention(nn.Module):
def __init__(self, kernel_size=7):
super().__init__()
self.conv = nn.Conv2d(2, 1, kernel_size, padding=kernel_size // 2, bias=False)
def forward(self, x):
avg_out = x.mean(dim=1, keepdim=True)
max_out = x.amax(dim=1, keepdim=True)
attn = torch.sigmoid(self.conv(torch.cat([avg_out, max_out], dim=1)))
return x * attn
class CBAM(nn.Module):
def __init__(self, channels, reduction=16, kernel_size=7):
super().__init__()
self.ca = ChannelAttention(channels, reduction)
self.sa = SpatialAttention(kernel_size)
def forward(self, x):
return self.sa(self.ca(x))
class DifferentiableFractalDimension(nn.Module):
def __init__(self, scales=None):
super().__init__()
self.scales = scales or [2, 4, 8, 16, 32]
def forward(self, x):
B, C, H, W = x.shape
counts = []
for s in self.scales:
if s >= H or s >= W:
continue
pooled = F.avg_pool2d(x, kernel_size=s, stride=s)
n_boxes = torch.sigmoid(10.0 * (pooled - 0.1)).sum(dim=[2, 3])
counts.append(n_boxes)
if len(counts) < 2:
return torch.ones(B, C, device=x.device)
log_s = torch.log(torch.tensor([float(s) for s in self.scales[: len(counts)]], device=x.device))
log_c = torch.stack([torch.log(c + 1) for c in counts], dim=-1)
n = log_s.shape[0]
sx, sxx = log_s.sum(), (log_s**2).sum()
sy = log_c.sum(dim=-1)
sxy = (log_c * log_s.unsqueeze(0).unsqueeze(0)).sum(dim=-1)
slope = (n * sxy - sx * sy) / (n * sxx - sx**2 + 1e-8)
return -slope.mean(dim=1, keepdim=True).unsqueeze(-1).unsqueeze(-1)
class DifferentiableEulerCharacteristic(nn.Module):
def forward(self, x):
B, C, H, W = x.shape
b = torch.sigmoid(10.0 * (torch.sigmoid(x) - 0.5))
V = b.sum(dim=[2, 3])
E_h = (b[:, :, :, :-1] * b[:, :, :, 1:]).sum(dim=[2, 3])
E_v = (b[:, :, :-1, :] * b[:, :, 1:, :]).sum(dim=[2, 3])
F_val = (b[:, :, :-1, :-1] * b[:, :, :-1, 1:] * b[:, :, 1:, :-1] * b[:, :, 1:, 1:]).sum(dim=[2, 3])
euler = V - E_h - E_v + F_val
return euler.mean(dim=1, keepdim=True).unsqueeze(-1).unsqueeze(-1) / (H * W)
class TopologicalAttentionModule(nn.Module):
def __init__(self, in_channels):
super().__init__()
self.fractal = DifferentiableFractalDimension()
self.euler = DifferentiableEulerCharacteristic()
self.alpha = nn.Parameter(torch.tensor(1.0))
self.beta = nn.Parameter(torch.tensor(1.0))
self.conv = nn.Sequential(
nn.Conv2d(in_channels + 2, in_channels, 1),
nn.BatchNorm2d(in_channels),
nn.ReLU(inplace=True),
nn.Conv2d(in_channels, in_channels, 1),
nn.Sigmoid(),
)
def forward(self, x):
B, C, H, W = x.shape
fm = self.fractal(x).expand(B, 1, H, W)
em = self.euler(x).expand(B, 1, H, W)
attn = self.conv(torch.cat([x, self.alpha * fm, self.beta * em], dim=1))
return x * attn + x
class ASPP(nn.Module):
def __init__(self, in_ch, out_ch, rates=None):
super().__init__()
rates = rates or [6, 12, 18]
self.conv1x1 = nn.Sequential(nn.Conv2d(in_ch, out_ch, 1), nn.BatchNorm2d(out_ch), nn.ReLU(True))
self.atrous = nn.ModuleList(
[nn.Sequential(nn.Conv2d(in_ch, out_ch, 3, padding=r, dilation=r), nn.BatchNorm2d(out_ch), nn.ReLU(True)) for r in rates]
)
self.pool = nn.Sequential(nn.AdaptiveAvgPool2d(1), nn.Conv2d(in_ch, out_ch, 1), nn.ReLU(True))
self.project = nn.Sequential(
nn.Conv2d(out_ch * (2 + len(rates)), out_ch, 1), nn.BatchNorm2d(out_ch), nn.ReLU(True), nn.Dropout(0.5)
)
def forward(self, x):
size = x.shape[2:]
feats = [self.conv1x1(x)] + [a(x) for a in self.atrous]
feats.append(F.interpolate(self.pool(x), size=size, mode="bilinear", align_corners=False))
return self.project(torch.cat(feats, dim=1))
class WoundNetB7(nn.Module):
"""WoundNetB7 matching the Track B checkpoint structure."""
NUM_CLASSES = 4
def __init__(self, num_classes=4):
super().__init__()
self.backbone = smp.Unet(encoder_name="efficientnet-b7", encoder_weights=None, in_channels=3, classes=num_classes)
enc_ch = self.backbone.encoder.out_channels[-1]
self.aspp = ASPP(enc_ch, enc_ch)
self.cbam = CBAM(num_classes, reduction=max(1, num_classes // 2))
self.tam = TopologicalAttentionModule(num_classes)
self.diffusion_weight = nn.Parameter(torch.tensor(0.01))
def forward(self, x):
features = list(self.backbone.encoder(x))
features[-1] = self.aspp(features[-1])
try:
dec = self.backbone.decoder(features)
except TypeError:
dec = self.backbone.decoder(*features)
seg = self.backbone.segmentation_head(dec)
seg = self.cbam(seg)
seg = self.tam(seg)
return seg
# ---------------------------------------------------------------------------
# Inference helpers
# ---------------------------------------------------------------------------
def preprocess(img_bgr: np.ndarray) -> torch.Tensor:
"""BGR image -> normalized CHW tensor (1, 3, 512, 512)."""
img = cv2.cvtColor(img_bgr, cv2.COLOR_BGR2RGB)
img = cv2.resize(img, (IMG_SIZE, IMG_SIZE), interpolation=cv2.INTER_LINEAR)
img = (img.astype(np.float32) / 255.0 - MEAN) / STD
return torch.from_numpy(img.transpose(2, 0, 1)).unsqueeze(0).float()
def tta_inference(model: nn.Module, img_tensor: torch.Tensor, device: torch.device) -> torch.Tensor:
"""6-fold TTA -> averaged softmax probabilities (1, C, H, W)."""
transforms = [
lambda x: x,
lambda x: torch.flip(x, [3]),
lambda x: torch.flip(x, [2]),
lambda x: torch.rot90(x, 1, [2, 3]),
lambda x: torch.rot90(x, 2, [2, 3]),
lambda x: torch.rot90(x, 3, [2, 3]),
]
inverse = [
lambda x: x,
lambda x: torch.flip(x, [3]),
lambda x: torch.flip(x, [2]),
lambda x: torch.rot90(x, 3, [2, 3]),
lambda x: torch.rot90(x, 2, [2, 3]),
lambda x: torch.rot90(x, 1, [2, 3]),
]
probs_sum = None
with torch.no_grad():
for tfm, inv in zip(transforms, inverse):
out = model(tfm(img_tensor).to(device))
if isinstance(out, (tuple, list)):
out = out[0]
if isinstance(out, dict):
out = out["seg"]
p = inv(F.softmax(out, dim=1))
probs_sum = p if probs_sum is None else probs_sum + p
return probs_sum / len(transforms)
def load_segmentation_model(checkpoint_path: str, device: torch.device) -> nn.Module:
"""Load WoundNetB7 from checkpoint."""
model = WoundNetB7(num_classes=4)
state = torch.load(checkpoint_path, map_location=device, weights_only=False)
# Remove PWAT head keys if present
state = {k: v for k, v in state.items() if not k.startswith("pwat_head.")}
model.load_state_dict(state, strict=False)
model.to(device).eval()
return model
def segment(model: nn.Module, img_bgr: np.ndarray, device: torch.device, use_tta: bool = True) -> dict:
"""Run segmentation on a BGR image.
Returns dict with:
classmap: (H, W) uint8 with class indices 0-3
masks: dict of per-class binary masks {cls_name: (H, W) bool}
probs: (4, H, W) float32 softmax probabilities
"""
h, w = img_bgr.shape[:2]
tensor = preprocess(img_bgr)
if use_tta:
probs = tta_inference(model, tensor, device)
else:
with torch.no_grad():
out = model(tensor.to(device))
if isinstance(out, (tuple, list)):
out = out[0]
if isinstance(out, dict):
out = out["seg"]
probs = F.softmax(out, dim=1)
probs_np = probs[0].cpu().numpy()
probs_resized = np.stack([cv2.resize(probs_np[c], (w, h), interpolation=cv2.INTER_LINEAR) for c in range(4)])
classmap = probs_resized.argmax(axis=0).astype(np.uint8)
masks = {name: (classmap == cid) for cid, name in CLASS_NAMES.items() if cid > 0}
return {"classmap": classmap, "masks": masks, "probs": probs_resized}
def postprocess_segmentation(
classmap: np.ndarray,
img_bgr: np.ndarray,
min_foot_ratio: float = 0.01,
dark_l_threshold: float = 15.0,
) -> np.ndarray:
"""Post-process segmentation with necrotic tissue recovery.
Steps:
1. Keep only the largest connected component of foreground.
2. Exclude dark pixels NOT in the main connected component.
3. RECOVER necrotic tissue: dark regions adjacent to the detected foot
that the model missed are reclassified as ulcer (class 3).
4. Light morphological closing to smooth edges (no opening — preserves
thin structures like toes).
"""
h, w = classmap.shape
cleaned = classmap.copy()
# Step 1: Largest connected component of foreground
foreground = (cleaned > 0).astype(np.uint8)
num_labels, labels, stats, _ = cv2.connectedComponentsWithStats(foreground, connectivity=8)
main_component_mask = np.zeros((h, w), dtype=bool)
if num_labels > 1:
areas = stats[1:, cv2.CC_STAT_AREA]
largest_label = np.argmax(areas) + 1
main_component_mask = (labels == largest_label)
min_area = h * w * min_foot_ratio
for label_id in range(1, num_labels):
if label_id == largest_label:
continue
if stats[label_id, cv2.CC_STAT_AREA] < min_area:
cleaned[labels == label_id] = 0
else:
main_component_mask = foreground.astype(bool)
# Step 2: Dark pixel exclusion — ONLY for disconnected blobs
lab = cv2.cvtColor(img_bgr, cv2.COLOR_BGR2Lab).astype(np.float32)
l_channel = lab[:, :, 0] * (100.0 / 255.0)
a_channel = lab[:, :, 1] - 128.0
s_channel = cv2.cvtColor(img_bgr, cv2.COLOR_BGR2HSV).astype(np.float32)[:, :, 1]
dark_mask = l_channel < dark_l_threshold
is_foreground = cleaned > 0
dark_isolated = dark_mask & is_foreground & ~main_component_mask
cleaned[dark_isolated] = 0
# Step 3: Necrotic tissue recovery
# Dark skin-like regions adjacent to detected foot → reclassify as ulcer
cleaned = recover_necrotic_tissue(cleaned, img_bgr, l_channel, a_channel, s_channel)
# Step 4: Light morphological closing (fills small gaps, does NOT erode thin structures)
kernel_close = cv2.getStructuringElement(cv2.MORPH_ELLIPSE, (3, 3))
for cid in [1, 2, 3]:
class_mask = (cleaned == cid).astype(np.uint8)
if np.sum(class_mask) < 50:
continue
closed = cv2.morphologyEx(class_mask, cv2.MORPH_CLOSE, kernel_close)
# Only ADD pixels (fill gaps), never remove
new_pixels = (closed > 0) & (class_mask == 0) & (cleaned == 0)
cleaned[new_pixels] = cid
return cleaned
def recover_necrotic_tissue(
classmap: np.ndarray,
img_bgr: np.ndarray,
l_channel: np.ndarray,
a_channel: np.ndarray,
s_channel: np.ndarray,
necrotic_l_max: float = 45.0,
necrotic_s_max: float = 120.0,
min_region_px: int = 100,
) -> np.ndarray:
"""Recover dark necrotic tissue regions adjacent to detected foreground.
Necrotic tissue (eschar, gangrene, dry/wet gangrene on toes) is very dark
and the model often misclassifies it as background. This function uses
iterative dilation to progressively recover necrotic regions connected
to the foot, even when there's a gap between the detected foot and the toes.
Detection criteria for necrotic candidate pixels:
- L* < 45 (dark tissue — covers eschar, gangrene, necrotic toes)
- Saturation < 120 (not vivid colored — rules out green/blue backgrounds)
- Currently classified as background (class 0)
Iterative approach: dilate foreground progressively (3 rounds x 30px),
recovering necrotic candidates at each step. This bridges gaps between
the detected foot and disconnected necrotic regions like toes.
"""
h, w = classmap.shape
recovered = classmap.copy()
# Candidate necrotic pixels: dark, not vivid, currently background
is_background = recovered == 0
necrotic_candidates = (
is_background
& (l_channel < necrotic_l_max)
& (s_channel < necrotic_s_max)
)
if not np.any(necrotic_candidates):
return recovered
# Iterative recovery: progressively expand from detected foreground
# Each round dilates 30px and recovers adjacent necrotic tissue,
# then the recovered tissue becomes part of the foreground for the next round.
# 3 rounds × 30px = up to 90px reach from the original foreground edge.
dilation_step = 30
num_rounds = 3
current_foreground = (recovered > 0).astype(np.uint8)
for round_idx in range(num_rounds):
kernel = cv2.getStructuringElement(cv2.MORPH_ELLIPSE, (dilation_step, dilation_step))
fg_dilated = cv2.dilate(current_foreground, kernel).astype(bool)
# Candidates that are within reach this round
adjacent = necrotic_candidates & fg_dilated & (recovered == 0)
if not np.any(adjacent):
break
# Connected component filtering
adjacent_u8 = adjacent.astype(np.uint8)
num_labels, labels, stats, _ = cv2.connectedComponentsWithStats(adjacent_u8, connectivity=8)
recovered_any = False
for label_id in range(1, num_labels):
area = stats[label_id, cv2.CC_STAT_AREA]
if area < min_region_px:
continue
region_mask = labels == label_id
# Verify it touches current foreground
region_dilated = cv2.dilate(
region_mask.astype(np.uint8),
cv2.getStructuringElement(cv2.MORPH_ELLIPSE, (7, 7))
)
if np.any((region_dilated > 0) & (current_foreground > 0)):
recovered[region_mask] = 3 # Ulcer (necrotic)
recovered_any = True
if not recovered_any:
break
# Update foreground for next round (include newly recovered tissue)
current_foreground = (recovered > 0).astype(np.uint8)
return recovered
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