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Nevertheless, accurately segmenting these nodules in CT images is challenging due to their morphological heterogeneity, indistinct boundaries, and variable sizes. This study proposes the Dynamic Tanh Shape Prior Module with Recurrent Residual Convolutional Neural Network (DSPM-R2U), an advanced segmentation model for lung nodule in CT images. The proposed model employs the Dynamic Tanh Shape Prior Module (DSPM) to replace traditional LayerNorm with Dynamic Tanh (DyT), adaptively adjusting feature map scaling through a learnable parameter\n                    <jats:inline-formula>\n                      <jats:tex-math>$$\\alpha $$<\/jats:tex-math>\n                    <\/jats:inline-formula>\n                    to enhance edge feature expression. Additionally, Cross-Layer Prior Guidance leverages deep networks\u2019 global receptive field to inform shallow feature extraction, effectively combining global semantics with local details through adaptive gating fusion. Experiments are conducted on the public LIDC-IDRI dataset. The results verify that the proposed model outperforms mainstream networks, achieving a DSC of 89.16%, IoU of 80.88%, and NSD of 97.60%, demonstrating its effectiveness in segmenting lung nodules.\n                  <\/jats:p>","DOI":"10.1007\/s44163-026-01430-w","type":"journal-article","created":{"date-parts":[[2026,5,24]],"date-time":"2026-05-24T11:13:31Z","timestamp":1779621211000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["DSPM-R2U: Dynamic tanh shape prior module with recurrent residual convolutional neural network for lung nodule segmentation in CT images"],"prefix":"10.1007","volume":"6","author":[{"given":"Xinhua","family":"Yang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yan","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Meng","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaodong","family":"Zhao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wufeng","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,5,24]]},"reference":[{"issue":"1","key":"1430_CR1","doi-asserted-by":"publisher","first-page":"49","DOI":"10.1016\/S1535-6108(02)00027-2","volume":"1","author":"JD Minna","year":"2002","unstructured":"Minna JD, Roth JA, Gazdar AF. 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