{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,5]],"date-time":"2026-07-05T07:14:51Z","timestamp":1783235691624,"version":"3.54.6"},"reference-count":37,"publisher":"SAGE Publications","issue":"7","license":[{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,7,1]],"date-time":"2026-07-01T00:00:00Z","timestamp":1782864000000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"funder":[{"name":"Putian health commission","award":["2025NJYL026"],"award-info":[{"award-number":["2025NJYL026"]}]}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Int Med Res"],"published-print":{"date-parts":[[2026,7]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>The traditional method of intraspinal anesthesia relies on surface anatomical landmarks for positioning, which is associated with a low accuracy rate. In addition, the procedure remains challenging, and the identification of anatomical structures is complex. This study aimed to develop an adaptive attention U-network to enhance the segmentation performance of spinal structures under ultrasound images.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Ultrasound videos of the spines were collected from 80 pregnant women, yielding a total of 1000 annotated images that were used to establish a novel database, spine ultrasound image dataset. Adaptive attention U-network uses the multidepth convolution kernel and adaptive local channel attention modules to effectively extract multiscale features. Subsequently, the global attention gate module and multiscale adaptive dynamic modulation were introduced to capture critical features and enhance image super-resolution performance. Comprehensive experiments were conducted on the spine ultrasound image dataset and public breast ultrasound images dataset, in which adaptive attention U-network was juxtaposed with other current medical image segmentation models using metrics including dice similarity coefficient.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>On the spine ultrasound image dataset, adaptive attention U-network achieved a mean dice similarity coefficient of 0.905. In external validation using the breast ultrasound images dataset, the network's segmentation of benign tumor structures reached a dice similarity coefficient of 0.857, demonstrating superior generalization capabilities. Adaptive attention U-network demonstrated consistent segmentation stability across all tested structures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>The proposed adaptive attention U-network significantly enhances the segmentation accuracy for spinal anatomical structures in ultrasound images, demonstrating superior precision compared with existing methods.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/03000605261461196","type":"journal-article","created":{"date-parts":[[2026,7,2]],"date-time":"2026-07-02T12:12:22Z","timestamp":1782994342000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["An adaptive attention U-network for recognizing ultrasound images"],"prefix":"10.1177","volume":"54","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-2217-3765","authenticated-orcid":false,"given":"Shengyu","family":"Jin","sequence":"first","affiliation":[{"name":"Naval Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jintao","family":"Duan","sequence":"additional","affiliation":[{"name":"University of Shanghai for Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhanheng","family":"Chen","sequence":"additional","affiliation":[{"name":"Naval Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fangfang","family":"Chen","sequence":"additional","affiliation":[{"name":"University of Shanghai for Science and Technology"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wei","family":"Fang","sequence":"additional","affiliation":[{"name":"Shanghai Ninth People's Hospital Affiliated to Shanghai Jiao Tong University School of Medicine"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Miao","family":"Zhou","sequence":"additional","affiliation":[{"name":"The Affiliated Cancer Hospital of Nanjing Medical University, Jiangsu Cancer Hospital, Jiangsu Institute of Cancer Research, Nanjing Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qinghua","family":"Wu","sequence":"additional","affiliation":[{"name":"The First Hospital of Putian"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Liangqing","family":"Lin","sequence":"additional","affiliation":[{"name":"The First Hospital of Putian"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8433-8388","authenticated-orcid":false,"given":"Zui","family":"Zou","sequence":"additional","affiliation":[{"name":"Naval Medical University"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,7,2]]},"reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJMoa2113514"},{"key":"e_1_3_2_3_2","doi-asserted-by":"publisher","DOI":"10.2147\/LRA.S236550"},{"key":"e_1_3_2_4_2","doi-asserted-by":"publisher","DOI":"10.1046\/j.1365-2044.2000.01547-4.x"},{"key":"e_1_3_2_5_2","doi-asserted-by":"publisher","DOI":"10.1186\/2049-6958-8-18"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-019-0726-6"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.1002\/ca.23742"},{"key":"e_1_3_2_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.bja.2022.06.031"},{"key":"e_1_3_2_9_2","doi-asserted-by":"publisher","DOI":"10.1007\/s00540-021-02947-3"},{"key":"e_1_3_2_10_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ultrasmedbio.2014.03.010"},{"key":"e_1_3_2_11_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12871-021-01466-8"},{"key":"e_1_3_2_12_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.18152"},{"key":"e_1_3_2_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.imu.2024.101504"},{"key":"e_1_3_2_14_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.media.2016.10.004"},{"key":"e_1_3_2_15_2","doi-asserted-by":"publisher","DOI":"10.1177\/01617346251384596"},{"key":"e_1_3_2_16_2","doi-asserted-by":"publisher","DOI":"10.1038\/s41598-025-04681-2"},{"key":"e_1_3_2_17_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196408272710913"},{"key":"e_1_3_2_18_2","doi-asserted-by":"publisher","DOI":"10.1093\/postmj\/qgae181"},{"key":"e_1_3_2_19_2","unstructured":"Ronneberger O Fischer P Brox T. 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