Research Article 2026-04-21 posted v1

Dual-Memory Temporal-Spatial Encoder for Acute Stroke Evolution Segmentation

G
Giulia Bianchi Department of Computer Science and Engineering, University of Bologna, 40126 Bologna, Italy
M
Marco Conti Department of Computer Science and Engineering, University of Bologna, 40126 Bologna, Italy
L
Lorenzo Esposito Department of Computer Science and Engineering, University of Bologna, 40126 Bologna, Italy

Abstract

Acute stroke lesions evolve rapidly, making it essential to model both temporal progression signals and anatomical constraints. DME-Net incorporates complementary temporal and spatial memory banks that collaboratively stabilize predictions across different lesion stages. The temporal memory captures evolving intensity and shape patterns from diffusion-weighted and perfusion-weighted imaging, while the spatial memory preserves stable anatomical structures that prevent spurious expansion. A gating mechanism adaptively balances the influence of both memory sources based on lesion characteristics. Evaluated on ISLES2018 (3,263 slices; 228 subjects), DME-Net achieves a Dice of 0.893, outperforming ConvLSTM-UNet (0.813, +9.8%) and 3D-UNet (0.846, +4.7%). HD95 declines from 14.7 mm to 8.9 mm (−39.5%), and false positives decrease by 13.6%.

Citation Information

@article{giuliabianchi2026,
  title={Dual-Memory Temporal-Spatial Encoder for Acute Stroke Evolution Segmentation},
  author={Giulia Bianchi and Marco Conti and Lorenzo Esposito},
  journal={Research Square},
  year={2026},
  doi={https://doi.org/10.21203/rs.3.rs-9459912/v1}
}
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