A DyL-Unet framework based on dynamic learning for Temporally Consistent Echocardiographic Segmentation

Abstract

Accurate segmentation of cardiac anatomy in echocardiography is essential for cardiovascular diagnosis and treatment. Yet echocardiography is prone to deformation and speckle noise, causing frame-to-frame segmentation jitter. Even with high accuracy in single-frame segmentation, temporal instability can weaken functional estimates and impair clinical interpretability. To address these issues, we propose DyL-UNet, a dynamic learning-based temporal consistency U-Net segmentation architecture designed to achieve temporally stable and precise echocardiographic segmentation. The framework constructs an Echo-Dynamics Graph (EDG) through dynamic learning to extract dynamic information from videos. DyL-UNet incorporates multiple Swin-Transformer-based encoder-decoder branches for processing single-frame images. It further introduces Cardiac Phase-Dynamics Attention (CPDA) at the skip connections, which uses EDG-encoded dynamic features and cardiac-phase cues to enforce temporal consistency during segmentation. Extensive experiments on the CAMUS and EchoNet-Dynamic datasets demonstrate that DyL-UNet maintains segmentation accuracy comparable to existing methods while achieving superior temporal consistency, providing a reliable solution for automated clinical echocardiography.