Recently, deep learning methods have been widely used for tumor segmentation of multimodal medical images with promising results. However, most existing methods are limited by insufficient representational ability, specific modality number and high computational complexity. In this paper, we propose a hybrid densely connected network for tumor segmentation, named H-DenseFormer, which combines the representational power of the Convolutional Neural Network (CNN) and the Transformer structures. Specifically, H-DenseFormer integrates a Transformer-based Multi-path Parallel Embedding (MPE) module that can take an arbitrary number of modalities as input to extract the fusion features from different modalities. Then, the multimodal fusion features are delivered to different levels of the encoder to enhance multimodal learning representation. Besides, we design a lightweight Densely Connected Transformer (DCT) block to replace the standard Transformer block, thus significantly reducing computational complexity. We conduct extensive experiments on two public multimodal datasets, HECKTOR21 and PI-CAI22. The experimental results show that our proposed method outperforms the existing state-of-the-art methods while having lower computational complexity. The source code is available at https://github.com/shijun18/H-DenseFormer.
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