1. Introduction
Image segmentation is a fundamental and challenging problem in computer vision, with the aim of partitioning an image in a meaningful way so that objects can be localized, distinguished and/or measured. In medical imaging, this is vital for further clinical analysis, diagnostics, treatment planning and measuring disease progression. High precision is typically required in bio-medical image segmentation [6], [24]. Recently, segmentation techniques based on deep convolutional neural networks (CNNs) have been developed for various medical imaging modalities, such as MRI, CT and X-ray, showing promising results and overcoming the limitations of conventional segmentation methods [17]. During the training process of a CNN model, its parameters are optimized through gradient descent approaches based on the errors measured by a loss function, which compares the prediction and ground truth images. Loss functions are critical for model optimization. In terms of classification problems, the L2 norm is also known as mean squared error (MSE) and cross-entropy (CE) are commonly used as loss functions [8], [33]. CE and the Dice coefficient (DC) have typically been used for segmentation problems [24], [12].