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Microwave imaging is emerging as an alternative to conventional medical diagnostic techniques. Traditional analytical and numerical methods fail to adequately address these fundamental challenges: they often rely on strict linear approximations or simplified physical models, leading to low reconstruction accuracy, poor robustness, and limited generalization ability in complex clinical scenarios. As a result, they cannot meet the high-precision requirements of practical stroke microwave imaging. To further improve the accuracy of microwave imaging algorithms in recognizing stroke regions and solving the backscattering problem, this study employs a combination of methods with deep learning. It presents the Multi-Scale Attention Network (MSA-Net) for microwave imaging. The network is based on the EGE-UNet network structure with improved multi-axis Hadamard attention, incorporating null-space pyramid pooling and introducing a deep supervisory mechanism to improve the network performance further. To combine microwave imaging with deep learning, firstly, a large amount of microwave data need to be simulated with HFSS, in which the simulation model is a human brain stroke model constructed by an HFSS simulation system. Secondly, the microwave data obtained from the simulation are converted into a tensor format. Then, the tensor data are input into the MSA-Net neural network, which generates a binary mask image that can be used to detect the size and location of the stroke. This study also prompts the model to converge faster by sparsifying the microwave data to improve training efficiency. The method has been tested using simulation data, and based on the comparison experiments with other networks, MSA-Net is more accurate in detecting the location and the bleed size. The experimental results show that the proposed method is superior for stroke imaging. The experimental results show that the proposed model achieves a 1.08 improvement in peak signal-to-noise ratio and a 0.017 reduction in learned perceptual image block similarity, fully validating the effectiveness of the structural optimization strategy proposed in this paper.