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Apr 29

TETRIS: Towards Exploring the Robustness of Interactive Segmentation

Interactive segmentation methods rely on user inputs to iteratively update the selection mask. A click specifying the object of interest is arguably the most simple and intuitive interaction type, and thereby the most common choice for interactive segmentation. However, user clicking patterns in the interactive segmentation context remain unexplored. Accordingly, interactive segmentation evaluation strategies rely more on intuition and common sense rather than empirical studies (e.g., assuming that users tend to click in the center of the area with the largest error). In this work, we conduct a real user study to investigate real user clicking patterns. This study reveals that the intuitive assumption made in the common evaluation strategy may not hold. As a result, interactive segmentation models may show high scores in the standard benchmarks, but it does not imply that they would perform well in a real world scenario. To assess the applicability of interactive segmentation methods, we propose a novel evaluation strategy providing a more comprehensive analysis of a model's performance. To this end, we propose a methodology for finding extreme user inputs by a direct optimization in a white-box adversarial attack on the interactive segmentation model. Based on the performance with such adversarial user inputs, we assess the robustness of interactive segmentation models w.r.t click positions. Besides, we introduce a novel benchmark for measuring the robustness of interactive segmentation, and report the results of an extensive evaluation of dozens of models.

  • 8 authors
·
Feb 8, 2024

Diffusion-Driven Generation of Minimally Preprocessed Brain MRI

The purpose of this study is to present and compare three denoising diffusion probabilistic models (DDPMs) that generate 3D T_1-weighted MRI human brain images. Three DDPMs were trained using 80,675 image volumes from 42,406 subjects spanning 38 publicly available brain MRI datasets. These images had approximately 1 mm isotropic resolution and were manually inspected by three human experts to exclude those with poor quality, field-of-view issues, and excessive pathology. The images were minimally preprocessed to preserve the visual variability of the data. Furthermore, to enable the DDPMs to produce images with natural orientation variations and inhomogeneity, the images were neither registered to a common coordinate system nor bias field corrected. Evaluations included segmentation, Frechet Inception Distance (FID), and qualitative inspection. Regarding results, all three DDPMs generated coherent MR brain volumes. The velocity and flow prediction models achieved lower FIDs than the sample prediction model. However, all three models had higher FIDs compared to real images across multiple cohorts. In a permutation experiment, the generated brain regional volume distributions differed statistically from real data. However, the velocity and flow prediction models had fewer statistically different volume distributions in the thalamus and putamen. In conclusion this work presents and releases the first 3D non-latent diffusion model for brain data without skullstripping or registration. Despite the negative results in statistical testing, the presented DDPMs are capable of generating high-resolution 3D T_1-weighted brain images. All model weights and corresponding inference code are publicly available at https://github.com/piksl-research/medforj .

  • 4 authors
·
Oct 29, 2025

Comparative Evaluation of Traditional and Deep Learning-Based Segmentation Methods for Spoil Pile Delineation Using UAV Images

The stability of mine dumps is contingent upon the precise arrangement of spoil piles, taking into account their geological and geotechnical attributes. Yet, on-site characterisation of individual piles poses a formidable challenge. The utilisation of image-based techniques for spoil pile characterisation, employing remotely acquired data through unmanned aerial systems, is a promising complementary solution. Image processing, such as object-based classification and feature extraction, are dependent upon effective segmentation. This study refines and juxtaposes various segmentation approaches, specifically colour-based and morphology-based techniques. The objective is to enhance and evaluate avenues for object-based analysis for spoil characterisation within the context of mining environments. Furthermore, a comparative analysis is conducted between conventional segmentation approaches and those rooted in deep learning methodologies. Among the diverse segmentation approaches evaluated, the morphology-based deep learning segmentation approach, Segment Anything Model (SAM), exhibited superior performance in comparison to other approaches. This outcome underscores the efficacy of incorporating advanced morphological and deep learning techniques for accurate and efficient spoil pile characterisation. The findings of this study contribute valuable insights to the optimisation of segmentation strategies, thereby advancing the application of image-based techniques for the characterisation of spoil piles in mining environments.

  • 4 authors
·
Jan 31, 2024

When F1 Fails: Granularity-Aware Evaluation for Dialogue Topic Segmentation

Dialogue topic segmentation supports summarization, retrieval, memory management, and conversational continuity. Despite decades of prior work, evaluation practice in dialogue topic segmentation remains dominated by strict boundary matching and F1-based metrics, even as modern LLM-based conversational systems increasingly rely on segmentation to manage conversation history beyond the model's fixed context window, where unstructured context accumulation degrades efficiency and coherence. This paper introduces an evaluation objective for dialogue topic segmentation that treats boundary density and segment coherence as primary criteria, alongside window-tolerant F1 (W-F1). Through extensive cross-dataset empirical evaluation, we show that reported performance differences across dialogue segmentation benchmarks are driven not by model quality, but by annotation granularity mismatches and sparse boundary labels. This indicates that many reported improvements arise from evaluation artifacts rather than improved boundary detection. We evaluated multiple, structurally distinct dialogue segmentation strategies across eight dialogue datasets spanning task-oriented, open-domain, meeting-style, and synthetic interactions. Across these settings, we observe high segment coherence combined with extreme oversegmentation relative to sparse labels, producing misleadingly low exact-match F1 scores. We show that topic segmentation is best understood as selecting an appropriate granularity rather than predicting a single correct boundary set. We operationalize this view by explicitly separating boundary scoring from boundary selection.

  • 1 authors
·
Dec 18, 2025

nnActive: A Framework for Evaluation of Active Learning in 3D Biomedical Segmentation

Semantic segmentation is crucial for various biomedical applications, yet its reliance on large annotated datasets presents a bottleneck due to the high cost and specialized expertise required for manual labeling. Active Learning (AL) aims to mitigate this challenge by querying only the most informative samples, thereby reducing annotation effort. However, in the domain of 3D biomedical imaging, there is no consensus on whether AL consistently outperforms Random sampling. Four evaluation pitfalls hinder the current methodological assessment. These are (1) restriction to too few datasets and annotation budgets, (2) using 2D models on 3D images without partial annotations, (3) Random baseline not being adapted to the task, and (4) measuring annotation cost only in voxels. In this work, we introduce nnActive, an open-source AL framework that overcomes these pitfalls by (1) means of a large scale study spanning four biomedical imaging datasets and three label regimes, (2) extending nnU-Net by using partial annotations for training with 3D patch-based query selection, (3) proposing Foreground Aware Random sampling strategies tackling the foreground-background class imbalance of medical images and (4) propose the foreground efficiency metric, which captures the low annotation cost of background-regions. We reveal the following findings: (A) while all AL methods outperform standard Random sampling, none reliably surpasses an improved Foreground Aware Random sampling; (B) benefits of AL depend on task specific parameters; (C) Predictive Entropy is overall the best performing AL method, but likely requires the most annotation effort; (D) AL performance can be improved with more compute intensive design choices. As a holistic, open-source framework, nnActive can serve as a catalyst for research and application of AL in 3D biomedical imaging. Code is at: https://github.com/MIC-DKFZ/nnActive

  • 9 authors
·
Nov 24, 2025

Development and evaluation of intraoperative ultrasound segmentation with negative image frames and multiple observer labels

When developing deep neural networks for segmenting intraoperative ultrasound images, several practical issues are encountered frequently, such as the presence of ultrasound frames that do not contain regions of interest and the high variance in ground-truth labels. In this study, we evaluate the utility of a pre-screening classification network prior to the segmentation network. Experimental results demonstrate that such a classifier, minimising frame classification errors, was able to directly impact the number of false positive and false negative frames. Importantly, the segmentation accuracy on the classifier-selected frames, that would be segmented, remains comparable to or better than those from standalone segmentation networks. Interestingly, the efficacy of the pre-screening classifier was affected by the sampling methods for training labels from multiple observers, a seemingly independent problem. We show experimentally that a previously proposed approach, combining random sampling and consensus labels, may need to be adapted to perform well in our application. Furthermore, this work aims to share practical experience in developing a machine learning application that assists highly variable interventional imaging for prostate cancer patients, to present robust and reproducible open-source implementations, and to report a set of comprehensive results and analysis comparing these practical, yet important, options in a real-world clinical application.

  • 11 authors
·
Jul 28, 2021

Vision-Language Model for Object Detection and Segmentation: A Review and Evaluation

Vision-Language Model (VLM) have gained widespread adoption in Open-Vocabulary (OV) object detection and segmentation tasks. Despite they have shown promise on OV-related tasks, their effectiveness in conventional vision tasks has thus far been unevaluated. In this work, we present the systematic review of VLM-based detection and segmentation, view VLM as the foundational model and conduct comprehensive evaluations across multiple downstream tasks for the first time: 1) The evaluation spans eight detection scenarios (closed-set detection, domain adaptation, crowded objects, etc.) and eight segmentation scenarios (few-shot, open-world, small object, etc.), revealing distinct performance advantages and limitations of various VLM architectures across tasks. 2) As for detection tasks, we evaluate VLMs under three finetuning granularities: zero prediction, visual fine-tuning, and text prompt, and further analyze how different finetuning strategies impact performance under varied task. 3) Based on empirical findings, we provide in-depth analysis of the correlations between task characteristics, model architectures, and training methodologies, offering insights for future VLM design. 4) We believe that this work shall be valuable to the pattern recognition experts working in the fields of computer vision, multimodal learning, and vision foundation models by introducing them to the problem, and familiarizing them with the current status of the progress while providing promising directions for future research. A project associated with this review and evaluation has been created at https://github.com/better-chao/perceptual_abilities_evaluation.

  • 16 authors
·
Apr 13, 2025

SAM 2 in Robotic Surgery: An Empirical Evaluation for Robustness and Generalization in Surgical Video Segmentation

The recent Segment Anything Model (SAM) 2 has demonstrated remarkable foundational competence in semantic segmentation, with its memory mechanism and mask decoder further addressing challenges in video tracking and object occlusion, thereby achieving superior results in interactive segmentation for both images and videos. Building upon our previous empirical studies, we further explore the zero-shot segmentation performance of SAM 2 in robot-assisted surgery based on prompts, alongside its robustness against real-world corruption. For static images, we employ two forms of prompts: 1-point and bounding box, while for video sequences, the 1-point prompt is applied to the initial frame. Through extensive experimentation on the MICCAI EndoVis 2017 and EndoVis 2018 benchmarks, SAM 2, when utilizing bounding box prompts, outperforms state-of-the-art (SOTA) methods in comparative evaluations. The results with point prompts also exhibit a substantial enhancement over SAM's capabilities, nearing or even surpassing existing unprompted SOTA methodologies. Besides, SAM 2 demonstrates improved inference speed and less performance degradation against various image corruption. Although slightly unsatisfactory results remain in specific edges or regions, SAM 2's robust adaptability to 1-point prompts underscores its potential for downstream surgical tasks with limited prompt requirements.

  • 8 authors
·
Aug 8, 2024

Immunohistochemistry guided segmentation of benign epithelial cells, in situ lesions, and invasive epithelial cells in breast cancer slides

Digital pathology enables automatic analysis of histopathological sections using artificial intelligence (AI). Automatic evaluation could improve diagnostic efficiency and help find associations between morphological features and clinical outcome. For development of such prediction models, identifying invasive epithelial cells, and separating these from benign epithelial cells and in situ lesions would be the first step. In this study, we aimed to develop an AI model for segmentation of epithelial cells in sections from breast cancer. We generated epithelial ground truth masks by restaining hematoxylin and eosin (HE) sections with cytokeratin (CK) AE1/AE3, and by pathologists' annotations. HE/CK image pairs were used to train a convolutional neural network, and data augmentation was used to make the model more robust. Tissue microarrays (TMAs) from 839 patients, and whole slide images from two patients were used for training and evaluation of the models. The sections were derived from four cohorts of breast cancer patients. TMAs from 21 patients from a fifth cohort was used as a second test set. In quantitative evaluation, a mean Dice score of 0.70, 0.79, and 0.75 for invasive epithelial cells, benign epithelial cells, and in situ lesions, respectively, were achieved. In qualitative scoring (0-5) by pathologists, results were best for all epithelium and invasive epithelium, with scores of 4.7 and 4.4. Scores for benign epithelium and in situ lesions were 3.7 and 2.0. The proposed model segmented epithelial cells in HE stained breast cancer slides well, but further work is needed for accurate division between the classes. Immunohistochemistry, together with pathologists' annotations, enabled the creation of accurate ground truths. The model is made freely available in FastPathology and the code is available at https://github.com/AICAN-Research/breast-epithelium-segmentation

  • 11 authors
·
Nov 22, 2023

Referring Image Segmentation Using Text Supervision

Existing Referring Image Segmentation (RIS) methods typically require expensive pixel-level or box-level annotations for supervision. In this paper, we observe that the referring texts used in RIS already provide sufficient information to localize the target object. Hence, we propose a novel weakly-supervised RIS framework to formulate the target localization problem as a classification process to differentiate between positive and negative text expressions. While the referring text expressions for an image are used as positive expressions, the referring text expressions from other images can be used as negative expressions for this image. Our framework has three main novelties. First, we propose a bilateral prompt method to facilitate the classification process, by harmonizing the domain discrepancy between visual and linguistic features. Second, we propose a calibration method to reduce noisy background information and improve the correctness of the response maps for target object localization. Third, we propose a positive response map selection strategy to generate high-quality pseudo-labels from the enhanced response maps, for training a segmentation network for RIS inference. For evaluation, we propose a new metric to measure localization accuracy. Experiments on four benchmarks show that our framework achieves promising performances to existing fully-supervised RIS methods while outperforming state-of-the-art weakly-supervised methods adapted from related areas. Code is available at https://github.com/fawnliu/TRIS.

  • 8 authors
·
Aug 28, 2023

Benchmarking the Robustness of Instance Segmentation Models

This paper presents a comprehensive evaluation of instance segmentation models with respect to real-world image corruptions as well as out-of-domain image collections, e.g. images captured by a different set-up than the training dataset. The out-of-domain image evaluation shows the generalization capability of models, an essential aspect of real-world applications and an extensively studied topic of domain adaptation. These presented robustness and generalization evaluations are important when designing instance segmentation models for real-world applications and picking an off-the-shelf pretrained model to directly use for the task at hand. Specifically, this benchmark study includes state-of-the-art network architectures, network backbones, normalization layers, models trained starting from scratch versus pretrained networks, and the effect of multi-task training on robustness and generalization. Through this study, we gain several insights. For example, we find that group normalization enhances the robustness of networks across corruptions where the image contents stay the same but corruptions are added on top. On the other hand, batch normalization improves the generalization of the models across different datasets where statistics of image features change. We also find that single-stage detectors do not generalize well to larger image resolutions than their training size. On the other hand, multi-stage detectors can easily be used on images of different sizes. We hope that our comprehensive study will motivate the development of more robust and reliable instance segmentation models.

  • 4 authors
·
Sep 2, 2021

Attention-ResUNet for Automated Fetal Head Segmentation

Automated fetal head segmentation in ultrasound images is critical for accurate biometric measurements in prenatal care. While existing deep learning approaches have achieved a reasonable performance, they struggle with issues like low contrast, noise, and complex anatomical boundaries which are inherent to ultrasound imaging. This paper presents Attention-ResUNet. It is a novel architecture that synergistically combines residual learning with multi-scale attention mechanisms in order to achieve enhanced fetal head segmentation. Our approach integrates attention gates at four decoder levels to focus selectively on anatomically relevant regions while suppressing the background noise, and complemented by residual connections which facilitates gradient flow and feature reuse. Extensive evaluation on the HC18 Challenge dataset where n = 200 demonstrates that Attention ResUNet achieves a superior performance with a mean Dice score of 99.30 +/- 0.14% against similar architectures. It significantly outperforms five baseline architectures including ResUNet (99.26%), Attention U-Net (98.79%), Swin U-Net (98.60%), Standard U-Net (98.58%), and U-Net++ (97.46%). Through statistical analysis we confirm highly significant improvements (p < 0.001) with effect sizes that range from 0.230 to 13.159 (Cohen's d). Using Saliency map analysis, we reveal that our architecture produces highly concentrated, anatomically consistent activation patterns, which demonstrate an enhanced interpretability which is crucial for clinical deployment. The proposed method establishes a new state of the art performance for automated fetal head segmentation whilst maintaining computational efficiency with 14.7M parameters and a 45 GFLOPs inference cost. Code repository: https://github.com/Ammar-ss

  • 2 authors
·
Apr 20

Domain-Specialized Interactive Segmentation Framework for Meningioma Radiotherapy Planning

Precise delineation of meningiomas is crucial for effective radiotherapy (RT) planning, directly influencing treatment efficacy and preservation of adjacent healthy tissues. While automated deep learning approaches have demonstrated considerable potential, achieving consistently accurate clinical segmentation remains challenging due to tumor heterogeneity. Interactive Medical Image Segmentation (IMIS) addresses this challenge by integrating advanced AI techniques with clinical input. However, generic segmentation tools, despite widespread applicability, often lack the specificity required for clinically critical and disease-specific tasks like meningioma RT planning. To overcome these limitations, we introduce Interactive-MEN-RT, a dedicated IMIS tool specifically developed for clinician-assisted 3D meningioma segmentation in RT workflows. The system incorporates multiple clinically relevant interaction methods, including point annotations, bounding boxes, lasso tools, and scribbles, enhancing usability and clinical precision. In our evaluation involving 500 contrast-enhanced T1-weighted MRI scans from the BraTS 2025 Meningioma RT Segmentation Challenge, Interactive-MEN-RT demonstrated substantial improvement compared to other segmentation methods, achieving Dice similarity coefficients of up to 77.6\% and Intersection over Union scores of 64.8\%. These results emphasize the need for clinically tailored segmentation solutions in critical applications such as meningioma RT planning. The code is publicly available at: https://github.com/snuh-rad-aicon/Interactive-MEN-RT

  • 3 authors
·
Sep 30, 2025

SAM-Med3D: Towards General-purpose Segmentation Models for Volumetric Medical Images

Existing volumetric medical image segmentation models are typically task-specific, excelling at specific target but struggling to generalize across anatomical structures or modalities. This limitation restricts their broader clinical use. In this paper, we introduce SAM-Med3D for general-purpose segmentation on volumetric medical images. Given only a few 3D prompt points, SAM-Med3D can accurately segment diverse anatomical structures and lesions across various modalities. To achieve this, we gather and process a large-scale 3D medical image dataset, SA-Med3D-140K, from a blend of public sources and licensed private datasets. This dataset includes 22K 3D images and 143K corresponding 3D masks. Then SAM-Med3D, a promptable segmentation model characterized by the fully learnable 3D structure, is trained on this dataset using a two-stage procedure and exhibits impressive performance on both seen and unseen segmentation targets. We comprehensively evaluate SAM-Med3D on 16 datasets covering diverse medical scenarios, including different anatomical structures, modalities, targets, and zero-shot transferability to new/unseen tasks. The evaluation shows the efficiency and efficacy of SAM-Med3D, as well as its promising application to diverse downstream tasks as a pre-trained model. Our approach demonstrates that substantial medical resources can be utilized to develop a general-purpose medical AI for various potential applications. Our dataset, code, and models are available at https://github.com/uni-medical/SAM-Med3D.

  • 14 authors
·
Oct 23, 2023

MedSAMix: A Training-Free Model Merging Approach for Medical Image Segmentation

Universal medical image segmentation models have emerged as a promising paradigm due to their strong generalizability across diverse tasks, showing great potential for a wide range of clinical applications. This potential has been partly driven by the success of general-purpose vision models such as the Segment Anything Model (SAM), which has inspired the development of various fine-tuned variants for medical segmentation tasks. However, fine-tuned variants like MedSAM are trained on comparatively limited medical imaging data that often suffers from heterogeneity, scarce annotations, and distributional shifts. These challenges limit their ability to generalize across a wide range of medical segmentation tasks. In this regard, we propose MedSAMix, a training-free model merging method that integrates the strengths of both generalist models (e.g., SAM) and specialist models (e.g., MedSAM) for medical image segmentation. In contrast to traditional model merging approaches that rely on manual configuration and often result in suboptimal outcomes, we propose a zero-order optimization method to automatically discover optimal layer-wise merging solutions. Furthermore, for clinical applications, we develop two regimes to meet the demand of domain-specificity and generalizability in different scenarios by single-task optimization and multi-objective optimization respectively. Extensive evaluations on 25 medical segmentation tasks demonstrate that MedSAMix effectively mitigates model bias and consistently improves performance in both domain-specific accuracy and generalization, achieving improvements of 6.67% on specialized tasks and 4.37% on multi-task evaluations.

  • 6 authors
·
Aug 14, 2025 2

Depthwise-Dilated Convolutional Adapters for Medical Object Tracking and Segmentation Using the Segment Anything Model 2

Recent advances in medical image segmentation have been driven by deep learning; however, most existing methods remain limited by modality-specific designs and exhibit poor adaptability to dynamic medical imaging scenarios. The Segment Anything Model 2 (SAM2) and its related variants, which introduce a streaming memory mechanism for real-time video segmentation, present new opportunities for prompt-based, generalizable solutions. Nevertheless, adapting these models to medical video scenarios typically requires large-scale datasets for retraining or transfer learning, leading to high computational costs and the risk of catastrophic forgetting. To address these challenges, we propose DD-SAM2, an efficient adaptation framework for SAM2 that incorporates a Depthwise-Dilated Adapter (DD-Adapter) to enhance multi-scale feature extraction with minimal parameter overhead. This design enables effective fine-tuning of SAM2 on medical videos with limited training data. Unlike existing adapter-based methods focused solely on static images, DD-SAM2 fully exploits SAM2's streaming memory for medical video object tracking and segmentation. Comprehensive evaluations on TrackRad2025 (tumor segmentation) and EchoNet-Dynamic (left ventricle tracking) datasets demonstrate superior performance, achieving Dice scores of 0.93 and 0.97, respectively. To the best of our knowledge, this work provides an initial attempt at systematically exploring adapter-based SAM2 fine-tuning for medical video segmentation and tracking. Code, datasets, and models will be publicly available at https://github.com/apple1986/DD-SAM2.

  • 3 authors
·
Jul 19, 2025 2

Reinforcing Video Reasoning Segmentation to Think Before It Segments

Video reasoning segmentation (VRS) endeavors to delineate referred objects in videos guided by implicit instructions that encapsulate human intent and temporal logic. Previous approaches leverage large vision language models (LVLMs) to encode object semantics into <SEG> tokens for mask prediction. However, this paradigm suffers from limited interpretability during inference and suboptimal performance due to inadequate spatiotemporal reasoning. Drawing inspiration from seminal breakthroughs in reinforcement learning, we introduce Veason-R1, a specialized LVLM for VRS that emphasizes structured reasoning in segmentation. Veason-R1 is trained through Group Relative Policy Optimization (GRPO) augmented with Chain-of-Thought (CoT) initialization. To begin with, we curate high-quality CoT training data to instill structured reasoning trajectories, bridging video-level semantics and frame-level spatial grounding, yielding the supervised fine-tuned model Veason-SFT. Subsequently, GRPO fine-tuning encourages efficient exploration of the reasoning space by optimizing reasoning chains. To this end, we incorporate a holistic reward mechanism that synergistically enhances spatial alignment and temporal consistency, bolstering keyframe localization and fine-grained grounding. Comprehensive empirical evaluations demonstrate that Veason-R1 achieves state-of-the-art performance on multiple benchmarks, surpassing prior art by significant margins (e.g., +1.3 J &F in ReVOS and +10.0 J &F in ReasonVOS), while exhibiting robustness to hallucinations (+8.8 R). Our code and model weights will be available at Veason-R1.

  • 6 authors
·
Aug 15, 2025

ActionVOS: Actions as Prompts for Video Object Segmentation

Delving into the realm of egocentric vision, the advancement of referring video object segmentation (RVOS) stands as pivotal in understanding human activities. However, existing RVOS task primarily relies on static attributes such as object names to segment target objects, posing challenges in distinguishing target objects from background objects and in identifying objects undergoing state changes. To address these problems, this work proposes a novel action-aware RVOS setting called ActionVOS, aiming at segmenting only active objects in egocentric videos using human actions as a key language prompt. This is because human actions precisely describe the behavior of humans, thereby helping to identify the objects truly involved in the interaction and to understand possible state changes. We also build a method tailored to work under this specific setting. Specifically, we develop an action-aware labeling module with an efficient action-guided focal loss. Such designs enable ActionVOS model to prioritize active objects with existing readily-available annotations. Experimental results on VISOR dataset reveal that ActionVOS significantly reduces the mis-segmentation of inactive objects, confirming that actions help the ActionVOS model understand objects' involvement. Further evaluations on VOST and VSCOS datasets show that the novel ActionVOS setting enhances segmentation performance when encountering challenging circumstances involving object state changes. We will make our implementation available at https://github.com/ut-vision/ActionVOS.

  • 5 authors
·
Jul 10, 2024

I-MedSAM: Implicit Medical Image Segmentation with Segment Anything

With the development of Deep Neural Networks (DNNs), many efforts have been made to handle medical image segmentation. Traditional methods such as nnUNet train specific segmentation models on the individual datasets. Plenty of recent methods have been proposed to adapt the foundational Segment Anything Model (SAM) to medical image segmentation. However, they still focus on discrete representations to generate pixel-wise predictions, which are spatially inflexible and scale poorly to higher resolution. In contrast, implicit methods learn continuous representations for segmentation, which is crucial for medical image segmentation. In this paper, we propose I-MedSAM, which leverages the benefits of both continuous representations and SAM, to obtain better cross-domain ability and accurate boundary delineation. Since medical image segmentation needs to predict detailed segmentation boundaries, we designed a novel adapter to enhance the SAM features with high-frequency information during Parameter-Efficient Fine-Tuning (PEFT). To convert the SAM features and coordinates into continuous segmentation output, we utilize Implicit Neural Representation (INR) to learn an implicit segmentation decoder. We also propose an uncertainty-guided sampling strategy for efficient learning of INR. Extensive evaluations on 2D medical image segmentation tasks have shown that our proposed method with only 1.6M trainable parameters outperforms existing methods including discrete and implicit methods. The code will be available at: https://github.com/ucwxb/I-MedSAM.

  • 6 authors
·
Nov 27, 2023

Boosting Semantic Segmentation with Semantic Boundaries

In this paper, we present the Semantic Boundary Conditioned Backbone (SBCB) framework, a simple yet effective training framework that is model-agnostic and boosts segmentation performance, especially around the boundaries. Motivated by the recent development in improving semantic segmentation by incorporating boundaries as auxiliary tasks, we propose a multi-task framework that uses semantic boundary detection (SBD) as an auxiliary task. The SBCB framework utilizes the nature of the SBD task, which is complementary to semantic segmentation, to improve the backbone of the segmentation head. We apply an SBD head that exploits the multi-scale features from the backbone, where the model learns low-level features in the earlier stages, and high-level semantic understanding in the later stages. This head perfectly complements the common semantic segmentation architectures where the features from the later stages are used for classification. We can improve semantic segmentation models without additional parameters during inference by only conditioning the backbone. Through extensive evaluations, we show the effectiveness of the SBCB framework by improving various popular segmentation heads and backbones by 0.5% ~ 3.0% IoU on the Cityscapes dataset and gains 1.6% ~ 4.1% in boundary Fscores. We also apply this framework on customized backbones and the emerging vision transformer models and show the effectiveness of the SBCB framework.

  • 2 authors
·
Apr 19, 2023

GLACIA: Instance-Aware Positional Reasoning for Glacial Lake Segmentation via Multimodal Large Language Model

Glacial lake monitoring bears great significance in mitigating the anticipated risk of Glacial Lake Outburst Floods. However, existing segmentation methods based on convolutional neural networks (CNNs) and Vision Transformers (ViTs), remain constrained to pixel-level predictions, lacking high-level global scene semantics and human-interpretable reasoning. To address this, we introduce GLACIA (Glacial LAke segmentation with Contextual Instance Awareness), the first framework that integrates large language models with segmentation capabilities to produce both accurate segmentation masks and corresponding spatial reasoning outputs. We construct the Glacial Lake Position Reasoning (GLake-Pos) dataset pipeline, which provides diverse, spatially grounded question-answer pairs designed to overcome the lack of instance-aware positional reasoning data in remote sensing. Comparative evaluation demonstrate that GLACIA (mIoU: 87.30) surpasses state-of-the-art method based on CNNs (mIoU: 78.55 - 79.01), ViTs (mIoU: 69.27 - 81.75), Geo-foundation models (mIoU: 76.37 - 87.10), and reasoning based segmentation methods (mIoU: 60.12 - 75.66). Our approach enables intuitive disaster preparedness and informed policy-making in the context of rapidly changing glacial environments by facilitating natural language interaction, thereby supporting more efficient and interpretable decision-making. The code is released on https://github.com/lalitmaurya47/GLACIA

  • 3 authors
·
Dec 9, 2025

Fine-Grained Detection of AI-Generated Text Using Sentence-Level Segmentation

Generation of Artificial Intelligence (AI) texts in important works has become a common practice that can be used to misuse and abuse AI at various levels. Traditional AI detectors often rely on document-level classification, which struggles to identify AI content in hybrid or slightly edited texts designed to avoid detection, leading to concerns about the model's efficiency, which makes it hard to distinguish between human-written and AI-generated texts. A sentence-level sequence labeling model proposed to detect transitions between human- and AI-generated text, leveraging nuanced linguistic signals overlooked by document-level classifiers. By this method, detecting and segmenting AI and human-written text within a single document at the token-level granularity is achieved. Our model combines the state-of-the-art pre-trained Transformer models, incorporating Neural Networks (NN) and Conditional Random Fields (CRFs). This approach extends the power of transformers to extract semantic and syntactic patterns, and the neural network component to capture enhanced sequence-level representations, thereby improving the boundary predictions by the CRF layer, which enhances sequence recognition and further identification of the partition between Human- and AI-generated texts. The evaluation is performed on two publicly available benchmark datasets containing collaborative human and AI-generated texts. Our experimental comparisons are with zero-shot detectors and the existing state-of-the-art models, along with rigorous ablation studies to justify that this approach, in particular, can accurately detect the spans of AI texts in a completely collaborative text. All our source code and the processed datasets are available in our GitHub repository.

  • 5 authors
·
Sep 22, 2025

CADS: A Comprehensive Anatomical Dataset and Segmentation for Whole-Body Anatomy in Computed Tomography

Accurate delineation of anatomical structures in volumetric CT scans is crucial for diagnosis and treatment planning. While AI has advanced automated segmentation, current approaches typically target individual structures, creating a fragmented landscape of incompatible models with varying performance and disparate evaluation protocols. Foundational segmentation models address these limitations by providing a holistic anatomical view through a single model. Yet, robust clinical deployment demands comprehensive training data, which is lacking in existing whole-body approaches, both in terms of data heterogeneity and, more importantly, anatomical coverage. In this work, rather than pursuing incremental optimizations in model architecture, we present CADS, an open-source framework that prioritizes the systematic integration, standardization, and labeling of heterogeneous data sources for whole-body CT segmentation. At its core is a large-scale dataset of 22,022 CT volumes with complete annotations for 167 anatomical structures, representing a significant advancement in both scale and coverage, with 18 times more scans than existing collections and 60% more distinct anatomical targets. Building on this diverse dataset, we develop the CADS-model using established architectures for accessible and automated full-body CT segmentation. Through comprehensive evaluation across 18 public datasets and an independent real-world hospital cohort, we demonstrate advantages over SoTA approaches. Notably, thorough testing of the model's performance in segmentation tasks from radiation oncology validates its direct utility for clinical interventions. By making our large-scale dataset, our segmentation models, and our clinical software tool publicly available, we aim to advance robust AI solutions in radiology and make comprehensive anatomical analysis accessible to clinicians and researchers alike.

  • 33 authors
·
Jul 29, 2025

UniGlyph: Unified Segmentation-Conditioned Diffusion for Precise Visual Text Synthesis

Text-to-image generation has greatly advanced content creation, yet accurately rendering visual text remains a key challenge due to blurred glyphs, semantic drift, and limited style control. Existing methods often rely on pre-rendered glyph images as conditions, but these struggle to retain original font styles and color cues, necessitating complex multi-branch designs that increase model overhead and reduce flexibility. To address these issues, we propose a segmentation-guided framework that uses pixel-level visual text masks -- rich in glyph shape, color, and spatial detail -- as unified conditional inputs. Our method introduces two core components: (1) a fine-tuned bilingual segmentation model for precise text mask extraction, and (2) a streamlined diffusion model augmented with adaptive glyph conditioning and a region-specific loss to preserve textual fidelity in both content and style. Our approach achieves state-of-the-art performance on the AnyText benchmark, significantly surpassing prior methods in both Chinese and English settings. To enable more rigorous evaluation, we also introduce two new benchmarks: GlyphMM-benchmark for testing layout and glyph consistency in complex typesetting, and MiniText-benchmark for assessing generation quality in small-scale text regions. Experimental results show that our model outperforms existing methods by a large margin in both scenarios, particularly excelling at small text rendering and complex layout preservation, validating its strong generalization and deployment readiness.

  • 11 authors
·
Jul 1, 2025

Remote Sensing Semantic Segmentation Quality Assessment based on Vision Language Model

The complexity of scenes and variations in image quality result in significant variability in the performance of semantic segmentation methods of remote sensing imagery (RSI) in supervised real-world scenarios. This makes the evaluation of semantic segmentation quality in such scenarios an issue to be resolved. However, most of the existing evaluation metrics are developed based on expert-labeled object-level annotations, which are not applicable in such scenarios. To address this issue, we propose RS-SQA, an unsupervised quality assessment model for RSI semantic segmentation based on vision language model (VLM). This framework leverages a pre-trained RS VLM for semantic understanding and utilizes intermediate features from segmentation methods to extract implicit information about segmentation quality. Specifically, we introduce CLIP-RS, a large-scale pre-trained VLM trained with purified text to reduce textual noise and capture robust semantic information in the RS domain. Feature visualizations confirm that CLIP-RS can effectively differentiate between various levels of segmentation quality. Semantic features and low-level segmentation features are effectively integrated through a semantic-guided approach to enhance evaluation accuracy. To further support the development of RS semantic segmentation quality assessment, we present RS-SQED, a dedicated dataset sampled from four major RS semantic segmentation datasets and annotated with segmentation accuracy derived from the inference results of 8 representative segmentation methods. Experimental results on the established dataset demonstrate that RS-SQA significantly outperforms state-of-the-art quality assessment models. This provides essential support for predicting segmentation accuracy and high-quality semantic segmentation interpretation, offering substantial practical value.

  • 7 authors
·
Feb 18, 2025

Mask2Map: Vectorized HD Map Construction Using Bird's Eye View Segmentation Masks

In this paper, we introduce Mask2Map, a novel end-to-end online HD map construction method designed for autonomous driving applications. Our approach focuses on predicting the class and ordered point set of map instances within a scene, represented in the bird's eye view (BEV). Mask2Map consists of two primary components: the Instance-Level Mask Prediction Network (IMPNet) and the Mask-Driven Map Prediction Network (MMPNet). IMPNet generates Mask-Aware Queries and BEV Segmentation Masks to capture comprehensive semantic information globally. Subsequently, MMPNet enhances these query features using local contextual information through two submodules: the Positional Query Generator (PQG) and the Geometric Feature Extractor (GFE). PQG extracts instance-level positional queries by embedding BEV positional information into Mask-Aware Queries, while GFE utilizes BEV Segmentation Masks to generate point-level geometric features. However, we observed limited performance in Mask2Map due to inter-network inconsistency stemming from different predictions to Ground Truth (GT) matching between IMPNet and MMPNet. To tackle this challenge, we propose the Inter-network Denoising Training method, which guides the model to denoise the output affected by both noisy GT queries and perturbed GT Segmentation Masks. Our evaluation conducted on nuScenes and Argoverse2 benchmarks demonstrates that Mask2Map achieves remarkable performance improvements over previous state-of-the-art methods, with gains of 10.1% mAP and 4.1 mAP, respectively. Our code can be found at https://github.com/SehwanChoi0307/Mask2Map.

  • 4 authors
·
Jul 18, 2024

ValUES: A Framework for Systematic Validation of Uncertainty Estimation in Semantic Segmentation

Uncertainty estimation is an essential and heavily-studied component for the reliable application of semantic segmentation methods. While various studies exist claiming methodological advances on the one hand, and successful application on the other hand, the field is currently hampered by a gap between theory and practice leaving fundamental questions unanswered: Can data-related and model-related uncertainty really be separated in practice? Which components of an uncertainty method are essential for real-world performance? Which uncertainty method works well for which application? In this work, we link this research gap to a lack of systematic and comprehensive evaluation of uncertainty methods. Specifically, we identify three key pitfalls in current literature and present an evaluation framework that bridges the research gap by providing 1) a controlled environment for studying data ambiguities as well as distribution shifts, 2) systematic ablations of relevant method components, and 3) test-beds for the five predominant uncertainty applications: OoD-detection, active learning, failure detection, calibration, and ambiguity modeling. Empirical results on simulated as well as real-world data demonstrate how the proposed framework is able to answer the predominant questions in the field revealing for instance that 1) separation of uncertainty types works on simulated data but does not necessarily translate to real-world data, 2) aggregation of scores is a crucial but currently neglected component of uncertainty methods, 3) While ensembles are performing most robustly across the different downstream tasks and settings, test-time augmentation often constitutes a light-weight alternative. Code is at: https://github.com/IML-DKFZ/values

  • 5 authors
·
Jan 16, 2024

End-to-End Referring Video Object Segmentation with Multimodal Transformers

The referring video object segmentation task (RVOS) involves segmentation of a text-referred object instance in the frames of a given video. Due to the complex nature of this multimodal task, which combines text reasoning, video understanding, instance segmentation and tracking, existing approaches typically rely on sophisticated pipelines in order to tackle it. In this paper, we propose a simple Transformer-based approach to RVOS. Our framework, termed Multimodal Tracking Transformer (MTTR), models the RVOS task as a sequence prediction problem. Following recent advancements in computer vision and natural language processing, MTTR is based on the realization that video and text can be processed together effectively and elegantly by a single multimodal Transformer model. MTTR is end-to-end trainable, free of text-related inductive bias components and requires no additional mask-refinement post-processing steps. As such, it simplifies the RVOS pipeline considerably compared to existing methods. Evaluation on standard benchmarks reveals that MTTR significantly outperforms previous art across multiple metrics. In particular, MTTR shows impressive +5.7 and +5.0 mAP gains on the A2D-Sentences and JHMDB-Sentences datasets respectively, while processing 76 frames per second. In addition, we report strong results on the public validation set of Refer-YouTube-VOS, a more challenging RVOS dataset that has yet to receive the attention of researchers. The code to reproduce our experiments is available at https://github.com/mttr2021/MTTR

  • 3 authors
·
Nov 29, 2021

One Token to Seg Them All: Language Instructed Reasoning Segmentation in Videos

We introduce VideoLISA, a video-based multimodal large language model designed to tackle the problem of language-instructed reasoning segmentation in videos. Leveraging the reasoning capabilities and world knowledge of large language models, and augmented by the Segment Anything Model, VideoLISA generates temporally consistent segmentation masks in videos based on language instructions. Existing image-based methods, such as LISA, struggle with video tasks due to the additional temporal dimension, which requires temporal dynamic understanding and consistent segmentation across frames. VideoLISA addresses these challenges by integrating a Sparse Dense Sampling strategy into the video-LLM, which balances temporal context and spatial detail within computational constraints. Additionally, we propose a One-Token-Seg-All approach using a specially designed <TRK> token, enabling the model to segment and track objects across multiple frames. Extensive evaluations on diverse benchmarks, including our newly introduced ReasonVOS benchmark, demonstrate VideoLISA's superior performance in video object segmentation tasks involving complex reasoning, temporal understanding, and object tracking. While optimized for videos, VideoLISA also shows promising generalization to image segmentation, revealing its potential as a unified foundation model for language-instructed object segmentation. Code and model will be available at: https://github.com/showlab/VideoLISA.

  • 9 authors
·
Sep 29, 2024 3

TALENT: Target-aware Efficient Tuning for Referring Image Segmentation

Referring image segmentation aims to segment specific targets based on a natural text expression. Recently, parameter-efficient tuning (PET) has emerged as a promising paradigm. However, existing PET-based methods often suffer from the fact that visual features can't emphasize the text-referred target instance but activate co-category yet unrelated objects. We analyze and quantify this problem, terming it the `non-target activation' (NTA) issue. To address this, we propose a novel framework, TALENT, which utilizes target-aware efficient tuning for PET-based RIS. Specifically, we first propose a Rectified Cost Aggregator (RCA) to efficiently aggregate text-referred features. Then, to calibrate `NTA' into accurate target activation, we adopt a Target-aware Learning Mechanism (TLM), including contextual pairwise consistency learning and target-centric contrastive learning. The former uses the sentence-level text feature to achieve a holistic understanding of the referent and constructs a text-referred affinity map to optimize the semantic association of visual features. The latter further enhances target localization to discover the distinct instance while suppressing associations with other unrelated ones. The two objectives work in concert and address `NTA' effectively. Extensive evaluations show that TALENT outperforms existing methods across various metrics (e.g., 2.5\% mIoU gains on G-Ref val set). Our codes will be released at: https://github.com/Kimsure/TALENT.

  • 6 authors
·
Mar 31

MLLM-For3D: Adapting Multimodal Large Language Model for 3D Reasoning Segmentation

Reasoning segmentation aims to segment target objects in complex scenes based on human intent and spatial reasoning. While recent multimodal large language models (MLLMs) have demonstrated impressive 2D image reasoning segmentation, adapting these capabilities to 3D scenes remains underexplored. In this paper, we introduce MLLM-For3D, a simple yet effective framework that transfers knowledge from 2D MLLMs to 3D scene understanding. Specifically, we utilize MLLMs to generate multi-view pseudo segmentation masks and corresponding text embeddings, then unproject 2D masks into 3D space and align them with the text embeddings. The primary challenge lies in the absence of 3D context and spatial consistency across multiple views, causing the model to hallucinate objects that do not exist and fail to target objects consistently. Training the 3D model with such irrelevant objects leads to performance degradation. To address this, we introduce a spatial consistency strategy to enforce that segmentation masks remain coherent in the 3D space, effectively capturing the geometry of the scene. Moreover, we develop a Token-for-Query approach for multimodal semantic alignment, enabling consistent identification of the same object across different views. Extensive evaluations on various challenging indoor scene benchmarks demonstrate that, even without any labeled 3D training data, MLLM-For3D outperforms existing 3D reasoning segmentation methods, effectively interpreting user intent, understanding 3D scenes, and reasoning about spatial relationships.

  • 8 authors
·
Mar 23, 2025

PartSLIP++: Enhancing Low-Shot 3D Part Segmentation via Multi-View Instance Segmentation and Maximum Likelihood Estimation

Open-world 3D part segmentation is pivotal in diverse applications such as robotics and AR/VR. Traditional supervised methods often grapple with limited 3D data availability and struggle to generalize to unseen object categories. PartSLIP, a recent advancement, has made significant strides in zero- and few-shot 3D part segmentation. This is achieved by harnessing the capabilities of the 2D open-vocabulary detection module, GLIP, and introducing a heuristic method for converting and lifting multi-view 2D bounding box predictions into 3D segmentation masks. In this paper, we introduce PartSLIP++, an enhanced version designed to overcome the limitations of its predecessor. Our approach incorporates two major improvements. First, we utilize a pre-trained 2D segmentation model, SAM, to produce pixel-wise 2D segmentations, yielding more precise and accurate annotations than the 2D bounding boxes used in PartSLIP. Second, PartSLIP++ replaces the heuristic 3D conversion process with an innovative modified Expectation-Maximization algorithm. This algorithm conceptualizes 3D instance segmentation as unobserved latent variables, and then iteratively refines them through an alternating process of 2D-3D matching and optimization with gradient descent. Through extensive evaluations, we show that PartSLIP++ demonstrates better performance over PartSLIP in both low-shot 3D semantic and instance-based object part segmentation tasks. Code released at https://github.com/zyc00/PartSLIP2.

  • 6 authors
·
Dec 4, 2023

Learning to Aggregate Multi-Scale Context for Instance Segmentation in Remote Sensing Images

The task of instance segmentation in remote sensing images, aiming at performing per-pixel labeling of objects at instance level, is of great importance for various civil applications. Despite previous successes, most existing instance segmentation methods designed for natural images encounter sharp performance degradations when they are directly applied to top-view remote sensing images. Through careful analysis, we observe that the challenges mainly come from the lack of discriminative object features due to severe scale variations, low contrasts, and clustered distributions. In order to address these problems, a novel context aggregation network (CATNet) is proposed to improve the feature extraction process. The proposed model exploits three lightweight plug-and-play modules, namely dense feature pyramid network (DenseFPN), spatial context pyramid (SCP), and hierarchical region of interest extractor (HRoIE), to aggregate global visual context at feature, spatial, and instance domains, respectively. DenseFPN is a multi-scale feature propagation module that establishes more flexible information flows by adopting inter-level residual connections, cross-level dense connections, and feature re-weighting strategy. Leveraging the attention mechanism, SCP further augments the features by aggregating global spatial context into local regions. For each instance, HRoIE adaptively generates RoI features for different downstream tasks. Extensive evaluations of the proposed scheme on iSAID, DIOR, NWPU VHR-10, and HRSID datasets demonstrate that the proposed approach outperforms state-of-the-arts under similar computational costs. Source code and pre-trained models are available at https://github.com/yeliudev/CATNet.

  • 6 authors
·
Nov 22, 2021

Self-Supervised Model Adaptation for Multimodal Semantic Segmentation

Learning to reliably perceive and understand the scene is an integral enabler for robots to operate in the real-world. This problem is inherently challenging due to the multitude of object types as well as appearance changes caused by varying illumination and weather conditions. Leveraging complementary modalities can enable learning of semantically richer representations that are resilient to such perturbations. Despite the tremendous progress in recent years, most multimodal convolutional neural network approaches directly concatenate feature maps from individual modality streams rendering the model incapable of focusing only on relevant complementary information for fusion. To address this limitation, we propose a mutimodal semantic segmentation framework that dynamically adapts the fusion of modality-specific features while being sensitive to the object category, spatial location and scene context in a self-supervised manner. Specifically, we propose an architecture consisting of two modality-specific encoder streams that fuse intermediate encoder representations into a single decoder using our proposed self-supervised model adaptation fusion mechanism which optimally combines complementary features. As intermediate representations are not aligned across modalities, we introduce an attention scheme for better correlation. In addition, we propose a computationally efficient unimodal segmentation architecture termed AdapNet++ that incorporates a new encoder with multiscale residual units and an efficient atrous spatial pyramid pooling that has a larger effective receptive field with more than 10x fewer parameters, complemented with a strong decoder with a multi-resolution supervision scheme that recovers high-resolution details. Comprehensive empirical evaluations on several benchmarks demonstrate that both our unimodal and multimodal architectures achieve state-of-the-art performance.

  • 3 authors
·
Aug 11, 2018

Multiscale Switch for Semi-Supervised and Contrastive Learning in Medical Ultrasound Image Segmentation

Medical ultrasound image segmentation faces significant challenges due to limited labeled data and characteristic imaging artifacts including speckle noise and low-contrast boundaries. While semi-supervised learning (SSL) approaches have emerged to address data scarcity, existing methods suffer from suboptimal unlabeled data utilization and lack robust feature representation mechanisms. In this paper, we propose Switch, a novel SSL framework with two key innovations: (1) Multiscale Switch (MSS) strategy that employs hierarchical patch mixing to achieve uniform spatial coverage; (2) Frequency Domain Switch (FDS) with contrastive learning that performs amplitude switching in Fourier space for robust feature representations. Our framework integrates these components within a teacher-student architecture to effectively leverage both labeled and unlabeled data. Comprehensive evaluation across six diverse ultrasound datasets (lymph nodes, breast lesions, thyroid nodules, and prostate) demonstrates consistent superiority over state-of-the-art methods. At 5\% labeling ratio, Switch achieves remarkable improvements: 80.04\% Dice on LN-INT, 85.52\% Dice on DDTI, and 83.48\% Dice on Prostate datasets, with our semi-supervised approach even exceeding fully supervised baselines. The method maintains parameter efficiency (1.8M parameters) while delivering superior performance, validating its effectiveness for resource-constrained medical imaging applications. The source code is publicly available at https://github.com/jinggqu/Switch

Joint Liver and Hepatic Lesion Segmentation in MRI using a Hybrid CNN with Transformer Layers

Deep learning-based segmentation of the liver and hepatic lesions therein steadily gains relevance in clinical practice due to the increasing incidence of liver cancer each year. Whereas various network variants with overall promising results in the field of medical image segmentation have been successfully developed over the last years, almost all of them struggle with the challenge of accurately segmenting hepatic lesions in magnetic resonance imaging (MRI). This led to the idea of combining elements of convolutional and transformer-based architectures to overcome the existing limitations. This work presents a hybrid network called SWTR-Unet, consisting of a pretrained ResNet, transformer blocks as well as a common Unet-style decoder path. This network was primarily applied to single-modality non-contrast-enhanced liver MRI and additionally to the publicly available computed tomography (CT) data of the liver tumor segmentation (LiTS) challenge to verify the applicability on other modalities. For a broader evaluation, multiple state-of-the-art networks were implemented and applied, ensuring a direct comparability. Furthermore, correlation analysis and an ablation study were carried out, to investigate various influencing factors on the segmentation accuracy of the presented method. With Dice scores of averaged 98+-2% for liver and 81+-28% lesion segmentation on the MRI dataset and 97+-2% and 79+-25%, respectively on the CT dataset, the proposed SWTR-Unet proved to be a precise approach for liver and hepatic lesion segmentation with state-of-the-art results for MRI and competing accuracy in CT imaging. The achieved segmentation accuracy was found to be on par with manually performed expert segmentations as indicated by inter-observer variabilities for liver lesion segmentation. In conclusion, the presented method could save valuable time and resources in clinical practice.

  • 7 authors
·
Jan 26, 2022

Promptable Fire Segmentation: Unleashing SAM2's Potential for Real-Time Mobile Deployment with Strategic Bounding Box Guidance

Fire segmentation remains a critical challenge in computer vision due to flames' irregular boundaries, translucent edges, and highly variable intensities. While the Segment Anything Models (SAM and SAM2) have demonstrated impressive cross-domain generalization capabilities, their effectiveness in fire segmentation -- particularly under mobile deployment constraints -- remains largely unexplored. This paper presents the first comprehensive evaluation of SAM2 variants for fire segmentation, focusing on bounding box prompting strategies to enhance deployment feasibility. We systematically evaluate four SAM2.1 variants (tiny, small, base_plus, large) alongside mobile-oriented variants (TinySAM, MobileSAM) across three fire datasets using multiple prompting strategies: automatic, single positive point (SP), single positive point + single negative point (SP+SN), multiple positive points (MP), bounding box (Box), and hybrid variants (Box+SP and Box+MP). Our experimental results demonstrate that bounding box prompts consistently outperform automatic and single point-based approaches, with Box+MP achieving the highest mean IoU (0.64) and Dice coefficient (0.75) on the Khan dataset. Lightweight variants such as TinySAM and MobileSAM further reduce memory and computational costs, making them more suitable for latency-tolerant edge scenarios. Overall, this work provides critical insights for deploying promptable segmentation models in fire monitoring systems and establishes benchmarks for future research in domain-specific SAM applications. Code is available at: https://github.com/UEmmanuel5/ProFSAM

  • 2 authors
·
Oct 18, 2025

Label Anything: Multi-Class Few-Shot Semantic Segmentation with Visual Prompts

Few-shot semantic segmentation aims to segment objects from previously unseen classes using only a limited number of labeled examples. In this paper, we introduce Label Anything, a novel transformer-based architecture designed for multi-prompt, multi-way few-shot semantic segmentation. Our approach leverages diverse visual prompts -- points, bounding boxes, and masks -- to create a highly flexible and generalizable framework that significantly reduces annotation burden while maintaining high accuracy. Label Anything makes three key contributions: (i) we introduce a new task formulation that relaxes conventional few-shot segmentation constraints by supporting various types of prompts, multi-class classification, and enabling multiple prompts within a single image; (ii) we propose a novel architecture based on transformers and attention mechanisms; and (iii) we design a versatile training procedure allowing our model to operate seamlessly across different N-way K-shot and prompt-type configurations with a single trained model. Our extensive experimental evaluation on the widely used COCO-20^i benchmark demonstrates that Label Anything achieves state-of-the-art performance among existing multi-way few-shot segmentation methods, while significantly outperforming leading single-class models when evaluated in multi-class settings. Code and trained models are available at https://github.com/pasqualedem/LabelAnything.

Matching-Based Few-Shot Semantic Segmentation Models Are Interpretable by Design

Few-Shot Semantic Segmentation (FSS) models achieve strong performance in segmenting novel classes with minimal labeled examples, yet their decision-making processes remain largely opaque. While explainable AI has advanced significantly in standard computer vision tasks, interpretability in FSS remains virtually unexplored despite its critical importance for understanding model behavior and guiding support set selection in data-scarce scenarios. This paper introduces the first dedicated method for interpreting matching-based FSS models by leveraging their inherent structural properties. Our Affinity Explainer approach extracts attribution maps that highlight which pixels in support images contribute most to query segmentation predictions, using matching scores computed between support and query features at multiple feature levels. We extend standard interpretability evaluation metrics to the FSS domain and propose additional metrics to better capture the practical utility of explanations in few-shot scenarios. Comprehensive experiments on FSS benchmark datasets, using different models, demonstrate that our Affinity Explainer significantly outperforms adapted standard attribution methods. Qualitative analysis reveals that our explanations provide structured, coherent attention patterns that align with model architectures and and enable effective model diagnosis. This work establishes the foundation for interpretable FSS research, enabling better model understanding and diagnostic for more reliable few-shot segmentation systems. The source code is publicly available at https://github.com/pasqualedem/AffinityExplainer.

  • 5 authors
·
Nov 22, 2025

BioVessel-Net and RetinaMix: Unsupervised Retinal Vessel Segmentation from OCTA Images

Structural changes in retinal blood vessels are critical biomarkers for the onset and progression of glaucoma and other ocular diseases. However, current vessel segmentation approaches largely rely on supervised learning and extensive manual annotations, which are costly, error-prone, and difficult to obtain in optical coherence tomography angiography. Here we present BioVessel-Net, an unsupervised generative framework that integrates vessel biostatistics with adversarial refinement and a radius-guided segmentation strategy. Unlike pixel-based methods, BioVessel-Net directly models vascular structures with biostatistical coherence, achieving accurate and explainable vessel extraction without labeled data or high-performance computing. To support training and evaluation, we introduce RetinaMix, a new benchmark dataset of 2D and 3D OCTA images with high-resolution vessel details from diverse populations. Experimental results demonstrate that BioVessel-Net achieves near-perfect segmentation accuracy across RetinaMix and existing datasets, substantially outperforming state-of-the-art supervised and semi-supervised methods. Together, BioVessel-Net and RetinaMix provide a label-free, computationally efficient, and clinically interpretable solution for retinal vessel analysis, with broad potential for glaucoma monitoring, blood flow modeling, and progression prediction. Code and dataset are available: https://github.com/VikiXie/SatMar8.

  • 11 authors
·
Sep 27, 2025

MUVOD: A Novel Multi-view Video Object Segmentation Dataset and A Benchmark for 3D Segmentation

The application of methods based on Neural Radiance Fields (NeRF) and 3D Gaussian Splatting (3D GS) have steadily gained popularity in the field of 3D object segmentation in static scenes. These approaches demonstrate efficacy in a range of 3D scene understanding and editing tasks. Nevertheless, the 4D object segmentation of dynamic scenes remains an underexplored field due to the absence of a sufficiently extensive and accurately labelled multi-view video dataset. In this paper, we present MUVOD, a new multi-view video dataset for training and evaluating object segmentation in reconstructed real-world scenarios. The 17 selected scenes, describing various indoor or outdoor activities, are collected from different sources of datasets originating from various types of camera rigs. Each scene contains a minimum of 9 views and a maximum of 46 views. We provide 7830 RGB images (30 frames per video) with their corresponding segmentation mask in 4D motion, meaning that any object of interest in the scene could be tracked across temporal frames of a given view or across different views belonging to the same camera rig. This dataset, which contains 459 instances of 73 categories, is intended as a basic benchmark for the evaluation of multi-view video segmentation methods. We also present an evaluation metric and a baseline segmentation approach to encourage and evaluate progress in this evolving field. Additionally, we propose a new benchmark for 3D object segmentation task with a subset of annotated multi-view images selected from our MUVOD dataset. This subset contains 50 objects of different conditions in different scenarios, providing a more comprehensive analysis of state-of-the-art 3D object segmentation methods. Our proposed MUVOD dataset is available at https://volumetric-repository.labs.b-com.com/#/muvod.

  • 6 authors
·
Jul 10, 2025

RRWNet: Recursive Refinement Network for effective retinal artery/vein segmentation and classification

The caliber and configuration of retinal blood vessels serve as important biomarkers for various diseases and medical conditions. A thorough analysis of the retinal vasculature requires the segmentation of the blood vessels and their classification into arteries and veins, typically performed on color fundus images obtained by retinography. However, manually performing these tasks is labor-intensive and prone to human error. While several automated methods have been proposed to address this task, the current state of art faces challenges due to manifest classification errors affecting the topological consistency of segmentation maps. In this work, we introduce RRWNet, a novel end-to-end deep learning framework that addresses this limitation. The framework consists of a fully convolutional neural network that recursively refines semantic segmentation maps, correcting manifest classification errors and thus improving topological consistency. In particular, RRWNet is composed of two specialized subnetworks: a Base subnetwork that generates base segmentation maps from the input images, and a Recursive Refinement subnetwork that iteratively and recursively improves these maps. Evaluation on three different public datasets demonstrates the state-of-the-art performance of the proposed method, yielding more topologically consistent segmentation maps with fewer manifest classification errors than existing approaches. In addition, the Recursive Refinement module within RRWNet proves effective in post-processing segmentation maps from other methods, further demonstrating its potential. The model code, weights, and predictions will be publicly available at https://github.com/j-morano/rrwnet.

  • 3 authors
·
Feb 5, 2024

Echo-DND: A dual noise diffusion model for robust and precise left ventricle segmentation in echocardiography

Recent advancements in diffusion probabilistic models (DPMs) have revolutionized image processing, demonstrating significant potential in medical applications. Accurate segmentation of the left ventricle (LV) in echocardiograms is crucial for diagnostic procedures and necessary treatments. However, ultrasound images are notoriously noisy with low contrast and ambiguous LV boundaries, thereby complicating the segmentation process. To address these challenges, this paper introduces Echo-DND, a novel dual-noise diffusion model specifically designed for this task. Echo-DND leverages a unique combination of Gaussian and Bernoulli noises. It also incorporates a multi-scale fusion conditioning module to improve segmentation precision. Furthermore, it utilizes spatial coherence calibration to maintain spatial integrity in segmentation masks. The model's performance was rigorously validated on the CAMUS and EchoNet-Dynamic datasets. Extensive evaluations demonstrate that the proposed framework outperforms existing SOTA models. It achieves high Dice scores of 0.962 and 0.939 on these datasets, respectively. The proposed Echo-DND model establishes a new standard in echocardiogram segmentation, and its architecture holds promise for broader applicability in other medical imaging tasks, potentially improving diagnostic accuracy across various medical domains. Project page: https://abdur75648.github.io/Echo-DND

  • 4 authors
·
Jun 18, 2025

I Can't Believe It's Not Real: CV-MuSeNet: Complex-Valued Multi-Signal Segmentation

The increasing congestion of the radio frequency spectrum presents challenges for efficient spectrum utilization. Cognitive radio systems enable dynamic spectrum access with the aid of recent innovations in neural networks. However, traditional real-valued neural networks (RVNNs) face difficulties in low signal-to-noise ratio (SNR) environments, as they were not specifically developed to capture essential wireless signal properties such as phase and amplitude. This work presents CMuSeNet, a complex-valued multi-signal segmentation network for wideband spectrum sensing, to address these limitations. Extensive hyperparameter analysis shows that a naive conversion of existing RVNNs into their complex-valued counterparts is ineffective. Built on complex-valued neural networks (CVNNs) with a residual architecture, CMuSeNet introduces a complexvalued Fourier spectrum focal loss (CFL) and a complex plane intersection over union (CIoU) similarity metric to enhance training performance. Extensive evaluations on synthetic, indoor overthe-air, and real-world datasets show that CMuSeNet achieves an average accuracy of 98.98%-99.90%, improving by up to 9.2 percentage points over its real-valued counterpart and consistently outperforms state of the art. Strikingly, CMuSeNet achieves the accuracy level of its RVNN counterpart in just two epochs, compared to the 27 epochs required for RVNN, while reducing training time by up to a 92.2% over the state of the art. The results highlight the effectiveness of complex-valued architectures in improving weak signal detection and training efficiency for spectrum sensing in challenging low-SNR environments. The dataset is available at: https://dx.doi.org/10.21227/hcc1-6p22

  • 2 authors
·
May 21, 2025

FairDomain: Achieving Fairness in Cross-Domain Medical Image Segmentation and Classification

Addressing fairness in artificial intelligence (AI), particularly in medical AI, is crucial for ensuring equitable healthcare outcomes. Recent efforts to enhance fairness have introduced new methodologies and datasets in medical AI. However, the fairness issue under the setting of domain transfer is almost unexplored, while it is common that clinics rely on different imaging technologies (e.g., different retinal imaging modalities) for patient diagnosis. This paper presents FairDomain, a pioneering systemic study into algorithmic fairness under domain shifts, employing state-of-the-art domain adaptation (DA) and generalization (DG) algorithms for both medical segmentation and classification tasks to understand how biases are transferred between different domains. We also introduce a novel plug-and-play fair identity attention (FIA) module that adapts to various DA and DG algorithms to improve fairness by using self-attention to adjust feature importance based on demographic attributes. Additionally, we curate the first fairness-focused dataset with two paired imaging modalities for the same patient cohort on medical segmentation and classification tasks, to rigorously assess fairness in domain-shift scenarios. Excluding the confounding impact of demographic distribution variation between source and target domains will allow clearer quantification of the performance of domain transfer models. Our extensive evaluations reveal that the proposed FIA significantly enhances both model performance accounted for fairness across all domain shift settings (i.e., DA and DG) with respect to different demographics, which outperforms existing methods on both segmentation and classification. The code and data can be accessed at https://ophai.hms.harvard.edu/datasets/harvard-fairdomain20k.

  • 9 authors
·
Jul 11, 2024

EMCAD: Efficient Multi-scale Convolutional Attention Decoding for Medical Image Segmentation

An efficient and effective decoding mechanism is crucial in medical image segmentation, especially in scenarios with limited computational resources. However, these decoding mechanisms usually come with high computational costs. To address this concern, we introduce EMCAD, a new efficient multi-scale convolutional attention decoder, designed to optimize both performance and computational efficiency. EMCAD leverages a unique multi-scale depth-wise convolution block, significantly enhancing feature maps through multi-scale convolutions. EMCAD also employs channel, spatial, and grouped (large-kernel) gated attention mechanisms, which are highly effective at capturing intricate spatial relationships while focusing on salient regions. By employing group and depth-wise convolution, EMCAD is very efficient and scales well (e.g., only 1.91M parameters and 0.381G FLOPs are needed when using a standard encoder). Our rigorous evaluations across 12 datasets that belong to six medical image segmentation tasks reveal that EMCAD achieves state-of-the-art (SOTA) performance with 79.4% and 80.3% reduction in #Params and #FLOPs, respectively. Moreover, EMCAD's adaptability to different encoders and versatility across segmentation tasks further establish EMCAD as a promising tool, advancing the field towards more efficient and accurate medical image analysis. Our implementation is available at https://github.com/SLDGroup/EMCAD.

  • 3 authors
·
May 10, 2024

PraNet: Parallel Reverse Attention Network for Polyp Segmentation

Colonoscopy is an effective technique for detecting colorectal polyps, which are highly related to colorectal cancer. In clinical practice, segmenting polyps from colonoscopy images is of great importance since it provides valuable information for diagnosis and surgery. However, accurate polyp segmentation is a challenging task, for two major reasons: (i) the same type of polyps has a diversity of size, color and texture; and (ii) the boundary between a polyp and its surrounding mucosa is not sharp. To address these challenges, we propose a parallel reverse attention network (PraNet) for accurate polyp segmentation in colonoscopy images. Specifically, we first aggregate the features in high-level layers using a parallel partial decoder (PPD). Based on the combined feature, we then generate a global map as the initial guidance area for the following components. In addition, we mine the boundary cues using a reverse attention (RA) module, which is able to establish the relationship between areas and boundary cues. Thanks to the recurrent cooperation mechanism between areas and boundaries, our PraNet is capable of calibrating any misaligned predictions, improving the segmentation accuracy. Quantitative and qualitative evaluations on five challenging datasets across six metrics show that our PraNet improves the segmentation accuracy significantly, and presents a number of advantages in terms of generalizability, and real-time segmentation efficiency.

  • 7 authors
·
Jun 13, 2020