arXiv subjects

Miaojing Shi

Publications and source records attributed to Miaojing Shi.

At least 19 recordsLinked to original sources

arXiv2026

SEG-SAM: Semantic-Guided SAM for Unified Medical Image Segmentation

Recently, developing unified medical image segmentation models gains increasing attention, especially with the advent of the Segment Anything Model (SAM). SAM has shown promising binary segmentation performance in natural domains, however, transferring it to the medical domain remains challenging, as medical images often possess substantial inter-category overlaps. To address this, we propose the SEmantic-Guided SAM (SEG-SAM), a unified medical segmentation model that incorporates semantic medical knowledge to enhance medical segmentation performance. First, to avoid the potential conflict between binary and semantic predictions, we introduce a semantic-aware decoder independent of SAM's original decoder, specialized for both semantic segmentation on the prompted object and classification on unprompted objects in images. To further enhance the model's semantic understanding, we solicit key characteristics of medical categories from large language models and incorporate them into SEG-SAM through a text-to-vision semantic module, adaptively transferring the language information into the visual segmentation task. In the end, we introduce the cross-mask spatial alignment strategy to encourage greater overlap between the predicted masks from SEG-SAM's two decoders, thereby benefiting both predictions. Extensive experiments demonstrate that SEG-SAM outperforms state-of-the-art SAM-based methods in unified binary medical segmentation and task-specific methods in semantic medical segmentation, showcasing promising results and potential for broader medical applications.

cs.CV↗

arXiv2026

Bootstrapping Vision-Language Model for Hysteroscopic Surgical Scene Segmentation

Hysteroscopic surgical scene segmentation plays a pivotal role in understanding the hysteroscopic intraoperative environment as well as computer-assisted intervention. However, this task presents unique challenges due to the high morphological similarity among different lesions and the presence of artifacts such as specular reflections, motion blur, and fluid occlusions in surgical videos. In this work, we propose the first vision-language model (VLM)-based hysteroscopic surgical scene segmentation method, which performs pixel-wise localization for fifteen representative categories in hysteroscopic surgical scenes. Our VLM-hyster has a segmentation backbone that utilizes the pretrained image encoder for robust visual feature extraction, coupled with a transformer-based decoder for dense prediction. Moreover, we design category-specific text prompts and incorporate a masked distillation branch to filter out visual features with low correlation to the text prompts, enabling the model to focus more effectively on category-specific image regions and thereby enhancing segmentation performance. We collect a large multicentric hysteroscopic surgical scene dataset, containing 4,020 high-resolution images with detailed mask annotations, for model training and evaluation. Experimental results demonstrate that VLM-hyster substantially outperforms state-of-the-art AI models. Furthermore, extensive assessments by gynecologists, as well as multicentre and prospective validations, demonstrate VLM-hyster's robustness and generalizability. The results suggest that VLM-hyster earns considerable potential in enabling AI-assisted localization of surgical instruments and lesions in hysteroscopic surgeries. Code is available at https://github.com/viscom-tongji/VLM-hyster.

cs.CV↗

arXiv2026

Multimodal Large Language Model driven Radiology Report Generation with Clinical Knowledge Enhancement

Radiology report generation (RRG) has attracted significant attention due to its potential to reduce the workload of radiologists. The performance of current RRG approaches remains unsatisfactory against clinical standards. This paper introduces a novel RRG method, MLLM-RRG, that integrates multimodal large language models (MLLMs) with various types of clinical knowledge to generate accurate and comprehensive chest X-ray reports. Our method first designs a referring anatomical feature extractor that leverages anatomical knowledge to analyze different regions of the chest X-ray image and extract visual features without explicitly detecting regions. Next, based on the MLLM's decoder, we develop a multimodal report generator that leverages multimodal prompts constructed from dedicated visual features and textual instructions to produce the radiology report in an auto-regressive way. Finally, we introduce a disease-oriented clinical classification and alignment scheme in a multi-task learning manner to leverage disease knowledge to better preserve the clinical relevance among the generated reports. Once the model is trained, we also introduce a novel clinical quality reinforcement learning strategy to enhance the MLLM with report knowledge, further refining the tones of the generated reports towards radiologists. Extensive experiments on the MIMIC-CXR and IU X-Ray datasets demonstrate the superiority of our method over the state of the art. Our codes will be available at https://github.com/viscom-tongji/MLLM-RRG.

cs.CV↗

arXiv2026

Weakly-Supervised Referring Video Object Segmentation through Text Supervision

Referring video object segmentation (RVOS) aims to segment the target instance in a video, referred by a text expression. Conventional approaches are mostly supervised learning, requiring expensive pixel-level mask annotations. To tackle it, weakly-supervised RVOS has recently been proposed to replace mask annotations with bounding boxes or points, which are however still costly and labor-intensive. In this paper, we design a novel weakly-supervised RVOS method, namely WSRVOS, to train the model with only text expressions. Given an input video and the referring expression, we first design a contrastive referring expression augmentation scheme that leverages the captioning capabilities of a multimodal large language model to generate both positive and negative expressions. We extract visual and linguistic features from the input video and generated expressions, then perform bi-directional vision-language feature selection and interaction to enable fine-grained multimodal alignment. Next, we propose an instance-aware expression classification scheme to optimize the model in distinguishing positive from negative expressions. Also, we introduce a positive-prediction fusion strategy to generate high-quality pseudo-masks, which serve as additional supervision to the model. Last, we design a temporal segment ranking constraint such that the overlaps between mask predictions of temporally neighboring frames are required to conform to specific orders. Extensive experiments on four publicly available RVOS datasets, including A2D Sentences, J-HMDB Sentences, Ref-YouTube-VOS, and Ref-DAVIS17, demonstrate the superiority of our method. Code is available at https://github.com/viscom-tongji/WSRVOS.

cs.CV↗

arXiv2026

FAAR: Efficient Frequency-Aware Multi-Task Fine-Tuning via Automatic Rank Selection

Adapting models pre-trained on large-scale datasets is a proven way to reach strong performance quickly for down-stream tasks. However, the growth of state-of-the-art mod-els makes traditional full fine-tuning unsuitable and difficult, especially for multi-task learning (MTL) where cost scales with the number of tasks. As a result, recent studies investigate parameter-efficient fine-tuning (PEFT) using low-rank adaptation to significantly reduce the number of trainable parameters. However, these existing methods use a single, fixed rank, which may not be optimal for differ-ent tasks or positions in the MTL architecture. Moreover, these methods fail to learn spatial information that cap-tures inter-task relationships and helps to improve diverse task predictions. This paper introduces Frequency-Aware and Automatic Rank (FAAR) for efficient MTL fine-tuning. Our method introduces Performance-Driven Rank Shrink-ing (PDRS) to allocate the optimal rank per adapter location and per task. Moreover, by analyzing the image frequency spectrum, FAAR proposes a Task-Spectral Pyramidal Decoder (TS-PD) that injects input-specific context into spatial bias learning to better reflect cross-task relationships. Experiments performed on dense visual task benchmarks show the superiority of our method in terms of both accuracy and efficiency compared to other PEFT methods in MTL. FAAR reduces the number of parameters by up to 9 times compared to traditional MTL fine-tuning whilst improving overall performance. Our code is available.

cs.CV↗

arXiv2026

Aligning Few-Step Diffusion Models with Dense Reward Difference Learning

Few-step diffusion models enable efficient high-resolution image synthesis but struggle to align with specific downstream objectives due to limitations of existing reinforcement learning (RL) methods in low-step regimes with limited state spaces and suboptimal sample quality. To address this, we propose Stepwise Diffusion Policy Optimization (SDPO), a novel RL framework tailored for few-step diffusion models. SDPO introduces a dual-state trajectory sampling mechanism, tracking both noisy and predicted clean states at each step to provide dense reward feedback and enable low-variance, mixed-step optimization. For further efficiency, we develop a latent similarity-based dense reward prediction strategy to minimize costly dense reward queries. Leveraging these dense rewards, SDPO optimizes a dense reward difference learning objective that enables more frequent and granular policy updates. Additional refinements, including stepwise advantage estimates, temporal importance weighting, and step-shuffled gradient updates, further enhance long-term dependency, low-step priority, and gradient stability. Our experiments demonstrate that SDPO consistently delivers superior reward-aligned results across diverse few-step settings and tasks. Code is available at https://github.com/ZiyiZhang27/sdpo.

cs.LG↗

arXiv2026

Bootstrapping MLLM for Weakly-Supervised Class-Agnostic Object Counting

Object counting is a fundamental task in computer vision, with broad applicability in many real-world scenarios. Fully-supervised counting methods require costly point-level annotations per object. Few weakly-supervised methods leverage only image-level object counts as supervision and achieve fairly promising results. They are, however, often limited to counting a single category, e.g. person. In this paper, we propose WS-COC, the first MLLM-driven weakly-supervised framework for class-agnostic object counting. Instead of directly fine-tuning MLLMs to predict object counts, which can be challenging due to the modality gap, we incorporate three simple yet effective strategies to bootstrap the counting paradigm in both training and testing: First, a divide-and-discern dialogue tuning strategy is proposed to guide the MLLM to determine whether the object count falls within a specific range and progressively break down the range through multi-round dialogue. Second, a compare-and-rank count optimization strategy is introduced to train the MLLM to optimize the relative ranking of multiple images according to their object counts. Third, a global-and-local counting enhancement strategy aggregates and fuses local and global count predictions to improve counting performance in dense scenes. Extensive experiments on FSC-147, CARPK, PUCPR+, and ShanghaiTech show that WS-COC matches or even surpasses many state-of-art fully-supervised methods while significantly reducing annotation costs. Code is available at https://github.com/viscom-tongji/WS-COC.

cs.CV↗

arXiv2026

Understanding-informed Bias Mitigation for Fair CMR Segmentation

Artificial intelligence (AI) is increasingly being used for medical imaging tasks. However, there can be biases in AI models, particularly when they are trained using imbalanced training datasets. One such example has been the strong ethnicity bias effect in cardiac magnetic resonance (CMR) image segmentation models. Although this phenomenon has been reported in a number of publications, little is known about the effectiveness of bias mitigation algorithms in this domain. We aim to investigate the impact of common bias mitigation methods to address bias between Black and White subjects in AI-based CMR segmentation models. Specifically, we use oversampling, importance reweighing and Group DRO as well as combinations of these techniques to mitigate the ethnicity bias. Second, motivated by recent findings on the root causes of AI-based CMR segmentation bias, we evaluate the same methods using models trained and evaluated on cropped CMR images. We find that bias can be mitigated using oversampling, significantly improving performance for the underrepresented Black subjects whilst not significantly reducing the majority White subjects' performance. Using cropped images increases performance for both ethnicities and reduces the bias, whilst adding oversampling as a bias mitigation technique with cropped images reduces the bias further. When testing the models on an external clinical validation set, we find high segmentation performance and no statistically significant bias.

eess.IV↗

arXiv2025

Shape-preserving Tooth Segmentation from CBCT Images Using Deep Learning with Semantic and Shape Awareness

Background:Accurate tooth segmentation from cone beam computed tomography (CBCT) images is crucial for digital dentistry but remains challenging in cases of interdental adhesions, which cause severe anatomical shape distortion. Methods: To address this, we propose a deep learning framework that integrates semantic and shape awareness for shape-preserving segmentation. Our method introduces a target-tooth-centroid prompted multi-label learning strategy to model semantic relationships between teeth, reducing shape ambiguity. Additionally, a tooth-shape-aware learning mechanism explicitly enforces morphological constraints to preserve boundary integrity. These components are unified via multi-task learning, jointly optimizing segmentation and shape preservation. Results: Extensive evaluations on internal and external datasets demonstrate that our approach significantly outperforms existing methods. Conclusions: Our approach effectively mitigates shape distortions and providing anatomically faithful tooth boundaries.

cs.CV↗

arXiv2025

Grounding Surgical Action Triplets with Instrument Instance Segmentation: A Dataset and Target-Aware Fusion Approach

Understanding surgical instrument-tissue interactions requires not only identifying which instrument performs which action on which anatomical target, but also grounding these interactions spatially within the surgical scene. Existing surgical action triplet recognition methods are limited to learning from frame-level classification, failing to reliably link actions to specific instrument instances.Previous attempts at spatial grounding have primarily relied on class activation maps, which lack the precision and robustness required for detailed instrument-tissue interaction analysis.To address this gap, we propose grounding surgical action triplets with instrument instance segmentation, or triplet segmentation for short, a new unified task which produces spatially grounded outputs.We start by presenting CholecTriplet-Seg, a large-scale dataset containing over 30,000 annotated frames, linking instrument instance masks with action verb and anatomical target annotations, and establishing the first benchmark for strongly supervised, instance-level triplet grounding and evaluation.To learn triplet segmentation, we propose TargetFusionNet, a novel architecture that extends Mask2Former with a target-aware fusion mechanism to address the challenge of accurate anatomical target prediction by fusing weak anatomy priors with instrument instance queries.Evaluated across recognition, detection, and triplet segmentation metrics, TargetFusionNet consistently improves performance over existing baselines, demonstrating that strong instance supervision combined with weak target priors significantly enhances the accuracy and robustness of surgical action understanding.Triplet segmentation establishes a unified framework for spatially grounding surgical action triplets. The proposed benchmark and architecture pave the way for more interpretable, surgical scene understanding.

cs.CV↗

arXiv2025

Development and validation of an AI foundation model for endoscopic diagnosis of esophagogastric junction adenocarcinoma: a cohort and deep learning study

The early detection of esophagogastric junction adenocarcinoma (EGJA) is crucial for improving patient prognosis, yet its current diagnosis is highly operator-dependent. This paper aims to make the first attempt to develop an artificial intelligence (AI) foundation model-based method for both screening and staging diagnosis of EGJA using endoscopic images. In this cohort and learning study, we conducted a multicentre study across seven Chinese hospitals between December 28, 2016 and December 30, 2024. It comprises 12,302 images from 1,546 patients; 8,249 of them were employed for model training, while the remaining were divided into the held-out (112 patients, 914 images), external (230 patients, 1,539 images), and prospective (198 patients, 1,600 images) test sets for evaluation. The proposed model employs DINOv2 (a vision foundation model) and ResNet50 (a convolutional neural network) to extract features of global appearance and local details of endoscopic images for EGJA staging diagnosis. Our model demonstrates satisfactory performance for EGJA staging diagnosis across three test sets, achieving an accuracy of 0.9256, 0.8895, and 0.8956, respectively. In contrast, among representative AI models, the best one (ResNet50) achieves an accuracy of 0.9125, 0.8382, and 0.8519 on the three test sets, respectively; the expert endoscopists achieve an accuracy of 0.8147 on the held-out test set. Moreover, with the assistance of our model, the overall accuracy for the trainee, competent, and expert endoscopists improves from 0.7035, 0.7350, and 0.8147 to 0.8497, 0.8521, and 0.8696, respectively. To our knowledge, our model is the first application of foundation models for EGJA staging diagnosis and demonstrates great potential in both diagnostic accuracy and efficiency.

cs.CV↗

arXiv2025

SurgPIS: Surgical-instrument-level Instances and Part-level Semantics for Weakly-supervised Part-aware Instance Segmentation

Consistent surgical instrument segmentation is critical for automation in robot-assisted surgery. Yet, existing methods only treat instrument-level instance segmentation (IIS) or part-level semantic segmentation (PSS) separately, without interaction between these tasks. In this work, we formulate a surgical tool segmentation as a unified part-aware instance segmentation (PIS) problem and introduce SurgPIS, the first PIS model for surgical instruments. Our method adopts a transformer-based mask classification approach and introduces part-specific queries derived from instrument-level object queries, explicitly linking parts to their parent instrument instances. In order to address the lack of large-scale datasets with both instance- and part-level labels, we propose a weakly-supervised learning strategy for SurgPIS to learn from disjoint datasets labelled for either IIS or PSS purposes. During training, we aggregate our PIS predictions into IIS or PSS masks, thereby allowing us to compute a loss against partially labelled datasets. A student-teacher approach is developed to maintain prediction consistency for missing PIS information in the partially labelled data, e.g., parts of the IIS labelled data. Extensive experiments across multiple datasets validate the effectiveness of SurgPIS, achieving state-of-the-art performance in PIS as well as IIS, PSS, and instrument-level semantic segmentation.

cs.CV↗

arXiv2025

How Consistent Are Humans When Grading Programming Assignments?

Providing consistent summative assessment to students is important, as the grades they are awarded affect their progression through university and future career prospects. While small cohorts are typically assessed by a single assessor, such as the module/class leader, larger cohorts are often assessed by multiple assessors, typically teaching assistants, which increases the risk of inconsistent grading. To investigate the consistency of human grading of programming assignments, we asked 28 participants to each grade 40 CS1 introductory Java assignments, providing grades and feedback for correctness, code elegance, readability and documentation; the 40 assignments were split into two batches of 20. The 28 participants were divided into seven groups of four (where each group graded the same 40 assignments) to allow us to investigate the consistency of a group of assessors. In the second batch of 20, we duplicated one assignment from the first to analyse the internal consistency of individual assessors. Our results show that human graders in our study can not agree on the grade to give a piece of student work and are often individually inconsistent, suggesting that the idea of a ``gold standard'' of human grading might be flawed. This highlights that a shared rubric alone is not enough to ensure consistency, and other aspects such as assessor training and alternative grading practices should be explored to improve the consistency of human grading further when grading programming assignments.

cs.CY↗

arXiv2025

Text-promptable Object Counting via Quantity Awareness Enhancement

Recent advances in large vision-language models (VLMs) have shown remarkable progress in solving the text-promptable object counting problem. Representative methods typically specify text prompts with object category information in images. This however is insufficient for training the model to accurately distinguish the number of objects in the counting task. To this end, we propose QUANet, which introduces novel quantity-oriented text prompts with a vision-text quantity alignment loss to enhance the model's quantity awareness. Moreover, we propose a dual-stream adaptive counting decoder consisting of a Transformer stream, a CNN stream, and a number of Transformer-to-CNN enhancement adapters (T2C-adapters) for density map prediction. The T2C-adapters facilitate the effective knowledge communication and aggregation between the Transformer and CNN streams. A cross-stream quantity ranking loss is proposed in the end to optimize the ranking orders of predictions from the two streams. Extensive experiments on standard benchmarks such as FSC-147, CARPK, PUCPR+, and ShanghaiTech demonstrate our model's strong generalizability for zero-shot class-agnostic counting. Code is available at https://github.com/viscom-tongji/QUANet

cs.CV↗

arXiv2025

TRAIL: Transferable Robust Adversarial Images via Latent diffusion

Adversarial attacks exploiting unrestricted natural perturbations present severe security risks to deep learning systems, yet their transferability across models remains limited due to distribution mismatches between generated adversarial features and real-world data. While recent works utilize pre-trained diffusion models as adversarial priors, they still encounter challenges due to the distribution shift between the distribution of ideal adversarial samples and the natural image distribution learned by the diffusion model. To address the challenge, we propose Transferable Robust Adversarial Images via Latent Diffusion (TRAIL), a test-time adaptation framework that enables the model to generate images from a distribution of images with adversarial features and closely resembles the target images. To mitigate the distribution shift, during attacks, TRAIL updates the diffusion U-Net's weights by combining adversarial objectives (to mislead victim models) and perceptual constraints (to preserve image realism). The adapted model then generates adversarial samples through iterative noise injection and denoising guided by these objectives. Experiments demonstrate that TRAIL significantly outperforms state-of-the-art methods in cross-model attack transferability, validating that distribution-aligned adversarial feature synthesis is critical for practical black-box attacks.

cs.CV↗

arXiv2025

SegMatch: A semi-supervised learning method for surgical instrument segmentation

Surgical instrument segmentation is recognised as a key enabler in providing advanced surgical assistance and improving computer-assisted interventions. In this work, we propose SegMatch, a semi-supervised learning method to reduce the need for expensive annotation for laparoscopic and robotic surgical images. SegMatch builds on FixMatch, a widespread semi supervised classification pipeline combining consistency regularization and pseudo-labelling, and adapts it for the purpose of segmentation. In our proposed SegMatch, the unlabelled images are first weakly augmented and fed to the segmentation model to generate pseudo-labels. In parallel, images are fed to a strong augmentation branch and consistency between the branches is used as an unsupervised loss. To increase the relevance of our strong augmentations, we depart from using only handcrafted augmentations and introduce a trainable adversarial augmentation strategy. Our FixMatch adaptation for segmentation tasks further includes carefully considering the equivariance and invariance properties of the augmentation functions we rely on. For binary segmentation tasks, our algorithm was evaluated on the MICCAI Instrument Segmentation Challenge datasets, Robust-MIS 2019 and EndoVis 2017. For multi-class segmentation tasks, we relied on the recent CholecInstanceSeg dataset. Our results show that SegMatch outperforms fully-supervised approaches by incorporating unlabelled data, and surpasses a range of state-of-the-art semi-supervised models across different labelled to unlabelled data ratios.

cs.CV↗

arXiv2025

CholecInstanceSeg: A Tool Instance Segmentation Dataset for Laparoscopic Surgery

In laparoscopic and robotic surgery, precise tool instance segmentation is an essential technology for advanced computer-assisted interventions. Although publicly available procedures of routine surgeries exist, they often lack comprehensive annotations for tool instance segmentation. Additionally, the majority of standard datasets for tool segmentation are derived from porcine(pig) surgeries. To address this gap, we introduce CholecInstanceSeg, the largest open-access tool instance segmentation dataset to date. Derived from the existing CholecT50 and Cholec80 datasets, CholecInstanceSeg provides novel annotations for laparoscopic cholecystectomy procedures in patients. Our dataset comprises 41.9k annotated frames extracted from 85 clinical procedures and 64.4k tool instances, each labelled with semantic masks and instance IDs. To ensure the reliability of our annotations, we perform extensive quality control, conduct label agreement statistics, and benchmark the segmentation results with various instance segmentation baselines. CholecInstanceSeg aims to advance the field by offering a comprehensive and high-quality open-access dataset for the development and evaluation of tool instance segmentation algorithms.

cs.CV↗

arXiv2025

MPDrive: Improving Spatial Understanding with Marker-Based Prompt Learning for Autonomous Driving

Autonomous driving visual question answering (AD-VQA) aims to answer questions related to perception, prediction, and planning based on given driving scene images, heavily relying on the model's spatial understanding capabilities. Prior works typically express spatial information through textual representations of coordinates, resulting in semantic gaps between visual coordinate representations and textual descriptions. This oversight hinders the accurate transmission of spatial information and increases the expressive burden. To address this, we propose a novel Marker-based Prompt learning framework (MPDrive), which represents spatial coordinates by concise visual markers, ensuring linguistic expressive consistency and enhancing the accuracy of both visual perception and spatial expression in AD-VQA. Specifically, we create marker images by employing a detection expert to overlay object regions with numerical labels, converting complex textual coordinate generation into straightforward text-based visual marker predictions. Moreover, we fuse original and marker images as scene-level features and integrate them with detection priors to derive instance-level features. By combining these features, we construct dual-granularity visual prompts that stimulate the LLM's spatial perception capabilities. Extensive experiments on the DriveLM and CODA-LM datasets show that MPDrive achieves state-of-the-art performance, particularly in cases requiring sophisticated spatial understanding.

cs.CV↗