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SAM-Med3D-MoE: Towards a Non-Forgetting Segment Anything Model via Mixture of Experts for 3D Medical Image Segmentation

Volumetric medical image segmentation is pivotal in enhancing disease diagnosis, treatment planning, and advancing medical research. While existing volumetric foundation models for medical image segmentation, such as SAM-Med3D and SegVol, have shown remarkable performance on general organs and tumors, their ability to segment certain categories in clinical downstream tasks remains limited. Supervised Finetuning (SFT) serves as an effective way to adapt such foundation models for task-specific downstream tasks but at the cost of degrading the general knowledge previously stored in the original foundation model.To address this, we propose SAM-Med3D-MoE, a novel framework that seamlessly integrates task-specific finetuned models with the foundational model, creating a unified model at minimal additional training expense for an extra gating network. This gating network, in conjunction with a selection strategy, allows the unified model to achieve comparable performance of the original models in their respective tasks both general and specialized without updating any parameters of them.Our comprehensive experiments demonstrate the efficacy of SAM-Med3D-MoE, with an average Dice performance increase from 53 to 56.4 on 15 specific classes. It especially gets remarkable gains of 29.6, 8.5, 11.2 on the spinal cord, esophagus, and right hip, respectively. Additionally, it achieves 48.9 Dice on the challenging SPPIN2023 Challenge, significantly surpassing the general expert's performance of 32.3. We anticipate that SAM-Med3D-MoE can serve as a new framework for adapting the foundation model to specific areas in medical image analysis. Codes and datasets will be publicly available.

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ReSTR: Convolution-free Referring Image Segmentation Using Transformers

Referring image segmentation is an advanced semantic segmentation task where target is not a predefined class but is described in natural language. Most of existing methods for this task rely heavily on convolutional neural networks, which however have trouble capturing long-range dependencies between entities in the language expression and are not flexible enough for modeling interactions between the two different modalities. To address these issues, we present the first convolution-free model for referring image segmentation using transformers, dubbed ReSTR. Since it extracts features of both modalities through transformer encoders, it can capture long-range dependencies between entities within each modality. Also, ReSTR fuses features of the two modalities by a self-attention encoder, which enables flexible and adaptive interactions between the two modalities in the fusion process. The fused features are fed to a segmentation module, which works adaptively according to the image and language expression in hand. ReSTR is evaluated and compared with previous work on all public benchmarks, where it outperforms all existing models.

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MCSeg: Pre-training and Fine-tuning Volumetric Pyramid Transformer for Multi-modal Cardiac Image Segmentation

Automatic cardiac image segmentation is pivotal for diagnosing and treating cardiac diseases. In this work, we introduce MCSeg, a volumetric transformer-based network tailored for multi-modal cardiac segmentation. To overcome the architectural mismatch inherent in existing hybrid networks, we propose a novel Scaling Feature Pyramid (SFP). Unlike conventional skip connections, the SFP effectively bridges the single-scale 3D Vision Transformer (ViT) encoder and the multi-scale CNN decoder by transforming the ViT's output into a hierarchical feature pyramid, ensuring that global contextual information is effectively leveraged. For the training paradigm, the ViT encoder first undergoes self-supervised pre-training via masked image modeling. Subsequently, the network is fine-tuned on downstream tasks, during which a regional mutual information (RMI) loss is integrated to improve boundary segmentation accuracy. In experiments, MCSeg consistently outperforms eleven SOTA methods on CT dataset ImageCHD, multi-modal dataset MM-WHS, MRI dataset HVSMR-2.0 and MSD Heart, highlighting the effectiveness of our MCSeg for multi-modal cardiac segmentation tasks. Furthermore, MCSeg's superior performance in few-shot experiment showcases its significant potential in adapting to limited data scenarios. Codes and pre-trained ViT-B weights are open-sourced at https://openi.pcl.ac.cn/OpenMedIA/MCSeg

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TABNet: A Triplet Augmentation Self-Recovery Framework with Boundary-Aware Pseudo-Labels for Medical Image Segmentation

Background and objective: Medical image segmentation is a core task in various clinical applications. However, acquiring large-scale, fully annotated medical image datasets is both time-consuming and costly. Scribble annotations, as a form of sparse labeling, provide an efficient and cost-effective alternative for medical image segmentation. However, the sparsity of scribble annotations limits the feature learning of the target region and lacks sufficient boundary supervision, which poses significant challenges for training segmentation networks. Methods: We propose TAB Net, a novel weakly-supervised medical image segmentation framework, consisting of two key components: the triplet augmentation self-recovery (TAS) module and the boundary-aware pseudo-label supervision (BAP) module. The TAS module enhances feature learning through three complementary augmentation strategies: intensity transformation improves the model's sensitivity to texture and contrast variations, cutout forces the network to capture local anatomical structures by masking key regions, and jigsaw augmentation strengthens the modeling of global anatomical layout by disrupting spatial continuity. By guiding the network to recover complete masks from diverse augmented inputs, TAS promotes a deeper semantic understanding of medical images under sparse supervision. The BAP module enhances pseudo-supervision accuracy and boundary modeling by fusing dual-branch predictions into a loss-weighted pseudo-label and introducing a boundary-aware loss for fine-grained contour refinement. Results: Experimental evaluations on two public datasets, ACDC and MSCMR seg, demonstrate that TAB Net significantly outperforms state-of-the-art methods for scribble-based weakly supervised segmentation. Moreover, it achieves performance comparable to that of fully supervised methods.

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Parallel Watershed Partitioning: GPU-Based Hierarchical Image Segmentation

Many image processing applications rely on partitioning an image into disjoint regions whose pixels are 'similar.' The watershed and waterfall transforms are established mathematical morphology pixel clustering techniques. They are both relevant to modern applications where groups of pixels are to be decided upon in one go, or where adjacency information is relevant. We introduce three new parallel partitioning algorithms for GPUs. By repeatedly applying watershed algorithms, we produce waterfall results which form a hierarchy of partition regions over an input image. Our watershed algorithms attain competitive execution times in both 2D and 3D, processing an 800 megavoxel image in less than 1.4 sec. We also show how to use this fully deterministic image partitioning as a pre-processing step to machine learning based semantic segmentation. This replaces the role of superpixel algorithms, and results in comparable accuracy and faster training times.

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An Unsupervised Dynamic Image Segmentation using Fuzzy Hopfield Neural Network based Genetic Algorithm

This paper proposes a Genetic Algorithm based segmentation method that can automatically segment gray-scale images. The proposed method mainly consists of spatial unsupervised grayscale image segmentation that divides an image into regions. The aim of this algorithm is to produce precise segmentation of images using intensity information along with neighborhood relationships. In this paper, Fuzzy Hopfield Neural Network (FHNN) clustering helps in generating the population of Genetic algorithm which there by automatically segments the image. This technique is a powerful method for image segmentation and works for both single and multiple-feature data with spatial information. Validity index has been utilized for introducing a robust technique for finding the optimum number of components in an image. Experimental results shown that the algorithm generates good quality segmented image.

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Systematic review of image segmentation using complex networks

This review presents various image segmentation methods using complex networks. Image segmentation is one of the important steps in image analysis as it helps analyze and understand complex images. At first, it has been tried to classify complex networks based on how it being used in image segmentation. In computer vision and image processing applications, image segmentation is essential for analyzing complex images with irregular shapes, textures, or overlapping boundaries. Advanced algorithms make use of machine learning, clustering, edge detection, and region-growing techniques. Graph theory principles combined with community detection-based methods allow for more precise analysis and interpretation of complex images. Hybrid approaches combine multiple techniques for comprehensive, robust segmentation, improving results in computer vision and image processing tasks.

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Review of Fruit Tree Image Segmentation

Fruit tree image segmentation is an essential problem in automating a variety of agricultural tasks such as phenotyping, harvesting, spraying, and pruning. Many research papers have proposed a diverse spectrum of solutions suitable to specific tasks and environments. The review scope of this paper is confined to the front views of fruit trees and based on 158 relevant papers collected using a newly designed crawling review method. These papers are systematically reviewed based on a taxonomy that sequentially considers the method, image, task, and fruit. This taxonomy will assist readers to intuitively grasp the big picture of these research activities. Our review reveals that the most noticeable deficiency of the previous studies was the lack of a versatile dataset and segmentation model that could be applied to a variety of tasks and environments. Six important future research tasks are suggested, with the expectation that these will pave the way to building a versatile tree segmentation module.

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A Random Point Initialization Approach to Image Segmentation with Variational Level-sets

Image segmentation is an essential component in many image processing and computer vision tasks. The primary goal of image segmentation is to simplify an image for easier analysis, and there are two broad approaches for achieving this: edge based methods, which extract the boundaries of specific known objects, and region based methods, which partition the image into regions that are statistically homogeneous. One of the more prominent edge finding methods, known as the level set method, evolves a zero-level contour in the image plane with gradient descent until the contour has converged to the object boundaries. While the classical level set method and its variants have proved successful in segmenting real images, they are susceptible to becoming stuck in noisy regions of the image plane without a priori knowledge of the image and they are unable to provide details beyond object outer boundary locations. We propose a modification to the variational level set image segmentation method that can quickly detect object boundaries by making use of random point initialization. We demonstrate the efficacy of our approach by comparing the performance of our method on real images to that of the prominent Canny Method.

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Enhancing Pseudo Label Quality for Semi-Supervised Domain-Generalized Medical Image Segmentation

Generalizing the medical image segmentation algorithms to unseen domains is an important research topic for computer-aided diagnosis and surgery. Most existing methods require a fully labeled dataset in each source domain. Although some researchers developed a semi-supervised domain generalized method, it still requires the domain labels. This paper presents a novel confidence-aware cross pseudo supervision algorithm for semi-supervised domain generalized medical image segmentation. The main goal is to enhance the pseudo label quality for unlabeled images from unknown distributions. To achieve it, we perform the Fourier transformation to learn low-level statistic information across domains and augment the images to incorporate cross-domain information. With these augmentations as perturbations, we feed the input to a confidence-aware cross pseudo supervision network to measure the variance of pseudo labels and regularize the network to learn with more confident pseudo labels. Our method sets new records on public datasets, i.e., M&Ms and SCGM. Notably, without using domain labels, our method surpasses the prior art that even uses domain labels by 11.67% on Dice on M&Ms dataset with 2% labeled data. Code is available at https://github.com/XMed-Lab/EPL_SemiDG.

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Coordinative Learning with Ordinal and Relational Priors for Volumetric Medical Image Segmentation

Volumetric medical image segmentation presents unique challenges due to the inherent anatomical structure and limited availability of annotations. While recent methods have shown promise by contrasting spatial relationships between slices, they rely on hard binary thresholds to define positive and negative samples, thereby discarding valuable continuous information about anatomical similarity. Moreover, these methods overlook the global directional consistency of anatomical progression, resulting in distorted feature spaces that fail to capture the canonical anatomical manifold shared across patients. To address these limitations, we propose Coordinative Ordinal-Relational Anatomical Learning (CORAL) to capture both local and global structure in volumetric images. First, CORAL employs a contrastive ranking objective to leverage continuous anatomical similarity, ensuring relational feature distances between slices are proportional to their anatomical position differences. In addition, CORAL incorporates an ordinal objective to enforce global directional consistency, aligning the learned feature distribution with the canonical anatomical progression across patients. Learning these inter-slice relationships produces anatomically informed representations that benefit the downstream segmentation task. Through this coordinative learning framework, CORAL achieves state-of-the-art performance on benchmark datasets under limited-annotation settings while learning representations with meaningful anatomical structure. Code is available at https://github.com/haoyiwang25/CORAL.

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Re-purposing SAM into Efficient Visual Projectors for MLLM-Based Referring Image Segmentation

Recently, Referring Image Segmentation (RIS) frameworks that pair the Multimodal Large Language Model (MLLM) with the Segment Anything Model (SAM) have achieved impressive results. However, adapting MLLM to segmentation is computationally intensive, primarily due to visual token redundancy. We observe that traditional patch-wise visual projectors struggle to strike a balance between reducing the number of visual tokens and preserving semantic clarity, often retaining overly long token sequences to avoid performance drops. Inspired by text tokenizers, we propose a novel semantic visual projector that leverages semantic superpixels generated by SAM to identify "visual words" in an image. By compressing and projecting semantic superpixels as visual tokens, our approach adaptively shortens the token sequence according to scene complexity while minimizing semantic loss in compression. To mitigate loss of information, we propose a semantic superpixel positional embedding to strengthen MLLM's awareness of superpixel geometry and position, alongside a semantic superpixel aggregator to preserve both fine-grained details inside superpixels and global context outside. Experiments show that our method cuts visual tokens by 93% without compromising performance, notably speeding up MLLM training and inference, and outperforming existing compressive visual projectors on RIS.

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TreeFedDG: Alleviating Global Drift in Federated Domain Generalization for Medical Image Segmentation

In medical image segmentation tasks, Domain Generalization (DG) under the Federated Learning (FL) framework is crucial for addressing challenges related to privacy protection and data heterogeneity. However, traditional federated learning methods fail to account for the imbalance in information aggregation across clients in cross-domain scenarios, leading to the Global Drift (GD) problem and a consequent decline in model generalization performance. This motivates us to delve deeper and define a new critical issue: global drift in federated domain generalization for medical imaging (FedDG-GD). In this paper, we propose a novel tree topology framework called TreeFedDG. First, starting from the distributed characteristics of medical images, we design a hierarchical parameter aggregation method based on a tree-structured topology to suppress deviations in the global model direction. Second, we introduce a parameter difference-based style mixing method (FedStyle), which enforces mixing among clients with maximum parameter differences to enhance robustness against drift. Third, we develop a a progressive personalized fusion strategy during model distribution, ensuring a balance between knowledge transfer and personalized features. Finally, during the inference phase, we use feature similarity to guide the retrieval of the most relevant model chain from the tree structure for ensemble decision-making, thereby fully leveraging the advantages of hierarchical knowledge. We conducted extensive experiments on two publicly available datasets. The results demonstrate that our method outperforms other state-of-the-art domain generalization approaches in these challenging tasks and achieves better balance in cross-domain performance.

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Dynamic Dictionary Learning for Remote Sensing Image Segmentation

Remote sensing image segmentation faces persistent challenges in distinguishing morphologically similar categories and adapting to diverse scene variations. While existing methods rely on implicit representation learning paradigms, they often fail to dynamically adjust semantic embeddings according to contextual cues, leading to suboptimal performance in fine-grained scenarios such as cloud thickness differentiation. This work introduces a dynamic dictionary learning framework that explicitly models class ID embeddings through iterative refinement. The core contribution lies in a novel dictionary construction mechanism, where class-aware semantic embeddings are progressively updated via multi-stage alternating cross-attention querying between image features and dictionary embeddings. This process enables adaptive representation learning tailored to input-specific characteristics, effectively resolving ambiguities in intra-class heterogeneity and inter-class homogeneity. To further enhance discriminability, a contrastive constraint is applied to the dictionary space, ensuring compact intra-class distributions while maximizing inter-class separability. Extensive experiments across both coarse- and fine-grained datasets demonstrate consistent improvements over state-of-the-art methods, particularly in two online test benchmarks (LoveDA and UAVid). Code is available at https://anonymous.4open.science/r/D2LS-8267/.

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The revenge of BiSeNet: Efficient Multi-Task Image Segmentation

Recent advancements in image segmentation have focused on enhancing the efficiency of the models to meet the demands of real-time applications, especially on edge devices. However, existing research has primarily concentrated on single-task settings, especially on semantic segmentation, leading to redundant efforts and specialized architectures for different tasks. To address this limitation, we propose a novel architecture for efficient multi-task image segmentation, capable of handling various segmentation tasks without sacrificing efficiency or accuracy. We introduce BiSeNetFormer, that leverages the efficiency of two-stream semantic segmentation architectures and it extends them into a mask classification framework. Our approach maintains the efficient spatial and context paths to capture detailed and semantic information, respectively, while leveraging an efficient transformed-based segmentation head that computes the binary masks and class probabilities. By seamlessly supporting multiple tasks, namely semantic and panoptic segmentation, BiSeNetFormer offers a versatile solution for multi-task segmentation. We evaluate our approach on popular datasets, Cityscapes and ADE20K, demonstrating impressive inference speeds while maintaining competitive accuracy compared to state-of-the-art architectures. Our results indicate that BiSeNetFormer represents a significant advancement towards fast, efficient, and multi-task segmentation networks, bridging the gap between model efficiency and task adaptability.

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Variance-insensitive and Target-preserving Mask Refinement for Interactive Image Segmentation

Point-based interactive image segmentation can ease the burden of mask annotation in applications such as semantic segmentation and image editing. However, fully extracting the target mask with limited user inputs remains challenging. We introduce a novel method, Variance-Insensitive and Target-Preserving Mask Refinement to enhance segmentation quality with fewer user inputs. Regarding the last segmentation result as the initial mask, an iterative refinement process is commonly employed to continually enhance the initial mask. Nevertheless, conventional techniques suffer from sensitivity to the variance in the initial mask. To circumvent this problem, our proposed method incorporates a mask matching algorithm for ensuring consistent inferences from different types of initial masks. We also introduce a target-aware zooming algorithm to preserve object information during downsampling, balancing efficiency and accuracy. Experiments on GrabCut, Berkeley, SBD, and DAVIS datasets demonstrate our method's state-of-the-art performance in interactive image segmentation.

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SamDSK: Combining Segment Anything Model with Domain-Specific Knowledge for Semi-Supervised Learning in Medical Image Segmentation

The Segment Anything Model (SAM) exhibits a capability to segment a wide array of objects in natural images, serving as a versatile perceptual tool for various downstream image segmentation tasks. In contrast, medical image segmentation tasks often rely on domain-specific knowledge (DSK). In this paper, we propose a novel method that combines the segmentation foundation model (i.e., SAM) with domain-specific knowledge for reliable utilization of unlabeled images in building a medical image segmentation model. Our new method is iterative and consists of two main stages: (1) segmentation model training; (2) expanding the labeled set by using the trained segmentation model, an unlabeled set, SAM, and domain-specific knowledge. These two stages are repeated until no more samples are added to the labeled set. A novel optimal-matching-based method is developed for combining the SAM-generated segmentation proposals and pixel-level and image-level DSK for constructing annotations of unlabeled images in the iterative stage (2). In experiments, we demonstrate the effectiveness of our proposed method for breast cancer segmentation in ultrasound images, polyp segmentation in endoscopic images, and skin lesion segmentation in dermoscopic images. Our work initiates a new direction of semi-supervised learning for medical image segmentation: the segmentation foundation model can be harnessed as a valuable tool for label-efficient segmentation learning in medical image segmentation.

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Encoder Fusion Network with Co-Attention Embedding for Referring Image Segmentation

Recently, referring image segmentation has aroused widespread interest. Previous methods perform the multi-modal fusion between language and vision at the decoding side of the network. And, linguistic feature interacts with visual feature of each scale separately, which ignores the continuous guidance of language to multi-scale visual features. In this work, we propose an encoder fusion network (EFN), which transforms the visual encoder into a multi-modal feature learning network, and uses language to refine the multi-modal features progressively. Moreover, a co-attention mechanism is embedded in the EFN to realize the parallel update of multi-modal features, which can promote the consistent of the cross-modal information representation in the semantic space. Finally, we propose a boundary enhancement module (BEM) to make the network pay more attention to the fine structure. The experiment results on four benchmark datasets demonstrate that the proposed approach achieves the state-of-the-art performance under different evaluation metrics without any post-processing.

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