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Rotate to Scan: UNet-like Mamba with Triplet SSM Module for Medical Image Segmentation

Image segmentation holds a vital position in the realms of diagnosis and treatment within the medical domain. Traditional convolutional neural networks (CNNs) and Transformer models have made significant advancements in this realm, but they still encounter challenges because of limited receptive field or high computing complexity. Recently, State Space Models (SSMs), particularly Mamba and its variants, have demonstrated notable performance in the field of vision. However, their feature extraction methods may not be sufficiently effective and retain some redundant structures, leaving room for parameter reduction. Motivated by previous spatial and channel attention methods, we propose Triplet Mamba-UNet. The method leverages residual VSS Blocks to extract intensive contextual features, while Triplet SSM is employed to fuse features across spatial and channel dimensions. We conducted experiments on ISIC17, ISIC18, CVC-300, CVC-ClinicDB, Kvasir-SEG, CVC-ColonDB, and Kvasir-Instrument datasets, demonstrating the superior segmentation performance of our proposed TM-UNet. Additionally, compared to the previous VM-UNet, our model achieves a one-third reduction in parameters.

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An Augmentation-based Model Re-adaptation Framework for Robust Image Segmentation

Image segmentation is a crucial task in computer vision, with wide-ranging applications in industry. The Segment Anything Model (SAM) has recently attracted intensive attention; however, its application in industrial inspection, particularly for segmenting commercial anti-counterfeit codes, remains challenging. Unlike open-source datasets, industrial settings often face issues such as small sample sizes and complex textures. Additionally, computational cost is a key concern due to the varying number of trainable parameters. To address these challenges, we propose an Augmentation-based Model Re-adaptation Framework (AMRF). This framework leverages data augmentation techniques during training to enhance the generalisation of segmentation models, allowing them to adapt to newly released datasets with temporal disparity. By observing segmentation masks from conventional models (FCN and U-Net) and a pre-trained SAM model, we determine a minimal augmentation set that optimally balances training efficiency and model performance. Our results demonstrate that the fine-tuned FCN surpasses its baseline by 3.29% and 3.02% in cropping accuracy, and 5.27% and 4.04% in classification accuracy on two temporally continuous datasets. Similarly, the fine-tuned U-Net improves upon its baseline by 7.34% and 4.94% in cropping, and 8.02% and 5.52% in classification. Both models outperform the top-performing SAM models (ViT-Large and ViT-Base) by an average of 11.75% and 9.01% in cropping accuracy, and 2.93% and 4.83% in classification accuracy, respectively.

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The Missing Point in Vision Transformers for Universal Image Segmentation

Image segmentation remains a challenging task in computer vision, demanding robust mask generation and precise classification. Recent mask-based approaches yield high-quality masks by capturing global context. However, accurately classifying these masks, especially in the presence of ambiguous boundaries and imbalanced class distributions, remains an open challenge. In this work, we introduce ViT-P, a novel two-stage segmentation framework that decouples mask generation from classification. The first stage employs a proposal generator to produce class-agnostic mask proposals, while the second stage utilizes a point-based classification model built on the Vision Transformer (ViT) to refine predictions by focusing on mask central points. ViT-P serves as a pre-training-free adapter, allowing the integration of various pre-trained vision transformers without modifying their architecture, ensuring adaptability to dense prediction tasks. Furthermore, we demonstrate that coarse and bounding box annotations can effectively enhance classification without requiring additional training on fine annotation datasets, reducing annotation costs while maintaining strong performance. Extensive experiments across COCO, ADE20K, and Cityscapes datasets validate the effectiveness of ViT-P, achieving state-of-the-art results with 54.0 PQ on ADE20K panoptic segmentation, 87.4 mIoU on Cityscapes semantic segmentation, and 63.6 mIoU on ADE20K semantic segmentation. The code and pretrained models are available at: https://github.com/sajjad-sh33/ViT-P}{https://github.com/sajjad-sh33/ViT-P.

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Implicit Fuzzification via Bounded Noise Injection for Robust Medical Image Segmentation

Image segmentation remains fundamentally limited by boundary ambiguity arising from sampling-induced information loss and inherent uncertainty in pixel-wise labeling. Although encoder-decoder architectures such as U-Net achieve strong performance, they often produce overconfident predictions that fail to capture transition-region ambiguity. To address this issue, we propose \textbf{NoiseUNet}, a simple yet effective framework that injects bounded perturbations into skip connections to regularize cross-scale feature fusion. This mechanism enforces robustness to local feature variations and promotes boundary-aware representations. Theoretically, the perturbation induces an implicit fuzzification effect, yielding soft, data-driven memberships without requiring explicit fuzzy modeling. We further introduce \textbf{ThyR}, a real-world thyroid ultrasound dataset with inherently ambiguous boundaries. Experiments demonstrate that NoiseUNet consistently improves both segmentation accuracy and boundary fidelity.

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FSANet: Frequency-Spatial Aware Network for Image Segmentation

Image segmentation remains challenging due to occlusions, poor lighting, and irregular structures. Although transformer-based methods achieve high accuracy, they rely heavily on long-range spatial features, leading to high computational costs and neglecting prior knowledge or noise patterns, resulting in missing details and unclear boundaries. To address these issues, we propose Frequency Spatial Aware Network (FSANet), which integrates prior knowledge with a dual-domain solver to sequentially adapt to diverse segmentation tasks. Specifically, we design three key modules: (1) Structure Prior Module, which recovers overlooked details; (2) Dual-Domain Awareness Module, which captures salient features while disentangling noise; and (3) Edge Estimation Module, which enhances edge awareness for more precise segmentation. In addition, the limited availability of comprehensive segmentation datasets covering various real-world scenarios hinders the performance of existing methods. To address this, we introduce SceneX, a novel open-source dataset featuring 10 challenging non-ideal scenarios, establishing a new benchmark for evaluating and improving the robustness and real-world applicability of the segmentation models. Extensive experiments demonstrate the efficiency and effectiveness of FSANet.

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Visual-hint Boundary to Segment Algorithm for Image Segmentation

Image segmentation has been a very active research topic in image analysis area. Currently, most of the image segmentation algorithms are designed based on the idea that images are partitioned into a set of regions preserving homogeneous intra-regions and inhomogeneous inter-regions. However, human visual intuition does not always follow this pattern. A new image segmentation method named Visual-Hint Boundary to Segment (VHBS) is introduced, which is more consistent with human perceptions. VHBS abides by two visual hint rules based on human perceptions: (i) the global scale boundaries tend to be the real boundaries of the objects; (ii) two adjacent regions with quite different colors or textures tend to result in the real boundaries between them. It has been demonstrated by experiments that, compared with traditional image segmentation method, VHBS has better performance and also preserves higher computational efficiency.

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Nighttime sky/cloud image segmentation

Imaging the atmosphere using ground-based sky cameras is a popular approach to study various atmospheric phenomena. However, it usually focuses on the daytime. Nighttime sky/cloud images are darker and noisier, and thus harder to analyze. An accurate segmentation of sky/cloud images is already challenging because of the clouds' non-rigid structure and size, and the lower and less stable illumination of the night sky increases the difficulty. Nonetheless, nighttime cloud imaging is essential in certain applications, such as continuous weather analysis and satellite communication. In this paper, we propose a superpixel-based method to segment nighttime sky/cloud images. We also release the first nighttime sky/cloud image segmentation database to the research community. The experimental results show the efficacy of our proposed algorithm for nighttime images.

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Adversarial normalization for multi domain image segmentation

Image normalization is a critical step in medical imaging. This step is often done on a per-dataset basis, preventing current segmentation algorithms from the full potential of exploiting jointly normalized information across multiple datasets. To solve this problem, we propose an adversarial normalization approach for image segmentation which learns common normalizing functions across multiple datasets while retaining image realism. The adversarial training provides an optimal normalizer that improves both the segmentation accuracy and the discrimination of unrealistic normalizing functions. Our contribution therefore leverages common imaging information from multiple domains. The optimality of our common normalizer is evaluated by combining brain images from both infants and adults. Results on the challenging iSEG and MRBrainS datasets reveal the potential of our adversarial normalization approach for segmentation, with Dice improvements of up to 59.6% over the baseline.

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Maximin affinity learning of image segmentation

Images can be segmented by first using a classifier to predict an affinity graph that reflects the degree to which image pixels must be grouped together and then partitioning the graph to yield a segmentation. Machine learning has been applied to the affinity classifier to produce affinity graphs that are good in the sense of minimizing edge misclassification rates. However, this error measure is only indirectly related to the quality of segmentations produced by ultimately partitioning the affinity graph. We present the first machine learning algorithm for training a classifier to produce affinity graphs that are good in the sense of producing segmentations that directly minimize the Rand index, a well known segmentation performance measure. The Rand index measures segmentation performance by quantifying the classification of the connectivity of image pixel pairs after segmentation. By using the simple graph partitioning algorithm of finding the connected components of the thresholded affinity graph, we are able to train an affinity classifier to directly minimize the Rand index of segmentations resulting from the graph partitioning. Our learning algorithm corresponds to the learning of maximin affinities between image pixel pairs, which are predictive of the pixel-pair connectivity.

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Rethinking domain generalization in medical image segmentation: One image as one domain

Domain shifts in medical image segmentation, particularly when data comes from different centers, pose significant challenges. Intra-center variability, such as differences in scanner models or imaging protocols, can cause domain shifts as large as, or even larger than, those between centers. To address this, we propose the "one image as one domain" (OIOD) hypothesis, which treats each image as a unique domain, enabling flexible and robust domain generalization. Based on this hypothesis, we develop a unified disentanglement-based domain generalization (UniDDG) framework, which simultaneously handles both multi-source and single-source domain generalization without requiring explicit domain labels. This approach simplifies training with a fixed architecture, independent of the number of source domains, reducing complexity and enhancing scalability. We decouple each input image into content representation and style code, then exchange and combine these within the batch for segmentation, reconstruction, and further disentanglement. By maintaining distinct style codes for each image, our model ensures thorough decoupling of content representations and style codes, improving domain invariance of the content representations. Additionally, we enhance generalization with expansion mask attention (EMA) for boundary preservation and style augmentation (SA) to simulate diverse image styles, improving robustness to domain shifts. Extensive experiments show that our method achieves Dice scores of 84.43% and 88.91% for multi-source to single-center and single-center generalization in optic disc and optic cup segmentation, respectively, and 86.96% and 88.56% for prostate segmentation, outperforming current state-of-the-art domain generalization methods, offering superior performance and adaptability across clinical settings.

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PEMMA: Parameter-Efficient Multi-Modal Adaptation for Medical Image Segmentation

Imaging modalities such as Computed Tomography (CT) and Positron Emission Tomography (PET) are key in cancer detection, inspiring Deep Neural Networks (DNN) models that merge these scans for tumor segmentation. When both CT and PET scans are available, it is common to combine them as two channels of the input to the segmentation model. However, this method requires both scan types during training and inference, posing a challenge due to the limited availability of PET scans, thereby sometimes limiting the process to CT scans only. Hence, there is a need to develop a flexible DNN architecture that can be trained/updated using only CT scans but can effectively utilize PET scans when they become available. In this work, we propose a parameter-efficient multi-modal adaptation (PEMMA) framework for lightweight upgrading of a transformer-based segmentation model trained only on CT scans to also incorporate PET scans. The benefits of the proposed approach are two-fold. Firstly, we leverage the inherent modularity of the transformer architecture and perform low-rank adaptation (LoRA) of the attention weights to achieve parameter-efficient adaptation. Secondly, since the PEMMA framework attempts to minimize cross modal entanglement, it is possible to subsequently update the combined model using only one modality, without causing catastrophic forgetting of the other modality. Our proposed method achieves comparable results with the performance of early fusion techniques with just 8% of the trainable parameters, especially with a remarkable +28% improvement on the average dice score on PET scans when trained on a single modality.

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Self-Supervised Learning for Image Segmentation: A Comprehensive Survey

Supervised learning demands large amounts of precisely annotated data to achieve promising results. Such data curation is labor-intensive and imposes significant overhead regarding time and costs. Self-supervised learning (SSL) partially overcomes these limitations by exploiting vast amounts of unlabeled data and creating surrogate (pretext or proxy) tasks to learn useful representations without manual labeling. As a result, SSL has become a powerful machine learning (ML) paradigm for solving several practical downstream computer vision problems, such as classification, detection, and segmentation. Image segmentation is the cornerstone of many high-level visual perception applications, including medical imaging, intelligent transportation, agriculture, and surveillance. Although there is substantial research potential for developing advanced algorithms for SSL-based semantic segmentation, a comprehensive study of existing methodologies is essential to trace advances and guide emerging researchers. This survey thoroughly investigates over 150 recent image segmentation articles, particularly focusing on SSL. It provides a practical categorization of pretext tasks, downstream tasks, and commonly used benchmark datasets for image segmentation research. It concludes with key observations distilled from a large body of literature and offers future directions to make this research field more accessible and comprehensible for readers.

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Merging Context Clustering with Visual State Space Models for Medical Image Segmentation

Medical image segmentation demands the aggregation of global and local feature representations, posing a challenge for current methodologies in handling both long-range and short-range feature interactions. Recently, vision mamba (ViM) models have emerged as promising solutions for addressing model complexities by excelling in long-range feature iterations with linear complexity. However, existing ViM approaches overlook the importance of preserving short-range local dependencies by directly flattening spatial tokens and are constrained by fixed scanning patterns that limit the capture of dynamic spatial context information. To address these challenges, we introduce a simple yet effective method named context clustering ViM (CCViM), which incorporates a context clustering module within the existing ViM models to segment image tokens into distinct windows for adaptable local clustering. Our method effectively combines long-range and short-range feature interactions, thereby enhancing spatial contextual representations for medical image segmentation tasks. Extensive experimental evaluations on diverse public datasets, i.e., Kumar, CPM17, ISIC17, ISIC18, and Synapse demonstrate the superior performance of our method compared to current state-of-the-art methods. Our code can be found at https://github.com/zymissy/CCViM.

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Quantum-enhanced unsupervised image segmentation for medical images analysis

Breast cancer remains the leading cause of cancer-related mortality among women worldwide, necessitating the meticulous examination of mammograms by radiologists to characterize abnormal lesions. This manual process demands high accuracy and is often time-consuming, costly, and error-prone. Automated image segmentation using artificial intelligence offers a promising alternative to streamline this workflow. However, most existing methods are supervised, requiring large, expertly annotated datasets that are not always available, and they experience significant generalization issues. Thus, unsupervised learning models can be leveraged for image segmentation, but they come at a cost of reduced accuracy, or require extensive computational resourcess. In this paper, we propose the first end-to-end quantum-enhanced framework for unsupervised mammography medical images segmentation that balances between performance accuracy and computational requirements. We first introduce a quantum-inspired image representation that serves as an initial approximation of the segmentation mask. The segmentation task is then formulated as a QUBO problem, aiming to maximize the contrast between the background and the tumor region while ensuring a cohesive segmentation mask with minimal connected components. We conduct an extensive evaluation of quantum and quantum-inspired methods for image segmentation, demonstrating that quantum annealing and variational quantum circuits achieve performance comparable to classical optimization techniques. Notably, quantum annealing is shown to be an order of magnitude faster than the classical optimization method in our experiments. Our findings demonstrate that this framework achieves performance comparable to state-of-the-art supervised methods, including UNet-based architectures, offering a viable unsupervised alternative for breast cancer image segmentation.

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Voronoi Region-Based Adaptive Unsupervised Color Image Segmentation

Color image segmentation is a crucial step in many computer vision and pattern recognition applications. This article introduces an adaptive and unsupervised clustering approach based on Voronoi regions, which can be applied to solve the color image segmentation problem. The proposed method performs region splitting and merging within Voronoi regions of the Dirichlet Tessellated image (also called a Voronoi diagram) , which improves the efficiency and the accuracy of the number of clusters and cluster centroids estimation process. Furthermore, the proposed method uses cluster centroid proximity to merge proximal clusters in order to find the final number of clusters and cluster centroids. In contrast to the existing adaptive unsupervised cluster-based image segmentation algorithms, the proposed method uses K-means clustering algorithm in place of the Fuzzy C-means algorithm to find the final segmented image. The proposed method was evaluated on three different unsupervised image segmentation evaluation benchmarks and its results were compared with two other adaptive unsupervised cluster-based image segmentation algorithms. The experimental results reported in this article confirm that the proposed method outperforms the existing algorithms in terms of the quality of image segmentation results. Also, the proposed method results in the lowest average execution time per image compared to the existing methods reported in this article.

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Instance Segmentation as Image Segmentation Annotation

The instance segmentation problem intends to precisely detect and delineate objects in images. Most of the current solutions rely on deep convolutional neural networks but despite this fact proposed solutions are very diverse. Some solutions approach the problem as a network problem, where they use several networks or specialize a single network to solve several tasks. A different approach tries to solve the problem as an annotation problem, where the instance information is encoded in a mathematical representation. This work proposes a solution based in the DCME technique to solve the instance segmentation with a single segmentation network. Different from others, the segmentation network decoder is not specialized in a multi-task network. Instead, the network encoder is repurposed to classify image objects, reducing the computational cost of the solution.

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A Certified Radius-Guided Attack Framework to Image Segmentation Models

Image segmentation is an important problem in many safety-critical applications. Recent studies show that modern image segmentation models are vulnerable to adversarial perturbations, while existing attack methods mainly follow the idea of attacking image classification models. We argue that image segmentation and classification have inherent differences, and design an attack framework specially for image segmentation models. Our attack framework is inspired by certified radius, which was originally used by defenders to defend against adversarial perturbations to classification models. We are the first, from the attacker perspective, to leverage the properties of certified radius and propose a certified radius guided attack framework against image segmentation models. Specifically, we first adapt randomized smoothing, the state-of-the-art certification method for classification models, to derive the pixel's certified radius. We then focus more on disrupting pixels with relatively smaller certified radii and design a pixel-wise certified radius guided loss, when plugged into any existing white-box attack, yields our certified radius-guided white-box attack. Next, we propose the first black-box attack to image segmentation models via bandit. We design a novel gradient estimator, based on bandit feedback, which is query-efficient and provably unbiased and stable. We use this gradient estimator to design a projected bandit gradient descent (PBGD) attack, as well as a certified radius-guided PBGD (CR-PBGD) attack. We prove our PBGD and CR-PBGD attacks can achieve asymptotically optimal attack performance with an optimal rate. We evaluate our certified-radius guided white-box and black-box attacks on multiple modern image segmentation models and datasets. Our results validate the effectiveness of our certified radius-guided attack framework.

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OneFormer: One Transformer to Rule Universal Image Segmentation

Universal Image Segmentation is not a new concept. Past attempts to unify image segmentation in the last decades include scene parsing, panoptic segmentation, and, more recently, new panoptic architectures. However, such panoptic architectures do not truly unify image segmentation because they need to be trained individually on the semantic, instance, or panoptic segmentation to achieve the best performance. Ideally, a truly universal framework should be trained only once and achieve SOTA performance across all three image segmentation tasks. To that end, we propose OneFormer, a universal image segmentation framework that unifies segmentation with a multi-task train-once design. We first propose a task-conditioned joint training strategy that enables training on ground truths of each domain (semantic, instance, and panoptic segmentation) within a single multi-task training process. Secondly, we introduce a task token to condition our model on the task at hand, making our model task-dynamic to support multi-task training and inference. Thirdly, we propose using a query-text contrastive loss during training to establish better inter-task and inter-class distinctions. Notably, our single OneFormer model outperforms specialized Mask2Former models across all three segmentation tasks on ADE20k, CityScapes, and COCO, despite the latter being trained on each of the three tasks individually with three times the resources. With new ConvNeXt and DiNAT backbones, we observe even more performance improvement. We believe OneFormer is a significant step towards making image segmentation more universal and accessible. To support further research, we open-source our code and models at https://github.com/SHI-Labs/OneFormer

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