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arXiv2010

A New Approach to Lung Image Segmentation using Fuzzy Possibilistic C-Means Algorithm

Image segmentation is a vital part of image processing. Segmentation has its application widespread in the field of medical images in order to diagnose curious diseases. The same medical images can be segmented manually. But the accuracy of image segmentation using the segmentation algorithms is more when compared with the manual segmentation. In the field of medical diagnosis an extensive diversity of imaging techniques is presently available, such as radiography, computed tomography (CT) and magnetic resonance imaging (MRI). Medical image segmentation is an essential step for most consequent image analysis tasks. Although the original FCM algorithm yields good results for segmenting noise free images, it fails to segment images corrupted by noise, outliers and other imaging artifact. This paper presents an image segmentation approach using Modified Fuzzy C-Means (FCM) algorithm and Fuzzy Possibilistic c-means algorithm (FPCM). This approach is a generalized version of standard Fuzzy CMeans Clustering (FCM) algorithm. The limitation of the conventional FCM technique is eliminated in modifying the standard technique. The Modified FCM algorithm is formulated by modifying the distance measurement of the standard FCM algorithm to permit the labeling of a pixel to be influenced by other pixels and to restrain the noise effect during segmentation. Instead of having one term in the objective function, a second term is included, forcing the membership to be as high as possible without a maximum limit constraint of one. Experiments are conducted on real images to investigate the performance of the proposed modified FCM technique in segmenting the medical images. Standard FCM, Modified FCM, Fuzzy Possibilistic CMeans algorithm (FPCM) are compared to explore the accuracy of our proposed approach.

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arXiv2020

Embracing Imperfect Datasets: A Review of Deep Learning Solutions for Medical Image Segmentation

The medical imaging literature has witnessed remarkable progress in high-performing segmentation models based on convolutional neural networks. Despite the new performance highs, the recent advanced segmentation models still require large, representative, and high quality annotated datasets. However, rarely do we have a perfect training dataset, particularly in the field of medical imaging, where data and annotations are both expensive to acquire. Recently, a large body of research has studied the problem of medical image segmentation with imperfect datasets, tackling two major dataset limitations: scarce annotations where only limited annotated data is available for training, and weak annotations where the training data has only sparse annotations, noisy annotations, or image-level annotations. In this article, we provide a detailed review of the solutions above, summarizing both the technical novelties and empirical results. We further compare the benefits and requirements of the surveyed methodologies and provide our recommended solutions. We hope this survey article increases the community awareness of the techniques that are available to handle imperfect medical image segmentation datasets.

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arXiv2018

Unsupervised Pathology Image Segmentation Using Representation Learning with Spherical K-means

This paper presents a novel method for unsupervised segmentation of pathology images. Staging of lung cancer is a major factor of prognosis. Measuring the maximum dimensions of the invasive component in a pathology images is an essential task. Therefore, image segmentation methods for visualizing the extent of invasive and noninvasive components on pathology images could support pathological examination. However, it is challenging for most of the recent segmentation methods that rely on supervised learning to cope with unlabeled pathology images. In this paper, we propose a unified approach to unsupervised representation learning and clustering for pathology image segmentation. Our method consists of two phases. In the first phase, we learn feature representations of training patches from a target image using the spherical k-means. The purpose of this phase is to obtain cluster centroids which could be used as filters for feature extraction. In the second phase, we apply conventional k-means to the representations extracted by the centroids and then project cluster labels to the target images. We evaluated our methods on pathology images of lung cancer specimen. Our experiments showed that the proposed method outperforms traditional k-means segmentation and the multithreshold Otsu method both quantitatively and qualitatively with an improved normalized mutual information (NMI) score of 0.626 compared to 0.168 and 0.167, respectively. Furthermore, we found that the centroids can be applied to the segmentation of other slices from the same sample.

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arXiv2026

Dataset-Aware Cold-Start Active Learning for Annotation-Efficient 3D Medical Image Segmentation

Deep learning for 3D medical image segmentation requires extensive manual annotations, a major bottleneck in volumetric medical imaging. Active learning aims to reduce this burden by selecting informative samples for annotation, but most methods assume that an initial labeled set is already available. This leaves the cold-start problem largely unresolved: how to select the first volumes from a fully unlabeled pool before any task-specific model is trained. We propose CSCS, a Curriculum-Stratified Cold-Start framework that adapts initial sample selection to the structure of the unlabeled dataset. CSCS combines two self-supervised, label-free signals: local typicality, measuring representativeness in the embedding space, and reconstruction-based uncertainty, used as a proxy for sample difficulty. These signals are combined through a weighted geometric score, where the weighting is determined by a closed-form pacing rule based on the effective annotation budget and the Difficulty-Coverage Ratio, a pool-level statistic measuring the alignment between difficulty and representativeness. We evaluate CSCS on four 3D medical image segmentation benchmarks: BraTS, FeTA, Spleen, and an in-house fetal MRI dataset. Using nnU-Net as downstream segmentation model, CSCS shows consistently competitive performance across datasets and annotation budgets, with the strongest gains in low-to-mid annotation regimes. These results suggest that dataset-aware cold-start initialization can improve the robustness of active learning for 3D medical image segmentation by adapting sample selection to the geometry of the unlabeled pool.

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arXiv2025

KAN-Mamba FusionNet: Redefining Medical Image Segmentation with Non-Linear Modeling

Medical image segmentation is essential for applications like robotic surgeries, disease diagnosis, and treatment planning. Recently, various deep-learning models have been proposed to enhance medical image segmentation. One promising approach utilizes Kolmogorov-Arnold Networks (KANs), which better capture non-linearity in input data. However, they are unable to effectively capture long-range dependencies, which are required to accurately segment complex medical images and, by that, improve diagnostic accuracy in clinical settings. Neural networks such as Mamba can handle long-range dependencies. However, they have a limited ability to accurately capture non-linearities in the images as compared to KANs. Thus, we propose a novel architecture, the KAN-Mamba FusionNet, which improves segmentation accuracy by effectively capturing the non-linearities from input and handling long-range dependencies with the newly proposed KAMBA block. We evaluated the proposed KAN-Mamba FusionNet on three distinct medical image segmentation datasets: BUSI, Kvasir-Seg, and GlaS - and found it consistently outperforms state-of-the-art methods in IoU and F1 scores. Further, we examined the effects of various components and assessed their contributions to the overall model performance via ablation studies. The findings highlight the effectiveness of this methodology for reliable medical image segmentation, providing a unique approach to address intricate visual data issues in healthcare.

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arXiv2025

Self-Attention Diffusion Models for Zero-Shot Biomedical Image Segmentation: Unlocking New Frontiers in Medical Imaging

Producing high-quality segmentation masks for medical images is a fundamental challenge in biomedical image analysis. Recent research has explored large-scale supervised training to enable segmentation across various medical imaging modalities and unsupervised training to facilitate segmentation without dense annotations. However, constructing a model capable of segmenting diverse medical images in a zero-shot manner without any annotations remains a significant hurdle. This paper introduces the Attention Diffusion Zero-shot Unsupervised System (ADZUS), a novel approach that leverages self-attention diffusion models for zero-shot biomedical image segmentation. ADZUS harnesses the intrinsic capabilities of pre-trained diffusion models, utilizing their generative and discriminative potentials to segment medical images without requiring annotated training data or prior domain-specific knowledge. The ADZUS architecture is detailed, with its integration of self-attention mechanisms that facilitate context-aware and detail-sensitive segmentations being highlighted. Experimental results across various medical imaging datasets, including skin lesion segmentation, chest X-ray infection segmentation, and white blood cell segmentation, reveal that ADZUS achieves state-of-the-art performance. Notably, ADZUS reached Dice scores ranging from 88.7\% to 92.9\% and IoU scores from 66.3\% to 93.3\% across different segmentation tasks, demonstrating significant improvements in handling novel, unseen medical imagery. It is noteworthy that while ADZUS demonstrates high effectiveness, it demands substantial computational resources and extended processing times. The model's efficacy in zero-shot settings underscores its potential to reduce reliance on costly annotations and seamlessly adapt to new medical imaging tasks, thereby expanding the diagnostic capabilities of AI-driven medical imaging technologies.

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arXiv2026

Understanding From Human Perspective: A Multi-agent System for Interactive Egocentric Medical Image Segmentation

Interactive egocentric medical image segmentation (IEMIS) plays an important role in smart-glasses-assisted medical image review, segmenting the medical targets a clinician refers to from their egocentric view. Once it succeeds, the object-level visual evidence it provides strengthens the review and underpins fine-grained analysis and clinical decision-making. However, the instruction and the video both come from the user's egocentric perspective, which poses two challenges. (1) Semantic ambiguity leaves the model unable to confirm the user-intended target. (2) Visual variability makes the segmentation jump from frame to frame. In this paper, we propose EgoMed-Agent, a multi-agent system that understands the target from the human perspective through two workflows. (1) The \textit{Target Confirmation Workflow} grounds the instruction against candidate targets with a reliability score, confirming the target when the grounding is reliable and asking the user to clarify when it is not, thereby confirming the segmentation target. (2) The \textit{Localization-Guided Propagation Workflow} couples mask propagation with per-frame target localization, using the localized target to correct the propagated mask whenever the two diverge, so the segmentation stays on the target across the egocentric video. Extensive experiments show that EgoMed-Agent reaches 71.34\% average Dice, far above the best text-prompted baseline (11.70\%). Our code is available at \href{https://github.com/wdyyyyyy/EgoMed-Agent}{our project page}.

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arXiv2010

SAR Image Segmentation using Vector Quantization Technique on Entropy Images

The development and application of various remote sensing platforms result in the production of huge amounts of satellite image data. Therefore, there is an increasing need for effective querying and browsing in these image databases. In order to take advantage and make good use of satellite images data, we must be able to extract meaningful information from the imagery. Hence we proposed a new algorithm for SAR image segmentation. In this paper we propose segmentation using vector quantization technique on entropy image. Initially, we obtain entropy image and in second step we use Kekre's Fast Codebook Generation (KFCG) algorithm for segmentation of the entropy image. Thereafter, a codebook of size 128 was generated for the Entropy image. These code vectors were further clustered in 8 clusters using same KFCG algorithm and converted into 8 images. These 8 images were displayed as a result. This approach does not lead to over segmentation or under segmentation. We compared these results with well known Gray Level Co-occurrence Matrix. The proposed algorithm gives better segmentation with less complexity.

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arXiv2024

Patch-Based Deep Unsupervised Image Segmentation using Graph Cuts

Unsupervised image segmentation aims at grouping different semantic patterns in an image without the use of human annotation. Similarly, image clustering searches for groupings of images based on their semantic content without supervision. Classically, both problems have captivated researchers as they drew from sound mathematical concepts to produce concrete applications. With the emergence of deep learning, the scientific community turned its attention to complex neural network-based solvers that achieved impressive results in those domains but rarely leveraged the advances made by classical methods. In this work, we propose a patch-based unsupervised image segmentation strategy that bridges advances in unsupervised feature extraction from deep clustering methods with the algorithmic help of classical graph-based methods. We show that a simple convolutional neural network, trained to classify image patches and iteratively regularized using graph cuts, naturally leads to a state-of-the-art fully-convolutional unsupervised pixel-level segmenter. Furthermore, we demonstrate that this is the ideal setting for leveraging the patch-level pairwise features generated by vision transformer models. Our results on real image data demonstrate the effectiveness of our proposed methodology.

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arXiv2021

Spatially Dependent U-Nets: Highly Accurate Architectures for Medical Imaging Segmentation

In clinical practice, regions of interest in medical imaging often need to be identified through a process of precise image segmentation. The quality of this image segmentation step critically affects the subsequent clinical assessment of the patient status. To enable high accuracy, automatic image segmentation, we introduce a novel deep neural network architecture that exploits the inherent spatial coherence of anatomical structures and is well equipped to capture long-range spatial dependencies in the segmented pixel/voxel space. In contrast to the state-of-the-art solutions based on convolutional layers, our approach leverages on recently introduced spatial dependency layers that have an unbounded receptive field and explicitly model the inductive bias of spatial coherence. Our method performs favourably to commonly used U-Net and U-Net++ architectures as demonstrated by improved Dice and Jaccardscore in three different medical segmentation tasks: nuclei segmentation in microscopy images, polyp segmentation in colonoscopy videos, and liver segmentation in abdominal CT scans.

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arXiv2019

Consistent estimation of the max-flow problem: Towards unsupervised image segmentation

Advances in the image-based diagnostics of complex biological and manufacturing processes have brought unsupervised image segmentation to the forefront of enabling automated, on the fly decision making. However, most existing unsupervised segmentation approaches are either computationally complex or require manual parameter selection (e.g., flow capacities in max-flow/min-cut segmentation). In this work, we present a fully unsupervised segmentation approach using a continuous max-flow formulation over the image domain while optimally estimating the flow parameters from the image characteristics. More specifically, we show that the maximum a posteriori estimate of the image labels can be formulated as a continuous max-flow problem given the flow capacities are known. The flow capacities are then iteratively obtained by employing a novel Markov random field prior over the image domain. We present theoretical results to establish the posterior consistency of the flow capacities. We compare the performance of our approach on two real-world case studies including brain tumor image segmentation and defect identification in additively manufactured components using electron microscopic images. Comparative results with several state-of-the-art supervised as well as unsupervised methods suggest that the present method performs statistically similar to the supervised methods, but results in more than 90% improvement in the Dice score when compared to the state-of-the-art unsupervised methods.

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arXiv2023

Partition-A-Medical-Image: Extracting Multiple Representative Sub-regions for Few-shot Medical Image Segmentation

Few-shot Medical Image Segmentation (FSMIS) is a more promising solution for medical image segmentation tasks where high-quality annotations are naturally scarce. However, current mainstream methods primarily focus on extracting holistic representations from support images with large intra-class variations in appearance and background, and encounter difficulties in adapting to query images. In this work, we present an approach to extract multiple representative sub-regions from a given support medical image, enabling fine-grained selection over the generated image regions. Specifically, the foreground of the support image is decomposed into distinct regions, which are subsequently used to derive region-level representations via a designed Regional Prototypical Learning (RPL) module. We then introduce a novel Prototypical Representation Debiasing (PRD) module based on a two-way elimination mechanism which suppresses the disturbance of regional representations by a self-support, Multi-direction Self-debiasing (MS) block, and a support-query, Interactive Debiasing (ID) block. Finally, an Assembled Prediction (AP) module is devised to balance and integrate predictions of multiple prototypical representations learned using stacked PRD modules. Results obtained through extensive experiments on three publicly accessible medical imaging datasets demonstrate consistent improvements over the leading FSMIS methods. The source code is available at https://github.com/YazhouZhu19/PAMI.

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arXiv2024

Manifold-Aware Local Feature Modeling for Semi-Supervised Medical Image Segmentation

Achieving precise medical image segmentation is vital for effective treatment planning and accurate disease diagnosis. Traditional fully-supervised deep learning methods, though highly precise, are heavily reliant on large volumes of labeled data, which are often difficult to obtain due to the expertise required for medical annotations. This has led to the rise of semi-supervised learning approaches that utilize both labeled and unlabeled data to mitigate the label scarcity issue. In this paper, we introduce the Manifold-Aware Local Feature Modeling Network (MANet), which enhances the U-Net architecture by incorporating manifold supervision signals. This approach focuses on improving boundary accuracy, which is crucial for reliable medical diagnosis. To further extend the versatility of our method, we propose two variants: MA-Sobel and MA-Canny. The MA-Sobel variant employs the Sobel operator, which is effective for both 2D and 3D data, while the MA-Canny variant utilizes the Canny operator, specifically designed for 2D images, to refine boundary detection. These variants allow our method to adapt to various medical image modalities and dimensionalities, ensuring broader applicability. Our extensive experiments on datasets such as ACDC, LA, and Pancreas-NIH demonstrate that MANet consistently surpasses state-of-the-art methods in performance metrics like Dice and Jaccard scores. The proposed method also shows improved generalization across various semi-supervised segmentation networks, highlighting its robustness and effectiveness. Visual analysis of segmentation results confirms that MANet offers clearer and more accurate class boundaries, underscoring the value of manifold information in medical image segmentation.

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arXiv2022

CDDSA: Contrastive Domain Disentanglement and Style Augmentation for Generalizable Medical Image Segmentation

Generalization to previously unseen images with potential domain shifts and different styles is essential for clinically applicable medical image segmentation, and the ability to disentangle domain-specific and domain-invariant features is key for achieving Domain Generalization (DG). However, existing DG methods can hardly achieve effective disentanglement to get high generalizability. To deal with this problem, we propose an efficient Contrastive Domain Disentanglement and Style Augmentation (CDDSA) framework for generalizable medical image segmentation. First, a disentangle network is proposed to decompose an image into a domain-invariant anatomical representation and a domain-specific style code, where the former is sent to a segmentation model that is not affected by the domain shift, and the disentangle network is regularized by a decoder that combines the anatomical and style codes to reconstruct the input image. Second, to achieve better disentanglement, a contrastive loss is proposed to encourage the style codes from the same domain and different domains to be compact and divergent, respectively. Thirdly, to further improve generalizability, we propose a style augmentation method based on the disentanglement representation to synthesize images in various unseen styles with shared anatomical structures. Our method was validated on a public multi-site fundus image dataset for optic cup and disc segmentation and an in-house multi-site Nasopharyngeal Carcinoma Magnetic Resonance Image (NPC-MRI) dataset for nasopharynx Gross Tumor Volume (GTVnx) segmentation. Experimental results showed that the proposed CDDSA achieved remarkable generalizability across different domains, and it outperformed several state-of-the-art methods in domain-generalizable segmentation.

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arXiv2026

A Unified Variational Framework for Deep Weakly Supervised Image Segmentation

We propose a unified variational framework for image segmentation under sparse pixel-level supervision. Our method is based on a simplex-constrained Potts model with a smooth perimeter regularizer, yielding a convex, smooth energy functional that can be used as a training loss in weakly supervised deep learning paradigms or optimized efficiently using iterative methods. Sparse labels are incorporated into the data fidelity term by constructing a fuzzy membership function via a function extension problem in a Reproducing Kernel Hilbert Space (RKHS), which can effectively capture inhomogeneous intensity statistics. The derived discrete loss for training standard networks demonstrates robustness and consistent improvements over non-training and partial cross-entropy (PCE) baselines in experiments, achieving comparable performance without requiring ground-truth segmentation images.

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arXiv2025

Geometric Feature Prompting of Image Segmentation Models

Advances in machine learning, especially the introduction of transformer architectures and vision transformers, have led to the development of highly capable computer vision foundation models. The segment anything model (known colloquially as SAM and more recently SAM 2), is a highly capable foundation model for segmentation of natural images and has been further applied to medical and scientific image segmentation tasks. SAM relies on prompts -- points or regions of interest in an image -- to generate associated segmentations. In this manuscript we propose the use of a geometrically motivated prompt generator to produce prompt points that are colocated with particular features of interest. Focused prompting enables the automatic generation of sensitive and specific segmentations in a scientific image analysis task using SAM with relatively few point prompts. The image analysis task examined is the segmentation of plant roots in rhizotron or minirhizotron images, which has historically been a difficult task to automate. Hand annotation of rhizotron images is laborious and often subjective; SAM, initialized with GeomPrompt local ridge prompts has the potential to dramatically improve rhizotron image processing. The authors have concurrently released an open source software suite called geomprompt https://pypi.org/project/geomprompt/ that can produce point prompts in a format that enables direct integration with the segment-anything package.

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arXiv2025

A Novel Convolutional-Free Method for 3D Medical Imaging Segmentation

Segmentation of 3D medical images is a critical task for accurate diagnosis and treatment planning. Convolutional neural networks (CNNs) have dominated the field, achieving significant success in 3D medical image segmentation. However, CNNs struggle with capturing long-range dependencies and global context, limiting their performance, particularly for fine and complex structures. Recent transformer-based models, such as TransUNet and nnFormer, have demonstrated promise in addressing these limitations, though they still rely on hybrid CNN-transformer architectures. This paper introduces a novel, fully convolutional-free model based on transformer architecture and self-attention mechanisms for 3D medical image segmentation. Our approach focuses on improving multi-semantic segmentation accuracy and addressing domain adaptation challenges between thick and thin slice CT images. We propose a joint loss function that facilitates effective segmentation of thin slices based on thick slice annotations, overcoming limitations in dataset availability. Furthermore, we present a benchmark dataset for multi-semantic segmentation on thin slices, addressing a gap in current medical imaging research. Our experiments demonstrate the superiority of the proposed model over traditional and hybrid architectures, offering new insights into the future of convolution-free medical image segmentation.

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arXiv2019

MIScnn: A Framework for Medical Image Segmentation with Convolutional Neural Networks and Deep Learning

The increased availability and usage of modern medical imaging induced a strong need for automatic medical image segmentation. Still, current image segmentation platforms do not provide the required functionalities for plain setup of medical image segmentation pipelines. Already implemented pipelines are commonly standalone software, optimized on a specific public data set. Therefore, this paper introduces the open-source Python library MIScnn. The aim of MIScnn is to provide an intuitive API allowing fast building of medical image segmentation pipelines including data I/O, preprocessing, data augmentation, patch-wise analysis, metrics, a library with state-of-the-art deep learning models and model utilization like training, prediction, as well as fully automatic evaluation (e.g. cross-validation). Similarly, high configurability and multiple open interfaces allow full pipeline customization. Running a cross-validation with MIScnn on the Kidney Tumor Segmentation Challenge 2019 data set (multi-class semantic segmentation with 300 CT scans) resulted into a powerful predictor based on the standard 3D U-Net model. With this experiment, we could show that the MIScnn framework enables researchers to rapidly set up a complete medical image segmentation pipeline by using just a few lines of code. The source code for MIScnn is available in the Git repository: https://github.com/frankkramer-lab/MIScnn.

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