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arXiv2026

Progressive Prompt-Guided Cross-Modal Reasoning for Referring Image Segmentation

Referring image segmentation aims to localize and segment a target object in an image based on a free-form referring expression. The core challenge lies in effectively bridging linguistic descriptions with object-level visual representations, especially when referring expressions involve detailed attributes and complex inter-object relationships. Existing methods either rely on cross-modal alignment or employ Semantic Segmentation Prompts, but they often lack explicit reasoning mechanisms for grounding language descriptions to target regions in the image. To address these limitations, we propose PPCR, a Progressive Prompt-guided Cross-modal Reasoning framework for referring image segmentation. PPCR explicitly structures the reasoning process as a Semantic Understanding-Spatial Grounding-Instance Segmentation pipeline. Specifically, PPCR first employs multimodal large language models (MLLMs) to generate Semantic Segmentation Prompt that capture key semantic cues of the target object. Based on this semantic context, Spatial Segmentation Prompt are further generated to reason about object location and spatial extent, enabling a progressive transition from semantic understanding to spatial grounding. The Semantic and Spatial Segmentation prompts are then jointly integrated into the segmentation module to guide accurate target localization and segmentation. Extensive experiments on standard referring image segmentation benchmarks demonstrate that PPCR consistently outperforms existing methods. The code will be publicly released to facilitate reproducibility.

cs.CV↗

arXiv2025

Federated Client-tailored Adapter for Medical Image Segmentation

Medical image segmentation in X-ray images is beneficial for computer-aided diagnosis and lesion localization. Existing methods mainly fall into a centralized learning paradigm, which is inapplicable in the practical medical scenario that only has access to distributed data islands. Federated Learning has the potential to offer a distributed solution but struggles with heavy training instability due to client-wise domain heterogeneity (including distribution diversity and class imbalance). In this paper, we propose a novel Federated Client-tailored Adapter (FCA) framework for medical image segmentation, which achieves stable and client-tailored adaptive segmentation without sharing sensitive local data. Specifically, the federated adapter stirs universal knowledge in off-the-shelf medical foundation models to stabilize the federated training process. In addition, we develop two client-tailored federated updating strategies that adaptively decompose the adapter into common and individual components, then globally and independently update the parameter groups associated with common client-invariant and individual client-specific units, respectively. They further stabilize the heterogeneous federated learning process and realize optimal client-tailored instead of sub-optimal global-compromised segmentation models. Extensive experiments on three large-scale datasets demonstrate the effectiveness and superiority of the proposed FCA framework for federated medical segmentation.

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arXiv2026

ConvNeXt-FD: A Fractal-Based Deep Model for Robust Biomedical Image Segmentation

Biomedical image segmentation is a critical task in medical diagnosis and treatment planning, enabling precise delineation of anatomical structures and pathological regions. Despite significant advancements, challenges persist due to the inherent variability, noise, and complex morphology present in diverse medical imaging modalities. This paper introduces ConvNeXt-FD, a novel deep learning architecture for robust biomedical image segmentation, built upon a U-Net-like encoder-decoder framework leveraging the powerful ConvNeXt backbone. Our approach integrates a hybrid loss function combining the Dice coefficient with a boundary-aware regularization term inspired by a differentiable formulation of Fractal Dimension, designed to enhance the model's sensitivity to object boundaries and shape fidelity. We rigorously evaluate ConvNeXt-FD across six distinct biomedical datasets: BUSI (Breast Ultrasound Images), DDTI (Thyroid Ultrasound Images), FluoCells (Fluorescent Cell Images), IDRiD (Diabetic Retinopathy Images for Optic Disc Segmentation), ISIC2018 (Skin Lesion Images), and MoNuSeg (Nuclei Segmentation). Experimental results demonstrate that ConvNeXt-FD, particularly when initialized with ImageNet pre-trained weights, achieves competitive and often superior performance compared to existing state-of-the-art methods across various metrics, including Dice, Jaccard, Accuracy, Sensitivity, Specificity, and False Positive Rate. The integration of ConvNeXt as a strong encoder, coupled with the boundary-aware regularization, proves effective in capturing both high-level semantic features and fine-grained boundary details, leading to more accurate and reliable segmentations in challenging biomedical contexts.

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arXiv2019

Learning Shape Representation on Sparse Point Clouds for Volumetric Image Segmentation

Volumetric image segmentation with convolutional neural networks (CNNs) encounters several challenges, which are specific to medical images. Among these challenges are large volumes of interest, high class imbalances, and difficulties in learning shape representations. To tackle these challenges, we propose to improve over traditional CNN-based volumetric image segmentation through point-wise classification of point clouds. The sparsity of point clouds allows processing of entire image volumes, balancing highly imbalanced segmentation problems, and explicitly learning an anatomical shape. We build upon PointCNN, a neural network proposed to process point clouds, and propose here to jointly encode shape and volumetric information within the point cloud in a compact and computationally effective manner. We demonstrate how this approach can then be used to refine CNN-based segmentation, which yields significantly improved results in our experiments on the difficult task of peripheral nerve segmentation from magnetic resonance neurography images. By synthetic experiments, we further show the capability of our approach in learning an explicit anatomical shape representation.

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arXiv2024

EAVL: Explicitly Align Vision and Language for Referring Image Segmentation

Referring image segmentation (RIS) aims to segment an object mentioned in natural language from an image. The main challenge is text-to-pixel fine-grained correlation. In the previous methods, the final results are obtained by convolutions with a fixed kernel, which follows a similar pattern as traditional image segmentation. These methods lack explicit alignment of language and vision features in the segmentation stage, resulting in suboptimal correlation. In this paper, we introduce EAVL, a method explicitly aligning vision and language features. In contrast to fixed convolution kernels, we introduce a Vision-Language Aligner that aligns features in the segmentation stage using dynamic convolution kernels based on the input image and sentence. Specifically, we generate multiple queries representing different emphases of language expression. These queries are transformed into a series of query-based convolution kernels, which are applied in the segmentation stage to produce a series of masks. The final result is obtained by aggregating all masks. Our method harnesses the potential of the multi-modal features in the segmentation stage and aligns language features of different emphases with image features to achieve fine-grained text-to-pixel correlation. We surpass previous state-of-the-art methods on RefCOCO, RefCOCO+, and G-Ref by large margins. Additionally, our method is designed to be a generic plug-and-play module for cross-modality alignment in RIS task, making it easy to integrate with other RIS models for substantial performance improvements.

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arXiv2021

Improving Semantic Image Segmentation via Label Fusion in Semantically Textured Meshes

Models for semantic segmentation require a large amount of hand-labeled training data which is costly and time-consuming to produce. For this purpose, we present a label fusion framework that is capable of improving semantic pixel labels of video sequences in an unsupervised manner. We make use of a 3D mesh representation of the environment and fuse the predictions of different frames into a consistent representation using semantic mesh textures. Rendering the semantic mesh using the original intrinsic and extrinsic camera parameters yields a set of improved semantic segmentation images. Due to our optimized CUDA implementation, we are able to exploit the entire $c$-dimensional probability distribution of annotations over $c$ classes in an uncertainty-aware manner. We evaluate our method on the Scannet dataset where we improve annotations produced by the state-of-the-art segmentation network ESANet from $52.05 \%$ to $58.25 \%$ pixel accuracy. We publish the source code of our framework online to foster future research in this area (\url{https://github.com/fferflo/semantic-meshes}). To the best of our knowledge, this is the first publicly available label fusion framework for semantic image segmentation based on meshes with semantic textures.

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arXiv2023

Spatial Correspondence between Graph Neural Network-Segmented Images

Graph neural networks (GNNs) have been proposed for medical image segmentation, by predicting anatomical structures represented by graphs of vertices and edges. One such type of graph is predefined with fixed size and connectivity to represent a reference of anatomical regions of interest, thus known as templates. This work explores the potentials in these GNNs with common topology for establishing spatial correspondence, implicitly maintained during segmenting two or more images. With an example application of registering local vertebral sub-regions found in CT images, our experimental results showed that the GNN-based segmentation is capable of accurate and reliable localization of the same interventionally interesting structures between images, not limited to the segmentation classes. The reported average target registration errors of 2.2$\pm$1.3 mm and 2.7$\pm$1.4 mm, for aligning holdout test images with a reference and for aligning two test images, respectively, were by a considerable margin lower than those from the tested non-learning and learning-based registration algorithms. Further ablation studies assess the contributions towards the registration performance, from individual components in the originally segmentation-purposed network and its training algorithm. The results highlight that the proposed segmentation-in-lieu-of-registration approach shares methodological similarities with existing registration methods, such as the use of displacement smoothness constraint and point distance minimization albeit on non-grid graphs, which interestingly yielded benefits for both segmentation and registration. We, therefore, conclude that the template-based GNN segmentation can effectively establish spatial correspondence in our application, without any other dedicated registration algorithms.

eess.IV↗

arXiv2024

MedCLIP-SAM: Bridging Text and Image Towards Universal Medical Image Segmentation

Medical image segmentation of anatomical structures and pathology is crucial in modern clinical diagnosis, disease study, and treatment planning. To date, great progress has been made in deep learning-based segmentation techniques, but most methods still lack data efficiency, generalizability, and interactability. Consequently, the development of new, precise segmentation methods that demand fewer labeled datasets is of utmost importance in medical image analysis. Recently, the emergence of foundation models, such as CLIP and Segment-Anything-Model (SAM), with comprehensive cross-domain representation opened the door for interactive and universal image segmentation. However, exploration of these models for data-efficient medical image segmentation is still limited, but is highly necessary. In this paper, we propose a novel framework, called MedCLIP-SAM that combines CLIP and SAM models to generate segmentation of clinical scans using text prompts in both zero-shot and weakly supervised settings. To achieve this, we employed a new Decoupled Hard Negative Noise Contrastive Estimation (DHN-NCE) loss to fine-tune the BiomedCLIP model and the recent gScoreCAM to generate prompts to obtain segmentation masks from SAM in a zero-shot setting. Additionally, we explored the use of zero-shot segmentation labels in a weakly supervised paradigm to improve the segmentation quality further. By extensively testing three diverse segmentation tasks and medical image modalities (breast tumor ultrasound, brain tumor MRI, and lung X-ray), our proposed framework has demonstrated excellent accuracy. Code is available at https://github.com/HealthX-Lab/MedCLIP-SAM.

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arXiv2019

OASIS: One-pass aligned Atlas Set for Image Segmentation

Medical image segmentation is a fundamental task in medical image analysis. Despite that deep convolutional neural networks have gained stellar performance in this challenging task, they typically rely on large labeled datasets, which have limited their extension to customized applications. By revisiting the superiority of atlas based segmentation methods, we present a new framework of One-pass aligned Atlas Set for Images Segmentation (OASIS). To address the problem of time-consuming iterative image registration used for atlas warping, the proposed method takes advantage of the power of deep learning to achieve one-pass image registration. In addition, by applying label constraint, OASIS also makes the registration process to be focused on the regions to be segmented for improving the performance of segmentation. Furthermore, instead of using image based similarity for label fusion, which can be distracted by the large background areas, we propose a novel strategy to compute the label similarity based weights for label fusion. Our experimental results on the challenging task of prostate MR image segmentation demonstrate that OASIS is able to significantly increase the segmentation performance compared to other state-of-the-art methods.

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arXiv2024

Med-TTT: Vision Test-Time Training model for Medical Image Segmentation

Medical image segmentation plays a crucial role in clinical diagnosis and treatment planning. Although models based on convolutional neural networks (CNNs) and Transformers have achieved remarkable success in medical image segmentation tasks, they still face challenges such as high computational complexity and the loss of local features when capturing long-range dependencies. To address these limitations, we propose Med-TTT, a visual backbone network integrated with Test-Time Training (TTT) layers, which incorporates dynamic adjustment capabilities. Med-TTT introduces the Vision-TTT layer, which enables effective modeling of long-range dependencies with linear computational complexity and adaptive parameter adjustment during inference. Furthermore, we designed a multi-resolution fusion mechanism to combine image features at different scales, facilitating the identification of subtle lesion characteristics in complex backgrounds. At the same time, we adopt a frequency domain feature enhancement strategy based on high pass filtering, which can better capture texture and fine-grained details in images. Experimental results demonstrate that Med-TTT significantly outperforms existing methods on multiple medical image datasets, exhibiting strong segmentation capabilities, particularly in complex image backgrounds. The model achieves leading performance in terms of accuracy, sensitivity, and Dice coefficient, providing an efficient and robust solution for the field of medical image segmentation.The code is available at https://github.com/Jiashu-Xu/Med-TTT .

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arXiv2023

Learning with Explicit Shape Priors for Medical Image Segmentation

Medical image segmentation is a fundamental task for medical image analysis and surgical planning. In recent years, UNet-based networks have prevailed in the field of medical image segmentation. However, convolution-neural networks (CNNs) suffer from limited receptive fields, which fail to model the long-range dependency of organs or tumors. Besides, these models are heavily dependent on the training of the final segmentation head. And existing methods can not well address these two limitations at the same time. Hence, in our work, we proposed a novel shape prior module (SPM), which can explicitly introduce shape priors to promote the segmentation performance of UNet-based models. The explicit shape priors consist of global and local shape priors. The former with coarse shape representations provides networks with capabilities to model global contexts. The latter with finer shape information serves as additional guidance to boost the segmentation performance, which relieves the heavy dependence on the learnable prototype in the segmentation head. To evaluate the effectiveness of SPM, we conduct experiments on three challenging public datasets. And our proposed model achieves state-of-the-art performance. Furthermore, SPM shows an outstanding generalization ability on classic CNNs and recent Transformer-based backbones, which can serve as a plug-and-play structure for the segmentation task of different datasets. Source codes are available at https://github.com/AlexYouXin/Explicit-Shape-Priors

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arXiv2021

Benefits of Linear Conditioning with Metadata for Image Segmentation

Medical images are often accompanied by metadata describing the image (vendor, acquisition parameters) and the patient (disease type or severity, demographics, genomics). This metadata is usually disregarded by image segmentation methods. In this work, we adapt a linear conditioning method called FiLM (Feature-wise Linear Modulation) for image segmentation tasks. This FiLM adaptation enables integrating metadata into segmentation models for better performance. We observed an average Dice score increase of 5.1% on spinal cord tumor segmentation when incorporating the tumor type with FiLM. The metadata modulates the segmentation process through low-cost affine transformations applied on feature maps which can be included in any neural network's architecture. Additionally, we assess the relevance of segmentation FiLM layers for tackling common challenges in medical imaging: multi-class training with missing segmentations, model adaptation to multiple tasks, and training with a limited or unbalanced number of annotated data. Our results demonstrated the following benefits of FiLM for segmentation: FiLMed U-Net was robust to missing labels and reached higher Dice scores with few labels (up to 16.7%) compared to single-task U-Net. The code is open-source and available at www.ivadomed.org.

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arXiv2023

Mutual Query Network for Multi-Modal Product Image Segmentation

Product image segmentation is vital in e-commerce. Most existing methods extract the product image foreground only based on the visual modality, making it difficult to distinguish irrelevant products. As product titles contain abundant appearance information and provide complementary cues for product image segmentation, we propose a mutual query network to segment products based on both visual and linguistic modalities. First, we design a language query vision module to obtain the response of language description in image areas, thus aligning the visual and linguistic representations across modalities. Then, a vision query language module utilizes the correlation between visual and linguistic modalities to filter the product title and effectively suppress the content irrelevant to the vision in the title. To promote the research in this field, we also construct a Multi-Modal Product Segmentation dataset (MMPS), which contains 30,000 images and corresponding titles. The proposed method significantly outperforms the state-of-the-art methods on MMPS.

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arXiv2025

FreqDINO: Frequency-Guided Adaptation for Generalized Boundary-Aware Ultrasound Image Segmentation

Ultrasound image segmentation is pivotal for clinical diagnosis, yet challenged by speckle noise and imaging artifacts. Recently, DINOv3 has shown remarkable promise in medical image segmentation with its powerful representation capabilities. However, DINOv3, pre-trained on natural images, lacks sensitivity to ultrasound-specific boundary degradation. To address this limitation, we propose FreqDINO, a frequency-guided segmentation framework that enhances boundary perception and structural consistency. Specifically, we devise a Multi-scale Frequency Extraction and Alignment (MFEA) strategy to separate low-frequency structures and multi-scale high-frequency boundary details, and align them via learnable attention. We also introduce a Frequency-Guided Boundary Refinement (FGBR) module that extracts boundary prototypes from high-frequency components and refines spatial features. Furthermore, we design a Multi-task Boundary-Guided Decoder (MBGD) to ensure spatial coherence between boundary and semantic predictions. Extensive experiments demonstrate that FreqDINO surpasses state-of-the-art methods with superior achieves remarkable generalization capability. The code is at https://github.com/MingLang-FD/FreqDINO.

cs.CV↗

arXiv2021

ObjectAug: Object-level Data Augmentation for Semantic Image Segmentation

Semantic image segmentation aims to obtain object labels with precise boundaries, which usually suffers from overfitting. Recently, various data augmentation strategies like regional dropout and mix strategies have been proposed to address the problem. These strategies have proved to be effective for guiding the model to attend on less discriminative parts. However, current strategies operate at the image level, and objects and the background are coupled. Thus, the boundaries are not well augmented due to the fixed semantic scenario. In this paper, we propose ObjectAug to perform object-level augmentation for semantic image segmentation. ObjectAug first decouples the image into individual objects and the background using the semantic labels. Next, each object is augmented individually with commonly used augmentation methods (e.g., scaling, shifting, and rotation). Then, the black area brought by object augmentation is further restored using image inpainting. Finally, the augmented objects and background are assembled as an augmented image. In this way, the boundaries can be fully explored in the various semantic scenarios. In addition, ObjectAug can support category-aware augmentation that gives various possibilities to objects in each category, and can be easily combined with existing image-level augmentation methods to further boost performance. Comprehensive experiments are conducted on both natural image and medical image datasets. Experiment results demonstrate that our ObjectAug can evidently improve segmentation performance.

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arXiv2024

Dual-scale Enhanced and Cross-generative Consistency Learning for Semi-supervised Medical Image Segmentation

Medical image segmentation plays a crucial role in computer-aided diagnosis. However, existing methods heavily rely on fully supervised training, which requires a large amount of labeled data with time-consuming pixel-wise annotations. Moreover, accurately segmenting lesions poses challenges due to variations in shape, size, and location. To address these issues, we propose a novel Dual-scale Enhanced and Cross-generative consistency learning framework for semi-supervised medical image Segmentation (DEC-Seg). First, we propose a Cross-level Feature Aggregation (CFA) module that integrates cross-level adjacent layers to enhance the feature representation ability across different resolutions. To address scale variation, we present a scale-enhanced consistency constraint, which ensures consistency in the segmentation maps generated from the same input image at different scales. This constraint helps handle variations in lesion sizes and improves the robustness of the model. Furthermore, we propose a cross-generative consistency scheme, in which the original and perturbed images can be reconstructed using cross-segmentation maps. This consistency constraint allows us to mine effective feature representations and boost the segmentation performance. To further exploit the scale information, we propose a Dual-scale Complementary Fusion (DCF) module that integrates features from two scale-specific decoders operating at different scales to help produce more accurate segmentation maps. Extensive experimental results on multiple medical segmentation tasks (polyp, skin lesion, and brain glioma) demonstrate the effectiveness of our DEC-Seg against other state-of-the-art semi-supervised segmentation approaches. The implementation code will be released at https://github.com/taozh2017/DECSeg.

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arXiv2019

A Distance Map Regularized CNN for Cardiac Cine MR Image Segmentation

Cardiac image segmentation is a critical process for generating personalized models of the heart and for quantifying cardiac performance parameters. Several convolutional neural network (CNN) architectures have been proposed to segment the heart chambers from cardiac cine MR images. Here we propose a multi-task learning (MTL)-based regularization framework for cardiac MR image segmentation. The network is trained to perform the main task of semantic segmentation, along with a simultaneous, auxiliary task of pixel-wise distance map regression. The proposed distance map regularizer is a decoder network added to the bottleneck layer of an existing CNN architecture, facilitating the network to learn robust global features. The regularizer block is removed after training, so that the original number of network parameters does not change. We show that the proposed regularization method improves both binary and multi-class segmentation performance over the corresponding state-of-the-art CNN architectures on two publicly available cardiac cine MRI datasets, obtaining average dice coefficient of 0.84$\pm$0.03 and 0.91$\pm$0.04, respectively. Furthermore, we also demonstrate improved generalization performance of the distance map regularized network on cross-dataset segmentation, showing as much as 42% improvement in myocardium Dice coefficient from 0.56$\pm$0.28 to 0.80$\pm$0.14.

cs.CV↗

arXiv2023

Linguistic Query-Guided Mask Generation for Referring Image Segmentation

Referring image segmentation aims to segment the image region of interest according to the given language expression, which is a typical multi-modal task. Existing methods either adopt the pixel classification-based or the learnable query-based framework for mask generation, both of which are insufficient to deal with various text-image pairs with a fix number of parametric prototypes. In this work, we propose an end-to-end framework built on transformer to perform Linguistic query-Guided mask generation, dubbed LGFormer. It views the linguistic features as query to generate a specialized prototype for arbitrary input image-text pair, thus generating more consistent segmentation results. Moreover, we design several cross-modal interaction modules (\eg, vision-language bidirectional attention module, VLBA) in both encoder and decoder to achieve better cross-modal alignment.

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