Coronary artery extraction is a crucial prerequisite for computer-aided diagnosis of coronary artery disease. Accurately extracting the complete coronary tree remains challenging due to several factors, including presence of thin distal vessels, tortuous topological structures, and insufficient contrast. These issues often result in over-segmentation and under-segmentation in current segmentation methods. To address these challenges, we propose a topology-preserving three-stage framework for fully-connected coronary artery extraction. This framework includes vessel segmentation, centerline reconnection, and missing vessel reconstruction. First, we introduce a new centerline enhanced loss in the segmentation process. Second, for the broken vessel segments, we further propose a regularized walk algorithm to integrate distance, probabilities predicted by a centerline classifier, and directional cosine similarity, for reconnecting the centerlines. Third, we apply implicit neural representation and implicit modeling, to reconstruct the geometric model of the missing vessels. Experimental results show that our proposed framework outperforms existing methods, achieving Dice scores of 88.53\% and 85.07\%, with Hausdorff Distances (HD) of 1.07mm and 1.63mm on ASOCA and PDSCA datasets, respectively. Code will be available at https://github.com/YH-Qiu/CorSegRec.
Supervised deep learning for semantic segmentation has achieved excellent results in accurately identifying anatomical and pathological structures in medical images. However, it often requires large annotated training datasets, which limits its scalability in clinical settings. To address this challenge, semi-supervised learning is a well-established approach that leverages both labeled and unlabeled data. In this paper, we introduce a novel semi-supervised teacher-student framework for biomedical image segmentation, inspired by the recent success of generative models. Our approach leverages denoising diffusion probabilistic models (DDPMs) to generate segmentation masks by progressively refining noisy inputs conditioned on the corresponding images. The teacher model is first trained in an unsupervised manner using a cycle-consistency constraint based on noise-corrupted image reconstruction, enabling it to generate informative semantic masks. Subsequently, the teacher is integrated into a co-training process with a twin-student network. The student learns from ground-truth labels when available and from teacher-generated pseudo-labels otherwise, while the teacher continuously improves its pseudo-labeling capabilities. Finally, to further enhance performance, we introduce a multi-round pseudo-label generation strategy that iteratively improves the pseudo-labeling process. We evaluate our approach on multiple biomedical imaging benchmarks, spanning multiple imaging modalities and segmentation tasks. Experimental results show that our method consistently outperforms state-of-the-art semi-supervised techniques, highlighting its effectiveness in scenarios with limited annotated data. The code to replicate our experiments can be found at https://github.com/ciampluca/diffusion_semi_supervised_biomedical_image_segmentation
Most papers caution against using predictive models for disease stratification based on unselected radiomic features, as these features are affected by contouring variability. Instead, they advocate for the use of the Intraclass Correlation Coefficient (ICC) as a measure of stability for feature selection. However, the direct effect of segmentation variability on the predictive models is rarely studied. This study investigates the impact of segmentation variability on feature stability and predictive performance in radiomics-based prediction of Triple-Negative Breast Cancer (TNBC) subtype using Magnetic Resonance Imaging. A total of 244 images from the Duke dataset were used, with segmentation variability introduced through modifications of manual segmentations. For each mask, explainable radiomic features were selected using the Shapley Additive exPlanations method and used to train logistic regression models. Feature stability across segmentations was assessed via ICC, Pearson's correlation, and reliability scores quantifying the relationship between feature stability and segmentation variability. Results indicate that segmentation accuracy does not significantly impact predictive performance. While incorporating peritumoral information may reduce feature reproducibility, it does not diminish feature predictive capability. Moreover, feature selection in predictive models is not inherently tied to feature stability with respect to segmentation, suggesting that an overreliance on ICC or reliability scores for feature selection might exclude valuable predictive features.
Nuclear instance segmentation plays a vital role in disease diagnosis within digital pathology. However, limited labeled data in pathological images restricts the overall performance of nuclear instance segmentation. To tackle this challenge, we propose a novel data augmentation framework Instance Migration Diffusion Model (IM-Diffusion), IM-Diffusion designed to generate more varied pathological images by constructing diverse nuclear layouts and internuclear spatial relationships. In detail, we introduce a Nuclear Migration Module (NMM) which constructs diverse nuclear layouts by simulating the process of nuclear migration. Building on this, we further present an Internuclear-regions Inpainting Module (IIM) to generate diverse internuclear spatial relationships by structure-aware inpainting. On the basis of the above, IM-Diffusion generates more diverse pathological images with different layouts and internuclear spatial relationships, thereby facilitating downstream tasks. Evaluation on the CoNSeP and GLySAC datasets demonstrate that the images generated by IM-Diffusion effectively enhance overall instance segmentation performance. Code will be made public later.
Accurate segmentation of lesions plays a critical role in medical image analysis and diagnosis. Traditional segmentation approaches that rely solely on visual features often struggle with the inherent uncertainty in lesion distribution and size. To address these issues, we propose STPNet, a Scale-aware Text Prompt Network that leverages vision-language modeling to enhance medical image segmentation. Our approach utilizes multi-scale textual descriptions to guide lesion localization and employs retrieval-segmentation joint learning to bridge the semantic gap between visual and linguistic modalities. Crucially, STPNet retrieves relevant textual information from a specialized medical text repository during training, eliminating the need for text input during inference while retaining the benefits of cross-modal learning. We evaluate STPNet on three datasets: COVID-Xray, COVID-CT, and Kvasir-SEG. Experimental results show that our vision-language approach outperforms state-of-the-art segmentation methods, demonstrating the effectiveness of incorporating textual semantic knowledge into medical image analysis. The code has been made publicly on https://github.com/HUANGLIZI/STPNet.
While convolutional neural networks (CNNs) and vision transformers (ViTs) have advanced medical image segmentation, they face inherent limitations such as local receptive fields in CNNs and high computational complexity in ViTs. This paper introduces Deconver, a novel network that integrates traditional deconvolution techniques from image restoration as a core learnable component within a U-shaped architecture. Deconver replaces computationally expensive attention mechanisms with efficient nonnegative deconvolution (NDC) operations, enabling the restoration of high-frequency details while suppressing artifacts. Key innovations include a backpropagation-friendly NDC layer based on a provably monotonic update rule and a parameter-efficient design. Evaluated across four datasets (ISLES'22, BraTS'23, GlaS, FIVES) covering both 2D and 3D segmentation tasks, Deconver achieves state-of-the-art performance in Dice scores and Hausdorff distance while reducing computational costs (FLOPs) by up to 90% compared to leading baselines. By bridging traditional image restoration with deep learning, this work offers a practical solution for high-precision segmentation in resource-constrained clinical workflows. The project is available at https://github.com/pashtari/deconver.
Microfluidic Live-Cell Imaging yields data on microbial cell factories. However, continuous acquisition is challenging as high-throughput experiments often lack realtime insights, delaying responses to stochastic events. We introduce three components in the Experiment Automation Pipeline for Event-Driven Microscopy to Smart Microfluidic Single-Cell Analysis: a fast, accurate Deep Learning autofocusing method predicting the focus offset, an evaluation of real-time segmentation methods and a realtime data analysis dashboard. Our autofocusing achieves a Mean Absolute Error of 0.0226\textmu m with inference times below 50~ms. Among eleven Deep Learning segmentation methods, Cellpose~3 reached a Panoptic Quality of 93.58\%, while a distance-based method is fastest (121~ms, Panoptic Quality 93.02\%). All six Deep Learning Foundation Models were unsuitable for real-time segmentation.
The assessment of segmentation quality plays a fundamental role in the development, optimization, and comparison of segmentation methods which are used in a wide range of applications. With few exceptions, quality assessment is performed using traditional metrics, which are based on counting the number of erroneous pixels but do not capture the spatial distribution of errors. Established distance-based metrics such as the average Hausdorff distance are difficult to interpret and compare for different methods and datasets. In this paper, we introduce the Surface Consistency Coefficient (SCC), a novel distance-based quality metric that quantifies the spatial distribution of errors based on their proximity to the surface of the structure. Through a rigorous analysis using synthetic data and real segmentation results, we demonstrate the robustness and effectiveness of SCC in distinguishing errors near the surface from those further away. At the same time, SCC is easy to interpret and comparable across different structural contexts.
Accurate segmentation of polyps and skin lesions is essential for diagnosing colorectal and skin cancers. While various segmentation methods for polyps and skin lesions using fully supervised deep learning techniques have been developed, the pixel-level annotation of medical images by doctors is both time-consuming and costly. Foundational vision models like the Segment Anything Model (SAM) have demonstrated superior performance; however, directly applying SAM to medical segmentation may not yield satisfactory results due to the lack of domain-specific medical knowledge. In this paper, we propose BiSeg-SAM, a SAM-guided weakly supervised prompting and boundary refinement network for the segmentation of polyps and skin lesions. Specifically, we fine-tune SAM combined with a CNN module to learn local features. We introduce a WeakBox with two functions: automatically generating box prompts for the SAM model and using our proposed Multi-choice Mask-to-Box (MM2B) transformation for rough mask-to-box conversion, addressing the mismatch between coarse labels and precise predictions. Additionally, we apply scale consistency (SC) loss for prediction scale alignment. Our DetailRefine module enhances boundary precision and segmentation accuracy by refining coarse predictions using a limited amount of ground truth labels. This comprehensive approach enables BiSeg-SAM to achieve excellent multi-task segmentation performance. Our method demonstrates significant superiority over state-of-the-art (SOTA) methods when tested on five polyp datasets and one skin cancer dataset.
Rip currents are strong, localized and narrow currents of water that flow outwards into the sea, causing numerous beach-related injuries and fatalities worldwide. Accurate identification of rip currents remains challenging due to their amorphous nature and the lack of annotated data, which often requires expert knowledge. To address these issues, we present RipVIS, a large-scale video instance segmentation benchmark explicitly designed for rip current segmentation. RipVIS is an order of magnitude larger than previous datasets, featuring $184$ videos ($212,328$ frames), of which $150$ videos ($163,528$ frames) are with rip currents, collected from various sources, including drones, mobile phones, and fixed beach cameras. Our dataset encompasses diverse visual contexts, such as wave-breaking patterns, sediment flows, and water color variations, across multiple global locations, including USA, Mexico, Costa Rica, Portugal, Italy, Greece, Romania, Sri Lanka, Australia and New Zealand. Most videos are annotated at $5$ FPS to ensure accuracy in dynamic scenarios, supplemented by an additional $34$ videos ($48,800$ frames) without rip currents. We conduct comprehensive experiments with Mask R-CNN, Cascade Mask R-CNN, SparseInst and YOLO11, fine-tuning these models for the task of rip current segmentation. Results are reported in terms of multiple metrics, with a particular focus on the $F_2$ score to prioritize recall and reduce false negatives. To enhance segmentation performance, we introduce a novel post-processing step based on Temporal Confidence Aggregation (TCA). RipVIS aims to set a new standard for rip current segmentation, contributing towards safer beach environments. We offer a benchmark website to share data, models, and results with the research community, encouraging ongoing collaboration and future contributions, at https://ripvis.ai.
Cell instance segmentation is a fundamental task in digital pathology with broad clinical applications. Recently, vision foundation models, which are predominantly based on Vision Transformers (ViTs), have achieved remarkable success in pathology image analysis. However, their improvements in cell instance segmentation remain limited. A key challenge arises from the tokenization process in ViTs, which substantially reduces the spatial resolution of input images, leading to suboptimal segmentation quality, especially for small and densely packed cells. To address this problem, we propose CellVTA (Cell Vision Transformer with Adapter), a novel method that improves the performance of vision foundation models for cell instance segmentation by incorporating a CNN-based adapter module. This adapter extracts high-resolution spatial information from input images and injects it into the ViT through a cross-attention mechanism. Our method preserves the core architecture of ViT, ensuring seamless integration with pretrained foundation models. Extensive experiments show that CellVTA achieves 0.538 mPQ on the CoNIC dataset and 0.506 mPQ on the PanNuke dataset, which significantly outperforms the state-of-the-art cell segmentation methods. Ablation studies confirm the superiority of our approach over other fine-tuning strategies, including decoder-only fine-tuning and full fine-tuning. Our code and models are publicly available at https://github.com/JieZheng-ShanghaiTech/CellVTA.
Medical image segmentation remains challenging due to the vast diversity of anatomical structures, imaging modalities, and segmentation tasks. While deep learning has made significant advances, current approaches struggle to generalize as they require task-specific training or fine-tuning on unseen classes. We present Iris, a novel In-context Reference Image guided Segmentation framework that enables flexible adaptation to novel tasks through the use of reference examples without fine-tuning. At its core, Iris features a lightweight context task encoding module that distills task-specific information from reference context image-label pairs. This rich context embedding information is used to guide the segmentation of target objects. By decoupling task encoding from inference, Iris supports diverse strategies from one-shot inference and context example ensemble to object-level context example retrieval and in-context tuning. Through comprehensive evaluation across twelve datasets, we demonstrate that Iris performs strongly compared to task-specific models on in-distribution tasks. On seven held-out datasets, Iris shows superior generalization to out-of-distribution data and unseen classes. Further, Iris's task encoding module can automatically discover anatomical relationships across datasets and modalities, offering insights into medical objects without explicit anatomical supervision.
Vision Transformers (ViTs) have shown remarkable performance and scalability across various computer vision tasks. To apply single-scale ViTs to image segmentation, existing methods adopt a convolutional adapter to generate multi-scale features, a pixel decoder to fuse these features, and a Transformer decoder that uses the fused features to make predictions. In this paper, we show that the inductive biases introduced by these task-specific components can instead be learned by the ViT itself, given sufficiently large models and extensive pre-training. Based on these findings, we introduce the Encoder-only Mask Transformer (EoMT), which repurposes the plain ViT architecture to conduct image segmentation. With large-scale models and pre-training, EoMT obtains a segmentation accuracy similar to state-of-the-art models that use task-specific components. At the same time, EoMT is significantly faster than these methods due to its architectural simplicity, e.g., up to 4x faster with ViT-L. Across a range of model sizes, EoMT demonstrates an optimal balance between segmentation accuracy and prediction speed, suggesting that compute resources are better spent on scaling the ViT itself rather than adding architectural complexity. Code: https://www.tue-mps.org/eomt/.
Text semantic segmentation involves partitioning a document into multiple paragraphs with continuous semantics based on the subject matter, contextual information, and document structure. Traditional approaches have typically relied on preprocessing documents into segments to address input length constraints, resulting in the loss of critical semantic information across segments. To address this, we present CrossFormer, a transformer-based model featuring a novel cross-segment fusion module that dynamically models latent semantic dependencies across document segments, substantially elevating segmentation accuracy. Additionally, CrossFormer can replace rule-based chunk methods within the Retrieval-Augmented Generation (RAG) system, producing more semantically coherent chunks that enhance its efficacy. Comprehensive evaluations confirm CrossFormer's state-of-the-art performance on public text semantic segmentation datasets, alongside considerable gains on RAG benchmarks.
Chinese word segmentation is a foundational task in natural language processing (NLP), with far-reaching effects on syntactic analysis. Unlike alphabetic languages like English, Chinese lacks explicit word boundaries, making segmentation both necessary and inherently ambiguous. This study highlights the intricate relationship between word segmentation and syntactic parsing, providing a clearer understanding of how different segmentation strategies shape dependency structures in Chinese. Focusing on the Chinese GSD treebank, we analyze multiple word boundary schemes, each reflecting distinct linguistic and computational assumptions, and examine how they influence the resulting syntactic structures. To support detailed comparison, we introduce an interactive web-based visualization tool that displays parsing outcomes across segmentation methods.
Domain shift, caused by variations in imaging modalities and acquisition protocols, limits model generalization in medical image segmentation. While foundation models (FMs) trained on diverse large-scale data hold promise for zero-shot generalization, their application to volumetric medical data remains underexplored. In this study, we examine their ability towards domain generalization (DG), by conducting a comprehensive experimental study encompassing 6 medical segmentation FMs and 12 public datasets spanning multiple modalities and anatomies. Our findings reveal the potential of promptable FMs in bridging the domain gap via smart prompting techniques. Additionally, by probing into multiple facets of zero-shot DG, we offer valuable insights into the viability of FMs for DG and identify promising avenues for future research.
3D intraoral scan mesh is widely used in digital dentistry diagnosis, segmenting 3D intraoral scan mesh is a critical preliminary task. Numerous approaches have been devised for precise tooth segmentation. Currently, the deep learning-based methods are capable of the high accuracy segmentation of crown. However, the segmentation accuracy at the junction between the crown and the gum is still below average. Existing down-sampling methods are unable to effectively preserve the geometric details at the junction. To address these problems, we propose CrossTooth, a boundary-preserving segmentation method that combines 3D mesh selective downsampling to retain more vertices at the tooth-gingiva area, along with cross-modal discriminative boundary features extracted from multi-view rendered images, enhancing the geometric representation of the segmentation network. Using a point network as a backbone and incorporating image complementary features, CrossTooth significantly improves segmentation accuracy, as demonstrated by experiments on a public intraoral scan dataset.
Decentralized federated learning enables learning of data representations from multiple sources without compromising the privacy of the clients. In applications like medical image segmentation, where obtaining a large annotated dataset from a single source is a distressing problem, federated self-supervised learning can provide some solace. In this work, we push the limits further by exploring a federated self-supervised one-shot segmentation task representing a more data-scarce scenario. We adopt a pre-existing self-supervised few-shot segmentation framework CoWPro and adapt it to the federated learning scenario. To the best of our knowledge, this work is the first to attempt a self-supervised few-shot segmentation task in the federated learning domain. Moreover, we consider the clients to be constituted of data from different modalities and imaging techniques like MR or CT, which makes the problem even harder. Additionally, we reinforce and improve the baseline CoWPro method using a fused dice loss which shows considerable improvement in performance over the baseline CoWPro. Finally, we evaluate this novel framework on a completely unseen held-out part of the local client dataset. We observe that the proposed framework can achieve performance at par or better than the FedAvg version of the CoWPro framework on the held-out validation dataset.
The global rise in the number of people with physical disabilities, in part due to improvements in post-trauma survivorship and longevity, has amplified the demand for advanced assistive technologies to improve mobility and independence. Autonomous assistive robots, such as smart wheelchairs, require robust capabilities in spatial segmentation and semantic recognition to navigate complex built environments effectively. Place segmentation involves delineating spatial regions like rooms or functional areas, while semantic recognition assigns semantic labels to these regions, enabling accurate localization to user-specific needs. Existing approaches often utilize deep learning; however, these close-vocabulary detection systems struggle to interpret intuitive and casual human instructions. Additionally, most existing methods ignore the uncertainty of the scene recognition problem, leading to low success rates, particularly in ambiguous and complex environments. To address these challenges, we propose an open-vocabulary scene semantic segmentation and detection pipeline leveraging Vision Language Models (VLMs) and Large Language Models (LLMs). Our approach follows a 'Segment Detect Select' framework for open-vocabulary scene classification, enabling adaptive and intuitive navigation for assistive robots in built environments.
We propose a novel approach that adapts hierarchical vision foundation models for real-time ultrasound image segmentation. Existing ultrasound segmentation methods often struggle with adaptability to new tasks, relying on costly manual annotations, while real-time approaches generally fail to match state-of-the-art performance. To overcome these limitations, we introduce an adaptive framework that leverages the vision foundation model Hiera to extract multi-scale features, interleaved with DINOv2 representations to enhance visual expressiveness. These enriched features are then decoded to produce precise and robust segmentation. We conduct extensive evaluations on six public datasets and one in-house dataset, covering both cardiac and thyroid ultrasound segmentation. Experiments show that our approach outperforms state-of-the-art methods across multiple datasets and excels with limited supervision, surpassing nnUNet by over 20\% on average in the 1\% and 10\% data settings. Our method achieves $\sim$77 FPS inference speed with TensorRT on a single GPU, enabling real-time clinical applications.