We present Seg-R1, a preliminary exploration of using reinforcement learning (RL) to enhance the pixel-level understanding and reasoning capabilities of large multimodal models (LMMs). Starting with foreground segmentation tasks, specifically camouflaged object detection (COD) and salient object detection (SOD), our approach enables the LMM to generate point and bounding box prompts in the next-token fashion, which are then used to guide SAM2 in producing segmentation masks. We introduce Group Relative Policy Optimization (GRPO) into the segmentation domain, equipping the LMM with pixel-level comprehension through a carefully designed training strategy. Notably, Seg-R1 achieves remarkable performance with purely RL-based training, achieving .873 S-measure on COD10K without complex model modification. Moreover, we found that pure RL training demonstrates strong open-world generalization. Despite being trained solely on foreground segmentation image-mask pairs without text supervision, Seg-R1 achieves impressive zero-shot performance on referring segmentation and reasoning segmentation tasks, with 71.4 cIoU on RefCOCOg test and 56.7 gIoU on ReasonSeg test, outperforming models fully supervised on these datasets.
Neural Radiance Field (NeRF)-based segmentation methods focus on object semantics and rely solely on RGB data, lacking intrinsic material properties. This limitation restricts accurate material perception, which is crucial for robotics, augmented reality, simulation, and other applications. We introduce UnMix-NeRF, a framework that integrates spectral unmixing into NeRF, enabling joint hyperspectral novel view synthesis and unsupervised material segmentation. Our method models spectral reflectance via diffuse and specular components, where a learned dictionary of global endmembers represents pure material signatures, and per-point abundances capture their distribution. For material segmentation, we use spectral signature predictions along learned endmembers, allowing unsupervised material clustering. Additionally, UnMix-NeRF enables scene editing by modifying learned endmember dictionaries for flexible material-based appearance manipulation. Extensive experiments validate our approach, demonstrating superior spectral reconstruction and material segmentation to existing methods. Project page: https://www.factral.co/UnMix-NeRF.
Open-Vocabulary Camouflaged Object Segmentation (OVCOS) seeks to segment and classify camouflaged objects from arbitrary categories, presenting unique challenges due to visual ambiguity and unseen categories.Recent approaches typically adopt a two-stage paradigm: first segmenting objects, then classifying the segmented regions using Vision Language Models (VLMs).However, these methods (1) suffer from a domain gap caused by the mismatch between VLMs' full-image training and cropped-region inference, and (2) depend on generic segmentation models optimized for well-delineated objects, making them less effective for camouflaged objects.Without explicit guidance, generic segmentation models often overlook subtle boundaries, leading to imprecise segmentation.In this paper,we introduce a novel VLM-guided cascaded framework to address these issues in OVCOS.For segmentation, we leverage the Segment Anything Model (SAM), guided by the VLM.Our framework uses VLM-derived features as explicit prompts to SAM, effectively directing attention to camouflaged regions and significantly improving localization accuracy.For classification, we avoid the domain gap introduced by hard cropping.Instead, we treat the segmentation output as a soft spatial prior via the alpha channel, which retains the full image context while providing precise spatial guidance, leading to more accurate and context-aware classification of camouflaged objects.The same VLM is shared across both segmentation and classification to ensure efficiency and semantic consistency.Extensive experiments on both OVCOS and conventional camouflaged object segmentation benchmarks demonstrate the clear superiority of our method, highlighting the effectiveness of leveraging rich VLM semantics for both segmentation and classification of camouflaged objects.
Real-time, on-device segmentation is critical for latency-sensitive and privacy-aware applications like smart glasses and IoT devices. We introduce PicoSAM2, a lightweight (1.3M parameters, 336M MACs) promptable segmentation model optimized for edge and in-sensor execution, including the Sony IMX500. It builds on a depthwise separable U-Net, with knowledge distillation and fixed-point prompt encoding to learn from the Segment Anything Model 2 (SAM2). On COCO and LVIS, it achieves 51.9% and 44.9% mIoU, respectively. The quantized model (1.22MB) runs at 14.3 ms on the IMX500-achieving 86 MACs/cycle, making it the only model meeting both memory and compute constraints for in-sensor deployment. Distillation boosts LVIS performance by +3.5% mIoU and +5.1% mAP. These results demonstrate that efficient, promptable segmentation is feasible directly on-camera, enabling privacy-preserving vision without cloud or host processing.
Ultra-high Spatial Resolution Land Cover Classification is essential for fine-grained land cover analysis, yet it remains challenging due to the high cost of pixel-level annotations, significant scale variation, and the limited adaptability of large-scale vision models. Existing methods typically focus on 1-meter spatial resolution imagery and rely heavily on annotated data, whereas practical applications often require processing higher-resolution imagery under weak supervision. To address this, we propose a parameter-efficient semi-supervised segmentation framework for 0.3 m spatial resolution imagery, which leverages the knowledge of SAM2 and introduces a remote sensing-specific FreqWeaver Adapter to enhance fine-grained detail modeling while maintaining a lightweight design at only 5.96% of the total model parameters. By effectively leveraging unlabeled data and maintaining minimal parameter overhead, the proposed method delivers robust segmentation results with superior structural consistency, achieving a 1.78% improvement over existing parameter-efficient tuning strategies and a 3.44% gain compared to state-of-the-art high-resolution remote sensing segmentation approaches.
Recent progress in vision-language segmentation has significantly advanced grounded visual understanding. However, these models often exhibit hallucinations by producing segmentation masks for objects not grounded in the image content or by incorrectly labeling irrelevant regions. Existing evaluation protocols for segmentation hallucination primarily focus on label or textual hallucinations without manipulating the visual context, limiting their capacity to diagnose critical failures. In response, we introduce HalluSegBench, the first benchmark specifically designed to evaluate hallucinations in visual grounding through the lens of counterfactual visual reasoning. Our benchmark consists of a novel dataset of 1340 counterfactual instance pairs spanning 281 unique object classes, and a set of newly introduced metrics that quantify hallucination sensitivity under visually coherent scene edits. Experiments on HalluSegBench with state-of-the-art vision-language segmentation models reveal that vision-driven hallucinations are significantly more prevalent than label-driven ones, with models often persisting in false segmentation, highlighting the need for counterfactual reasoning to diagnose grounding fidelity.
Panoptic segmentation of 3D scenes, involving the segmentation and classification of object instances in a dense 3D reconstruction of a scene, is a challenging problem, especially when relying solely on unposed 2D images. Existing approaches typically leverage off-the-shelf models to extract per-frame 2D panoptic segmentations, before optimizing an implicit geometric representation (often based on NeRF) to integrate and fuse the 2D predictions. We argue that relying on 2D panoptic segmentation for a problem inherently 3D and multi-view is likely suboptimal as it fails to leverage the full potential of spatial relationships across views. In addition to requiring camera parameters, these approaches also necessitate computationally expensive test-time optimization for each scene. Instead, in this work, we propose a unified and integrated approach PanSt3R, which eliminates the need for test-time optimization by jointly predicting 3D geometry and multi-view panoptic segmentation in a single forward pass. Our approach builds upon recent advances in 3D reconstruction, specifically upon MUSt3R, a scalable multi-view version of DUSt3R, and enhances it with semantic awareness and multi-view panoptic segmentation capabilities. We additionally revisit the standard post-processing mask merging procedure and introduce a more principled approach for multi-view segmentation. We also introduce a simple method for generating novel-view predictions based on the predictions of PanSt3R and vanilla 3DGS. Overall, the proposed PanSt3R is conceptually simple, yet fast and scalable, and achieves state-of-the-art performance on several benchmarks, while being orders of magnitude faster than existing methods.
Surgical Video Synthesis has emerged as a promising research direction following the success of diffusion models in general-domain video generation. Although existing approaches achieve high-quality video generation, most are unconditional and fail to maintain consistency with surgical actions and phases, lacking the surgical understanding and fine-grained guidance necessary for factual simulation. We address these challenges by proposing HieraSurg, a hierarchy-aware surgical video generation framework consisting of two specialized diffusion models. Given a surgical phase and an initial frame, HieraSurg first predicts future coarse-grained semantic changes through a segmentation prediction model. The final video is then generated by a second-stage model that augments these temporal segmentation maps with fine-grained visual features, leading to effective texture rendering and integration of semantic information in the video space. Our approach leverages surgical information at multiple levels of abstraction, including surgical phase, action triplets, and panoptic segmentation maps. The experimental results on Cholecystectomy Surgical Video Generation demonstrate that the model significantly outperforms prior work both quantitatively and qualitatively, showing strong generalization capabilities and the ability to generate higher frame-rate videos. The model exhibits particularly fine-grained adherence when provided with existing segmentation maps, suggesting its potential for practical surgical applications.
The rapid advancement of 3D vision-language models (VLMs) has spurred significant interest in interactive point cloud processing tasks, particularly for real-world applications. However, existing methods often underperform in point-level tasks, such as segmentation, due to missing direct 3D-text alignment, limiting their ability to link local 3D features with textual context. To solve this problem, we propose TSDASeg, a Two-Stage model coupled with a Direct cross-modal Alignment module and memory module for interactive point cloud Segmentation. We introduce the direct cross-modal alignment module to establish explicit alignment between 3D point clouds and textual/2D image data. Within the memory module, we employ multiple dedicated memory banks to separately store text features, visual features, and their cross-modal correspondence mappings. These memory banks are dynamically leveraged through self-attention and cross-attention mechanisms to update scene-specific features based on prior stored data, effectively addressing inconsistencies in interactive segmentation results across diverse scenarios. Experiments conducted on multiple 3D instruction, reference, and semantic segmentation datasets demonstrate that the proposed method achieves state-of-the-art performance.
Pathology image segmentation is crucial in computational pathology for analyzing histological features relevant to cancer diagnosis and prognosis. However, current methods face major challenges in clinical applications due to limited annotated data and restricted category definitions. To address these limitations, we propose PathSegmentor, the first text-prompted segmentation foundation model designed specifically for pathology images. We also introduce PathSeg , the largest and most comprehensive dataset for pathology segmentation, built from 17 public sources and containing 275k image-mask-label triples across 160 diverse categories. With PathSegmentor, users can perform semantic segmentation using natural language prompts, eliminating the need for laborious spatial inputs such as points or boxes. Extensive experiments demonstrate that PathSegmentor outperforms specialized models with higher accuracy and broader applicability, while maintaining a compact architecture. It significantly surpasses existing spatial- and text-prompted models by 0.145 and 0.429 in overall Dice scores, respectively, showing strong robustness in segmenting complex structures and generalizing to external datasets. Moreover, PathSegmentor's outputs enhance the interpretability of diagnostic models through feature importance estimation and imaging biomarker discovery, offering pathologists evidence-based support for clinical decision-making. This work advances the development of explainable AI in precision oncology.
Medical image segmentation has greatly aided medical diagnosis, with U-Net based architectures and nnU-Net providing state-of-the-art performance. There have been numerous general promptable models and medical variations introduced in recent years, but there is currently a lack of evaluation and comparison of these models across a variety of prompt qualities on a common medical dataset. This research uses Segment Anything Model (SAM), Segment Anything Model 2 (SAM 2), MedSAM, SAM-Med-3D, and nnU-Net to obtain zero-shot inference on the BraTS 2023 adult glioma and pediatrics dataset across multiple prompt qualities for both points and bounding boxes. Several of these models exhibit promising Dice scores, particularly SAM and SAM 2 achieving scores of up to 0.894 and 0.893, respectively when given extremely accurate bounding box prompts which exceeds nnU-Net's segmentation performance. However, nnU-Net remains the dominant medical image segmentation network due to the impracticality of providing highly accurate prompts to the models. The model and prompt evaluation, as well as the comparison, are extended through fine-tuning SAM, SAM 2, MedSAM, and SAM-Med-3D on the pediatrics dataset. The improvements in point prompt performance after fine-tuning are substantial and show promise for future investigation, but are unable to achieve better segmentation than bounding boxes or nnU-Net.
Foundation models for volumetric medical image segmentation have emerged as powerful tools in clinical workflows, enabling radiologists to delineate regions of interest through intuitive clicks. While these models demonstrate promising capabilities in segmenting previously unseen anatomical structures, their performance is strongly influenced by prompt quality. In clinical settings, radiologists often provide suboptimal prompts, which affects segmentation reliability and accuracy. To address this limitation, we present SafeClick, an error-tolerant interactive segmentation approach for medical volumes based on hierarchical expert consensus. SafeClick operates as a plug-and-play module compatible with foundation models including SAM 2 and MedSAM 2. The framework consists of two key components: a collaborative expert layer (CEL) that generates diverse feature representations through specialized transformer modules, and a consensus reasoning layer (CRL) that performs cross-referencing and adaptive integration of these features. This architecture transforms the segmentation process from a prompt-dependent operation to a robust framework capable of producing accurate results despite imperfect user inputs. Extensive experiments across 15 public datasets demonstrate that our plug-and-play approach consistently improves the performance of base foundation models, with particularly significant gains when working with imperfect prompts. The source code is available at https://github.com/yifangao112/SafeClick.
Segmenting anatomical structures in medical images plays an important role in the quantitative assessment of various diseases. However, accurate segmentation becomes significantly more challenging in the presence of disease. Disease patterns can alter the appearance of surrounding healthy tissues, introduce ambiguous boundaries, or even obscure critical anatomical structures. As such, segmentation models trained on real-world datasets may struggle to provide good anatomical segmentation, leading to potential misdiagnosis. In this paper, we generate counterfactual (CF) images to simulate how the same anatomy would appear in the absence of disease without altering the underlying structure. We then use these CF images to segment structures of interest, without requiring any changes to the underlying segmentation model. Our experiments on two real-world clinical chest X-ray datasets show that the use of counterfactual images improves anatomical segmentation, thereby aiding downstream clinical decision-making.
Cancer is an abnormal growth with potential to invade locally and metastasize to distant organs. Accurate auto-segmentation of the tumor and surrounding normal tissues is required for radiotherapy treatment plan optimization. Recent AI-based segmentation models are generally trained on large public datasets, which lack the heterogeneity of local patient populations. While these studies advance AI-based medical image segmentation, research on local datasets is necessary to develop and integrate AI tumor segmentation models directly into hospital software for efficient and accurate oncology treatment planning and execution. This study enhances tumor segmentation using computationally efficient hybrid UNet-Transformer models on magnetic resonance imaging (MRI) datasets acquired from a local hospital under strict privacy protection. We developed a robust data pipeline for seamless DICOM extraction and preprocessing, followed by extensive image augmentation to ensure model generalization across diverse clinical settings, resulting in a total dataset of 6080 images for training. Our novel architecture integrates UNet-based convolutional neural networks with a transformer bottleneck and complementary attention modules, including efficient attention, Squeeze-and-Excitation (SE) blocks, Convolutional Block Attention Module (CBAM), and ResNeXt blocks. To accelerate convergence and reduce computational demands, we used a maximum batch size of 8 and initialized the encoder with pretrained ImageNet weights, training the model on dual NVIDIA T4 GPUs via checkpointing to overcome Kaggle's runtime limits. Quantitative evaluation on the local MRI dataset yielded a Dice similarity coefficient of 0.764 and an Intersection over Union (IoU) of 0.736, demonstrating competitive performance despite limited data and underscoring the importance of site-specific model development for clinical deployment.
The segmentation of coal maceral groups can be described as a semantic segmentation process of coal maceral group images, which is of great significance for studying the chemical properties of coal. Generally, existing semantic segmentation models of coal maceral groups use the method of stacking parameters to achieve higher accuracy. It leads to increased computational requirements and impacts model training efficiency. At the same time, due to the professionalism and diversity of coal maceral group images sampling, obtaining the number of samples for model training requires a long time and professional personnel operation. To address these issues, We have innovatively developed an IoT-based DA-VIT parallel network model. By utilizing this model, we can continuously broaden the dataset through IoT and achieving sustained improvement in the accuracy of coal maceral groups segmentation. Besides, we decouple the parallel network from the backbone network to ensure the normal using of the backbone network during model data updates. Secondly, DCSA mechanism of DA-VIT is introduced to enhance the local feature information of coal microscopic images. This DCSA can decompose the large kernels of convolutional attention into multiple scales and reduce 81.18% of parameters.Finally, we performed the contrast experiment and ablation experiment between DA-VIT and state-of-the-art methods at lots of evaluation metrics. Experimental results show that DA-VIT-Base achieves 92.14% pixel accuracy and 63.18% mIoU. Params and FLOPs of DA-VIT-Tiny are 4.95M and 8.99G, respectively. All of the evaluation metrics of the proposed DA-VIT are better than other state-of-the-art methods.
The widespread use of Magnetic Resonance Imaging (MRI) and the rise of deep learning have enabled the development of powerful predictive models for a wide range of diagnostic tasks in MRI, such as image classification or object segmentation. However, training models for specific new tasks often requires large amounts of labeled data, which is difficult to obtain due to high annotation costs and data privacy concerns. To circumvent this issue, we introduce MRI-CORE (MRI COmprehensive Representation Encoder), a vision foundation model pre-trained using more than 6 million slices from over 110,000 MRI volumes across 18 main body locations. Experiments on five diverse object segmentation tasks in MRI demonstrate that MRI-CORE can significantly improve segmentation performance in realistic scenarios with limited labeled data availability, achieving an average gain of 6.97% 3D Dice Coefficient using only 10 annotated slices per task. We further demonstrate new model capabilities in MRI such as classification of image properties including body location, sequence type and institution, and zero-shot segmentation. These results highlight the value of MRI-CORE as a generalist vision foundation model for MRI, potentially lowering the data annotation resource barriers for many applications.
AI requires extensive datasets, while medical data is subject to high data protection. Anonymization is essential, but poses a challenge for some regions, such as the head, as identifying structures overlap with regions of clinical interest. Synthetic data offers a potential solution, but studies often lack rigorous evaluation of realism and utility. Therefore, we investigate to what extent synthetic data can replace real data in segmentation tasks. We employed head and neck cancer CT scans and brain glioma MRI scans from two large datasets. Synthetic data were generated using generative adversarial networks and diffusion models. We evaluated the quality of the synthetic data using MAE, MS-SSIM, Radiomics and a Visual Turing Test (VTT) performed by 5 radiologists and their usefulness in segmentation tasks using DSC. Radiomics indicates high fidelity of synthetic MRIs, but fall short in producing highly realistic CT tissue, with correlation coefficient of 0.8784 and 0.5461 for MRI and CT tumors, respectively. DSC results indicate limited utility of synthetic data: tumor segmentation achieved DSC=0.064 on CT and 0.834 on MRI, while bone segmentation a mean DSC=0.841. Relation between DSC and correlation is observed, but is limited by the complexity of the task. VTT results show synthetic CTs' utility, but with limited educational applications. Synthetic data can be used independently for the segmentation task, although limited by the complexity of the structures to segment. Advancing generative models to better tolerate heterogeneous inputs and learn subtle details is essential for enhancing their realism and expanding their application potential.
Automatic segmentation of anatomical structures is critical in medical image analysis, aiding diagnostics and treatment planning. Skin segmentation plays a key role in registering and visualising multimodal imaging data. 3D skin segmentation enables applications in personalised medicine, surgical planning, and remote monitoring, offering realistic patient models for treatment simulation, procedural visualisation, and continuous condition tracking. This paper analyses and compares algorithmic and AI-driven skin segmentation approaches, emphasising key factors to consider when selecting a strategy based on data availability and application requirements. We evaluate an iterative region-growing algorithm and the TotalSegmentator, a deep learning-based approach, across different imaging modalities and anatomical regions. Our tests show that AI segmentation excels in automation but struggles with MRI due to its CT-based training, while the graphics-based method performs better for MRIs but introduces more noise. AI-driven segmentation also automates patient bed removal in CT, whereas the graphics-based method requires manual intervention.
Background: Coronary artery disease (CAD) remains one of the leading causes of mortality worldwide. Precise segmentation of coronary arteries from invasive coronary angiography (ICA) is critical for effective clinical decision-making. Objective: This study aims to propose a novel deep learning model based on frequency-domain analysis to enhance the accuracy of coronary artery segmentation and stenosis detection in ICA, thereby offering robust support for the stenosis detection and treatment of CAD. Methods: We propose the Frequency-Domain Attention-Guided Diffusion Network (FAD-Net), which integrates a frequency-domain-based attention mechanism and a cascading diffusion strategy to fully exploit frequency-domain information for improved segmentation accuracy. Specifically, FAD-Net employs a Multi-Level Self-Attention (MLSA) mechanism in the frequency domain, computing the similarity between queries and keys across high- and low-frequency components in ICAs. Furthermore, a Low-Frequency Diffusion Module (LFDM) is incorporated to decompose ICAs into low- and high-frequency components via multi-level wavelet transformation. Subsequently, it refines fine-grained arterial branches and edges by reintegrating high-frequency details via inverse fusion, enabling continuous enhancement of anatomical precision. Results and Conclusions: Extensive experiments demonstrate that FAD-Net achieves a mean Dice coefficient of 0.8717 in coronary artery segmentation, outperforming existing state-of-the-art methods. In addition, it attains a true positive rate of 0.6140 and a positive predictive value of 0.6398 in stenosis detection, underscoring its clinical applicability. These findings suggest that FAD-Net holds significant potential to assist in the accurate diagnosis and treatment planning of CAD.
Recently, there have been significant improvements in the accuracy of CNN models for semantic segmentation. However, these models are often heavy and suffer from low inference speed, which limits their practical application. To address this issue, knowledge distillation has emerged as a promising approach to achieve a good trade-off between segmentation accuracy and efficiency. In this paper, we propose a novel dual relation distillation (DRD) technique that transfers both spatial and channel relations in feature maps from a cumbersome model (teacher) to a compact model (student). Specifically, we compute spatial and channel relation maps separately for the teacher and student models, and then align corresponding relation maps by minimizing their distance. Since the teacher model usually learns more information and collects richer spatial and channel correlations than the student model, transferring these correlations from the teacher to the student can help the student mimic the teacher better in terms of feature distribution, thus improving the segmentation accuracy of the student model. We conduct comprehensive experiments on three segmentation datasets, including two widely adopted benchmarks in the remote sensing field (Vaihingen and Potsdam datasets) and one popular benchmark in general scene (Cityscapes dataset). The experimental results demonstrate that our novel distillation framework can significantly boost the performance of the student network without incurring extra computational overhead.