Active vision enables dynamic visual perception, offering an alternative to static feedforward architectures in computer vision, which rely on large datasets and high computational resources. Biological selective attention mechanisms allow agents to focus on salient Regions of Interest (ROIs), reducing computational demand while maintaining real-time responsiveness. Event-based cameras, inspired by the mammalian retina, enhance this capability by capturing asynchronous scene changes enabling efficient low-latency processing. To distinguish moving objects while the event-based camera is in motion the agent requires an object motion segmentation mechanism to accurately detect targets and center them in the visual field (fovea). Integrating event-based sensors with neuromorphic algorithms represents a paradigm shift, using Spiking Neural Networks to parallelize computation and adapt to dynamic environments. This work presents a Spiking Convolutional Neural Network bioinspired attention system for selective attention through object motion sensitivity. The system generates events via fixational eye movements using a Dynamic Vision Sensor integrated into the Speck neuromorphic hardware, mounted on a Pan-Tilt unit, to identify the ROI and saccade toward it. The system, characterized using ideal gratings and benchmarked against the Event Camera Motion Segmentation Dataset, reaches a mean IoU of 82.2% and a mean SSIM of 96% in multi-object motion segmentation. The detection of salient objects reaches 88.8% accuracy in office scenarios and 89.8% in low-light conditions on the Event-Assisted Low-Light Video Object Segmentation Dataset. A real-time demonstrator shows the system's 0.12 s response to dynamic scenes. Its learning-free design ensures robustness across perceptual scenes, making it a reliable foundation for real-time robotic applications serving as a basis for more complex architectures.
Manual segmentation is labor-intensive, and automatic segmentation remains challenging due to the inherent variability in meniscal morphology, partial volume effects, and low contrast between the meniscus and surrounding tissues. To address these challenges, we propose ERANet, an innovative semi-supervised framework for meniscus segmentation that effectively leverages both labeled and unlabeled images through advanced augmentation and learning strategies. ERANet integrates three key components: edge replacement augmentation (ERA), prototype consistency alignment (PCA), and a conditional self-training (CST) strategy within a mean teacher architecture. ERA introduces anatomically relevant perturbations by simulating meniscal variations, ensuring that augmentations align with the structural context. PCA enhances segmentation performance by aligning intra-class features and promoting compact, discriminative feature representations, particularly in scenarios with limited labeled data. CST improves segmentation robustness by iteratively refining pseudo-labels and mitigating the impact of label noise during training. Together, these innovations establish ERANet as a robust and scalable solution for meniscus segmentation, effectively addressing key barriers to practical implementation. We validated ERANet comprehensively on 3D Double Echo Steady State (DESS) and 3D Fast/Turbo Spin Echo (FSE/TSE) MRI sequences. The results demonstrate the superior performance of ERANet compared to state-of-the-art methods. The proposed framework achieves reliable and accurate segmentation of meniscus structures, even when trained on minimal labeled data. Extensive ablation studies further highlight the synergistic contributions of ERA, PCA, and CST, solidifying ERANet as a transformative solution for semi-supervised meniscus segmentation in medical imaging.
The Segment Anything Model (SAM) has gained popularity as a versatile image segmentation method, thanks to its strong generalization capabilities across various domains. However, when applied to optic disc (OD) and optic cup (OC) segmentation tasks, SAM encounters challenges due to the complex structures, low contrast, and blurred boundaries typical of fundus images, leading to suboptimal performance. To overcome these challenges, we introduce a novel model, FunduSAM, which incorporates several Adapters into SAM to create a deep network specifically designed for OD and OC segmentation. The FunduSAM utilizes Adapter into each transformer block after encoder for parameter fine-tuning (PEFT). It enhances SAM's feature extraction capabilities by designing a Convolutional Block Attention Module (CBAM), addressing issues related to blurred boundaries and low contrast. Given the unique requirements of OD and OC segmentation, polar transformation is used to convert the original fundus OD images into a format better suited for training and evaluating FunduSAM. A joint loss is used to achieve structure preservation between the OD and OC, while accurate segmentation. Extensive experiments on the REFUGE dataset, comprising 1,200 fundus images, demonstrate the superior performance of FunduSAM compared to five mainstream approaches.
Chronic kidney disease (CKD) is a major global health issue, affecting over 10% of the population and causing significant mortality. While kidney biopsy remains the gold standard for CKD diagnosis and treatment, the lack of comprehensive benchmarks for kidney pathology segmentation hinders progress in the field. To address this, we organized the Kidney Pathology Image Segmentation (KPIs) Challenge, introducing a dataset that incorporates preclinical rodent models of CKD with over 10,000 annotated glomeruli from 60+ Periodic Acid Schiff (PAS)-stained whole slide images. The challenge includes two tasks, patch-level segmentation and whole slide image segmentation and detection, evaluated using the Dice Similarity Coefficient (DSC) and F1-score. By encouraging innovative segmentation methods that adapt to diverse CKD models and tissue conditions, the KPIs Challenge aims to advance kidney pathology analysis, establish new benchmarks, and enable precise, large-scale quantification for disease research and diagnosis.
Segmentation of colorectal cancer (CRC) tumors in 3D medical imaging is both complex and clinically critical, providing vital support for effective radiation therapy planning and survival outcome assessment. Recently, 3D volumetric segmentation architectures incorporating long-range sequence modeling mechanisms, such as Transformers and Mamba, have gained attention for their capacity to achieve high accuracy in 3D medical image segmentation. In this work, we evaluate the effectiveness of these global token modeling techniques by pitting them against our proposed MambaOutUNet within the context of our newly introduced colorectal tumor segmentation dataset (CTS-204). Our findings suggest that robust local token interactions can outperform long-range modeling techniques in cases where the region of interest is small and anatomically complex, proposing a potential shift in 3D tumor segmentation research.
Microstructure of materials is often characterized through image analysis to understand processing-structure-properties linkages. We propose a largely automated framework that integrates unsupervised and supervised learning methods to classify micrographs according to microstructure phase/class and, for multiphase microstructures, segments them into different homogeneous regions. With the advance of manufacturing and imaging techniques, the ultra-high resolution of imaging that reveals the complexity of microstructures and the rapidly increasing quantity of images (i.e., micrographs) enables and necessitates a more powerful and automated framework to extract materials characteristics and knowledge. The framework we propose can be used to gradually build a database of microstructure classes relevant to a particular process or group of materials, which can help in analyzing and discovering/identifying new materials. The framework has three steps: (1) segmentation of multiphase micrographs through a recently developed score-based method so that different microstructure homogeneous regions can be identified in an unsupervised manner; (2) {identification and classification of} homogeneous regions of micrographs through an uncertainty-aware supervised classification network trained using the segmented micrographs from Step $1$ with their identified labels verified via the built-in uncertainty quantification and minimal human inspection; (3) supervised segmentation (more powerful than the segmentation in Step $1$) of multiphase microstructures through a segmentation network trained with micrographs and the results from Steps $1$-$2$ using a form of data augmentation. This framework can iteratively characterize/segment new homogeneous or multiphase materials while expanding the database to enhance performance. The framework is demonstrated on various sets of materials and texture images.
Single-source domain generalization (SDG) in medical image segmentation remains a significant challenge, particularly for images with varying color distributions and qualities. Previous approaches often struggle when models trained on high-quality images fail to generalize to low-quality test images due to these color and quality shifts. In this work, we propose two novel techniques to enhance generalization: dynamic color image normalization (DCIN) module and color-quality generalization (CQG) loss. The DCIN dynamically normalizes the color of test images using two reference image selection strategies. Specifically, the DCIN utilizes a global reference image selection (GRIS), which finds a universal reference image, and a local reference image selection (LRIS), which selects a semantically similar reference image per test sample. Additionally, CQG loss enforces invariance to color and quality variations by ensuring consistent segmentation predictions across transformed image pairs. Experimental results show that our proposals significantly improve segmentation performance over the baseline on two target domain datasets, despite being trained solely on a single source domain. Notably, our model achieved up to a 32.3-point increase in Dice score compared to the baseline, consistently producing robust and usable results even under substantial domain shifts. Our work contributes to the development of more robust medical image segmentation models that generalize across unseen domains. The implementation code is available at https://github.com/RaviShah1/DCIN-CQG.
Diffusion models have been used extensively for high quality image and video generation tasks. In this paper, we propose a novel conditional diffusion model with spatial attention and latent embedding (cDAL) for medical image segmentation. In cDAL, a convolutional neural network (CNN) based discriminator is used at every time-step of the diffusion process to distinguish between the generated labels and the real ones. A spatial attention map is computed based on the features learned by the discriminator to help cDAL generate more accurate segmentation of discriminative regions in an input image. Additionally, we incorporated a random latent embedding into each layer of our model to significantly reduce the number of training and sampling time-steps, thereby making it much faster than other diffusion models for image segmentation. We applied cDAL on 3 publicly available medical image segmentation datasets (MoNuSeg, Chest X-ray and Hippocampus) and observed significant qualitative and quantitative improvements with higher Dice scores and mIoU over the state-of-the-art algorithms. The source code is publicly available at https://github.com/Hejrati/cDAL/.
We identify two major limitations in the existing studies on retinal vessel segmentation: (1) Most existing works are restricted to one modality, i.e, the Color Fundus (CF). However, multi-modality retinal images are used every day in the study of retina and retinal diseases, and the study of vessel segmentation on the other modalities is scarce; (2) Even though a small amount of works extended their experiments to limited new modalities such as the Multi-Color Scanning Laser Ophthalmoscopy (MC), these works still require finetuning a separate model for the new modality. The finetuning will require extra training data, which is difficult to acquire. In this work, we present a foundational universal vessel segmentation model (UVSM) for multi-modality retinal images. Not only do we perform the study on a much wider range of modalities, but we also propose a universal model to segment the vessels in all these commonly-used modalities. Despite being much more versatile comparing with existing methods, our universal model still demonstrates comparable performance with the state-of-the-art finetuned methods. To the best of our knowledge, this is the first work that achieves cross-modality retinal vessel segmentation and also the first work to study retinal vessel segmentation in some novel modalities.
Medical images often exhibit low and blurred contrast between lesions and surrounding tissues, with considerable variation in lesion edges and shapes even within the same disease, leading to significant challenges in segmentation. Therefore, precise segmentation of lesions has become an essential prerequisite for patient condition assessment and formulation of treatment plans. Significant achievements have been made in research related to the U-Net model in recent years. It improves segmentation performance and is extensively applied in the semantic segmentation of medical images to offer technical support for consistent quantitative lesion analysis methods. First, this paper classifies medical image datasets on the basis of their imaging modalities and then examines U-Net and its various improvement models from the perspective of structural modifications. The research objectives, innovative designs, and limitations of each approach are discussed in detail. Second, we summarize the four central improvement mechanisms of the U-Net and U-Net variant algorithms: the jump-connection mechanism, residual-connection mechanism, 3D-UNet, and transformer mechanism. Finally, we examine the relationships among the four core enhancement mechanisms and commonly utilized medical datasets and propose potential avenues and strategies for future advancements. This paper provides a systematic summary and reference for researchers in related fields, and we look forward to designing more efficient and stable medical image segmentation network models based on the U-Net network.
Accurate segmentation of the left atrium (LA) from late gadolinium-enhanced magnetic resonance imaging plays a vital role in visualizing diseased atrial structures, enabling the diagnosis and management of cardiovascular diseases. It is particularly essential for planning treatment with ablation therapy, a key intervention for atrial fibrillation (AF). However, manual segmentation is time-intensive and prone to inter-observer variability, underscoring the need for automated solutions. Class-agnostic foundation models like DINOv2 have demonstrated remarkable feature extraction capabilities in vision tasks. However, their lack of domain specificity and task-specific adaptation can reduce spatial resolution during feature extraction, impacting the capture of fine anatomical detail in medical imaging. To address this limitation, we propose a segmentation framework that integrates DINOv2 as an encoder with a UNet-style decoder, incorporating multi-scale feature fusion and input image integration to enhance segmentation accuracy. The learnable weighting mechanism dynamically prioritizes hierarchical features from different encoder blocks of the foundation model, optimizing feature selection for task relevance. Additionally, the input image is reintroduced during the decoding stage to preserve high-resolution spatial details, addressing limitations of downsampling in the encoder. We validate our approach on the LAScarQS 2022 dataset and demonstrate improved performance with a 92.3% Dice and 84.1% IoU score for giant architecture compared to the nnUNet baseline model. These findings emphasize the efficacy of our approach in advancing the field of automated left atrium segmentation from cardiac MRI.
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.
Multi-class segmentation of the aorta in computed tomography angiography (CTA) scans is essential for diagnosing and planning complex endovascular treatments for patients with aortic dissections. However, existing methods reduce aortic segmentation to a binary problem, limiting their ability to measure diameters across different branches and zones. Furthermore, no open-source dataset is currently available to support the development of multi-class aortic segmentation methods. To address this gap, we organized the AortaSeg24 MICCAI Challenge, introducing the first dataset of 100 CTA volumes annotated for 23 clinically relevant aortic branches and zones. This dataset was designed to facilitate both model development and validation. The challenge attracted 121 teams worldwide, with participants leveraging state-of-the-art frameworks such as nnU-Net and exploring novel techniques, including cascaded models, data augmentation strategies, and custom loss functions. We evaluated the submitted algorithms using the Dice Similarity Coefficient (DSC) and Normalized Surface Distance (NSD), highlighting the approaches adopted by the top five performing teams. This paper presents the challenge design, dataset details, evaluation metrics, and an in-depth analysis of the top-performing algorithms. The annotated dataset, evaluation code, and implementations of the leading methods are publicly available to support further research. All resources can be accessed at https://aortaseg24.grand-challenge.org.
Do the rich representations of multi-modal diffusion transformers (DiTs) exhibit unique properties that enhance their interpretability? We introduce ConceptAttention, a novel method that leverages the expressive power of DiT attention layers to generate high-quality saliency maps that precisely locate textual concepts within images. Without requiring additional training, ConceptAttention repurposes the parameters of DiT attention layers to produce highly contextualized concept embeddings, contributing the major discovery that performing linear projections in the output space of DiT attention layers yields significantly sharper saliency maps compared to commonly used cross-attention mechanisms. Remarkably, ConceptAttention even achieves state-of-the-art performance on zero-shot image segmentation benchmarks, outperforming 11 other zero-shot interpretability methods on the ImageNet-Segmentation dataset and on a single-class subset of PascalVOC. Our work contributes the first evidence that the representations of multi-modal DiT models like Flux are highly transferable to vision tasks like segmentation, even outperforming multi-modal foundation models like CLIP.
Neoadjuvant chemotherapy (NAC) has become a standard clinical practice for tumor downsizing in breast cancer with 18F-FDG Positron Emission Tomography (PET). Our work aims to leverage PET imaging for the segmentation of breast lesions. The focus is on developing an automated system that accurately segments primary tumor regions and extracts key biomarkers from these areas to provide insights into the evolution of breast cancer following the first course of NAC. 243 baseline 18F-FDG PET scans (PET_Bl) and 180 follow-up 18F-FDG PET scans (PET_Fu) were acquired before and after the first course of NAC, respectively. Firstly, a deep learning-based breast tumor segmentation method was developed. The optimal baseline model (model trained on baseline exams) was fine-tuned on 15 follow-up exams and adapted using active learning to segment tumor areas in PET_Fu. The pipeline computes biomarkers such as maximum standardized uptake value (SUVmax), metabolic tumor volume (MTV), and total lesion glycolysis (TLG) to evaluate tumor evolution between PET_Fu and PET_Bl. Quality control measures were employed to exclude aberrant outliers. The nnUNet deep learning model outperformed in tumor segmentation on PET_Bl, achieved a Dice similarity coefficient (DSC) of 0.89 and a Hausdorff distance (HD) of 3.52 mm. After fine-tuning, the model demonstrated a DSC of 0.78 and a HD of 4.95 mm on PET_Fu exams. Biomarkers analysis revealed very strong correlations whatever the biomarker between manually segmented and automatically predicted regions. The significant average decrease of SUVmax, MTV and TLG were 5.22, 11.79 cm3 and 19.23 cm3, respectively. The presented approach demonstrates an automated system for breast tumor segmentation from 18F-FDG PET. Thanks to the extracted biomarkers, our method enables the automatic assessment of cancer progression.
Image segmentation is a critical task in visual understanding. Convolutional Neural Networks (CNNs) are predisposed to capture high-frequency features in images, while Transformers exhibit a contrasting focus on low-frequency features. In this paper, we experimentally quantify the contrast sensitivity function of CNNs and compare it with that of the human visual system, informed by the seminal experiments of Mannos and Sakrison. Leveraging these insights, we propose the Wavelet-Guided Spectral Pooling Module (WSPM) to enhance and balance image features across the frequency domain. To further emulate the human visual system, we introduce the Frequency Domain Enhanced Receptive Field Block (FE-RFB), which integrates WSPM to extract enriched features from the frequency domain. Building on these innovations, we develop FE-UNet, a model that utilizes SAM2 as its backbone and incorporates Hiera-Large as a pre-trained block, designed to enhance generalization capabilities while ensuring high segmentation accuracy. Experimental results demonstrate that FE-UNet achieves state-of-the-art performance in diverse tasks, including marine animal and polyp segmentation, underscoring its versatility and effectiveness.
Recent state-of-the-art object segmentation mechanisms, such as the Segment Anything Model (SAM) and FastSAM, first encode the full image over several layers and then focus on generating the mask for one particular object or area. We present an off-grid Fovea-Like Input Patching (FLIP) approach, which selects image input and encodes it from the beginning in an object-focused manner. While doing so, it separates locational encoding from an object-centric perceptual code. FLIP is more data-efficient and yields improved segmentation performance when masking relatively small objects in high-resolution visual scenes. On standard benchmarks such as Hypersim, KITTI-360, and OpenImages, FLIP achieves Intersection over Union (IoU) scores that approach the performance of SAM with much less compute effort. It surpasses FastSAM in all IoU measurements. We also introduce an additional semi-natural but highly intuitive dataset where FLIP outperforms SAM and FastSAM overall and particularly on relatively small objects. Seeing that FLIP is an end-to-end object-centric segmentation approach, it has high potential particularly for applications that benefit from computationally efficient, spatially highly selective object tracking.
Face parsing is a fundamental task in computer vision, enabling applications such as identity verification, facial editing, and controllable image synthesis. However, existing face parsing models often lack fairness and robustness, leading to biased segmentation across demographic groups and errors under occlusions, noise, and domain shifts. These limitations affect downstream face synthesis, where segmentation biases can degrade generative model outputs. We propose a multi-objective learning framework that optimizes accuracy, fairness, and robustness in face parsing. Our approach introduces a homotopy-based loss function that dynamically adjusts the importance of these objectives during training. To evaluate its impact, we compare multi-objective and single-objective U-Net models in a GAN-based face synthesis pipeline (Pix2PixHD). Our results show that fairness-aware and robust segmentation improves photorealism and consistency in face generation. Additionally, we conduct preliminary experiments using ControlNet, a structured conditioning model for diffusion-based synthesis, to explore how segmentation quality influences guided image generation. Our findings demonstrate that multi-objective face parsing improves demographic consistency and robustness, leading to higher-quality GAN-based synthesis.
Radiotherapy treatment for prostate cancer relies on computed tomography (CT) and/or magnetic resonance imaging (MRI) for segmentation of target volumes and organs at risk (OARs). Manual segmentation of these volumes is regarded as the gold standard for ground truth in machine learning applications but to acquire such data is tedious and time-consuming. A publicly available clinical dataset is presented, comprising MRI- and synthetic CT (sCT) images, target and OARs segmentations, and radiotherapy dose distributions for 432 prostate cancer patients treated with MRI-guided radiotherapy. An extended dataset with 35 patients is also included, with the addition of deep learning (DL)-generated segmentations, DL segmentation uncertainty maps, and DL segmentations manually adjusted by four radiation oncologists. The publication of these resources aims to aid research within the fields of automated radiotherapy treatment planning, segmentation, inter-observer analyses, and DL model uncertainty investigation. The dataset is hosted on the AIDA Data Hub and offers a free-to-use resource for the scientific community, valuable for the advancement of medical imaging and prostate cancer radiotherapy research.
Ultrasound-based bone surface segmentation is crucial in computer-assisted orthopedic surgery. However, ultrasound images have limitations, including a low signal-to-noise ratio, and acoustic shadowing, which make interpretation difficult. Existing deep learning models for bone segmentation rely primarily on costly manual labeling by experts, limiting dataset size and model generalizability. Additionally, the complexity of ultrasound physics and acoustic shadow makes the images difficult for humans to interpret, leading to incomplete labels in anechoic regions and limiting model performance. To advance ultrasound bone segmentation and establish effective model benchmarks, larger and higher-quality datasets are needed. We propose a methodology for collecting ex-vivo ultrasound datasets with automatically generated bone labels, including anechoic regions. The proposed labels are derived by accurately superimposing tracked bone CT models onto the tracked ultrasound images. These initial labels are refined to account for ultrasound physics. A clinical evaluation is conducted by an expert physician specialized on orthopedic sonography to assess the quality of the generated bone labels. A neural network for bone segmentation is trained on the collected dataset and its predictions are compared to expert manual labels, evaluating accuracy, completeness, and F1-score. We collected the largest known dataset of 100k ultrasound images of human lower limbs with bone labels, called UltraBones100k. A Wilcoxon signed-rank test with Bonferroni correction confirmed that the bone alignment after our method significantly improved the quality of bone labeling (p < 0.001). The model trained on UltraBones100k consistently outperforms manual labeling in all metrics, particularly in low-intensity regions (320% improvement in completeness at a distance threshold of 0.5 mm).