Segmenting muscle compartments and measuring their architecture can facilitate movement function assessment, accurate musculoskeletal modeling, and synergy-based electromyogram simulation. Here, we presented a novel method for volumetric segmentation of muscle compartments using in vivo imaging, focusing on the independent compartments for finger control of flexor digitorum superficialis (FDS). Besides, we measured the architectural properties of FDS compartments and validated the segmentation. Specifically, ultrasound and magnetic resonance imaging (MRI) from 10 healthy subjects were used for segmentation and measurement, while electromyography was utilized for validation. A two-step piecewise segmentation was proposed, first annotating compartment regions in the cross-sectional ultrasound image based on compartment movement, and then performing minimum energy matching to register the ultrasound data to the three-dimensional MRI coordinate system. Additionally, the architectural properties were measured in the compartment masks from the segmentation using MRI tractography. Anatomical correctness was verified by comparing known anatomy with reconstructed fiber tracts and measured properties, while segmentation accuracy was quantified as the percentage of finger electromyogram centers falling within their corresponding compartments. Results demonstrated agreement for the fiber orientation between the tractography and cadaveric photographs. Significant differences in architectural properties (P < 0.001) were observed between compartments. The properties of FDS and its compartments were within the physiological ranges (P < 0.01). 95% (38/40) of the electromyogram centers were located within respective compartments, with 2 errors occurring in the index and little fingers. The validated segmentation method and derived architectural properties may advance biomedical applications.
Purpose: Accurate segmentation of both the pituitary gland and adenomas from magnetic resonance imaging (MRI) is essential for diagnosis and treatment of pituitary adenomas. This systematic review evaluates automatic segmentation methods for improving the accuracy and efficiency of MRI-based segmentation of pituitary adenomas and the gland itself. Methods: We reviewed 34 studies that employed automatic and semi-automatic segmentation methods. We extracted and synthesized data on segmentation techniques and performance metrics (such as Dice overlap scores). Results: The majority of reviewed studies utilized deep learning approaches, with U-Net-based models being the most prevalent. Automatic methods yielded Dice scores of 0.19--89.00\% for pituitary gland and 4.60--96.41\% for adenoma segmentation. Semi-automatic methods reported 80.00--92.10\% for pituitary gland and 75.90--88.36\% for adenoma segmentation. Conclusion: Most studies did not report important metrics such as MR field strength, age and adenoma size. Automated segmentation techniques such as U-Net-based models show promise, especially for adenoma segmentation, but further improvements are needed to achieve consistently good performance in small structures like the normal pituitary gland. Continued innovation and larger, diverse datasets are likely critical to enhancing clinical applicability.
Prostate gland segmentation from T2-weighted MRI is a critical yet challenging task in clinical prostate cancer assessment. While deep learning-based methods have significantly advanced automated segmentation, most conventional approaches-particularly 2D convolutional neural networks (CNNs)-fail to leverage inter-slice anatomical continuity, limiting their accuracy and robustness. Fully 3D models offer improved spatial coherence but require large amounts of annotated data, which is often impractical in clinical settings. To address these limitations, we propose a hybrid architecture that models MRI sequences as spatiotemporal data. Our method uses a deep, pretrained DeepLabV3 backbone to extract high-level semantic features from each MRI slice and a recurrent convolutional head, built with ConvLSTM layers, to integrate information across slices while preserving spatial structure. This combination enables context-aware segmentation with improved consistency, particularly in data-limited and noisy imaging conditions. We evaluate our method on the PROMISE12 benchmark under both clean and contrast-degraded test settings. Compared to state-of-the-art 2D and 3D segmentation models, our approach demonstrates superior performance in terms of precision, recall, Intersection over Union (IoU), and Dice Similarity Coefficient (DSC), highlighting its potential for robust clinical deployment.
The cross-Modality Domain Adaptation (crossMoDA) challenge series, initiated in 2021 in conjunction with the International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI), focuses on unsupervised cross-modality segmentation, learning from contrast-enhanced T1 (ceT1) and transferring to T2 MRI. The task is an extreme example of domain shift chosen to serve as a meaningful and illustrative benchmark. From a clinical application perspective, it aims to automate Vestibular Schwannoma (VS) and cochlea segmentation on T2 scans for more cost-effective VS management. Over time, the challenge objectives have evolved to enhance its clinical relevance. The challenge evolved from using single-institutional data and basic segmentation in 2021 to incorporating multi-institutional data and Koos grading in 2022, and by 2023, it included heterogeneous routine data and sub-segmentation of intra- and extra-meatal tumour components. In this work, we report the findings of the 2022 and 2023 editions and perform a retrospective analysis of the challenge progression over the years. The observations from the successive challenge contributions indicate that the number of outliers decreases with an expanding dataset. This is notable since the diversity of scanning protocols of the datasets concurrently increased. The winning approach of the 2023 edition reduced the number of outliers on the 2021 and 2022 testing data, demonstrating how increased data heterogeneity can enhance segmentation performance even on homogeneous data. However, the cochlea Dice score declined in 2023, likely due to the added complexity from tumour sub-annotations affecting overall segmentation performance. While progress is still needed for clinically acceptable VS segmentation, the plateauing performance suggests that a more challenging cross-modal task may better serve future benchmarking.
We propose a spatio-spectral, combined model-based and data-driven diarization pipeline consisting of TDOA-based segmentation followed by embedding-based clustering. The proposed system requires neither access to multi-channel training data nor prior knowledge about the number or placement of microphones. It works for both a compact microphone array and distributed microphones, with minor adjustments. Due to its superior handling of overlapping speech during segmentation, the proposed pipeline significantly outperforms the single-channel pyannote approach, both in a scenario with a compact microphone array and in a setup with distributed microphones. Additionally, we show that, unlike fully spatial diarization pipelines, the proposed system can correctly track speakers when they change positions.
We present SAM4D, a multi-modal and temporal foundation model designed for promptable segmentation across camera and LiDAR streams. Unified Multi-modal Positional Encoding (UMPE) is introduced to align camera and LiDAR features in a shared 3D space, enabling seamless cross-modal prompting and interaction. Additionally, we propose Motion-aware Cross-modal Memory Attention (MCMA), which leverages ego-motion compensation to enhance temporal consistency and long-horizon feature retrieval, ensuring robust segmentation across dynamically changing autonomous driving scenes. To avoid annotation bottlenecks, we develop a multi-modal automated data engine that synergizes VFM-driven video masklets, spatiotemporal 4D reconstruction, and cross-modal masklet fusion. This framework generates camera-LiDAR aligned pseudo-labels at a speed orders of magnitude faster than human annotation while preserving VFM-derived semantic fidelity in point cloud representations. We conduct extensive experiments on the constructed Waymo-4DSeg, which demonstrate the powerful cross-modal segmentation ability and great potential in data annotation of proposed SAM4D.
Uncertainty maps highlight unreliable regions in segmentation predictions. However, most uncertainty evaluation metrics treat voxels independently, ignoring spatial context and anatomical structure. As a result, they may assign identical scores to qualitatively distinct patterns (e.g., scattered vs. boundary-aligned uncertainty). We propose three spatially aware metrics that incorporate structural and boundary information and conduct a thorough validation on medical imaging data from the prostate zonal segmentation challenge within the Medical Segmentation Decathlon. Our results demonstrate improved alignment with clinically important factors and better discrimination between meaningful and spurious uncertainty patterns.
With the advancement of Large Language Model (LLM) for natural language processing, this paper presents an intriguing finding: a frozen pre-trained LLM layer can process visual tokens for medical image segmentation tasks. Specifically, we propose a simple hybrid structure that integrates a pre-trained, frozen LLM layer within the CNN encoder-decoder segmentation framework (LLM4Seg). Surprisingly, this design improves segmentation performance with a minimal increase in trainable parameters across various modalities, including ultrasound, dermoscopy, polypscopy, and CT scans. Our in-depth analysis reveals the potential of transferring LLM's semantic awareness to enhance segmentation tasks, offering both improved global understanding and better local modeling capabilities. The improvement proves robust across different LLMs, validated using LLaMA and DeepSeek.
Deep learning has demonstrated remarkable success in medical image segmentation and computer-aided diagnosis. In particular, numerous advanced methods have achieved state-of-the-art performance in brain tumor segmentation from MRI scans. While recent studies in other medical imaging domains have revealed that integrating textual reports with visual data can enhance segmentation accuracy, the field of brain tumor analysis lacks a comprehensive dataset that combines radiological images with corresponding textual annotations. This limitation has hindered the exploration of multimodal approaches that leverage both imaging and textual data. To bridge this critical gap, we introduce the TextBraTS dataset, the first publicly available volume-level multimodal dataset that contains paired MRI volumes and rich textual annotations, derived from the widely adopted BraTS2020 benchmark. Building upon this novel dataset, we propose a novel baseline framework and sequential cross-attention method for text-guided volumetric medical image segmentation. Through extensive experiments with various text-image fusion strategies and templated text formulations, our approach demonstrates significant improvements in brain tumor segmentation accuracy, offering valuable insights into effective multimodal integration techniques. Our dataset, implementation code, and pre-trained models are publicly available at https://github.com/Jupitern52/TextBraTS.
Video Scene Parsing (VSP) has emerged as a cornerstone in computer vision, facilitating the simultaneous segmentation, recognition, and tracking of diverse visual entities in dynamic scenes. In this survey, we present a holistic review of recent advances in VSP, covering a wide array of vision tasks, including Video Semantic Segmentation (VSS), Video Instance Segmentation (VIS), Video Panoptic Segmentation (VPS), as well as Video Tracking and Segmentation (VTS), and Open-Vocabulary Video Segmentation (OVVS). We systematically analyze the evolution from traditional hand-crafted features to modern deep learning paradigms -- spanning from fully convolutional networks to the latest transformer-based architectures -- and assess their effectiveness in capturing both local and global temporal contexts. Furthermore, our review critically discusses the technical challenges, ranging from maintaining temporal consistency to handling complex scene dynamics, and offers a comprehensive comparative study of datasets and evaluation metrics that have shaped current benchmarking standards. By distilling the key contributions and shortcomings of state-of-the-art methodologies, this survey highlights emerging trends and prospective research directions that promise to further elevate the robustness and adaptability of VSP in real-world applications.
While modern segmentation models often prioritize performance over practicality, we advocate a design philosophy prioritizing simplicity and efficiency, and attempted high performance segmentation model design. This paper presents SimpleUNet, a scalable ultra-lightweight medical image segmentation model with three key innovations: (1) A partial feature selection mechanism in skip connections for redundancy reduction while enhancing segmentation performance; (2) A fixed-width architecture that prevents exponential parameter growth across network stages; (3) An adaptive feature fusion module achieving enhanced representation with minimal computational overhead. With a record-breaking 16 KB parameter configuration, SimpleUNet outperforms LBUNet and other lightweight benchmarks across multiple public datasets. The 0.67 MB variant achieves superior efficiency (8.60 GFLOPs) and accuracy, attaining a mean DSC/IoU of 85.76%/75.60% on multi-center breast lesion datasets, surpassing both U-Net and TransUNet. Evaluations on skin lesion datasets (ISIC 2017/2018: mDice 84.86%/88.77%) and endoscopic polyp segmentation (KVASIR-SEG: 86.46%/76.48% mDice/mIoU) confirm consistent dominance over state-of-the-art models. This work demonstrates that extreme model compression need not compromise performance, providing new insights for efficient and accurate medical image segmentation. Codes can be found at https://github.com/Frankyu5666666/SimpleUNet.
Spine image segmentation is crucial for clinical diagnosis and treatment of spine diseases. The complex structure of the spine and the high morphological similarity between individual vertebrae and adjacent intervertebral discs make accurate spine segmentation a challenging task. Although the Segment Anything Model (SAM) has been developed, it still struggles to effectively capture and utilize morphological information, limiting its ability to enhance spine image segmentation performance. To address these challenges, in this paper, we propose a MorphSAM that explicitly learns morphological information from atlases, thereby strengthening the spine image segmentation performance of SAM. Specifically, the MorphSAM includes two fully automatic prompt learning networks, 1) an anatomical prompt learning network that directly learns morphological information from anatomical atlases, and 2) a semantic prompt learning network that derives morphological information from text descriptions converted from the atlases. Then, the two learned morphological prompts are fed into the SAM model to boost the segmentation performance. We validate our MorphSAM on two spine image segmentation tasks, including a spine anatomical structure segmentation task with CT images and a lumbosacral plexus segmentation task with MR images. Experimental results demonstrate that our MorphSAM achieves superior segmentation performance when compared to the state-of-the-art methods.
Instance segmentation of prohibited items in security X-ray images is a critical yet challenging task. This is mainly caused by the significant appearance gap between prohibited items in X-ray images and natural objects, as well as the severe overlapping among objects in X-ray images. To address these issues, we propose an occlusion-aware instance segmentation pipeline designed to identify prohibited items in X-ray images. Specifically, to bridge the representation gap, we integrate the Segment Anything Model (SAM) into our pipeline, taking advantage of its rich priors and zero-shot generalization capabilities. To address the overlap between prohibited items, we design an occlusion-aware bilayer mask decoder module that explicitly models the occlusion relationships. To supervise occlusion estimation, we manually annotated occlusion areas of prohibited items in two large-scale X-ray image segmentation datasets, PIDray and PIXray. We then reorganized these additional annotations together with the original information as two occlusion-annotated datasets, PIDray-A and PIXray-A. Extensive experimental results on these occlusion-annotated datasets demonstrate the effectiveness of our proposed method. The datasets and codes are available at: https://github.com/Ryh1218/Occ
Audio-Visual Segmentation (AVS) faces a fundamental challenge of effectively aligning audio and visual modalities. While recent approaches leverage foundation models to address data scarcity, they often rely on single-modality knowledge or combine foundation models in an off-the-shelf manner, failing to address the cross-modal alignment challenge. In this paper, we present TAViS, a novel framework that \textbf{couples} the knowledge of multimodal foundation models (ImageBind) for cross-modal alignment and a segmentation foundation model (SAM2) for precise segmentation. However, effectively combining these models poses two key challenges: the difficulty in transferring the knowledge between SAM2 and ImageBind due to their different feature spaces, and the insufficiency of using only segmentation loss for supervision. To address these challenges, we introduce a text-bridged design with two key components: (1) a text-bridged hybrid prompting mechanism where pseudo text provides class prototype information while retaining modality-specific details from both audio and visual inputs, and (2) an alignment supervision strategy that leverages text as a bridge to align shared semantic concepts within audio-visual modalities. Our approach achieves superior performance on single-source, multi-source, semantic datasets, and excels in zero-shot settings.
In the context of the digital development of architecture, the automatic segmentation of walls and windows is a key step in improving the efficiency of building information models and computer-aided design. This study proposes an automatic segmentation model for building facade walls and windows based on multimodal semantic guidance, called Segment Any Architectural Facades (SAAF). First, SAAF has a multimodal semantic collaborative feature extraction mechanism. By combining natural language processing technology, it can fuse the semantic information in text descriptions with image features, enhancing the semantic understanding of building facade components. Second, we developed an end-to-end training framework that enables the model to autonomously learn the mapping relationship from text descriptions to image segmentation, reducing the influence of manual intervention on the segmentation results and improving the automation and robustness of the model. Finally, we conducted extensive experiments on multiple facade datasets. The segmentation results of SAAF outperformed existing methods in the mIoU metric, indicating that the SAAF model can maintain high-precision segmentation ability when faced with diverse datasets. Our model has made certain progress in improving the accuracy and generalization ability of the wall and window segmentation task. It is expected to provide a reference for the development of architectural computer vision technology and also explore new ideas and technical paths for the application of multimodal learning in the architectural field.
Remote sensing has become critical for understanding environmental dynamics, urban planning, and disaster management. However, traditional remote sensing workflows often rely on explicit segmentation or detection methods, which struggle to handle complex, implicit queries that require reasoning over spatial context, domain knowledge, and implicit user intent. Motivated by this, we introduce a new task, \ie, geospatial pixel reasoning, which allows implicit querying and reasoning and generates the mask of the target region. To advance this task, we construct and release the first large-scale benchmark dataset called EarthReason, which comprises 5,434 manually annotated image masks with over 30,000 implicit question-answer pairs. Moreover, we propose SegEarth-R1, a simple yet effective language-guided segmentation baseline that integrates a hierarchical visual encoder, a large language model (LLM) for instruction parsing, and a tailored mask generator for spatial correlation. The design of SegEarth-R1 incorporates domain-specific adaptations, including aggressive visual token compression to handle ultra-high-resolution remote sensing images, a description projection module to fuse language and multi-scale features, and a streamlined mask prediction pipeline that directly queries description embeddings. Extensive experiments demonstrate that SegEarth-R1 achieves state-of-the-art performance on both reasoning and referring segmentation tasks, significantly outperforming traditional and LLM-based segmentation methods. Our data and code will be released at https://github.com/earth-insights/SegEarth-R1.
Vision Transformer has recently gained tremendous popularity in medical image segmentation task due to its superior capability in capturing long-range dependencies. However, transformer requires a large amount of labeled data to be effective, which hinders its applicability in annotation scarce semi-supervised learning scenario where only limited labeled data is available. State-of-the-art semi-supervised learning methods propose combinatorial CNN-Transformer learning to cross teach a transformer with a convolutional neural network, which achieves promising results. However, it remains a challenging task to effectively train the transformer with limited labeled data. In this paper, we propose an adversarial masked image modeling method to fully unleash the potential of transformer for semi-supervised medical image segmentation. The key challenge in semi-supervised learning with transformer lies in the lack of sufficient supervision signal. To this end, we propose to construct an auxiliary masked domain from original domain with masked image modeling and train the transformer to predict the entire segmentation mask with masked inputs to increase supervision signal. We leverage the original labels from labeled data and pseudo-labels from unlabeled data to learn the masked domain. To further benefit the original domain from masked domain, we provide a theoretical analysis of our method from a multi-domain learning perspective and devise a novel adversarial training loss to reduce the domain gap between the original and masked domain, which boosts semi-supervised learning performance. We also extend adversarial masked image modeling to CNN network. Extensive experiments on three public medical image segmentation datasets demonstrate the effectiveness of our method, where our method outperforms existing methods significantly. Our code is publicly available at https://github.com/zlheui/AdvMIM.
In recent decades, the use of 4D Flow MRI images has enabled the quantification of velocity fields within a volume of interest and along the cardiac cycle. However, the lack of resolution and the presence of noise in these biomarkers are significant issues. As indicated by recent studies, it appears that biomarkers such as wall shear stress are particularly impacted by the poor resolution of vessel segmentation. The Phase Contrast Magnetic Resonance Angiography (PC-MRA) is the state-of-the-art method to facilitate segmentation. The objective of this work is to introduce a new handcraft feature that provides a novel visualisation of 4D Flow MRI images, which is useful in the segmentation task. This feature, termed Weighted Mean Frequencies (WMF), is capable of revealing the region in three dimensions where a voxel has been passed by pulsatile flow. Indeed, this feature is representative of the hull of all pulsatile velocity voxels. The value of the feature under discussion is illustrated by two experiments. The experiments involved segmenting 4D Flow MRI images using optimal thresholding and deep learning methods. The results obtained demonstrate a substantial enhancement in terms of IoU and Dice, with a respective increase of 0.12 and 0.13 in comparison with the PC-MRA feature, as evidenced by the deep learning task. This feature has the potential to yield valuable insights that could inform future segmentation processes in other vascular regions, such as the heart or the brain.
Deep learning-based myocardial scar segmentation from late gadolinium enhancement (LGE) cardiac MRI has shown great potential for accurate and timely diagnosis and treatment planning for structural cardiac diseases. However, the limited availability and variability of LGE images with high-quality scar labels restrict the development of robust segmentation models. To address this, we introduce CLAIM: \textbf{C}linically-Guided \textbf{L}GE \textbf{A}ugmentation for Real\textbf{i}stic and Diverse \textbf{M}yocardial Scar Synthesis and Segmentation framework, a framework for anatomically grounded scar generation and segmentation. At its core is the SMILE module (Scar Mask generation guided by cLinical knowledgE), which conditions a diffusion-based generator on the clinically adopted AHA 17-segment model to synthesize images with anatomically consistent and spatially diverse scar patterns. In addition, CLAIM employs a joint training strategy in which the scar segmentation network is optimized alongside the generator, aiming to enhance both the realism of synthesized scars and the accuracy of the scar segmentation performance. Experimental results show that CLAIM produces anatomically coherent scar patterns and achieves higher Dice similarity with real scar distributions compared to baseline models. Our approach enables controllable and realistic myocardial scar synthesis and has demonstrated utility for downstream medical imaging task. Code is available at https://github.com/farheenjabeen/CLAIM-Scar-Synthesis.
For the immanent challenge of insufficiently annotated samples in the medical field, semi-supervised medical image segmentation (SSMIS) offers a promising solution. Despite achieving impressive results in delineating primary target areas, most current methodologies struggle to precisely capture the subtle details of boundaries. This deficiency often leads to significant diagnostic inaccuracies. To tackle this issue, we introduce C3S3, a novel semi-supervised segmentation model that synergistically integrates complementary competition and contrastive selection. This design significantly sharpens boundary delineation and enhances overall precision. Specifically, we develop an Outcome-Driven Contrastive Learning module dedicated to refining boundary localization. Additionally, we incorporate a Dynamic Complementary Competition module that leverages two high-performing sub-networks to generate pseudo-labels, thereby further improving segmentation quality. The proposed C3S3 undergoes rigorous validation on two publicly accessible datasets, encompassing the practices of both MRI and CT scans. The results demonstrate that our method achieves superior performance compared to previous cutting-edge competitors. Especially, on the 95HD and ASD metrics, our approach achieves a notable improvement of at least 6%, highlighting the significant advancements. The code is available at https://github.com/Y-TARL/C3S3.