Accurate identification and localisation of brain tumours from medical images remain challenging due to tumour variability and structural complexity. Convolutional Neural Networks (CNNs), particularly ResNet and Unet, have made significant progress in medical image processing, offering robust capabilities for image segmentation. However, limited research has explored their integration with human-computer interaction (HCI) to enhance usability, interpretability, and clinical applicability. This paper introduces ResUnet++, an advanced hybrid model combining ResNet and Unet++, designed to improve tumour detection and localisation while fostering seamless interaction between clinicians and medical imaging systems. ResUnet++ integrates residual blocks in both the downsampling and upsampling phases, ensuring critical image features are preserved. By incorporating HCI principles, the model provides intuitive, real-time feedback, enabling clinicians to visualise and interact with tumour localisation results effectively. This fosters informed decision-making and supports workflow efficiency in clinical settings. We evaluated ResUnet++ on the LGG Segmentation Dataset, achieving a Jaccard Loss of 98.17%. The results demonstrate its strong segmentation performance and potential for real-world applications. By bridging advanced medical imaging techniques with HCI, ResUnet++ offers a foundation for developing interactive diagnostic tools, improving clinician trust, decision accuracy, and patient outcomes, and advancing the integration of AI in healthcare workflows.
Multimodal learning has been demonstrated to enhance performance across various clinical tasks, owing to the diverse perspectives offered by different modalities of data. However, existing multimodal segmentation methods rely on well-registered multimodal data, which is unrealistic for real-world clinical images, particularly for indistinct and diffuse regions such as liver tumors. In this paper, we introduce Diff4MMLiTS, a four-stage multimodal liver tumor segmentation pipeline: pre-registration of the target organs in multimodal CTs; dilation of the annotated modality's mask and followed by its use in inpainting to obtain multimodal normal CTs without tumors; synthesis of strictly aligned multimodal CTs with tumors using the latent diffusion model based on multimodal CT features and randomly generated tumor masks; and finally, training the segmentation model, thus eliminating the need for strictly aligned multimodal data. Extensive experiments on public and internal datasets demonstrate the superiority of Diff4MMLiTS over other state-of-the-art multimodal segmentation methods.
Federated learning (FL) enables collaborative model training across decentralized datasets while preserving data privacy. However, optimally selecting participating collaborators in dynamic FL environments remains challenging. We present RL-HSimAgg, a novel reinforcement learning (RL) and similarity-weighted aggregation (simAgg) algorithm using harmonic mean to manage outlier data points. This paper proposes applying multi-armed bandit algorithms to improve collaborator selection and model generalization. By balancing exploration-exploitation trade-offs, these RL methods can promote resource-efficient training with diverse datasets. We demonstrate the effectiveness of Epsilon-greedy (EG) and upper confidence bound (UCB) algorithms for federated brain lesion segmentation. In simulation experiments on internal and external validation sets, RL-HSimAgg with UCB collaborator outperformed the EG method across all metrics, achieving higher Dice scores for Enhancing Tumor (0.7334 vs 0.6797), Tumor Core (0.7432 vs 0.6821), and Whole Tumor (0.8252 vs 0.7931) segmentation. Therefore, for the Federated Tumor Segmentation Challenge (FeTS 2024), we consider UCB as our primary client selection approach in federated Glioblastoma lesion segmentation of multi-modal MRIs. In conclusion, our research demonstrates that RL-based collaborator management, e.g. using UCB, can potentially improve model robustness and flexibility in distributed learning environments, particularly in domains like brain tumor segmentation.
This study presents a robust and efficient client selection protocol designed to optimize the Federated Learning (FL) process for the Federated Tumor Segmentation Challenge (FeTS 2024). In the evolving landscape of FL, the judicious selection of collaborators emerges as a critical determinant for the success and efficiency of collective learning endeavors, particularly in domains requiring high precision. This work introduces a recommender engine framework based on non-negative matrix factorization (NNMF) and a hybrid aggregation approach that blends content-based and collaborative filtering. This method intelligently analyzes historical performance, expertise, and other relevant metrics to identify the most suitable collaborators. This approach not only addresses the cold start problem where new or inactive collaborators pose selection challenges due to limited data but also significantly improves the precision and efficiency of the FL process. Additionally, we propose harmonic similarity weight aggregation (HSimAgg) for adaptive aggregation of model parameters. We utilized a dataset comprising 1,251 multi-parametric magnetic resonance imaging (mpMRI) scans from individuals diagnosed with glioblastoma (GBM) for training purposes and an additional 219 mpMRI scans for external evaluations. Our federated tumor segmentation approach achieved dice scores of 0.7298, 0.7424, and 0.8218 for enhancing tumor (ET), tumor core (TC), and whole tumor (WT) segmentation tasks respectively on the external validation set. In conclusion, this research demonstrates that selecting collaborators with expertise aligned to specific tasks, like brain tumor segmentation, improves the effectiveness of FL networks.
Deep learning models (DLMs) frequently achieve accurate segmentation and classification of tumors from medical images. However, DLMs lacking feedback on their image segmentation mechanisms, such as Dice coefficients and confidence in their performance, face challenges when processing previously unseen images in real-world clinical settings. Uncertainty estimates to identify DLM predictions at the cellular or single-pixel level that require clinician review can enhance trust. However, their deployment requires significant computational resources. This study reports two DLMs, one trained from scratch and another based on transfer learning, with Monte Carlo dropout or Bayes-by-backprop uncertainty estimations to segment lesions from the publicly available The International Skin Imaging Collaboration-19 dermoscopy image database with cancerous lesions. A novel approach to compute pixel-by-pixel uncertainty estimations of DLM segmentation performance in multiple clinical regions from a single dermoscopy image with corresponding Dice scores is reported for the first time. Image-level uncertainty maps demonstrated correspondence between imperfect DLM segmentation and high uncertainty levels in specific skin tissue regions, with or without lesions. Four new linear regression models that can predict the Dice performance of DLM segmentation using constants and uncertainty measures, either individually or in combination from lesions, tissue structures, and non-tissue pixel regions critical for clinical diagnosis and prognostication in skin images (Spearman's correlation, p < 0.05), are reported for the first time for low-compute uncertainty estimation workflows.
The recent emergence of the Segment Anything Model (SAM) enables various domain-specific segmentation tasks to be tackled cost-effectively by using bounding boxes as prompts. However, in scene text segmentation, SAM can not achieve desirable performance. The word-level bounding box as prompts is too coarse for characters, while the character-level bounding box as prompts suffers from over-segmentation and under-segmentation issues. In this paper, we propose an automatic annotation pipeline named Char-SAM, that turns SAM into a low-cost segmentation annotator with a Character-level visual prompt. Specifically, leveraging some existing text detection datasets with word-level bounding box annotations, we first generate finer-grained character-level bounding box prompts using the Character Bounding-box Refinement CBR module. Next, we employ glyph information corresponding to text character categories as a new prompt in the Character Glyph Refinement (CGR) module to guide SAM in producing more accurate segmentation masks, addressing issues of over-segmentation and under-segmentation. These modules fully utilize the bbox-to-mask capability of SAM to generate high-quality text segmentation annotations automatically. Extensive experiments on TextSeg validate the effectiveness of Char-SAM. Its training-free nature also enables the generation of high-quality scene text segmentation datasets from real-world datasets like COCO-Text and MLT17.
In medical image analysis, multi-organ semi-supervised segmentation faces challenges such as insufficient labels and low contrast in soft tissues. To address these issues, existing studies typically employ semi-supervised segmentation techniques using pseudo-labeling and consistency regularization. However, these methods mainly rely on individual data samples for training, ignoring the rich neighborhood information present in the feature space. In this work, we argue that supervisory information can be directly extracted from the geometry of the feature space. Inspired by the density-based clustering hypothesis, we propose using feature density to locate sparse regions within feature clusters. Our goal is to increase intra-class compactness by addressing sparsity issues. To achieve this, we propose a Density-Aware Contrastive Learning (DACL) strategy, pushing anchored features in sparse regions towards cluster centers approximated by high-density positive samples, resulting in more compact clusters. Specifically, our method constructs density-aware neighbor graphs using labeled and unlabeled data samples to estimate feature density and locate sparse regions. We also combine label-guided co-training with density-guided geometric regularization to form complementary supervision for unlabeled data. Experiments on the Multi-Organ Segmentation Challenge dataset demonstrate that our proposed method outperforms state-of-the-art methods, highlighting its efficacy in medical image segmentation tasks.
Panoptic segmentation, which combines instance and semantic segmentation, has gained a lot of attention in autonomous vehicles, due to its comprehensive representation of the scene. This task can be applied for cameras and LiDAR sensors, but there has been a limited focus on combining both sensors to enhance image panoptic segmentation (PS). Although previous research has acknowledged the benefit of 3D data on camera-based scene perception, no specific study has explored the influence of 3D data on image and video panoptic segmentation (VPS).This work seeks to introduce a feature fusion module that enhances PS and VPS by fusing LiDAR and image data for autonomous vehicles. We also illustrate that, in addition to this fusion, our proposed model, which utilizes two simple modifications, can further deliver even more high-quality VPS without being trained on video data. The results demonstrate a substantial improvement in both the image and video panoptic segmentation evaluation metrics by up to 5 points.
Tissue semantic segmentation is one of the key tasks in computational pathology. To avoid the expensive and laborious acquisition of pixel-level annotations, a wide range of studies attempt to adopt the class activation map (CAM), a weakly-supervised learning scheme, to achieve pixel-level tissue segmentation. However, CAM-based methods are prone to suffer from under-activation and over-activation issues, leading to poor segmentation performance. To address this problem, we propose a novel weakly-supervised semantic segmentation framework for histopathological images based on image-mixing synthesis and consistency regularization, dubbed HisynSeg. Specifically, synthesized histopathological images with pixel-level masks are generated for fully-supervised model training, where two synthesis strategies are proposed based on Mosaic transformation and B\'ezier mask generation. Besides, an image filtering module is developed to guarantee the authenticity of the synthesized images. In order to further avoid the model overfitting to the occasional synthesis artifacts, we additionally propose a novel self-supervised consistency regularization, which enables the real images without segmentation masks to supervise the training of the segmentation model. By integrating the proposed techniques, the HisynSeg framework successfully transforms the weakly-supervised semantic segmentation problem into a fully-supervised one, greatly improving the segmentation accuracy. Experimental results on three datasets prove that the proposed method achieves a state-of-the-art performance. Code is available at https://github.com/Vison307/HisynSeg.
Accurate segmentation of wind turbine blade (WTB) images is critical for effective assessments, as it directly influences the performance of automated damage detection systems. Despite advancements in large universal vision models, these models often underperform in domain-specific tasks like WTB segmentation. To address this, we extend Intrinsic LoRA for image segmentation, and propose a novel dual-space augmentation strategy that integrates both image-level and latent-space augmentations. The image-space augmentation is achieved through linear interpolation between image pairs, while the latent-space augmentation is accomplished by introducing a noise-based latent probabilistic model. Our approach significantly boosts segmentation accuracy, surpassing current state-of-the-art methods in WTB image segmentation.
As the successor to the Segment Anything Model (SAM), the Segment Anything Model 2 (SAM2) not only improves performance in image segmentation but also extends its capabilities to video segmentation. However, its effectiveness in segmenting rare objects that seldom appear in videos remains underexplored. In this study, we evaluate SAM2 on three distinct video segmentation tasks: Video Shadow Detection (VSD) and Video Mirror Detection (VMD). Specifically, we use ground truth point or mask prompts to initialize the first frame and then predict corresponding masks for subsequent frames. Experimental results show that SAM2's performance on these tasks is suboptimal, especially when point prompts are used, both quantitatively and qualitatively. Code is available at \url{https://github.com/LeipingJie/SAM2Video}
Camouflaged Object Detection (COD) aims to identify objects that blend seamlessly into their surroundings. The inherent visual complexity of camouflaged objects, including their low contrast with the background, diverse textures, and subtle appearance variations, often obscures semantic cues, making accurate segmentation highly challenging. Existing methods primarily rely on visual features, which are insufficient to handle the variability and intricacy of camouflaged objects, leading to unstable object perception and ambiguous segmentation results. To tackle these limitations, we introduce a novel task, class-guided camouflaged object detection (CGCOD), which extends traditional COD task by incorporating object-specific class knowledge to enhance detection robustness and accuracy. To facilitate this task, we present a new dataset, CamoClass, comprising real-world camouflaged objects with class annotations. Furthermore, we propose a multi-stage framework, CGNet, which incorporates a plug-and-play class prompt generator and a simple yet effective class-guided detector. This establishes a new paradigm for COD, bridging the gap between contextual understanding and class-guided detection. Extensive experimental results demonstrate the effectiveness of our flexible framework in improving the performance of proposed and existing detectors by leveraging class-level textual information.
In medical imaging, developing generalized segmentation models that can handle multiple organs and lesions is crucial. However, the scarcity of fully annotated datasets and strict privacy regulations present significant barriers to data sharing. Federated Learning (FL) allows decentralized model training, but existing FL methods often struggle with partial labeling, leading to model divergence and catastrophic forgetting. We propose ConDistFL, a novel FL framework incorporating conditional distillation to address these challenges. ConDistFL enables effective learning from partially labeled datasets, significantly improving segmentation accuracy across distributed and non-uniform datasets. In addition to its superior segmentation performance, ConDistFL maintains computational and communication efficiency, ensuring its scalability for real-world applications. Furthermore, ConDistFL demonstrates remarkable generalizability, significantly outperforming existing FL methods in out-of-federation tests, even adapting to unseen contrast phases (e.g., non-contrast CT images) in our experiments. Extensive evaluations on 3D CT and 2D chest X-ray datasets show that ConDistFL is an efficient, adaptable solution for collaborative medical image segmentation in privacy-constrained settings.
Creating fully annotated labels for medical image segmentation is prohibitively time-intensive and costly, emphasizing the necessity for innovative approaches that minimize reliance on detailed annotations. Scribble annotations offer a more cost-effective alternative, significantly reducing the expenses associated with full annotations. However, scribble annotations offer limited and imprecise information, failing to capture the detailed structural and boundary characteristics necessary for accurate organ delineation. To address these challenges, we propose HELPNet, a novel scribble-based weakly supervised segmentation framework, designed to bridge the gap between annotation efficiency and segmentation performance. HELPNet integrates three modules. The Hierarchical perturbations consistency (HPC) module enhances feature learning by employing density-controlled jigsaw perturbations across global, local, and focal views, enabling robust modeling of multi-scale structural representations. Building on this, the Entropy-guided pseudo-label (EGPL) module evaluates the confidence of segmentation predictions using entropy, generating high-quality pseudo-labels. Finally, the structural prior refinement (SPR) module incorporates connectivity and bounded priors to enhance the precision and reliability and pseudo-labels. Experimental results on three public datasets ACDC, MSCMRseg, and CHAOS show that HELPNet significantly outperforms state-of-the-art methods for scribble-based weakly supervised segmentation and achieves performance comparable to fully supervised methods. The code is available at https://github.com/IPMI-NWU/HELPNet.
Open-vocabulary panoptic segmentation remains a challenging problem. One of the biggest difficulties lies in training models to generalize to an unlimited number of classes using limited categorized training data. Recent popular methods involve large-scale vision-language pre-trained foundation models, such as CLIP. In this paper, we propose OMTSeg for open-vocabulary segmentation using another large-scale vision-language pre-trained model called BEiT-3 and leveraging the cross-modal attention between visual and linguistic features in BEiT-3 to achieve better performance. Experiments result demonstrates that OMTSeg performs favorably against state-of-the-art models.
Lumbar disk segmentation is essential for diagnosing and curing spinal disorders by enabling precise detection of disk boundaries in medical imaging. The advent of deep learning has resulted in the development of many segmentation methods, offering differing levels of accuracy and effectiveness. This study assesses the effectiveness of several sophisticated deep learning architectures, including ResUnext, Ef3 Net, UNet, and TransUNet, for lumbar disk segmentation, highlighting key metrics like as Pixel Accuracy, Mean Intersection over Union (Mean IoU), and Dice Coefficient. The findings indicate that ResUnext achieved the highest segmentation accuracy, with a Pixel Accuracy of 0.9492 and a Dice Coefficient of 0.8425, with TransUNet following closely after. Filtering techniques somewhat enhanced the performance of most models, particularly Dense UNet, improving stability and segmentation quality. The findings underscore the efficacy of these models in lumbar disk segmentation and highlight potential areas for improvement.
Recent advances in Large Vision-Language Models (LVLMs) have sparked significant progress in general-purpose vision tasks through visual instruction tuning. While some works have demonstrated the capability of LVLMs to generate segmentation masks that align phrases with natural language descriptions in a single image, they struggle with segmentation-grounded comparisons across multiple images, particularly at finer granularities such as object parts. In this paper, we introduce the new task of part-focused semantic co-segmentation, which seeks to identify and segment common and unique objects and parts across images. To address this task, we present CALICO, the first LVLM that can segment and reason over multiple masks across images, enabling object comparison based on their constituent parts. CALICO features two proposed components, a novel Correspondence Extraction Module, which captures semantic-rich information to identify part-level correspondences between objects, and a Correspondence Adaptation Module, which embeds this information into the LVLM to facilitate multi-image understanding in a parameter-efficient manner. To support training and evaluation, we curate MixedParts, a comprehensive multi-image segmentation dataset containing $\sim$2.4M samples across $\sim$44K images with diverse object and part categories. Experimental results show CALICO, finetuned on only 0.3% of its architecture, achieves robust performance in part-focused semantic co-segmentation.
Objective: To develop a novel deep learning framework for the automated segmentation of colonic polyps in colonoscopy images, overcoming the limitations of current approaches in preserving precise polyp boundaries, incorporating multi-scale features, and modeling spatial dependencies that accurately reflect the intricate and diverse morphology of polyps. Methods: To address these limitations, we propose a novel Multiscale Network with Spatial-enhanced Attention (MNet-SAt) for polyp segmentation in colonoscopy images. This framework incorporates four key modules: Edge-Guided Feature Enrichment (EGFE) preserves edge information for improved boundary quality; Multi-Scale Feature Aggregator (MSFA) extracts and aggregates multi-scale features across channel spatial dimensions, focusing on salient regions; Spatial-Enhanced Attention (SEAt) captures spatial-aware global dependencies within the multi-scale aggregated features, emphasizing the region of interest; and Channel-Enhanced Atrous Spatial Pyramid Pooling (CE-ASPP) resamples and recalibrates attentive features across scales. Results: We evaluated MNet-SAt on the Kvasir-SEG and CVC-ClinicDB datasets, achieving Dice Similarity Coefficients of 96.61% and 98.60%, respectively. Conclusion: Both quantitative (DSC) and qualitative assessments highlight MNet-SAt's superior performance and generalization capabilities compared to existing methods. Significance: MNet-SAt's high accuracy in polyp segmentation holds promise for improving clinical workflows in early polyp detection and more effective treatment, contributing to reduced colorectal cancer mortality rates.
The choroid provides oxygen and nourishment to the outer retina thus is related to the pathology of various ocular diseases. Optical coherence tomography (OCT) is advantageous in visualizing and quantifying the choroid in vivo. However, its application in the study of the choroid is still limited for two reasons. (1) The lower boundary of the choroid (choroid-sclera interface) in OCT is fuzzy, which makes the automatic segmentation difficult and inaccurate. (2) The visualization of the choroid is hindered by the vessel shadows from the superficial layers of the inner retina. In this paper, we propose to incorporate medical and imaging prior knowledge with deep learning to address these two problems. We propose a biomarker-infused global-to-local network (Bio-Net) for the choroid segmentation, which not only regularizes the segmentation via predicted choroid thickness, but also leverages a global-to-local segmentation strategy to provide global structure information and suppress overfitting. For eliminating the retinal vessel shadows, we propose a deep-learning pipeline, which firstly locate the shadows using their projection on the retinal pigment epithelium layer, then the contents of the choroidal vasculature at the shadow locations are predicted with an edge-to-texture generative adversarial inpainting network. The results show our method outperforms the existing methods on both tasks. We further apply the proposed method in a clinical prospective study for understanding the pathology of glaucoma, which demonstrates its capacity in detecting the structure and vascular changes of the choroid related to the elevation of intra-ocular pressure.
Purpose: To evaluate various Segmental Anything Model (SAM) prompt strategies across four lesions datasets and to subsequently develop a reinforcement learning (RL) agent to optimize SAM prompt placement. Materials and Methods: This retrospective study included patients with four independent ovarian, lung, renal, and breast tumor datasets. Manual segmentation and SAM-assisted segmentation were performed for all lesions. A RL model was developed to predict and select SAM points to maximize segmentation performance. Statistical analysis of segmentation was conducted using pairwise t-tests. Results: Results show that increasing the number of prompt points significantly improves segmentation accuracy, with Dice coefficients rising from 0.272 for a single point to 0.806 for five or more points in ovarian tumors. The prompt location also influenced performance, with surface and union-based prompts outperforming center-based prompts, achieving mean Dice coefficients of 0.604 and 0.724 for ovarian and breast tumors, respectively. The RL agent achieved a peak Dice coefficient of 0.595 for ovarian tumors, outperforming random and alternative RL strategies. Additionally, it significantly reduced segmentation time, achieving a nearly 10-fold improvement compared to manual methods using SAM. Conclusion: While increased SAM prompts and non-centered prompts generally improved segmentation accuracy, each pathology and modality has specific optimal thresholds and placement strategies. Our RL agent achieved superior performance compared to other agents while achieving a significant reduction in segmentation time.