Medical image segmentation is a critical yet challenging task, primarily due to the difficulty of obtaining extensive datasets of high-quality, expert-annotated images. Contrastive learning presents a potential but still problematic solution to this issue. Because most existing methods focus on extracting instance-level or pixel-to-pixel representation, which ignores the characteristics between intra-image similar pixel groups. Moreover, when considering contrastive pairs generation, most SOTA methods mainly rely on manually setting thresholds, which requires a large number of gradient experiments and lacks efficiency and generalization. To address these issues, we propose a novel contrastive learning approach named SuperCL for medical image segmentation pre-training. Specifically, our SuperCL exploits the structural prior and pixel correlation of images by introducing two novel contrastive pairs generation strategies: Intra-image Local Contrastive Pairs (ILCP) Generation and Inter-image Global Contrastive Pairs (IGCP) Generation. Considering superpixel cluster aligns well with the concept of contrastive pairs generation, we utilize the superpixel map to generate pseudo masks for both ILCP and IGCP to guide supervised contrastive learning. Moreover, we also propose two modules named Average SuperPixel Feature Map Generation (ASP) and Connected Components Label Generation (CCL) to better exploit the prior structural information for IGCP. Finally, experiments on 8 medical image datasets indicate our SuperCL outperforms existing 12 methods. i.e. Our SuperCL achieves a superior performance with more precise predictions from visualization figures and 3.15%, 5.44%, 7.89% DSC higher than the previous best results on MMWHS, CHAOS, Spleen with 10% annotations. Our code will be released after acceptance.
Root canal (RC) treatment is a highly delicate and technically complex procedure in clinical practice, heavily influenced by the clinicians' experience and subjective judgment. Deep learning has made significant advancements in the field of computer-aided diagnosis (CAD) because it can provide more objective and accurate diagnostic results. However, its application in RC treatment is still relatively rare, mainly due to the lack of public datasets in this field. To address this issue, in this paper, we established a First Molar Root Canal segmentation dataset called FMRC-2025. Additionally, to alleviate the workload of manual annotation for dentists and fully leverage the unlabeled data, we designed a Cross-Frequency Collaborative training semi-supervised learning (SSL) Network called CFC-Net. It consists of two components: (1) Cross-Frequency Collaborative Mean Teacher (CFC-MT), which introduces two specialized students (SS) and one comprehensive teacher (CT) for collaborative multi-frequency training. The CT and SS are trained on different frequency components while fully integrating multi-frequency knowledge through cross and full frequency consistency supervisions. (2) Uncertainty-guided Cross-Frequency Mix (UCF-Mix) mechanism enables the network to generate high-confidence pseudo-labels while learning to integrate multi-frequency information and maintaining the structural integrity of the targets. Extensive experiments on FMRC-2025 and three public dental datasets demonstrate that CFC-MT is effective for RC segmentation and can also exhibit strong generalizability on other dental segmentation tasks, outperforming state-of-the-art SSL medical image segmentation methods. Codes and dataset will be released.
Identifying spatial regions where biodiversity is threatened is crucial for effective ecosystem conservation and monitoring. In this stydy, we assessed varios machine learning methods to detect grazing trails automatically. We tested five semantic segmentation models combined with 14 different encoder networks. The best combination was UNet with MambaOut encoder. The solution proposed could be used as the basis for tools aiming at mapping and tracking changes in grazing trails on a continuous temporal basis.
Cancer detection and prognosis relies heavily on medical imaging, particularly CT and PET scans. Deep Neural Networks (DNNs) have shown promise in tumor segmentation by fusing information from these modalities. However, a critical bottleneck exists: the dependency on CT-PET data concurrently for training and inference, posing a challenge due to the limited availability of PET scans. Hence, there is a clear need for a flexible and efficient framework that can be trained with the widely available CT scans and can be still adapted for PET scans when they become available. In this work, we propose a parameter-efficient multi-modal adaptation (PEMMA) framework for lightweight upgrading of a transformer-based segmentation model trained only on CT scans such that it can be efficiently adapted for use with PET scans when they become available. This framework is further extended to perform prognosis task maintaining the same efficient cross-modal fine-tuning approach. The proposed approach is tested with two well-known segementation backbones, namely UNETR and Swin UNETR. Our approach offers two main advantages. Firstly, we leverage the inherent modularity of the transformer architecture and perform low-rank adaptation (LoRA) as well as decomposed low-rank adaptation (DoRA) of the attention weights to achieve parameter-efficient adaptation. Secondly, by minimizing cross-modal entanglement, PEMMA allows updates using only one modality without causing catastrophic forgetting in the other. Our method achieves comparable performance to early fusion, but with only 8% of the trainable parameters, and demonstrates a significant +28% Dice score improvement on PET scans when trained with a single modality. Furthermore, in prognosis, our method improves the concordance index by +10% when adapting a CT-pretrained model to include PET scans, and by +23% when adapting for both PET and EHR data.
Semantic segmentation of SAR images has garnered significant attention in remote sensing due to the immunity of SAR sensors to cloudy weather and light conditions. Nevertheless, SAR imagery lacks detailed information and is plagued by significant speckle noise, rendering the annotation or segmentation of SAR images a formidable task. Recent efforts have resorted to annotating paired optical-SAR images to generate pseudo-labels through the utilization of an optical image segmentation network. However, these pseudo-labels are laden with noise, leading to suboptimal performance in SAR image segmentation. In this study, we introduce a more precise method for generating pseudo-labels by incorporating semi-supervised learning alongside a novel image resolution alignment augmentation. Furthermore, we introduce a symmetric cross-entropy loss to mitigate the impact of noisy pseudo-labels. Additionally, a bag of training and testing tricks is utilized to generate better land-cover mapping results. Our experiments on the GRSS data fusion contest indicate the effectiveness of the proposed method, which achieves first place. The code is available at https://github.com/StuLiu/DFC2025Track1.git.
We propose an enhanced deep learning-based model for image segmentation of the left and right ventricles and myocardium scar tissue from cardiac magnetic resonance (CMR) images. The proposed technique integrates UNet, channel and spatial attention, edge-detection based skip-connection and deep supervised learning to improve the accuracy of the CMR image-segmentation. Images are processed using multiple channels to generate multiple feature-maps. We built a dual attention-based model to integrate channel and spatial attention. The use of extracted edges in skip connection improves the reconstructed images from feature-maps. The use of deep supervision reduces vanishing gradient problems inherent in classification based on deep neural networks. The algorithms for dual attention-based model, corresponding implementation and performance results are described. The performance results show that this approach has attained high accuracy: 98% Dice Similarity Score (DSC) and significantly lower Hausdorff Distance (HD). The performance results outperform other leading techniques both in DSC and HD.
Menisci are cartilaginous tissue found within the knee that contribute to joint lubrication and weight dispersal. Damage to menisci can lead to onset and progression of knee osteoarthritis (OA), a condition that is a leading cause of disability, and for which there are few effective therapies. Accurate automated segmentation of menisci would allow for earlier detection and treatment of meniscal abnormalities, as well as shedding more light on the role the menisci play in OA pathogenesis. Focus in this area has mainly used variants of convolutional networks, but there has been no attempt to utilise recent large vision transformer segmentation models. The Segment Anything Model (SAM) is a so-called foundation segmentation model, which has been found useful across a range of different tasks due to the large volume of data used for training the model. In this study, SAM was adapted to perform fully-automated segmentation of menisci from 3D knee magnetic resonance images. A 3D U-Net was also trained as a baseline. It was found that, when fine-tuning only the decoder, SAM was unable to compete with 3D U-Net, achieving a Dice score of $0.81\pm0.03$, compared to $0.87\pm0.03$, on a held-out test set. When fine-tuning SAM end-to-end, a Dice score of $0.87\pm0.03$ was achieved. The performance of both the end-to-end trained SAM configuration and the 3D U-Net were comparable to the winning Dice score ($0.88\pm0.03$) in the IWOAI Knee MRI Segmentation Challenge 2019. Performance in terms of the Hausdorff Distance showed that both configurations of SAM were inferior to 3D U-Net in matching the meniscus morphology. Results demonstrated that, despite its generalisability, SAM was unable to outperform a basic 3D U-Net in meniscus segmentation, and may not be suitable for similar 3D medical image segmentation tasks also involving fine anatomical structures with low contrast and poorly-defined boundaries.
The elliptical shape prior information plays a vital role in improving the accuracy of image segmentation for specific tasks in medical and natural images. Existing deep learning-based segmentation methods, including the Segment Anything Model (SAM), often struggle to produce segmentation results with elliptical shapes efficiently. This paper proposes a new approach to integrate the prior of elliptical shapes into the deep learning-based SAM image segmentation techniques using variational methods. The proposed method establishes a parameterized elliptical contour field, which constrains the segmentation results to align with predefined elliptical contours. Utilizing the dual algorithm, the model seamlessly integrates image features with elliptical priors and spatial regularization priors, thereby greatly enhancing segmentation accuracy. By decomposing SAM into four mathematical sub-problems, we integrate the variational ellipse prior to design a new SAM network structure, ensuring that the segmentation output of SAM consists of elliptical regions. Experimental results on some specific image datasets demonstrate an improvement over the original SAM.
Pap smear image segmentation is crucial for cervical cancer diagnosis. However, traditional segmentation models often struggle with complex cellular structures and variations in pap smear images. This study proposes a hybrid Dense-UNet201 optimization approach that integrates a pretrained DenseNet201 as the encoder for the U-Net architecture and optimizes it using the spider monkey optimization (SMO) algorithm. The Dense-UNet201 model excelled at feature extraction. The SMO was modified to handle categorical and discrete parameters. The SIPaKMeD dataset was used in this study and evaluated using key performance metrics, including loss, accuracy, Intersection over Union (IoU), and Dice coefficient. The experimental results showed that Dense-UNet201 outperformed U-Net, Res-UNet50, and Efficient-UNetB0. SMO Dense-UNet201 achieved a segmentation accuracy of 96.16%, an IoU of 91.63%, and a Dice coefficient score of 95.63%. These findings underscore the effectiveness of image preprocessing, pretrained models, and metaheuristic optimization in improving medical image analysis and provide new insights into cervical cell segmentation methods.
Transvaginal ultrasound is a critical imaging modality for evaluating cervical anatomy and detecting physiological changes. However, accurate segmentation of cervical structures remains challenging due to low contrast, shadow artifacts, and indistinct boundaries. While convolutional neural networks (CNNs) have demonstrated efficacy in medical image segmentation, their reliance on large-scale annotated datasets presents a significant limitation in clinical ultrasound imaging. Semi-supervised learning (SSL) offers a potential solution by utilizing unlabeled data, yet existing teacher-student frameworks often encounter confirmation bias and high computational costs. In this paper, a novel semi-supervised segmentation framework, called HDC, is proposed incorporating adaptive consistency learning with a single-teacher architecture. The framework introduces a hierarchical distillation mechanism with two objectives: Correlation Guidance Loss for aligning feature representations and Mutual Information Loss for stabilizing noisy student learning. The proposed approach reduces model complexity while enhancing generalization. Experiments on fetal ultrasound datasets, FUGC and PSFH, demonstrate competitive performance with reduced computational overhead compared to multi-teacher models.
Diffusion Probabilistic Models (DPMs) have demonstrated significant potential in 3D medical image segmentation tasks. However, their high computational cost and inability to fully capture global 3D contextual information limit their practical applications. To address these challenges, we propose a novel text-guided diffusion model framework, TextDiffSeg. This method leverages a conditional diffusion framework that integrates 3D volumetric data with natural language descriptions, enabling cross-modal embedding and establishing a shared semantic space between visual and textual modalities. By enhancing the model's ability to recognize complex anatomical structures, TextDiffSeg incorporates innovative label embedding techniques and cross-modal attention mechanisms, effectively reducing computational complexity while preserving global 3D contextual integrity. Experimental results demonstrate that TextDiffSeg consistently outperforms existing methods in segmentation tasks involving kidney and pancreas tumors, as well as multi-organ segmentation scenarios. Ablation studies further validate the effectiveness of key components, highlighting the synergistic interaction between text fusion, image feature extractor, and label encoder. TextDiffSeg provides an efficient and accurate solution for 3D medical image segmentation, showcasing its broad applicability in clinical diagnosis and treatment planning.
Deep learning models have achieved impressive performance in medical image segmentation, yet their black-box nature limits clinical adoption. In vascular applications, trustworthy segmentation should rely on both local image cues and global anatomical structures, such as vessel connectivity or branching. However, the extent to which models leverage such global context remains unclear. We present a novel explainability pipeline for 3D vessel segmentation, combining gradient-based attribution with graph-guided point selection and a blob-based analysis of Saliency maps. Using vascular graphs extracted from ground truth, we define anatomically meaningful points of interest (POIs) and assess the contribution of input voxels via Saliency maps. These are analyzed at both global and local scales using a custom blob detector. Applied to IRCAD and Bullitt datasets, our analysis shows that model decisions are dominated by highly localized attribution blobs centered near POIs. Attribution features show little correlation with vessel-level properties such as thickness, tubularity, or connectivity -- suggesting limited use of global anatomical reasoning. Our results underline the importance of structured explainability tools and highlight the current limitations of segmentation models in capturing global vascular context.
Image segmentation beyond predefined categories is a key challenge in remote sensing, where novel and unseen classes often emerge during inference. Open-vocabulary image Segmentation addresses these generalization issues in traditional supervised segmentation models while reducing reliance on extensive per-pixel annotations, which are both expensive and labor-intensive to obtain. Most Open-Vocabulary Segmentation (OVS) methods are designed for natural images but struggle with remote sensing data due to scale variations, orientation changes, and complex scene compositions. This necessitates the development of OVS approaches specifically tailored for remote sensing. In this context, we propose AerOSeg, a novel OVS approach for remote sensing data. First, we compute robust image-text correlation features using multiple rotated versions of the input image and domain-specific prompts. These features are then refined through spatial and class refinement blocks. Inspired by the success of the Segment Anything Model (SAM) in diverse domains, we leverage SAM features to guide the spatial refinement of correlation features. Additionally, we introduce a semantic back-projection module and loss to ensure the seamless propagation of SAM's semantic information throughout the segmentation pipeline. Finally, we enhance the refined correlation features using a multi-scale attention-aware decoder to produce the final segmentation map. We validate our SAM-guided Open-Vocabulary Remote Sensing Segmentation model on three benchmark remote sensing datasets: iSAID, DLRSD, and OpenEarthMap. Our model outperforms state-of-the-art open-vocabulary segmentation methods, achieving an average improvement of 2.54 h-mIoU.
With the success of image generation, generative diffusion models are increasingly adopted for discriminative tasks, as pixel generation provides a unified perception interface. However, directly repurposing the generative denoising process for discriminative objectives reveals critical gaps rarely addressed previously. Generative models tolerate intermediate sampling errors if the final distribution remains plausible, but discriminative tasks require rigorous accuracy throughout, as evidenced in challenging multi-modal tasks like referring image segmentation. Motivated by this gap, we analyze and enhance alignment between generative diffusion processes and perception tasks, focusing on how perception quality evolves during denoising. We find: (1) earlier denoising steps contribute disproportionately to perception quality, prompting us to propose tailored learning objectives reflecting varying timestep contributions; (2) later denoising steps show unexpected perception degradation, highlighting sensitivity to training-denoising distribution shifts, addressed by our diffusion-tailored data augmentation; and (3) generative processes uniquely enable interactivity, serving as controllable user interfaces adaptable to correctional prompts in multi-round interactions. Our insights significantly improve diffusion-based perception models without architectural changes, achieving state-of-the-art performance on depth estimation, referring image segmentation, and generalist perception tasks. Code available at https://github.com/ziqipang/ADDP.
Medical image segmentation remains challenging due to the high cost of pixel-level annotations for training. In the context of weak supervision, clinician gaze data captures regions of diagnostic interest; however, its sparsity limits its use for segmentation. In contrast, vision-language models (VLMs) provide semantic context through textual descriptions but lack the explanation precision required. Recognizing that neither source alone suffices, we propose a teacher-student framework that integrates both gaze and language supervision, leveraging their complementary strengths. Our key insight is that gaze data indicates where clinicians focus during diagnosis, while VLMs explain why those regions are significant. To implement this, the teacher model first learns from gaze points enhanced by VLM-generated descriptions of lesion morphology, establishing a foundation for guiding the student model. The teacher then directs the student through three strategies: (1) Multi-scale feature alignment to fuse visual cues with textual semantics; (2) Confidence-weighted consistency constraints to focus on reliable predictions; (3) Adaptive masking to limit error propagation in uncertain areas. Experiments on the Kvasir-SEG, NCI-ISBI, and ISIC datasets show that our method achieves Dice scores of 80.78%, 80.53%, and 84.22%, respectively-improving 3-5% over gaze baselines without increasing the annotation burden. By preserving correlations among predictions, gaze data, and lesion descriptions, our framework also maintains clinical interpretability. This work illustrates how integrating human visual attention with AI-generated semantic context can effectively overcome the limitations of individual weak supervision signals, thereby advancing the development of deployable, annotation-efficient medical AI systems. Code is available at: https://github.com/jingkunchen/FGI.git.
Accurate medical image segmentation is essential for effective diagnosis and treatment. Previously, PraNet-V1 was proposed to enhance polyp segmentation by introducing a reverse attention (RA) module that utilizes background information. However, PraNet-V1 struggles with multi-class segmentation tasks. To address this limitation, we propose PraNet-V2, which, compared to PraNet-V1, effectively performs a broader range of tasks including multi-class segmentation. At the core of PraNet-V2 is the Dual-Supervised Reverse Attention (DSRA) module, which incorporates explicit background supervision, independent background modeling, and semantically enriched attention fusion. Our PraNet-V2 framework demonstrates strong performance on four polyp segmentation datasets. Additionally, by integrating DSRA to iteratively enhance foreground segmentation results in three state-of-the-art semantic segmentation models, we achieve up to a 1.36% improvement in mean Dice score. Code is available at: https://github.com/ai4colonoscopy/PraNet-V2/tree/main/binary_seg/jittor.
Deep learning techniques have achieved remarkable success in the semantic segmentation of remote sensing images and in land-use change detection. Nevertheless, their real-time deployment on edge platforms remains constrained by decoder complexity. Herein, we introduce LightFormer, a lightweight decoder for time-critical tasks that involve unstructured targets, such as disaster assessment, unmanned aerial vehicle search-and-rescue, and cultural heritage monitoring. LightFormer employs a feature-fusion and refinement module built on channel processing and a learnable gating mechanism to aggregate multi-scale, multi-range information efficiently, which drastically curtails model complexity. Furthermore, we propose a spatial information selection module (SISM) that integrates long-range attention with a detail preservation branch to capture spatial dependencies across multiple scales, thereby substantially improving the recognition of unstructured targets in complex scenes. On the ISPRS Vaihingen benchmark, LightFormer attains 99.9% of GLFFNet's mIoU (83.9% vs. 84.0%) while requiring only 14.7% of its FLOPs and 15.9% of its parameters, thus achieving an excellent accuracy-efficiency trade-off. Consistent results on LoveDA, ISPRS Potsdam, RescueNet, and FloodNet further demonstrate its robustness and superior perception of unstructured objects. These findings highlight LightFormer as a practical solution for remote sensing applications where both computational economy and high-precision segmentation are imperative.
Current methods for pathology image segmentation typically treat 2D slices independently, ignoring valuable cross-slice information. We present PathSeqSAM, a novel approach that treats 2D pathology slices as sequential video frames using SAM2's memory mechanisms. Our method introduces a distance-aware attention mechanism that accounts for variable physical distances between slices and employs LoRA for domain adaptation. Evaluated on the KPI Challenge 2024 dataset for glomeruli segmentation, PathSeqSAM demonstrates improved segmentation quality, particularly in challenging cases that benefit from cross-slice context. We have publicly released our code at https://github.com/JackyyyWang/PathSeqSAM.
Due to the success of CNN-based and Transformer-based models in various computer vision tasks, recent works study the applicability of CNN-Transformer hybrid architecture models in 3D multi-modality medical segmentation tasks. Introducing Transformer brings long-range dependent information modeling ability in 3D medical images to hybrid models via the self-attention mechanism. However, these models usually employ fixed receptive fields of 3D volumetric features within each self-attention layer, ignoring the multi-scale volumetric lesion features. To address this issue, we propose a CNN-Transformer hybrid 3D medical image segmentation model, named TMA-TransBTS, based on an encoder-decoder structure. TMA-TransBTS realizes simultaneous extraction of multi-scale 3D features and modeling of long-distance dependencies by multi-scale division and aggregation of 3D tokens in a self-attention layer. Furthermore, TMA-TransBTS proposes a 3D multi-scale cross-attention module to establish a link between the encoder and the decoder for extracting rich volume representations by exploiting the mutual attention mechanism of cross-attention and multi-scale aggregation of 3D tokens. Extensive experimental results on three public 3D medical segmentation datasets show that TMA-TransBTS achieves higher averaged segmentation results than previous state-of-the-art CNN-based 3D methods and CNN-Transform hybrid 3D methods for the segmentation of 3D multi-modality brain tumors.
Medical image restoration tasks aim to recover high-quality images from degraded observations, exhibiting emergent desires in many clinical scenarios, such as low-dose CT image denoising, MRI super-resolution, and MRI artifact removal. Despite the success achieved by existing deep learning-based restoration methods with sophisticated modules, they struggle with rendering computationally-efficient reconstruction results. Moreover, they usually ignore the reliability of the restoration results, which is much more urgent in medical systems. To alleviate these issues, we present LRformer, a Lightweight Transformer-based method via Reliability-guided learning in the frequency domain. Specifically, inspired by the uncertainty quantification in Bayesian neural networks (BNNs), we develop a Reliable Lesion-Semantic Prior Producer (RLPP). RLPP leverages Monte Carlo (MC) estimators with stochastic sampling operations to generate sufficiently-reliable priors by performing multiple inferences on the foundational medical image segmentation model, MedSAM. Additionally, instead of directly incorporating the priors in the spatial domain, we decompose the cross-attention (CA) mechanism into real symmetric and imaginary anti-symmetric parts via fast Fourier transform (FFT), resulting in the design of the Guided Frequency Cross-Attention (GFCA) solver. By leveraging the conjugated symmetric property of FFT, GFCA reduces the computational complexity of naive CA by nearly half. Extensive experimental results in various tasks demonstrate the superiority of the proposed LRformer in both effectiveness and efficiency.