Daily Papers

Vision Foundation Models (VFMs) pre-trained at scale enable a single frozen encoder to serve multiple downstream tasks simultaneously. Recent VFM-based encoder-only models for image and video segmentation, such as EoMT and VidEoMT, achieve competitive accuracy with remarkably low latency, yet they require finetuning the encoder, sacrificing the multi-task encoder sharing that makes VFMs practically attractive for large-scale deployment. To reconcile encoder-only simplicity and speed with frozen VFM features, we propose the Plain Mask Decoder (PMD), a fast Transformer-based segmentation decoder that operates on top of frozen VFM features. The resulting model, the Plain Mask Transformer (PMT), preserves the architectural simplicity and low latency of encoder-only designs while keeping the encoder representation unchanged and shareable. The design seamlessly applies to both image and video segmentation, inheriting the generality of the encoder-only framework. On standard image segmentation benchmarks, PMT matches the frozen-encoder state of the art while running up to ~3x faster. For video segmentation, it even performs on par with fully finetuned methods, while being up to 8x faster than state-of-the-art frozen-encoder models. Code: https://github.com/tue-mps/pmt.

Deep learning-based 3D medical image segmentation methods relies on large-scale labeled datasets, yet acquiring such data is difficult due to privacy constraints and the high cost of expert annotation. Formula-Driven Supervised Learning (FDSL) offers an appealing alternative by generating training data and labels directly from mathematical formulas. However, existing voxel-based approaches are limited in geometric expressiveness and cannot synthesize realistic textures. We introduce Formula-Driven supervised learning with Implicit Functions (FDIF), a framework that enables scalable pre-training without using any real data and medical expert annotations. FDIF introduces an implicit-function representation based on signed distance functions (SDFs), enabling compact modeling of complex geometries while exploiting the surface representation of SDFs to support controllable synthesis of both geometric and intensity textures. Across three medical image segmentation benchmarks (AMOS, ACDC, and KiTS) and three architectures (SwinUNETR, nnUNet ResEnc-L, and nnUNet Primus-M), FDIF consistently improves over a formula-driven method, and achieves performance comparable to self-supervised approaches pre-trained on large-scale real datasets. We further show that FDIF pre-training also benefits 3D classification tasks, highlighting implicit-function-based formula supervision as a promising paradigm for data-free representation learning. Code is available at https://github.com/yamanoko/FDIF.

Medical image segmentation relies on the ability of encoder-decoder architectures to translate rich feature representations into accurate pixel-level predictions under challenging conditions such as low contrast, structural ambiguity, and scale variability. While recent advances in large-scale pretraining and transformer-based encoders have substantially improved feature extraction, segmentation accuracy remains constrained by decoder design, particularly in terms of cross-scale alignment, contextual integration, and boundary preservation. In this work, we revisit medical image segmentation from a decoder-centric perspective and propose a context-aware gated decoder that systematically regulates feature fusion and contextual aggregation throughout the decoding process. The proposed decoder integrates lightweight multi-scale channel recalibration, gated skip fusion with spatial competition and a global context aggregation mechanism that injects encoder-wide information into intermediate decoding stages. This design enables effective translation of strong pretrained encoder representations into spatially consistent predictions. Extensive experiments across 11 medical image segmentation benchmarks validate the effectiveness and demonstrate that the proposed approach consistently outperforms strong baselines while remaining computationally practical. Code: https://github.com/saadwazir/MedCAGD

Medical images often exhibit distribution shifts due to variations in imaging protocols and scanners across different medical centers. Domain Generalization (DG) methods aim to train models on source domains that can generalize to unseen target domains. Recently, the segment anything model (SAM) has demonstrated strong generalization capabilities due to its prompt-based design, and has gained significant attention in image segmentation tasks. Existing SAM-based approaches attempt to address the need for manual prompts by introducing prompt generators that automatically generate these prompts. However, we argue that auto-generated prompts may not be sufficiently accurate under distribution shifts, potentially leading to incorrect predictions that still require manual verification and correction by clinicians. To address this challenge, we propose a method for 2D medical image segmentation called Self-Correcting SAM (CoSAM). Our approach begins by generating coarse masks using SAM in a prompt-free manner, providing prior prompts for the subsequent stages, and eliminating the need for prompt generators. To automatically refine these coarse masks, we introduce a generalized error decoder that simulates the correction process typically performed by clinicians. Furthermore, we generate diverse prompts as feedback based on the corrected masks, which are used to iteratively refine the predictions within a self-correcting loop, enhancing the generalization performance of our model. Extensive experiments on two medical image segmentation benchmarks across multiple scenarios demonstrate the superiority of CoSAM over state-of-the-art SAM-based methods.

Conversational image segmentation grounds abstract, intent-driven concepts into pixel-accurate masks. Prior work on referring image grounding focuses on categorical and spatial queries (e.g., "left-most apple") and overlooks functional and physical reasoning (e.g., "where can I safely store the knife?"). We address this gap and introduce Conversational Image Segmentation (CIS) and ConverSeg, a benchmark spanning entities, spatial relations, intent, affordances, functions, safety, and physical reasoning. We also present ConverSeg-Net, which fuses strong segmentation priors with language understanding, and an AI-powered data engine that generates prompt-mask pairs without human supervision. We show that current language-guided segmentation models are inadequate for CIS, while ConverSeg-Net trained on our data engine achieves significant gains on ConverSeg and maintains strong performance on existing language-guided segmentation benchmarks. Project webpage: https://glab-caltech.github.io/converseg/

The open-vocabulary image segmentation task involves partitioning images into semantically meaningful segments and classifying them with flexible text-defined categories. The recent vision-based foundation models such as the Segment Anything Model (SAM) have shown superior performance in generating class-agnostic image segments. The main challenge in open-vocabulary image segmentation now lies in accurately classifying these segments into text-defined categories. In this paper, we introduce the Universal Segment Embedding (USE) framework to address this challenge. This framework is comprised of two key components: 1) a data pipeline designed to efficiently curate a large amount of segment-text pairs at various granularities, and 2) a universal segment embedding model that enables precise segment classification into a vast range of text-defined categories. The USE model can not only help open-vocabulary image segmentation but also facilitate other downstream tasks (e.g., querying and ranking). Through comprehensive experimental studies on semantic segmentation and part segmentation benchmarks, we demonstrate that the USE framework outperforms state-of-the-art open-vocabulary segmentation methods.

Radiology foundation models learn transferable representations that can be adapted to new tasks by training only small layers on top of a frozen encoder. Dense prediction tasks such as 3D segmentation are, however, underrepresented in their evaluation, and, with the encoder kept frozen, pre-trained models still fall short of nnU-Net, the state-of-the-art reference trained from scratch. To close this gap we extend convolutional MAE pre-training with a robust reconstruction objective, a feature regularizer, and a local-global similarity objective. Using this method, we propose Curia-MAE, a multi-modal, multi-anatomy MAE model pre-trained on 300,000 CT and MRI images covering a large number of anatomical sites. On eight anatomy- and lesion-focused segmentation benchmarks, Curia-MAE improves frozen-encoder performance over a strong MAE baseline, while remaining competitive under full finetuning and superior on lesion tasks, where labeled data is scarce. These results indicate that a single frozen encoder can be reused across diverse segmentation tasks, reducing the cost of adapting and deploying such models in clinical workflows. Curia-MAE pre-trained model weights are made publicly available at https://huggingface.co/raidium/Curia-MAE.

Accurate segmentation of organs and tumors in CT and MRI scans is essential for diagnosis, treatment planning, and disease monitoring. While deep learning has advanced automated segmentation, most models remain task-specific, lacking generalizability across modalities and institutions. Vision foundation models (FMs) pretrained on billion-scale natural images offer powerful and transferable representations. However, adapting them to medical imaging faces two key challenges: (1) the ViT backbone of most foundation models still underperform specialized CNNs on medical image segmentation, and (2) the large domain gap between natural and medical images limits transferability. We introduce MedDINOv3, a simple and effective framework for adapting DINOv3 to medical segmentation. We first revisit plain ViTs and design a simple and effective architecture with multi-scale token aggregation. Then, we perform domain-adaptive pretraining on CT-3M, a curated collection of 3.87M axial CT slices, using a multi-stage DINOv3 recipe to learn robust dense features. MedDINOv3 matches or exceeds state-of-the-art performance across four segmentation benchmarks, demonstrating the potential of vision foundation models as unified backbones for medical image segmentation. The code is available at https://github.com/ricklisz/MedDINOv3.

Precise image segmentation provides clinical study with meaningful and well-structured information. Despite the remarkable progress achieved in medical image segmentation, there is still an absence of foundation segmentation model that can segment a wide range of anatomical categories with easy user interaction. In this paper, we propose a universal and interactive volumetric medical image segmentation model, named SegVol. By training on 90k unlabeled Computed Tomography (CT) volumes and 6k labeled CTs, this foundation model supports the segmentation of over 200 anatomical categories using semantic and spatial prompts. Extensive experiments verify that SegVol outperforms the state of the art by a large margin on multiple segmentation benchmarks. Notably, on three challenging lesion datasets, our method achieves around 20% higher Dice score than nnU-Net. The model and data are publicly available at: https://github.com/BAAI-DCAI/SegVol.

Recently, the state space model Mamba has demonstrated efficient long-sequence modeling capabilities, particularly for addressing long-sequence visual tasks in 3D medical imaging. However, existing generative self-supervised learning methods have not yet fully unleashed Mamba's potential for handling long-range dependencies because they overlook the inherent causal properties of state space sequences in masked modeling. To address this challenge, we propose a general-purpose pre-training framework called MambaMIM, a masked image modeling method based on a novel TOKen-Interpolation strategy (TOKI) for the selective structure state space sequence, which learns causal relationships of state space within the masked sequence. Further, MambaMIM introduces a bottom-up 3D hybrid masking strategy to maintain a masking consistency across different architectures and can be used on any single or hybrid Mamba architecture to enhance its multi-scale and long-range representation capability. We pre-train MambaMIM on a large-scale dataset of 6.8K CT scans and evaluate its performance across eight public medical segmentation benchmarks. Extensive downstream experiments reveal the feasibility and advancement of using Mamba for medical image pre-training. In particular, when we apply the MambaMIM to a customized architecture that hybridizes MedNeXt and Vision Mamba, we consistently obtain the state-of-the-art segmentation performance. The code is available at: https://github.com/FengheTan9/MambaMIM.

Unsupervised domain adaptation for medical image segmentation remains a significant challenge due to substantial domain shifts across imaging modalities, such as CT and MRI. While recent vision-language representation learning methods have shown promise, their potential in UDA segmentation tasks remains underexplored. To address this gap, we propose TCSA-UDA, a Text-driven Cross-Semantic Alignment framework that leverages domain-invariant textual class descriptions to guide visual representation learning. Our approach introduces a vision-language covariance cosine loss to directly align image encoder features with inter-class textual semantic relations, encouraging semantically meaningful and modality-invariant feature representations. Additionally, we incorporate a prototype alignment module that aligns class-wise pixel-level feature distributions across domains using high-level semantic prototypes. This mitigates residual category-level discrepancies and enhances cross-modal consistency. Extensive experiments on challenging cross-modality cardiac, abdominal, and brain tumor segmentation benchmarks demonstrate that our TCSA-UDA framework significantly reduces domain shift and consistently outperforms state-of-the-art UDA methods, establishing a new paradigm for integrating language-driven semantics into domain-adaptive medical image analysis.

Medical image segmentation remains a formidable challenge due to the label scarcity. Pre-training Vision Transformer (ViT) through masked image modeling (MIM) on large-scale unlabeled medical datasets presents a promising solution, providing both computational efficiency and model generalization for various downstream tasks. However, current ViT-based MIM pre-training frameworks predominantly emphasize local aggregation representations in output layers and fail to exploit the rich representations across different ViT layers that better capture fine-grained semantic information needed for more precise medical downstream tasks. To fill the above gap, we hereby present Hierarchical Encoder-driven MAE (Hi-End-MAE), a simple yet effective ViT-based pre-training solution, which centers on two key innovations: (1) Encoder-driven reconstruction, which encourages the encoder to learn more informative features to guide the reconstruction of masked patches; and (2) Hierarchical dense decoding, which implements a hierarchical decoding structure to capture rich representations across different layers. We pre-train Hi-End-MAE on a large-scale dataset of 10K CT scans and evaluated its performance across seven public medical image segmentation benchmarks. Extensive experiments demonstrate that Hi-End-MAE achieves superior transfer learning capabilities across various downstream tasks, revealing the potential of ViT in medical imaging applications. The code is available at: https://github.com/FengheTan9/Hi-End-MAE

Multimodal Large Language Models (MLLMs) have demonstrated strong image-level visual understanding and reasoning, yet their pixel-level perception across both images and videos remains limited. Foundation segmentation models such as the SAM series produce high-quality masks, but they rely on low-level visual prompts and cannot natively interpret complex conversational instructions. Existing segmentation MLLMs narrow this gap, but are usually specialized for either images or videos and rarely support both textual and visual prompts in one interface. We introduce X2SAM, a unified segmentation MLLM that extends any-segmentation capabilities from images to videos. Given conversational instructions and visual prompts, X2SAM couples an LLM with a Mask Memory module that stores guided vision features for temporally consistent video mask generation. The same formulation supports generic, open-vocabulary, referring, reasoning, grounded conversation generation, interactive, and visual grounded segmentation across image and video inputs. We further introduce the Video Visual Grounded (V-VGD) segmentation benchmark, which evaluates whether a model can segment object tracks in videos from interactive visual prompts. With a unified joint training strategy over heterogeneous image and video datasets, X2SAM delivers strong video segmentation performance, remains competitive on image segmentation benchmarks, and preserves general image and video chat ability.

Large Language Models (LLMs) demonstrate strong capabilities in broad knowledge representation, yet they are inherently deficient in pixel-level perceptual understanding. Although the Segment Anything Model (SAM) represents a significant advancement in visual-prompt-driven image segmentation, it exhibits notable limitations in multi-mask prediction and category-specific segmentation tasks, and it cannot integrate all segmentation tasks within a unified model architecture. To address these limitations, we present X-SAM, a streamlined Multimodal Large Language Model (MLLM) framework that extends the segmentation paradigm from segment anything to any segmentation. Specifically, we introduce a novel unified framework that enables more advanced pixel-level perceptual comprehension for MLLMs. Furthermore, we propose a new segmentation task, termed Visual GrounDed (VGD) segmentation, which segments all instance objects with interactive visual prompts and empowers MLLMs with visual grounded, pixel-wise interpretative capabilities. To enable effective training on diverse data sources, we present a unified training strategy that supports co-training across multiple datasets. Experimental results demonstrate that X-SAM achieves state-of-the-art performance on a wide range of image segmentation benchmarks, highlighting its efficiency for multimodal, pixel-level visual understanding. Code is available at https://github.com/wanghao9610/X-SAM.

This decade is marked by the introduction of Vision Transformer, a radical paradigm shift in broad computer vision. A similar trend is followed in medical imaging, UNet, one of the most influential architectures, has been redesigned with transformers. Recently, the efficacy of convolutional models in vision is being reinvestigated by seminal works such as ConvNext, which elevates a ResNet to Swin Transformer level. Deriving inspiration from this, we aim to improve a purely convolutional UNet model so that it can be on par with the transformer-based models, e.g, Swin-Unet or UCTransNet. We examined several advantages of the transformer-based UNet models, primarily long-range dependencies and cross-level skip connections. We attempted to emulate them through convolution operations and thus propose, ACC-UNet, a completely convolutional UNet model that brings the best of both worlds, the inherent inductive biases of convnets with the design decisions of transformers. ACC-UNet was evaluated on 5 different medical image segmentation benchmarks and consistently outperformed convnets, transformers, and their hybrids. Notably, ACC-UNet outperforms state-of-the-art models Swin-Unet and UCTransNet by 2.64 pm 2.54% and 0.45 pm 1.61% in terms of dice score, respectively, while using a fraction of their parameters (59.26% and 24.24%). Our codes are available at https://github.com/kiharalab/ACC-UNet.

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.

Image segmentation is a vital task for providing human assistance and enhancing autonomy in our daily lives. In particular, RGB-D segmentation-leveraging both visual and depth cues-has attracted increasing attention as it promises richer scene understanding than RGB-only methods. However, most existing efforts have primarily focused on semantic segmentation and thus leave a critical gap. There is a relative scarcity of instance-level RGB-D segmentation datasets, which restricts current methods to broad category distinctions rather than fully capturing the fine-grained details required for recognizing individual objects. To bridge this gap, we introduce three RGB-D instance segmentation benchmarks, distinguished at the instance level. These datasets are versatile, supporting a wide range of applications from indoor navigation to robotic manipulation. In addition, we present an extensive evaluation of various baseline models on these benchmarks. This comprehensive analysis identifies both their strengths and shortcomings, guiding future work toward more robust, generalizable solutions. Finally, we propose a simple yet effective method for RGB-D data integration. Extensive evaluations affirm the effectiveness of our approach, offering a robust framework for advancing toward more nuanced scene understanding.

Recent advances in foundational Vision Language Models (VLMs) have reshaped the evaluation paradigm in computer vision tasks. These foundational models, especially CLIP, have accelerated research in open-vocabulary computer vision tasks, including Open-Vocabulary Semantic Segmentation (OVSS). Although the initial results are promising, the dense prediction capabilities of VLMs still require further improvement. In this study, we enhance the semantic segmentation performance of CLIP by introducing new modules and modifications: 1) architectural changes in the last layer of ViT and the incorporation of attention maps from the middle layers with the last layer, 2) Image Engineering: applying data augmentations to enrich input image representations, and 3) using Large Language Models (LLMs) to generate definitions and synonyms for each class name to leverage CLIP's open-vocabulary capabilities. Our training-free method, ITACLIP, outperforms current state-of-the-art approaches on segmentation benchmarks such as COCO-Stuff, COCO-Object, Pascal Context, and Pascal VOC. Our code is available at https://github.com/m-arda-aydn/ITACLIP.

The ability to segment objects based on open-ended language prompts remains a critical challenge, requiring models to ground textual semantics into precise spatial masks while handling diverse and unseen categories. We present OpenWorldSAM, a framework that extends the prompt-driven Segment Anything Model v2 (SAM2) to open-vocabulary scenarios by integrating multi-modal embeddings extracted from a lightweight vision-language model (VLM). Our approach is guided by four key principles: i) Unified prompting: OpenWorldSAM supports a diverse range of prompts, including category-level and sentence-level language descriptions, providing a flexible interface for various segmentation tasks. ii) Efficiency: By freezing the pre-trained components of SAM2 and the VLM, we train only 4.5 million parameters on the COCO-stuff dataset, achieving remarkable resource efficiency. iii) Instance Awareness: We enhance the model's spatial understanding through novel positional tie-breaker embeddings and cross-attention layers, enabling effective segmentation of multiple instances. iv) Generalization: OpenWorldSAM exhibits strong zero-shot capabilities, generalizing well on unseen categories and an open vocabulary of concepts without additional training. Extensive experiments demonstrate that OpenWorldSAM achieves state-of-the-art performance in open-vocabulary semantic, instance, and panoptic segmentation across multiple benchmarks. Code is available at https://github.com/GinnyXiao/OpenWorldSAM.

Reliable confidence estimates are essential in semantic segmentation, especially in safety-critical settings where overconfident errors can mislead downstream decisions. Yet modern segmentation models often remain miscalibrated. Post-hoc calibration offers a practical way to correct confidence estimates without retraining the segmentation model, but its use in dense prediction raises structural issues that are often overlooked. We study two such issues. First, adding a constant to all logits leaves the softmax probabilities unchanged, but several standard calibrators can still depend on this arbitrary offset. As a result, two logit representations encoding the same predictive distribution may yield different calibrated probabilities. We define translation-invariant (TI) calibrators as those whose outputs are unchanged under such shifts, characterize which common calibrators satisfy this property, and construct TI counterparts of shift-sensitive calibrators to isolate the effect of removing representation dependence. Second, post-hoc calibration is typically fitted by minimizing a likelihood-based objective, whereas segmentation models are trained with task-specific metrics such as Dice. This mismatch can cause calibration to alter class orderings and degrade the deployed segmentation map. We study decision-preserving calibration under argmax- and order-preservation constraints. Since enforcing these constraints collapses affine softmax calibrators to temperature scaling, we introduce class-conditional affine calibrators that can be made argmax- or order-preserving while retaining greater expressivity, allowing us to quantify the calibration-segmentation trade-off induced by decision preservation. Across natural-image and medical segmentation benchmarks, and under corruption-based covariate shift, matched comparisons show that TI variants generally improve calibration metrics, while decision-preserving variants prevent segmentation degradation and retain strong calibration performance. These results provide practical design principles for well-defined post-hoc calibration pipelines in semantic segmentation.

Most existing approaches to referring segmentation achieve strong performance only through fine-tuning or by composing multiple pre-trained models, often at the cost of additional training and architectural modifications. Meanwhile, large-scale generative diffusion models encode rich semantic information, making them attractive as general-purpose feature extractors. In this work, we introduce a new method that directly exploits features, attention scores, from diffusion transformers for downstream tasks, requiring neither architectural modifications nor additional training. To systematically evaluate these features, we extend benchmarks with vision-language grounding tasks spanning both images and videos. Our key insight is that stop words act as attention magnets: they accumulate surplus attention and can be filtered to reduce noise. Moreover, we identify global attention sinks (GAS) emerging in deeper layers and show that they can be safely suppressed or redirected onto auxiliary tokens, leading to sharper and more accurate grounding maps. We further propose an attention redistribution strategy, where appended stop words partition background activations into smaller clusters, yielding sharper and more localized heatmaps. Building on these findings, we develop RefAM, a simple training-free grounding framework that combines cross-attention maps, GAS handling, and redistribution. Across zero-shot referring image and video segmentation benchmarks, our approach consistently outperforms prior methods, establishing a new state of the art without fine-tuning or additional components.

Vision-language segmentation models such as SAM3 enable flexible, prompt-driven visual grounding, but inherit large, general-purpose text encoders originally designed for open-ended language understanding. In practice, segmentation prompts are short, structured, and semantically constrained, leading to substantial over-provisioning in text encoder capacity and persistent computational and memory overhead. In this paper, we perform a large-scale anatomical analysis of text prompting in vision-language segmentation, covering 404,796 real prompts across multiple benchmarks. Our analysis reveals severe redundancy: most context windows are underutilized, vocabulary usage is highly sparse, and text embeddings lie on low-dimensional manifold despite high-dimensional representations. Motivated by these findings, we propose SAM3-LiteText, a lightweight text encoding framework that replaces the original SAM3 text encoder with a compact MobileCLIP student that is optimized by knowledge distillation. Extensive experiments on image and video segmentation benchmarks show that SAM3-LiteText reduces text encoder parameters by up to 88%, substantially reducing static memory footprint, while maintaining segmentation performance comparable to the original model. Code: https://github.com/SimonZeng7108/efficientsam3/tree/sam3_litetext.

Humans can develop internal world models that encode common sense knowledge, telling them how the world works and predicting the consequences of their actions. This concept has emerged as a promising direction for establishing general-purpose machine-learning models in recent preliminary works, e.g., for visual representation learning. In this paper, we present CheXWorld, the first effort towards a self-supervised world model for radiographic images. Specifically, our work develops a unified framework that simultaneously models three aspects of medical knowledge essential for qualified radiologists, including 1) local anatomical structures describing the fine-grained characteristics of local tissues (e.g., architectures, shapes, and textures); 2) global anatomical layouts describing the global organization of the human body (e.g., layouts of organs and skeletons); and 3) domain variations that encourage CheXWorld to model the transitions across different appearance domains of radiographs (e.g., varying clarity, contrast, and exposure caused by collecting radiographs from different hospitals, devices, or patients). Empirically, we design tailored qualitative and quantitative analyses, revealing that CheXWorld successfully captures these three dimensions of medical knowledge. Furthermore, transfer learning experiments across eight medical image classification and segmentation benchmarks showcase that CheXWorld significantly outperforms existing SSL methods and large-scale medical foundation models. Code & pre-trained models are available at https://github.com/LeapLabTHU/CheXWorld.

Existing Referring Image Segmentation (RIS) methods typically require expensive pixel-level or box-level annotations for supervision. In this paper, we observe that the referring texts used in RIS already provide sufficient information to localize the target object. Hence, we propose a novel weakly-supervised RIS framework to formulate the target localization problem as a classification process to differentiate between positive and negative text expressions. While the referring text expressions for an image are used as positive expressions, the referring text expressions from other images can be used as negative expressions for this image. Our framework has three main novelties. First, we propose a bilateral prompt method to facilitate the classification process, by harmonizing the domain discrepancy between visual and linguistic features. Second, we propose a calibration method to reduce noisy background information and improve the correctness of the response maps for target object localization. Third, we propose a positive response map selection strategy to generate high-quality pseudo-labels from the enhanced response maps, for training a segmentation network for RIS inference. For evaluation, we propose a new metric to measure localization accuracy. Experiments on four benchmarks show that our framework achieves promising performances to existing fully-supervised RIS methods while outperforming state-of-the-art weakly-supervised methods adapted from related areas. Code is available at https://github.com/fawnliu/TRIS.

Referring Image Segmentation~(RIS) leveraging transformers has achieved great success on the interpretation of complex visual-language tasks. However, the quadratic computation cost makes it resource-consuming in capturing long-range visual-language dependencies. Fortunately, Mamba addresses this with efficient linear complexity in processing. However, directly applying Mamba to multi-modal interactions presents challenges, primarily due to inadequate channel interactions for the effective fusion of multi-modal data. In this paper, we propose ReMamber, a novel RIS architecture that integrates the power of Mamba with a multi-modal Mamba Twister block. The Mamba Twister explicitly models image-text interaction, and fuses textual and visual features through its unique channel and spatial twisting mechanism. We achieve competitive results on three challenging benchmarks with a simple and efficient architecture. Moreover, we conduct thorough analyses of ReMamber and discuss other fusion designs using Mamba. These provide valuable perspectives for future research. The code has been released at: https://github.com/yyh-rain-song/ReMamber.

Deep-learning models have been successful in biomedical image segmentation. To generalize for real-world deployment, test-time augmentation (TTA) methods are often used to transform the test image into different versions that are hopefully closer to the training domain. Unfortunately, due to the vast diversity of instance scale and image styles, many augmented test images produce undesirable results, thus lowering the overall performance. This work proposes a new TTA framework, S^3-TTA, which selects the suitable image scale and style for each test image based on a transformation consistency metric. In addition, S^3-TTA constructs an end-to-end augmentation-segmentation joint-training pipeline to ensure a task-oriented augmentation. On public benchmarks for cell and lung segmentation, S^3-TTA demonstrates improvements over the prior art by 3.4% and 1.3%, respectively, by simply augmenting the input data in testing phase.

Referring image segmentation, the task of segmenting any arbitrary entities described in free-form texts, opens up a variety of vision applications. However, manual labeling of training data for this task is prohibitively costly, leading to lack of labeled data for training. We address this issue by a weakly supervised learning approach using text descriptions of training images as the only source of supervision. To this end, we first present a new model that discovers semantic entities in input image and then combines such entities relevant to text query to predict the mask of the referent. We also present a new loss function that allows the model to be trained without any further supervision. Our method was evaluated on four public benchmarks for referring image segmentation, where it clearly outperformed the existing method for the same task and recent open-vocabulary segmentation models on all the benchmarks.

Although the preservation of shape continuity and physiological anatomy is a natural assumption in the segmentation of medical images, it is often neglected by deep learning methods that mostly aim for the statistical modeling of input data as pixels rather than interconnected structures. In biological structures, however, organs are not separate entities; for example, in reality, a severed vessel is an indication of an underlying problem, but traditional segmentation models are not designed to strictly enforce the continuity of anatomy, potentially leading to inaccurate medical diagnoses. To address this issue, we propose a graph-based approach that enforces the continuity and connectivity of anatomical topology in medical images. Our method encodes the continuity of shapes as a graph constraint, ensuring that the network's predictions maintain this continuity. We evaluate our method on two public benchmarks on retinal vessel segmentation, showing significant improvements in connectivity metrics compared to traditional methods while getting better or on-par performance on segmentation metrics.

Accurate semantic segmentation for histopathology image is crucial for quantitative tissue analysis and downstream clinical modeling. Recent segmentation foundation models have improved generalization through large-scale pretraining, yet remain poorly aligned with pathology because they treat segmentation as a static visual prediction task. Here we present VISTA-PATH, an interactive, class-aware pathology segmentation foundation model designed to resolve heterogeneous structures, incorporate expert feedback, and produce pixel-level segmentation that are directly meaningful for clinical interpretation. VISTA-PATH jointly conditions segmentation on visual context, semantic tissue descriptions, and optional expert-provided spatial prompts, enabling precise multi-class segmentation across heterogeneous pathology images. To support this paradigm, we curate VISTA-PATH Data, a large-scale pathology segmentation corpus comprising over 1.6 million image-mask-text triplets spanning 9 organs and 93 tissue classes. Across extensive held-out and external benchmarks, VISTA-PATH consistently outperforms existing segmentation foundation models. Importantly, VISTA-PATH supports dynamic human-in-the-loop refinement by propagating sparse, patch-level bounding-box annotation feedback into whole-slide segmentation. Finally, we show that the high-fidelity, class-aware segmentation produced by VISTA-PATH is a preferred model for computational pathology. It improve tissue microenvironment analysis through proposed Tumor Interaction Score (TIS), which exhibits strong and significant associations with patient survival. Together, these results establish VISTA-PATH as a foundation model that elevates pathology image segmentation from a static prediction to an interactive and clinically grounded representation for digital pathology. Source code and demo can be found at https://github.com/zhihuanglab/VISTA-PATH.

Deep learning-based automatic medical image segmentation plays a critical role in clinical diagnosis and treatment planning but remains challenging in few-shot scenarios due to the scarcity of annotated training data. Recently, self-supervised foundation models such as DINOv3, which were trained on large natural image datasets, have shown strong potential for dense feature extraction that can help with the few-shot learning challenge. Yet, their direct application to medical images is hindered by domain differences. In this work, we propose DINO-AugSeg, a novel framework that leverages DINOv3 features to address the few-shot medical image segmentation challenge. Specifically, we introduce WT-Aug, a wavelet-based feature-level augmentation module that enriches the diversity of DINOv3-extracted features by perturbing frequency components, and CG-Fuse, a contextual information-guided fusion module that exploits cross-attention to integrate semantic-rich low-resolution features with spatially detailed high-resolution features. Extensive experiments on six public benchmarks spanning five imaging modalities, including MRI, CT, ultrasound, endoscopy, and dermoscopy, demonstrate that DINO-AugSeg consistently outperforms existing methods under limited-sample conditions. The results highlight the effectiveness of incorporating wavelet-domain augmentation and contextual fusion for robust feature representation, suggesting DINO-AugSeg as a promising direction for advancing few-shot medical image segmentation. Code and data will be made available on https://github.com/apple1986/DINO-AugSeg.

Transformers have shown remarkable performance in 3D medical image segmentation, but their high computational requirements and need for large amounts of labeled data limit their applicability. To address these challenges, we consider two crucial aspects: model efficiency and data efficiency. Specifically, we propose Light-UNETR, a lightweight transformer designed to achieve model efficiency. Light-UNETR features a Lightweight Dimension Reductive Attention (LIDR) module, which reduces spatial and channel dimensions while capturing both global and local features via multi-branch attention. Additionally, we introduce a Compact Gated Linear Unit (CGLU) to selectively control channel interaction with minimal parameters. Furthermore, we introduce a Contextual Synergic Enhancement (CSE) learning strategy, which aims to boost the data efficiency of Transformers. It first leverages the extrinsic contextual information to support the learning of unlabeled data with Attention-Guided Replacement, then applies Spatial Masking Consistency that utilizes intrinsic contextual information to enhance the spatial context reasoning for unlabeled data. Extensive experiments on various benchmarks demonstrate the superiority of our approach in both performance and efficiency. For example, with only 10% labeled data on the Left Atrial Segmentation dataset, our method surpasses BCP by 1.43% Jaccard while drastically reducing the FLOPs by 90.8% and parameters by 85.8%. Code is released at https://github.com/CUHK-AIM-Group/Light-UNETR.

Multimodal Large Language Models (MLLMs) have shown exceptional capabilities in vision-language tasks. However, effectively integrating image segmentation into these models remains a significant challenge. In this work, we propose a novel text-as-mask paradigm that casts image segmentation as a text generation problem, eliminating the need for additional decoders and significantly simplifying the segmentation process. Our key innovation is semantic descriptors, a new textual representation of segmentation masks where each image patch is mapped to its corresponding text label. We first introduce image-wise semantic descriptors, a patch-aligned textual representation of segmentation masks that integrates naturally into the language modeling pipeline. To enhance efficiency, we introduce the Row-wise Run-Length Encoding (R-RLE), which compresses redundant text sequences, reducing the length of semantic descriptors by 74% and accelerating inference by 3times, without compromising performance. Building upon this, our initial framework Text4Seg achieves strong segmentation performance across a wide range of vision tasks. To further improve granularity and compactness, we propose box-wise semantic descriptors, which localizes regions of interest using bounding boxes and represents region masks via structured mask tokens called semantic bricks. This leads to our refined model, Text4Seg++, which formulates segmentation as a next-brick prediction task, combining precision, scalability, and generative efficiency. Comprehensive experiments on natural and remote sensing datasets show that Text4Seg++ consistently outperforms state-of-the-art models across diverse benchmarks without any task-specific fine-tuning, while remaining compatible with existing MLLM backbones. Our work highlights the effectiveness, scalability, and generalizability of text-driven image segmentation within the MLLM framework.

Consistency learning with feature perturbation is a widely used strategy in semi-supervised medical image segmentation. However, many existing perturbation methods rely on dropout, and thus require a careful manual tuning of the dropout rate, which is a sensitive hyperparameter and often difficult to optimize and may lead to suboptimal regularization. To overcome this limitation, we propose VQ-Seg, the first approach to employ vector quantization (VQ) to discretize the feature space and introduce a novel and controllable Quantized Perturbation Module (QPM) that replaces dropout. Our QPM perturbs discrete representations by shuffling the spatial locations of codebook indices, enabling effective and controllable regularization. To mitigate potential information loss caused by quantization, we design a dual-branch architecture where the post-quantization feature space is shared by both image reconstruction and segmentation tasks. Moreover, we introduce a Post-VQ Feature Adapter (PFA) to incorporate guidance from a foundation model (FM), supplementing the high-level semantic information lost during quantization. Furthermore, we collect a large-scale Lung Cancer (LC) dataset comprising 828 CT scans annotated for central-type lung carcinoma. Extensive experiments on the LC dataset and other public benchmarks demonstrate the effectiveness of our method, which outperforms state-of-the-art approaches. Code available at: https://github.com/script-Yang/VQ-Seg.

Referring Image Segmentation (RIS), which aims to segment specific objects based on natural language descriptions, plays an essential role in vision-language understanding. Despite its progress in remote sensing applications, RIS in Low-Altitude Drone (LAD) scenarios remains underexplored. Existing datasets and methods are typically designed for high-altitude and static-view imagery. They struggle to handle the unique characteristics of LAD views, such as diverse viewpoints and high object density. To fill this gap, we present RIS-LAD, the first fine-grained RIS benchmark tailored for LAD scenarios. This dataset comprises 13,871 carefully annotated image-text-mask triplets collected from realistic drone footage, with a focus on small, cluttered, and multi-viewpoint scenes. It highlights new challenges absent in previous benchmarks, such as category drift caused by tiny objects and object drift under crowded same-class objects. To tackle these issues, we propose the Semantic-Aware Adaptive Reasoning Network (SAARN). Rather than uniformly injecting all linguistic features, SAARN decomposes and routes semantic information to different stages of the network. Specifically, the Category-Dominated Linguistic Enhancement (CDLE) aligns visual features with object categories during early encoding, while the Adaptive Reasoning Fusion Module (ARFM) dynamically selects semantic cues across scales to improve reasoning in complex scenes. The experimental evaluation reveals that RIS-LAD presents substantial challenges to state-of-the-art RIS algorithms, and also demonstrates the effectiveness of our proposed model in addressing these challenges. The dataset and code will be publicly released soon at: https://github.com/AHideoKuzeA/RIS-LAD/.

Large vision-language models revolutionized image classification and semantic segmentation paradigms. However, they typically assume a pre-defined set of categories, or vocabulary, at test time for composing textual prompts. This assumption is impractical in scenarios with unknown or evolving semantic context. Here, we address this issue and introduce the Vocabulary-free Image Classification (VIC) task, which aims to assign a class from an unconstrained language-induced semantic space to an input image without needing a known vocabulary. VIC is challenging due to the vastness of the semantic space, which contains millions of concepts, including fine-grained categories. To address VIC, we propose Category Search from External Databases (CaSED), a training-free method that leverages a pre-trained vision-language model and an external database. CaSED first extracts the set of candidate categories from the most semantically similar captions in the database and then assigns the image to the best-matching candidate category according to the same vision-language model. Furthermore, we demonstrate that CaSED can be applied locally to generate a coarse segmentation mask that classifies image regions, introducing the task of Vocabulary-free Semantic Segmentation. CaSED and its variants outperform other more complex vision-language models, on classification and semantic segmentation benchmarks, while using much fewer parameters.

In this paper, we present SegDINO3D, a novel Transformer encoder-decoder framework for 3D instance segmentation. As 3D training data is generally not as sufficient as 2D training images, SegDINO3D is designed to fully leverage 2D representation from a pre-trained 2D detection model, including both image-level and object-level features, for improving 3D representation. SegDINO3D takes both a point cloud and its associated 2D images as input. In the encoder stage, it first enriches each 3D point by retrieving 2D image features from its corresponding image views and then leverages a 3D encoder for 3D context fusion. In the decoder stage, it formulates 3D object queries as 3D anchor boxes and performs cross-attention from 3D queries to 2D object queries obtained from 2D images using the 2D detection model. These 2D object queries serve as a compact object-level representation of 2D images, effectively avoiding the challenge of keeping thousands of image feature maps in the memory while faithfully preserving the knowledge of the pre-trained 2D model. The introducing of 3D box queries also enables the model to modulate cross-attention using the predicted boxes for more precise querying. SegDINO3D achieves the state-of-the-art performance on the ScanNetV2 and ScanNet200 3D instance segmentation benchmarks. Notably, on the challenging ScanNet200 dataset, SegDINO3D significantly outperforms prior methods by +8.6 and +6.8 mAP on the validation and hidden test sets, respectively, demonstrating its superiority.

Accurate 3D medical image segmentation requires both long-range volumetric context and fine boundary preservation. CNN-based methods have limited global dependency modeling, while Transformer-based models are often computationally expensive for dense 3D inputs. Recent Mamba-based methods provide an efficient alternative, but existing volumetric designs still depend on repeated high-resolution scanning, forward-only sequential modeling, and fixed directional summation, causing high cost, scan-order bias, and suboptimal directional aggregation. We propose BiSegMamba, an efficient bidirectional tri-oriented Mamba network for 3D medical image segmentation. BiSegMamba follows a compact-to-detail design, where a progressive compacting stem (PCS) enables efficient latent-space reasoning while retaining shallow high-resolution features for reconstruction. A multi-scale spatial mixer (MSSM) captures local anatomical patterns in early stages, and the proposed bidirectional tri-oriented Ortho Mamba (Bi-ToOM) block models long-range dependencies from multiple orthogonal views using jointly processed forward and backward scan sequences. Adaptive directional fusion (ADF) learns input-dependent channel-wise weights across scan orientations, replacing fixed summation with orientation-aware fusion. Experiments on a collected carotid CTA dataset and three public benchmarks, BraTS2023, ACDC, and AMOS-CT, show that BiSegMamba generalizes well across vascular, cardiac, brain tumor, and abdominal multi-organ segmentation tasks. Compared with SegMamba-V2, BiSegMamba achieves slightly better performance on BraTS2023 and clear improvements on ACDC and the carotid dataset, while reducing computational cost by up to 77.9% FLOPs, demonstrating a strong accuracy-efficiency balance for general 3D medical image segmentation.

Cross-domain few-shot medical image segmentation (CD-FSMIS) offers a promising and data-efficient solution for medical applications where annotations are severely scarce and multimodal analysis is required. However, existing methods typically filter out domain-specific information to improve generalization, which inadvertently limits cross-domain performance and degrades source-domain accuracy. To address this, we present Contrastive Graph Modeling (C-Graph), a framework that leverages the structural consistency of medical images as a reliable domain-transferable prior. We represent image features as graphs, with pixels as nodes and semantic affinities as edges. A Structural Prior Graph (SPG) layer is proposed to capture and transfer target-category node dependencies and enable global structure modeling through explicit node interactions. Building upon SPG layers, we introduce a Subgraph Matching Decoding (SMD) mechanism that exploits semantic relations among nodes to guide prediction. Furthermore, we design a Confusion-minimizing Node Contrast (CNC) loss to mitigate node ambiguity and subgraph heterogeneity by contrastively enhancing node discriminability in the graph space. Our method significantly outperforms prior CD-FSMIS approaches across multiple cross-domain benchmarks, achieving state-of-the-art performance while simultaneously preserving strong segmentation accuracy on the source domain.

Recent advances in zero-shot referring image segmentation (RIS), driven by models such as the Segment Anything Model (SAM) and CLIP, have made substantial progress in aligning visual and textual information. Despite these successes, the extraction of precise and high-quality mask region representations remains a critical challenge, limiting the full potential of RIS tasks. In this paper, we introduce a training-free, hybrid global-local feature extraction approach that integrates detailed mask-specific features with contextual information from the surrounding area, enhancing mask region representation. To further strengthen alignment between mask regions and referring expressions, we propose a spatial guidance augmentation strategy that improves spatial coherence, which is essential for accurately localizing described areas. By incorporating multiple spatial cues, this approach facilitates more robust and precise referring segmentation. Extensive experiments on standard RIS benchmarks demonstrate that our method significantly outperforms existing zero-shot RIS models, achieving substantial performance gains. We believe our approach advances RIS tasks and establishes a versatile framework for region-text alignment, offering broader implications for cross-modal understanding and interaction. Code is available at https://github.com/fhgyuanshen/HybridGL .

This paper focuses on the Referring Image Segmentation (RIS) task, which aims to segment objects from an image based on a given language description. The critical problem of RIS is achieving fine-grained alignment between different modalities to recognize and segment the target object. Recent advances using the attention mechanism for cross-modal interaction have achieved excellent progress. However, current methods tend to lack explicit principles of interaction design as guidelines, leading to inadequate cross-modal comprehension. Additionally, most previous works use a single-modal mask decoder for prediction, losing the advantage of full cross-modal alignment. To address these challenges, we present a Fully Aligned Network (FAN) that follows four cross-modal interaction principles. Under the guidance of reasonable rules, our FAN achieves state-of-the-art performance on the prevalent RIS benchmarks (RefCOCO, RefCOCO+, G-Ref) with a simple architecture.

We introduce a novel bilateral reference framework (BiRefNet) for high-resolution dichotomous image segmentation (DIS). It comprises two essential components: the localization module (LM) and the reconstruction module (RM) with our proposed bilateral reference (BiRef). The LM aids in object localization using global semantic information. Within the RM, we utilize BiRef for the reconstruction process, where hierarchical patches of images provide the source reference and gradient maps serve as the target reference. These components collaborate to generate the final predicted maps. We also introduce auxiliary gradient supervision to enhance focus on regions with finer details. Furthermore, we outline practical training strategies tailored for DIS to improve map quality and training process. To validate the general applicability of our approach, we conduct extensive experiments on four tasks to evince that BiRefNet exhibits remarkable performance, outperforming task-specific cutting-edge methods across all benchmarks. Our codes are available at https://github.com/ZhengPeng7/BiRefNet.

Pancreatic ductal adenocarcinoma (PDAC) segmentation on contrast-enhanced CT is inherently ambiguous: inter-rater disagreement among experts reflects genuine uncertainty rather than annotation noise. Standard deep learning approaches assume a single ground truth, producing probabilistic outputs that can be poorly calibrated and difficult to interpret under such ambiguity. We present TwinTrack, a framework that addresses this gap through post-hoc calibration of ensemble segmentation probabilities to the empirical mean human response (MHR) -the fraction of expert annotators labeling a voxel as tumor. Calibrated probabilities are thus directly interpretable as the expected proportion of annotators assigning the tumor label, explicitly modeling inter-rater disagreement. The proposed post-hoc calibration procedure is simple and requires only a small multi-rater calibration set. It consistently improves calibration metrics over standard approaches when evaluated on the MICCAI 2025 CURVAS-PDACVI multi-rater benchmark.

Transformers have achieved remarkable success across multiple fields, yet their impact on 3D medical image segmentation remains limited with convolutional networks still dominating major benchmarks. In this work, we a) analyze current Transformer-based segmentation models and identify critical shortcomings, particularly their over-reliance on convolutional blocks. Further, we demonstrate that in some architectures, performance is unaffected by the absence of the Transformer, thereby demonstrating their limited effectiveness. To address these challenges, we move away from hybrid architectures and b) introduce a fully Transformer-based segmentation architecture, termed Primus. Primus leverages high-resolution tokens, combined with advances in positional embeddings and block design, to maximally leverage its Transformer blocks. Through these adaptations Primus surpasses current Transformer-based methods and competes with state-of-the-art convolutional models on multiple public datasets. By doing so, we create the first pure Transformer architecture and take a significant step towards making Transformers state-of-the-art for 3D medical image segmentation.

In the domain of computer vision, Parameter-Efficient Tuning (PET) is increasingly replacing the traditional paradigm of pre-training followed by full fine-tuning. PET is particularly favored for its effectiveness in large foundation models, as it streamlines transfer learning costs and optimizes hardware utilization. However, the current PET methods are mainly designed for single-modal optimization. While some pioneering studies have undertaken preliminary explorations, they still remain at the level of aligned encoders (e.g., CLIP) and lack exploration of misaligned encoders. These methods show sub-optimal performance with misaligned encoders, as they fail to effectively align the multimodal features during fine-tuning. In this paper, we introduce DETRIS, a parameter-efficient tuning framework designed to enhance low-rank visual feature propagation by establishing dense interconnections between each layer and all preceding layers, which enables effective cross-modal feature interaction and adaptation to misaligned encoders. We also suggest using text adapters to improve textual features. Our simple yet efficient approach greatly surpasses state-of-the-art methods with 0.9% to 1.8% backbone parameter updates, evaluated on challenging benchmarks. Our project is available at https://github.com/jiaqihuang01/DETRIS.

Parameter Efficient Tuning (PET) has gained attention for reducing the number of parameters while maintaining performance and providing better hardware resource savings, but few studies investigate dense prediction tasks and interaction between modalities. In this paper, we do an investigation of efficient tuning problems on referring image segmentation. We propose a novel adapter called Bridger to facilitate cross-modal information exchange and inject task-specific information into the pre-trained model. We also design a lightweight decoder for image segmentation. Our approach achieves comparable or superior performance with only 1.61\% to 3.38\% backbone parameter updates, evaluated on challenging benchmarks. The code is available at https://github.com/kkakkkka/ETRIS.

In medical imaging, the primary challenge is collecting large-scale labeled data due to privacy concerns, logistics, and high labeling costs. In this work, we present the UK Biobank Organs and Bones (UKBOB), the largest labeled dataset of body organs, comprising 51,761 MRI 3D samples (equivalent to 17.9 million 2D images) and more than 1.37 billion 2D segmentation masks of 72 organs, all based on the UK Biobank MRI dataset. We utilize automatic labeling, introduce an automated label cleaning pipeline with organ-specific filters, and manually annotate a subset of 300 MRIs with 11 abdominal classes to validate the quality (referred to as UKBOB-manual). This approach allows for scaling up the dataset collection while maintaining confidence in the labels. We further confirm the validity of the labels by demonstrating zero-shot generalization of trained models on the filtered UKBOB to other small labeled datasets from similar domains (e.g., abdominal MRI). To further mitigate the effect of noisy labels, we propose a novel method called Entropy Test-time Adaptation (ETTA) to refine the segmentation output. We use UKBOB to train a foundation model, Swin-BOB, for 3D medical image segmentation based on the Swin-UNetr architecture, achieving state-of-the-art results in several benchmarks in 3D medical imaging, including the BRATS brain MRI tumor challenge (with a 0.4% improvement) and the BTCV abdominal CT scan benchmark (with a 1.3% improvement). The pre-trained models and the code are available at https://emmanuelleb985.github.io/ukbob , and the filtered labels will be made available with the UK Biobank.

In this paper, we introduce MK-UNet, a paradigm shift towards ultra-lightweight, multi-kernel U-shaped CNNs tailored for medical image segmentation. Central to MK-UNet is the multi-kernel depth-wise convolution block (MKDC) we design to adeptly process images through multiple kernels, while capturing complex multi-resolution spatial relationships. MK-UNet also emphasizes the images salient features through sophisticated attention mechanisms, including channel, spatial, and grouped gated attention. Our MK-UNet network, with a modest computational footprint of only 0.316M parameters and 0.314G FLOPs, represents not only a remarkably lightweight, but also significantly improved segmentation solution that provides higher accuracy over state-of-the-art (SOTA) methods across six binary medical imaging benchmarks. Specifically, MK-UNet outperforms TransUNet in DICE score with nearly 333times and 123times fewer parameters and FLOPs, respectively. Similarly, when compared against UNeXt, MK-UNet exhibits superior segmentation performance, improving the DICE score up to 6.7% margins while operating with 4.7times fewer #Params. Our MK-UNet also outperforms other recent lightweight networks, such as MedT, CMUNeXt, EGE-UNet, and Rolling-UNet, with much lower computational resources. This leap in performance, coupled with drastic computational gains, positions MK-UNet as an unparalleled solution for real-time, high-fidelity medical diagnostics in resource-limited settings, such as point-of-care devices. Our implementation is available at https://github.com/SLDGroup/MK-UNet.

Large-scale supervised pretraining is rapidly reshaping 3D medical image segmentation. However, existing efforts focus primarily on increasing dataset size and overlook the question of whether the backbone network is an effective representation learner at scale. In this work, we address this gap by revisiting ConvNeXt-based architectures for volumetric segmentation and introducing MedNeXt-v2, a compound-scaled 3D ConvNeXt that leverages improved micro-architecture and data scaling to deliver state-of-the-art performance. First, we show that routinely used backbones in large-scale pretraining pipelines are often suboptimal. Subsequently, we use comprehensive backbone benchmarking prior to scaling and demonstrate that stronger from scratch performance reliably predicts stronger downstream performance after pretraining. Guided by these findings, we incorporate a 3D Global Response Normalization module and use depth, width, and context scaling to improve our architecture for effective representation learning. We pretrain MedNeXt-v2 on 18k CT volumes and demonstrate state-of-the-art performance when fine-tuning across six challenging CT and MR benchmarks (144 structures), showing consistent gains over seven publicly released pretrained models. Beyond improvements, our benchmarking of these models also reveals that stronger backbones yield better results on similar data, representation scaling disproportionately benefits pathological segmentation, and that modality-specific pretraining offers negligible benefit once full finetuning is applied. In conclusion, our results establish MedNeXt-v2 as a strong backbone for large-scale supervised representation learning in 3D Medical Image Segmentation. Our code and pretrained models are made available with the official nnUNet repository at: https://www.github.com/MIC-DKFZ/nnUNet

The integration of deep learning systems into the medical domain has been hindered by the resource-intensive process of data annotation and the inability of these systems to generalize to different data distributions. Foundation models, which are models pre-trained on large datasets, have emerged as a solution to reduce reliance on annotated data and enhance model generalizability and robustness. DINOv2, an open-source foundation model pre-trained with self-supervised learning on 142 million curated natural images, excels in extracting general-purpose visual representations, exhibiting promising capabilities across various vision tasks. Nevertheless, a critical question remains unanswered regarding DINOv2's adaptability to radiological imaging, and the clarity on whether its features are sufficiently general to benefit radiology image analysis is yet to be established. Therefore, this study comprehensively evaluates DINOv2 for radiology, conducting over 100 experiments across diverse modalities (X-ray, CT, and MRI). Tasks include disease classification and organ segmentation on both 2D and 3D images, evaluated under different settings like kNN, few-shot learning, linear-probing, end-to-end fine-tuning, and parameter-efficient fine-tuning, to measure the effectiveness and generalizability of the DINOv2 feature embeddings. Comparative analyses with established medical image analysis models, U-Net and TransUnet for segmentation, and CNN and ViT models pre-trained via supervised, weakly supervised, and self-supervised learning for classification, reveal DINOv2's superior performance in segmentation tasks and competitive results in disease classification. The findings contribute insights to potential avenues for optimizing pre-training strategies for medical imaging and enhancing the broader understanding of DINOv2's role in bridging the gap between natural and radiological image analysis.

In recent years, there has been a growing trend in computer vision towards exploiting RAW sensor data, which preserves richer information compared to conventional low-bit RGB images. Early studies mainly focused on enhancing visual quality, while more recent efforts aim to leverage the abundant information in RAW data to improve the performance of visual perception tasks such as object detection and segmentation. However, existing approaches still face two key limitations: large-scale ISP networks impose heavy computational overhead, while methods based on tuning traditional ISP pipelines are restricted by limited representational capacity.To address these issues, we propose Task-Aware Image Signal Processing (TA-ISP), a compact RAW-to-RGB framework that produces task-oriented representations for pretrained vision models. Instead of heavy dense convolutional pipelines, TA-ISP predicts a small set of lightweight, multi-scale modulation operators that act at global, regional, and pixel scales to reshape image statistics across different spatial extents. This factorized control significantly expands the range of spatially varying transforms that can be represented while keeping memory usage, computation, and latency tightly constrained. Evaluated on several RAW-domain detection and segmentation benchmarks under both daytime and nighttime conditions, TA-ISP consistently improves downstream accuracy while markedly reducing parameter count and inference time, making it well suited for deployment on resource-constrained devices.

Recent studies have highlighted the potential of adapting the Segment Anything Model (SAM) for various downstream tasks. However, constructing a more powerful and generalizable encoder to further enhance performance remains an open challenge. In this work, we propose SAM2-UNeXT, an advanced framework that builds upon the core principles of SAM2-UNet while extending the representational capacity of SAM2 through the integration of an auxiliary DINOv2 encoder. By incorporating a dual-resolution strategy and a dense glue layer, our approach enables more accurate segmentation with a simple architecture, relaxing the need for complex decoder designs. Extensive experiments conducted on four benchmarks, including dichotomous image segmentation, camouflaged object detection, marine animal segmentation, and remote sensing saliency detection, demonstrate the superior performance of our proposed method. The code is available at https://github.com/WZH0120/SAM2-UNeXT.

Medical image segmentation is a cornerstone of modern clinical diagnostics. While Vision Transformers that leverage shifted window-based self-attention have established new benchmarks in this field, they are often hampered by a critical limitation: their localized attention mechanism struggles to effectively fuse local details with global context. This deficiency is particularly detrimental to challenging tasks such as the segmentation of microtumors and miniature organs, where both fine-grained boundary definition and broad contextual understanding are paramount. To address this gap, we propose HBFormer, a novel Hybrid-Bridge Transformer architecture. The 'Hybrid' design of HBFormer synergizes a classic U-shaped encoder-decoder framework with a powerful Swin Transformer backbone for robust hierarchical feature extraction. The core innovation lies in its 'Bridge' mechanism, a sophisticated nexus for multi-scale feature integration. This bridge is architecturally embodied by our novel Multi-Scale Feature Fusion (MFF) decoder. Departing from conventional symmetric designs, the MFF decoder is engineered to fuse multi-scale features from the encoder with global contextual information. It achieves this through a synergistic combination of channel and spatial attention modules, which are constructed from a series of dilated and depth-wise convolutions. These components work in concert to create a powerful feature bridge that explicitly captures long-range dependencies and refines object boundaries with exceptional precision. Comprehensive experiments on challenging medical image segmentation datasets, including multi-organ, liver tumor, and bladder tumor benchmarks, demonstrate that HBFormer achieves state-of-the-art results, showcasing its outstanding capabilities in microtumor and miniature organ segmentation. Code and models are available at: https://github.com/lzeeorno/HBFormer.

Diffusion models (DMs) have become the new trend of generative models and have demonstrated a powerful ability of conditional synthesis. Among those, text-to-image diffusion models pre-trained on large-scale image-text pairs are highly controllable by customizable prompts. Unlike the unconditional generative models that focus on low-level attributes and details, text-to-image diffusion models contain more high-level knowledge thanks to the vision-language pre-training. In this paper, we propose VPD (Visual Perception with a pre-trained Diffusion model), a new framework that exploits the semantic information of a pre-trained text-to-image diffusion model in visual perception tasks. Instead of using the pre-trained denoising autoencoder in a diffusion-based pipeline, we simply use it as a backbone and aim to study how to take full advantage of the learned knowledge. Specifically, we prompt the denoising decoder with proper textual inputs and refine the text features with an adapter, leading to a better alignment to the pre-trained stage and making the visual contents interact with the text prompts. We also propose to utilize the cross-attention maps between the visual features and the text features to provide explicit guidance. Compared with other pre-training methods, we show that vision-language pre-trained diffusion models can be faster adapted to downstream visual perception tasks using the proposed VPD. Extensive experiments on semantic segmentation, referring image segmentation and depth estimation demonstrates the effectiveness of our method. Notably, VPD attains 0.254 RMSE on NYUv2 depth estimation and 73.3% oIoU on RefCOCO-val referring image segmentation, establishing new records on these two benchmarks. Code is available at https://github.com/wl-zhao/VPD

Spacecraft deployed in outer space are routinely subjected to various forms of damage due to exposure to hazardous environments. In addition, there are significant risks to the subsequent process of in-space repairs through human extravehicular activity or robotic manipulation, incurring substantial operational costs. Recent developments in image segmentation could enable the development of reliable and cost-effective autonomous inspection systems. While these models often require large amounts of training data to achieve satisfactory results, publicly available annotated spacecraft segmentation data are very scarce. Here, we present a new dataset of nearly 64k annotated spacecraft images that was created using real spacecraft models, superimposed on a mixture of real and synthetic backgrounds generated using NASA's TTALOS pipeline. To mimic camera distortions and noise in real-world image acquisition, we also added different types of noise and distortion to the images. Finally, we finetuned YOLOv8 and YOLOv11 segmentation models to generate performance benchmarks for the dataset under well-defined hardware and inference time constraints to mimic real-world image segmentation challenges for real-time onboard applications in space on NASA's inspector spacecraft. The resulting models, when tested under these constraints, achieved a Dice score of 0.92, Hausdorff distance of 0.69, and an inference time of about 0.5 second. The dataset and models for performance benchmark are available at https://github.com/RiceD2KLab/SWiM.

Self-supervised learning has greatly facilitated medical image analysis by suppressing the training data requirement for real-world applications. Current paradigms predominantly rely on self-supervision within uni-modal image data, thereby neglecting the inter-modal correlations essential for effective learning of cross-modal image representations. This limitation is particularly significant for naturally grouped multi-modal data, e.g., multi-parametric MRI scans for a patient undergoing various functional imaging protocols in the same study. To bridge this gap, we conduct a novel multi-modal image pre-training with three proxy tasks to facilitate the learning of cross-modality representations and correlations using multi-modal brain MRI scans (over 2.4 million images in 16,022 scans of 3,755 patients), i.e., cross-modal image reconstruction, modality-aware contrastive learning, and modality template distillation. To demonstrate the generalizability of our pre-trained model, we conduct extensive experiments on various benchmarks with ten downstream tasks. The superior performance of our method is reported in comparison to state-of-the-art pre-training methods, with Dice Score improvement of 0.28\%-14.47\% across six segmentation benchmarks and a consistent accuracy boost of 0.65\%-18.07\% in four individual image classification tasks.

Open-Vocabulary Camouflaged Object Segmentation (OVCOS) seeks to segment and classify camouflaged objects from arbitrary categories, presenting unique challenges due to visual ambiguity and unseen categories.Recent approaches typically adopt a two-stage paradigm: first segmenting objects, then classifying the segmented regions using Vision Language Models (VLMs).However, these methods (1) suffer from a domain gap caused by the mismatch between VLMs' full-image training and cropped-region inference, and (2) depend on generic segmentation models optimized for well-delineated objects, making them less effective for camouflaged objects.Without explicit guidance, generic segmentation models often overlook subtle boundaries, leading to imprecise segmentation.In this paper,we introduce a novel VLM-guided cascaded framework to address these issues in OVCOS.For segmentation, we leverage the Segment Anything Model (SAM), guided by the VLM.Our framework uses VLM-derived features as explicit prompts to SAM, effectively directing attention to camouflaged regions and significantly improving localization accuracy.For classification, we avoid the domain gap introduced by hard cropping.Instead, we treat the segmentation output as a soft spatial prior via the alpha channel, which retains the full image context while providing precise spatial guidance, leading to more accurate and context-aware classification of camouflaged objects.The same VLM is shared across both segmentation and classification to ensure efficiency and semantic consistency.Extensive experiments on both OVCOS and conventional camouflaged object segmentation benchmarks demonstrate the clear superiority of our method, highlighting the effectiveness of leveraging rich VLM semantics for both segmentation and classification of camouflaged objects.

Domain adaptation (DA) attempts to transfer the knowledge from a labeled source domain to an unlabeled target domain that follows different distribution from the source. To achieve this, DA methods include a source classification objective to extract the source knowledge and a domain alignment objective to diminish the domain shift, ensuring knowledge transfer. Typically, former DA methods adopt some weight hyper-parameters to linearly combine the training objectives to form an overall objective. However, the gradient directions of these objectives may conflict with each other due to domain shift. Under such circumstances, the linear optimization scheme might decrease the overall objective value at the expense of damaging one of the training objectives, leading to restricted solutions. In this paper, we rethink the optimization scheme for DA from a gradient-based perspective. We propose a Pareto Domain Adaptation (ParetoDA) approach to control the overall optimization direction, aiming to cooperatively optimize all training objectives. Specifically, to reach a desirable solution on the target domain, we design a surrogate loss mimicking target classification. To improve target-prediction accuracy to support the mimicking, we propose a target-prediction refining mechanism which exploits domain labels via Bayes' theorem. On the other hand, since prior knowledge of weighting schemes for objectives is often unavailable to guide optimization to approach the optimal solution on the target domain, we propose a dynamic preference mechanism to dynamically guide our cooperative optimization by the gradient of the surrogate loss on a held-out unlabeled target dataset. Extensive experiments on image classification and semantic segmentation benchmarks demonstrate the effectiveness of ParetoDA

Scientific discovery is increasingly shifting from isolated disciplines to multi-domain reasoning, and AI for science faces a similar transition. Existing systems are either specialised for individual domains or unify scientific data mainly through text tokenisation and prompt-based interfaces, limiting their ability to handle diverse scientific inputs, produce modality-native outputs, and support joint understanding, reasoning, and generation across scientific domains. We introduce MKB, a unified scientific multimodal model for both understanding and generation, built around a shared Transformer backbone and modality-tailored encoders, adapters, and decoders. MKB covers six scientific branches, including DNA, RNA, proteins, small molecules, earth science, and medical images, and supports native outputs such as biological sequences, molecular strings, meteorological fields, and segmentation masks. Training follows a two-stage modality-then-language curriculum: Stage 1 aligns modality-specific components with the frozen backbone, and Stage 2 consolidates them with the language backbone using mixed scientific and general corpora. Experiments show that MKB achieves competitive scientific understanding across biological and molecular benchmarks, produces high-fidelity native outputs for weather forecasting, biological generation, and medical-image segmentation, and largely retains the general capabilities of its Qwen3-VL backbone. These results demonstrate the feasibility of the proposed paradigm, suggesting that shared-backbone models with modality-tailored components can provide a promising foundation for future cross-domain scientific multimodal exploration. The model and code are publicly available at https://github.com/Shanghai-Academy-of-AI-For-Science/MKB and https://huggingface.co/sais-org/MKB.

Text-prompted image segmentation enables fine-grained visual understanding and is critical for applications such as human-computer interaction and robotics. However, existing supervised fine-tuning methods typically ignore explicit chain-of-thought (CoT) reasoning at test time, which limits their ability to generalize to unseen prompts and domains. To address this issue, we introduce LENS, a scalable reinforcement-learning framework that jointly optimizes the reasoning process and segmentation in an end-to-end manner. We propose unified reinforcement-learning rewards that span sentence-, box-, and segment-level cues, encouraging the model to generate informative CoT rationales while refining mask quality. Using a publicly available 3-billion-parameter vision-language model, i.e., Qwen2.5-VL-3B-Instruct, LENS achieves an average cIoU of 81.2% on the RefCOCO, RefCOCO+, and RefCOCOg benchmarks, outperforming the strong fine-tuned method, i.e., GLaMM, by up to 5.6%. These results demonstrate that RL-driven CoT reasoning serves as a robust prior for text-prompted segmentation and offers a practical path toward more generalizable Segment Anything models. Code is available at https://github.com/hustvl/LENS.

We introduce UrbanSyn, a photorealistic dataset acquired through semi-procedurally generated synthetic urban driving scenarios. Developed using high-quality geometry and materials, UrbanSyn provides pixel-level ground truth, including depth, semantic segmentation, and instance segmentation with object bounding boxes and occlusion degree. It complements GTAV and Synscapes datasets to form what we coin as the 'Three Musketeers'. We demonstrate the value of the Three Musketeers in unsupervised domain adaptation for image semantic segmentation. Results on real-world datasets, Cityscapes, Mapillary Vistas, and BDD100K, establish new benchmarks, largely attributed to UrbanSyn. We make UrbanSyn openly and freely accessible (www.urbansyn.org).

Accurate and fast scene understanding is one of the challenging task for autonomous driving, which requires to take full advantage of LiDAR point clouds for semantic segmentation. In this paper, we present a concise and efficient image-based semantic segmentation network, named CENet. In order to improve the descriptive power of learned features and reduce the computational as well as time complexity, our CENet integrates the convolution with larger kernel size instead of MLP, carefully-selected activation functions, and multiple auxiliary segmentation heads with corresponding loss functions into architecture. Quantitative and qualitative experiments conducted on publicly available benchmarks, SemanticKITTI and SemanticPOSS, demonstrate that our pipeline achieves much better mIoU and inference performance compared with state-of-the-art models. The code will be available at https://github.com/huixiancheng/CENet.

We propose WaveMix -- a novel neural architecture for computer vision that is resource-efficient yet generalizable and scalable. WaveMix networks achieve comparable or better accuracy than the state-of-the-art convolutional neural networks, vision transformers, and token mixers for several tasks, establishing new benchmarks for segmentation on Cityscapes; and for classification on Places-365, five EMNIST datasets, and iNAT-mini. Remarkably, WaveMix architectures require fewer parameters to achieve these benchmarks compared to the previous state-of-the-art. Moreover, when controlled for the number of parameters, WaveMix requires lesser GPU RAM, which translates to savings in time, cost, and energy. To achieve these gains we used multi-level two-dimensional discrete wavelet transform (2D-DWT) in WaveMix blocks, which has the following advantages: (1) It reorganizes spatial information based on three strong image priors -- scale-invariance, shift-invariance, and sparseness of edges, (2) in a lossless manner without adding parameters, (3) while also reducing the spatial sizes of feature maps, which reduces the memory and time required for forward and backward passes, and (4) expanding the receptive field faster than convolutions do. The whole architecture is a stack of self-similar and resolution-preserving WaveMix blocks, which allows architectural flexibility for various tasks and levels of resource availability. Our code and trained models are publicly available.

We address the problem of network calibration adjusting miscalibrated confidences of deep neural networks. Many approaches to network calibration adopt a regularization-based method that exploits a regularization term to smooth the miscalibrated confidences. Although these approaches have shown the effectiveness on calibrating the networks, there is still a lack of understanding on the underlying principles of regularization in terms of network calibration. We present in this paper an in-depth analysis of existing regularization-based methods, providing a better understanding on how they affect to network calibration. Specifically, we have observed that 1) the regularization-based methods can be interpreted as variants of label smoothing, and 2) they do not always behave desirably. Based on the analysis, we introduce a novel loss function, dubbed ACLS, that unifies the merits of existing regularization methods, while avoiding the limitations. We show extensive experimental results for image classification and semantic segmentation on standard benchmarks, including CIFAR10, Tiny-ImageNet, ImageNet, and PASCAL VOC, demonstrating the effectiveness of our loss function.

Flow Matching has emerged as a powerful framework for learning continuous transformations between distributions, enabling high-fidelity generative modeling. This work introduces Symmetrical Flow Matching (SymmFlow), a new formulation that unifies semantic segmentation, classification, and image generation within a single model. Using a symmetric learning objective, SymmFlow models forward and reverse transformations jointly, ensuring bi-directional consistency, while preserving sufficient entropy for generative diversity. A new training objective is introduced to explicitly retain semantic information across flows, featuring efficient sampling while preserving semantic structure, allowing for one-step segmentation and classification without iterative refinement. Unlike previous approaches that impose strict one-to-one mapping between masks and images, SymmFlow generalizes to flexible conditioning, supporting both pixel-level and image-level class labels. Experimental results on various benchmarks demonstrate that SymmFlow achieves state-of-the-art performance on semantic image synthesis, obtaining FID scores of 11.9 on CelebAMask-HQ and 7.0 on COCO-Stuff with only 25 inference steps. Additionally, it delivers competitive results on semantic segmentation and shows promising capabilities in classification tasks. The code will be publicly available.

Despite recent advances in diffusion models, top-tier text-to-image (T2I) models still struggle to achieve precise spatial layout control, i.e. accurately generating entities with specified attributes and locations. Segmentation-mask-to-image (S2I) generation has emerged as a promising solution by incorporating pixel-level spatial guidance and regional text prompts. However, existing S2I methods fail to simultaneously ensure semantic consistency and shape consistency. To address these challenges, we propose Seg2Any, a novel S2I framework built upon advanced multimodal diffusion transformers (e.g. FLUX). First, to achieve both semantic and shape consistency, we decouple segmentation mask conditions into regional semantic and high-frequency shape components. The regional semantic condition is introduced by a Semantic Alignment Attention Mask, ensuring that generated entities adhere to their assigned text prompts. The high-frequency shape condition, representing entity boundaries, is encoded as an Entity Contour Map and then introduced as an additional modality via multi-modal attention to guide image spatial structure. Second, to prevent attribute leakage across entities in multi-entity scenarios, we introduce an Attribute Isolation Attention Mask mechanism, which constrains each entity's image tokens to attend exclusively to themselves during image self-attention. To support open-set S2I generation, we construct SACap-1M, a large-scale dataset containing 1 million images with 5.9 million segmented entities and detailed regional captions, along with a SACap-Eval benchmark for comprehensive S2I evaluation. Extensive experiments demonstrate that Seg2Any achieves state-of-the-art performance on both open-set and closed-set S2I benchmarks, particularly in fine-grained spatial and attribute control of entities.

Unsupervised Domain Adaptation (UDA) is the task of bridging the domain gap between a labeled source domain, e.g., synthetic data, and an unlabeled target domain. We observe that current UDA methods show inferior results on fine structures and tend to oversegment objects with ambiguous appearance. To address these shortcomings, we propose to leverage geometric information, i.e., depth predictions, as depth discontinuities often coincide with segmentation boundaries. We show that naively incorporating depth into current UDA methods does not fully exploit the potential of this complementary information. To this end, we present MICDrop, which learns a joint feature representation by masking image encoder features while inversely masking depth encoder features. With this simple yet effective complementary masking strategy, we enforce the use of both modalities when learning the joint feature representation. To aid this process, we propose a feature fusion module to improve both global as well as local information sharing while being robust to errors in the depth predictions. We show that our method can be plugged into various recent UDA methods and consistently improve results across standard UDA benchmarks, obtaining new state-of-the-art performances.

Referring segmentation grounds natural-language queries to pixel-level masks, but extending it to complex scenarios with multiple instances, cross-category groups, or open-ended target sets remains challenging. Previous Large Vision Language Model (LVLM)-based methods represent referred targets with one or more special tokens sequentially, treating multiple targets as separate outputs rather than a coherent set and offering little incentive to capture set-level properties such as completeness and mutual exclusivity. We reformulate open-ended referring segmentation as explicit set-level concept prediction and propose Set-Concept Segmentation (SetCon), which uses LVLM-generated natural-language concepts, instead of segmentation-specific tokens, as semantic conditions for joint mask-set decoding. A hierarchical semantic decomposition first predicts a shared set-level concept defining the target scope and then refines it into fine-grained concept groups aligned with target subsets. To support this, a two-stage annotation pipeline augments existing reasoning segmentation datasets with hierarchical semantic supervision (236k samples, 784k concept phrases). SetCon achieves state-of-the-art results on image benchmarks (+3.3 gIoU on gRefCOCO, +12.1 gIoU on MUSE), with margins that grow as the number of referred targets increases. The concept interface also transfers to video under a detect-and-track setting, yielding new state-of-the-art results on seven referring video benchmarks, including +10.9 J&F on MeViS and +12.4 J&F on Ref-SeCVOS.

Radiological analysis increasingly benefits from pretrained visual representations that can support heterogeneous downstream tasks across imaging modalities. In this work, we introduce OmniRad, a self-supervised radiological foundation model pretrained on 1.2 million medical images, designed with radiology-inspired principles emphasizing representation reuse and cross-task transferability. We evaluate the pretrained encoder under multiple downstream adaptation regimes, including lightweight task-specific adapters with a frozen backbone as well as full end-to-end fine-tuning for classification, allowing us to assess both representation quality and task-specific performance. OmniRad is evaluated on a broad suite of public benchmarks spanning classification and segmentation across multiple modalities. On the MedMNISTv2 collection, OmniRad improves classification F1 by up to 2.05% over competing foundation models. For dense prediction, OmniRad attains mean Dice score improvements across six MedSegBench datasets when using frozen representations. Qualitative analyses and latent-space visualizations suggest improved feature clustering and modality-related separation.

The long-tailed distribution is a common phenomenon in the real world. Extracted large scale image datasets inevitably demonstrate the long-tailed property and models trained with imbalanced data can obtain high performance for the over-represented categories, but struggle for the under-represented categories, leading to biased predictions and performance degradation. To address this challenge, we propose a novel de-biasing method named Inverse Image Frequency (IIF). IIF is a multiplicative margin adjustment transformation of the logits in the classification layer of a convolutional neural network. Our method achieves stronger performance than similar works and it is especially useful for downstream tasks such as long-tailed instance segmentation as it produces fewer false positive detections. Our extensive experiments show that IIF surpasses the state of the art on many long-tailed benchmarks such as ImageNet-LT, CIFAR-LT, Places-LT and LVIS, reaching 55.8% top-1 accuracy with ResNet50 on ImageNet-LT and 26.2% segmentation AP with MaskRCNN on LVIS. Code available at https://github.com/kostas1515/iif

Following their success in natural language processing, transformers have recently shown much promise for computer vision. The self-attention operation underlying transformers yields global interactions between all tokens ,i.e. words or image patches, and enables flexible modelling of image data beyond the local interactions of convolutions. This flexibility, however, comes with a quadratic complexity in time and memory, hindering application to long sequences and high-resolution images. We propose a "transposed" version of self-attention that operates across feature channels rather than tokens, where the interactions are based on the cross-covariance matrix between keys and queries. The resulting cross-covariance attention (XCA) has linear complexity in the number of tokens, and allows efficient processing of high-resolution images. Our cross-covariance image transformer (XCiT) is built upon XCA. It combines the accuracy of conventional transformers with the scalability of convolutional architectures. We validate the effectiveness and generality of XCiT by reporting excellent results on multiple vision benchmarks, including image classification and self-supervised feature learning on ImageNet-1k, object detection and instance segmentation on COCO, and semantic segmentation on ADE20k.

Current universal segmentation methods demonstrate strong capabilities in pixel-level image and video understanding. However, they lack reasoning abilities and cannot be controlled via text instructions. In contrast, large vision-language multimodal models exhibit powerful vision-based conversation and reasoning capabilities but lack pixel-level understanding and have difficulty accepting visual prompts for flexible user interaction. This paper proposes OMG-LLaVA, a new and elegant framework combining powerful pixel-level vision understanding with reasoning abilities. It can accept various visual and text prompts for flexible user interaction. Specifically, we use a universal segmentation method as the visual encoder, integrating image information, perception priors, and visual prompts into visual tokens provided to the LLM. The LLM is responsible for understanding the user's text instructions and providing text responses and pixel-level segmentation results based on the visual information. We propose perception prior embedding to better integrate perception priors with image features. OMG-LLaVA achieves image-level, object-level, and pixel-level reasoning and understanding in a single model, matching or surpassing the performance of specialized methods on multiple benchmarks. Rather than using LLM to connect each specialist, our work aims at end-to-end training on one encoder, one decoder, and one LLM. The code and model have been released for further research.

Point-, voxel-, and range-views are three representative forms of point clouds. All of them have accurate 3D measurements but lack color and texture information. RGB images are a natural complement to these point cloud views and fully utilizing the comprehensive information of them benefits more robust perceptions. In this paper, we present a unified multi-modal LiDAR segmentation network, termed UniSeg, which leverages the information of RGB images and three views of the point cloud, and accomplishes semantic segmentation and panoptic segmentation simultaneously. Specifically, we first design the Learnable cross-Modal Association (LMA) module to automatically fuse voxel-view and range-view features with image features, which fully utilize the rich semantic information of images and are robust to calibration errors. Then, the enhanced voxel-view and range-view features are transformed to the point space,where three views of point cloud features are further fused adaptively by the Learnable cross-View Association module (LVA). Notably, UniSeg achieves promising results in three public benchmarks, i.e., SemanticKITTI, nuScenes, and Waymo Open Dataset (WOD); it ranks 1st on two challenges of two benchmarks, including the LiDAR semantic segmentation challenge of nuScenes and panoptic segmentation challenges of SemanticKITTI. Besides, we construct the OpenPCSeg codebase, which is the largest and most comprehensive outdoor LiDAR segmentation codebase. It contains most of the popular outdoor LiDAR segmentation algorithms and provides reproducible implementations. The OpenPCSeg codebase will be made publicly available at https://github.com/PJLab-ADG/PCSeg.

Multi-modal large language models (MLLMs) have achieved remarkable success in image- and region-level remote sensing (RS) image understanding tasks, such as image captioning, visual question answering, and visual grounding. However, existing RS MLLMs lack the pixel-level dialogue capability, which involves responding to user instructions with segmentation masks for specific instances. In this paper, we propose GeoPix, a RS MLLM that extends image understanding capabilities to the pixel level. This is achieved by equipping the MLLM with a mask predictor, which transforms visual features from the vision encoder into masks conditioned on the LLM's segmentation token embeddings. To facilitate the segmentation of multi-scale objects in RS imagery, a class-wise learnable memory module is integrated into the mask predictor to capture and store class-wise geo-context at the instance level across the entire dataset. In addition, to address the absence of large-scale datasets for training pixel-level RS MLLMs, we construct the GeoPixInstruct dataset, comprising 65,463 images and 140,412 instances, with each instance annotated with text descriptions, bounding boxes, and masks. Furthermore, we develop a two-stage training strategy to balance the distinct requirements of text generation and masks prediction in multi-modal multi-task optimization. Extensive experiments verify the effectiveness and superiority of GeoPix in pixel-level segmentation tasks, while also maintaining competitive performance in image- and region-level benchmarks.

Understanding fashion images has been advanced by benchmarks with rich annotations such as DeepFashion, whose labels include clothing categories, landmarks, and consumer-commercial image pairs. However, DeepFashion has nonnegligible issues such as single clothing-item per image, sparse landmarks (4~8 only), and no per-pixel masks, making it had significant gap from real-world scenarios. We fill in the gap by presenting DeepFashion2 to address these issues. It is a versatile benchmark of four tasks including clothes detection, pose estimation, segmentation, and retrieval. It has 801K clothing items where each item has rich annotations such as style, scale, viewpoint, occlusion, bounding box, dense landmarks and masks. There are also 873K Commercial-Consumer clothes pairs. A strong baseline is proposed, called Match R-CNN, which builds upon Mask R-CNN to solve the above four tasks in an end-to-end manner. Extensive evaluations are conducted with different criterions in DeepFashion2.

Biomedical image analysis spans diverse modalities and tasks, yet real-world deployment is hindered by severe distribution shifts across scanners, protocols, and patient populations. High-performing models consequently require repeated domain-specific fine-tuning, which is a costly cycle that becomes impractical when labels are scarce or privacy constraints limit data sharing. We propose OPERA (Offline Policy-guided Expert Routing and Adaptation), a multi-agent ensemble framework that addresses this deployment bottleneck by treating expert weight assignment as an offline policy learning problem: a routing policy is learned from a small validation set without gradient updates to any expert agent, then deployed with test-time adaptation to handle distribution shift. OPERA coordinates heterogeneous specialist agents through complementary mechanisms. The expert profiling module learns selection policies offline, enabling informed allocation of expertise. Each agent undergoes confidence calibration through temperature adjustment, ensuring more reliable probabilistic outputs. OPERA also incorporates distribution aware adaptation, where class weights are dynamically adjusted at the batch level using statistics derived from unlabeled test data. Instance level routing assigns each sample to the most suitable expert by leveraging inter model agreement and predictive entropy. We evaluate OPERA on 9 datasets covering fundus photography, chest X-ray, CT, MRI, and multimodal diagnostic benchmarks, comparing against 30+ baselines across classification, segmentation, and multimodal settings. OPERA consistently improves performance and calibration quality, demonstrating that offline policy-guided expert agents coordination is a practical path to deployable biomedical AI without retraining. Code is on https://github.com/HUANGLIZI/OPERA{GitHub}.

We present Masked Frequency Modeling (MFM), a unified frequency-domain-based approach for self-supervised pre-training of visual models. Instead of randomly inserting mask tokens to the input embeddings in the spatial domain, in this paper, we shift the perspective to the frequency domain. Specifically, MFM first masks out a portion of frequency components of the input image and then predicts the missing frequencies on the frequency spectrum. Our key insight is that predicting masked components in the frequency domain is more ideal to reveal underlying image patterns rather than predicting masked patches in the spatial domain, due to the heavy spatial redundancy. Our findings suggest that with the right configuration of mask-and-predict strategy, both the structural information within high-frequency components and the low-level statistics among low-frequency counterparts are useful in learning good representations. For the first time, MFM demonstrates that, for both ViT and CNN, a simple non-Siamese framework can learn meaningful representations even using none of the following: (i) extra data, (ii) extra model, (iii) mask token. Experimental results on image classification and semantic segmentation, as well as several robustness benchmarks show the competitive performance and advanced robustness of MFM compared with recent masked image modeling approaches. Furthermore, we also comprehensively investigate the effectiveness of classical image restoration tasks for representation learning from a unified frequency perspective and reveal their intriguing relations with our MFM approach.

Vision transformers have significantly advanced the field of computer vision, offering robust modeling capabilities and global receptive field. However, their high computational demands limit their applicability in processing long sequences. To tackle this issue, State Space Models (SSMs) have gained prominence in vision tasks as they offer linear computational complexity. Recently, State Space Duality (SSD), an improved variant of SSMs, was introduced in Mamba2 to enhance model performance and efficiency. However, the inherent causal nature of SSD/SSMs restricts their applications in non-causal vision tasks. To address this limitation, we introduce Visual State Space Duality (VSSD) model, which has a non-causal format of SSD. Specifically, we propose to discard the magnitude of interactions between the hidden state and tokens while preserving their relative weights, which relieves the dependencies of token contribution on previous tokens. Together with the involvement of multi-scan strategies, we show that the scanning results can be integrated to achieve non-causality, which not only improves the performance of SSD in vision tasks but also enhances its efficiency. We conduct extensive experiments on various benchmarks including image classification, detection, and segmentation, where VSSD surpasses existing state-of-the-art SSM-based models. Code and weights are available at https://github.com/YuHengsss/VSSD.

Global dependency modeling and spatial position modeling are two core issues of the foundational architecture design in current deep learning frameworks. Recently, Vision Transformers (ViTs) have achieved remarkable success in computer vision, leveraging the powerful global dependency modeling capability of the self-attention mechanism. Furthermore, Mamba2 has demonstrated its significant potential in natural language processing tasks by explicitly modeling the spatial adjacency prior through the structured mask. In this paper, we propose Polyline Path Masked Attention (PPMA) that integrates the self-attention mechanism of ViTs with an enhanced structured mask of Mamba2, harnessing the complementary strengths of both architectures. Specifically, we first ameliorate the traditional structured mask of Mamba2 by introducing a 2D polyline path scanning strategy and derive its corresponding structured mask, polyline path mask, which better preserves the adjacency relationships among image tokens. Notably, we conduct a thorough theoretical analysis on the structural characteristics of the proposed polyline path mask and design an efficient algorithm for the computation of the polyline path mask. Next, we embed the polyline path mask into the self-attention mechanism of ViTs, enabling explicit modeling of spatial adjacency prior. Extensive experiments on standard benchmarks, including image classification, object detection, and segmentation, demonstrate that our model outperforms previous state-of-the-art approaches based on both state-space models and Transformers. For example, our proposed PPMA-T/S/B models achieve 48.7%/51.1%/52.3% mIoU on the ADE20K semantic segmentation task, surpassing RMT-T/S/B by 0.7%/1.3%/0.3%, respectively. Code is available at https://github.com/zhongchenzhao/PPMA.

We introduce Iwin Transformer, a novel position-embedding-free hierarchical vision transformer, which can be fine-tuned directly from low to high resolution, through the collaboration of innovative interleaved window attention and depthwise separable convolution. This approach uses attention to connect distant tokens and applies convolution to link neighboring tokens, enabling global information exchange within a single module, overcoming Swin Transformer's limitation of requiring two consecutive blocks to approximate global attention. Extensive experiments on visual benchmarks demonstrate that Iwin Transformer exhibits strong competitiveness in tasks such as image classification (87.4 top-1 accuracy on ImageNet-1K), semantic segmentation and video action recognition. We also validate the effectiveness of the core component in Iwin as a standalone module that can seamlessly replace the self-attention module in class-conditional image generation. The concepts and methods introduced by the Iwin Transformer have the potential to inspire future research, like Iwin 3D Attention in video generation. The code and models are available at https://github.com/cominder/Iwin-Transformer.

Video Large Language Models (VideoLLMs) have recently demonstrated remarkable progress in general video understanding. However, existing models primarily focus on high-level comprehension and are limited to text-only responses, restricting the flexibility for object-centric, multiround interactions. In this paper, we make three contributions: (i) we address these limitations by introducing a VideoLLM model, capable of performing both object referring for input and grounding for output in video reasoning tasks, i.e., allowing users to interact with videos using both textual and visual prompts; (ii) we propose STOM (Spatial-Temporal Overlay Module), a novel approach that propagates arbitrary visual prompts input at any single timestamp to the remaining frames within a video; (iii) we present VideoInfer, a manually curated object-centric video instruction dataset featuring questionanswering pairs that require reasoning. We conduct comprehensive experiments on VideoInfer and other existing benchmarks across video question answering and referring object segmentation. The results on 12 benchmarks of 6 tasks show that our proposed model consistently outperforms baselines in both video question answering and segmentation, underscoring its robustness in multimodal, object-centric video and image understanding. Project page: https://qirui-chen.github.io/RGA3-release/.

Diffusion Probabilistic Models (DPMs) have recently demonstrated impressive results on various generative tasks.Despite its promises, the learned representations of pre-trained DPMs, however, have not been fully understood. In this paper, we conduct an in-depth investigation of the representation power of DPMs, and propose a novel knowledge transfer method that leverages the knowledge acquired by generative DPMs for recognition tasks. Our study begins by examining the feature space of DPMs, revealing that DPMs are inherently denoising autoencoders that balance the representation learning with regularizing model capacity. To this end, we introduce a novel knowledge transfer paradigm named RepFusion. Our paradigm extracts representations at different time steps from off-the-shelf DPMs and dynamically employs them as supervision for student networks, in which the optimal time is determined through reinforcement learning. We evaluate our approach on several image classification, semantic segmentation, and landmark detection benchmarks, and demonstrate that it outperforms state-of-the-art methods. Our results uncover the potential of DPMs as a powerful tool for representation learning and provide insights into the usefulness of generative models beyond sample generation. The code is available at https://github.com/Adamdad/Repfusion.

With recent advances in computer vision and graphics, it is now possible to generate videos with extremely realistic synthetic faces, even in real time. Countless applications are possible, some of which raise a legitimate alarm, calling for reliable detectors of fake videos. In fact, distinguishing between original and manipulated video can be a challenge for humans and computers alike, especially when the videos are compressed or have low resolution, as it often happens on social networks. Research on the detection of face manipulations has been seriously hampered by the lack of adequate datasets. To this end, we introduce a novel face manipulation dataset of about half a million edited images (from over 1000 videos). The manipulations have been generated with a state-of-the-art face editing approach. It exceeds all existing video manipulation datasets by at least an order of magnitude. Using our new dataset, we introduce benchmarks for classical image forensic tasks, including classification and segmentation, considering videos compressed at various quality levels. In addition, we introduce a benchmark evaluation for creating indistinguishable forgeries with known ground truth; for instance with generative refinement models.

The accelerated adoption of digital pathology and advances in deep learning have enabled the development of powerful models for various pathology tasks across a diverse array of diseases and patient cohorts. However, model training is often difficult due to label scarcity in the medical domain and the model's usage is limited by the specific task and disease for which it is trained. Additionally, most models in histopathology leverage only image data, a stark contrast to how humans teach each other and reason about histopathologic entities. We introduce CONtrastive learning from Captions for Histopathology (CONCH), a visual-language foundation model developed using diverse sources of histopathology images, biomedical text, and notably over 1.17 million image-caption pairs via task-agnostic pretraining. Evaluated on a suite of 13 diverse benchmarks, CONCH can be transferred to a wide range of downstream tasks involving either or both histopathology images and text, achieving state-of-the-art performance on histology image classification, segmentation, captioning, text-to-image and image-to-text retrieval. CONCH represents a substantial leap over concurrent visual-language pretrained systems for histopathology, with the potential to directly facilitate a wide array of machine learning-based workflows requiring minimal or no further supervised fine-tuning.

Vision Transformer (ViT) has made significant advancements in computer vision, thanks to its token mixer's sophisticated ability to capture global dependencies between all tokens. However, the quadratic growth in computational demands as the number of tokens increases limits its practical efficiency. Although recent methods have combined the strengths of convolutions and self-attention to achieve better trade-offs, the expensive pairwise token affinity and complex matrix operations inherent in self-attention remain a bottleneck. To address this challenge, we propose S2AFormer, an efficient Vision Transformer architecture featuring novel Strip Self-Attention (SSA). We design simple yet effective Hybrid Perception Blocks (HPBs) to effectively integrate the local perception capabilities of CNNs with the global context modeling of Transformer's attention mechanisms. A key innovation of SSA lies in its reducing the spatial dimensions of K and V while compressing the channel dimensions of Q and K. This design significantly reduces computational overhead while preserving accuracy, striking an optimal balance between efficiency and effectiveness. We evaluate the robustness and efficiency of S2AFormer through extensive experiments on multiple vision benchmarks, including ImageNet-1k for image classification, ADE20k for semantic segmentation, and COCO for object detection and instance segmentation. Results demonstrate that S2AFormer achieves significant accuracy gains with superior efficiency in both GPU and non-GPU environments, making it a strong candidate for efficient vision Transformers.

This paper presents a simple yet effective approach that improves continual test-time adaptation (TTA) in a memory-efficient manner. TTA may primarily be conducted on edge devices with limited memory, so reducing memory is crucial but has been overlooked in previous TTA studies. In addition, long-term adaptation often leads to catastrophic forgetting and error accumulation, which hinders applying TTA in real-world deployments. Our approach consists of two components to address these issues. First, we present lightweight meta networks that can adapt the frozen original networks to the target domain. This novel architecture minimizes memory consumption by decreasing the size of intermediate activations required for backpropagation. Second, our novel self-distilled regularization controls the output of the meta networks not to deviate significantly from the output of the frozen original networks, thereby preserving well-trained knowledge from the source domain. Without additional memory, this regularization prevents error accumulation and catastrophic forgetting, resulting in stable performance even in long-term test-time adaptation. We demonstrate that our simple yet effective strategy outperforms other state-of-the-art methods on various benchmarks for image classification and semantic segmentation tasks. Notably, our proposed method with ResNet-50 and WideResNet-40 takes 86% and 80% less memory than the recent state-of-the-art method, CoTTA.

The ubiquitous and demonstrably suboptimal choice of resizing images to a fixed resolution before processing them with computer vision models has not yet been successfully challenged. However, models such as the Vision Transformer (ViT) offer flexible sequence-based modeling, and hence varying input sequence lengths. We take advantage of this with NaViT (Native Resolution ViT) which uses sequence packing during training to process inputs of arbitrary resolutions and aspect ratios. Alongside flexible model usage, we demonstrate improved training efficiency for large-scale supervised and contrastive image-text pretraining. NaViT can be efficiently transferred to standard tasks such as image and video classification, object detection, and semantic segmentation and leads to improved results on robustness and fairness benchmarks. At inference time, the input resolution flexibility can be used to smoothly navigate the test-time cost-performance trade-off. We believe that NaViT marks a departure from the standard, CNN-designed, input and modelling pipeline used by most computer vision models, and represents a promising direction for ViTs.

We propose Ming-Flash-Omni, an upgraded version of Ming-Omni, built upon a sparser Mixture-of-Experts (MoE) variant of Ling-Flash-2.0 with 100 billion total parameters, of which only 6.1 billion are active per token. This architecture enables highly efficient scaling (dramatically improving computational efficiency while significantly expanding model capacity) and empowers stronger unified multimodal intelligence across vision, speech, and language, representing a key step toward Artificial General Intelligence (AGI). Compared to its predecessor, the upgraded version exhibits substantial improvements across multimodal understanding and generation. We significantly advance speech recognition capabilities, achieving state-of-the-art performance in contextual ASR and highly competitive results in dialect-aware ASR. In image generation, Ming-Flash-Omni introduces high-fidelity text rendering and demonstrates marked gains in scene consistency and identity preservation during image editing. Furthermore, Ming-Flash-Omni introduces generative segmentation, a capability that not only achieves strong standalone segmentation performance but also enhances spatial control in image generation and improves editing consistency. Notably, Ming-Flash-Omni achieves state-of-the-art results in text-to-image generation and generative segmentation, and sets new records on all 12 contextual ASR benchmarks, all within a single unified architecture.

The joint-embedding predictive architecture (JEPA) recently has shown impressive results in extracting visual representations from unlabeled imagery under a masking strategy. However, we reveal its disadvantages, notably its insufficient understanding of local semantics. This deficiency originates from masked modeling in the embedding space, resulting in a reduction of discriminative power and can even lead to the neglect of critical local semantics. To bridge this gap, we introduce DMT-JEPA, a novel masked modeling objective rooted in JEPA, specifically designed to generate discriminative latent targets from neighboring information. Our key idea is simple: we consider a set of semantically similar neighboring patches as a target of a masked patch. To be specific, the proposed DMT-JEPA (a) computes feature similarities between each masked patch and its corresponding neighboring patches to select patches having semantically meaningful relations, and (b) employs lightweight cross-attention heads to aggregate features of neighboring patches as the masked targets. Consequently, DMT-JEPA demonstrates strong discriminative power, offering benefits across a diverse spectrum of downstream tasks. Through extensive experiments, we demonstrate our effectiveness across various visual benchmarks, including ImageNet-1K image classification, ADE20K semantic segmentation, and COCO object detection tasks. Code is available at: https://github.com/DMTJEPA/DMTJEPA.

While large multimodal models (LMMs) have achieved remarkable progress, generating pixel-level masks for image reasoning tasks involving multiple open-world targets remains a challenge. To bridge this gap, we introduce PixelLM, an effective and efficient LMM for pixel-level reasoning and understanding. Central to PixelLM is a novel, lightweight pixel decoder and a comprehensive segmentation codebook. The decoder efficiently produces masks from the hidden embeddings of the codebook tokens, which encode detailed target-relevant information. With this design, PixelLM harmonizes with the structure of popular LMMs and avoids the need for additional costly segmentation models. Furthermore, we propose a target refinement loss to enhance the model's ability to differentiate between multiple targets, leading to substantially improved mask quality. To advance research in this area, we construct MUSE, a high-quality multi-target reasoning segmentation benchmark. PixelLM excels across various pixel-level image reasoning and understanding tasks, outperforming well-established methods in multiple benchmarks, including MUSE, single- and multi-referring segmentation. Comprehensive ablations confirm the efficacy of each proposed component. All code, models, and datasets will be publicly available.

This paper introduces the first two pixel retrieval benchmarks. Pixel retrieval is segmented instance retrieval. Like semantic segmentation extends classification to the pixel level, pixel retrieval is an extension of image retrieval and offers information about which pixels are related to the query object. In addition to retrieving images for the given query, it helps users quickly identify the query object in true positive images and exclude false positive images by denoting the correlated pixels. Our user study results show pixel-level annotation can significantly improve the user experience. Compared with semantic and instance segmentation, pixel retrieval requires a fine-grained recognition capability for variable-granularity targets. To this end, we propose pixel retrieval benchmarks named PROxford and PRParis, which are based on the widely used image retrieval datasets, ROxford and RParis. Three professional annotators label 5,942 images with two rounds of double-checking and refinement. Furthermore, we conduct extensive experiments and analysis on the SOTA methods in image search, image matching, detection, segmentation, and dense matching using our pixel retrieval benchmarks. Results show that the pixel retrieval task is challenging to these approaches and distinctive from existing problems, suggesting that further research can advance the content-based pixel-retrieval and thus user search experience. The datasets can be downloaded from https://github.com/anguoyuan/Pixel_retrieval-Segmented_instance_retrieval{this link}.

Vision-language foundation models, represented by Contrastive language-image pre-training (CLIP), have gained increasing attention for jointly understanding both vision and textual tasks. However, existing approaches primarily focus on training models to match global image representations with textual descriptions, thereby overlooking the critical alignment between local regions and corresponding text tokens. This paper extends CLIP with multi-granularity alignment. Notably, we deliberately construct a new dataset comprising pseudo annotations at various levels of granularities, encompassing image-level, region-level, and pixel-level captions/tags. Accordingly, we develop a unified multi-granularity learning framework, named UMG-CLIP, that simultaneously empowers the model with versatile perception abilities across different levels of detail. Equipped with parameter efficient tuning, UMG-CLIP surpasses current widely used CLIP models and achieves state-of-the-art performance on diverse image understanding benchmarks, including open-world recognition, retrieval, semantic segmentation, and panoptic segmentation tasks. We hope UMG-CLIP can serve as a valuable option for advancing vision-language foundation models.

We investigate the problem of identifying objects that have been added, removed, or moved between a pair of captures (images or videos) of the same scene at different times. Detecting such changes is important for many applications, such as robotic tidying or construction progress and safety monitoring. A major challenge is that varying viewpoints can cause objects to falsely appear changed. We introduce SceneDiff Benchmark, the first multiview change detection benchmark with object instance annotations, comprising 350 diverse video pairs with thousands of changed objects. We also introduce the SceneDiff method, a new training-free approach for multiview object change detection that leverages pretrained 3D, segmentation, and image encoding models to robustly predict across multiple benchmarks. Our method aligns the captures in 3D, extracts object regions, and compares spatial and semantic region features to detect changes. Experiments on multi-view and two-view benchmarks demonstrate that our method outperforms existing approaches by large margins (94% and 37.4% relative AP improvements). The benchmark and code will be publicly released.

Scaling up the size of vision models has been the de facto standard to obtain more powerful visual representations. In this work, we discuss the point beyond which larger vision models are not necessary. First, we demonstrate the power of Scaling on Scales (S^2), whereby a pre-trained and frozen smaller vision model (e.g., ViT-B or ViT-L), run over multiple image scales, can outperform larger models (e.g., ViT-H or ViT-G) on classification, segmentation, depth estimation, Multimodal LLM (MLLM) benchmarks, and robotic manipulation. Notably, S^2 achieves state-of-the-art performance in detailed understanding of MLLM on the V* benchmark, surpassing models such as GPT-4V. We examine the conditions under which S^2 is a preferred scaling approach compared to scaling on model size. While larger models have the advantage of better generalization on hard examples, we show that features of larger vision models can be well approximated by those of multi-scale smaller models. This suggests most, if not all, of the representations learned by current large pre-trained models can also be obtained from multi-scale smaller models. Our results show that a multi-scale smaller model has comparable learning capacity to a larger model, and pre-training smaller models with S^2 can match or even exceed the advantage of larger models. We release a Python package that can apply S^2 on any vision model with one line of code: https://github.com/bfshi/scaling_on_scales.

Diffusion Probabilistic Methods are employed for state-of-the-art image generation. In this work, we present a method for extending such models for performing image segmentation. The method learns end-to-end, without relying on a pre-trained backbone. The information in the input image and in the current estimation of the segmentation map is merged by summing the output of two encoders. Additional encoding layers and a decoder are then used to iteratively refine the segmentation map, using a diffusion model. Since the diffusion model is probabilistic, it is applied multiple times, and the results are merged into a final segmentation map. The new method produces state-of-the-art results on the Cityscapes validation set, the Vaihingen building segmentation benchmark, and the MoNuSeg dataset.

Learning long-term spatial-temporal features are critical for many video analysis tasks. However, existing video segmentation methods predominantly rely on static image segmentation techniques, and methods capturing temporal dependency for segmentation have to depend on pretrained optical flow models, leading to suboptimal solutions for the problem. End-to-end sequential learning to explore spatialtemporal features for video segmentation is largely limited by the scale of available video segmentation datasets, i.e., even the largest video segmentation dataset only contains 90 short video clips. To solve this problem, we build a new large-scale video object segmentation dataset called YouTube Video Object Segmentation dataset (YouTube-VOS). Our dataset contains 4,453 YouTube video clips and 94 object categories. This is by far the largest video object segmentation dataset to our knowledge and has been released at http://youtube-vos.org. We further evaluate several existing state-of-the-art video object segmentation algorithms on this dataset which aims to establish baselines for the development of new algorithms in the future.

In this work, we revisit atrous convolution, a powerful tool to explicitly adjust filter's field-of-view as well as control the resolution of feature responses computed by Deep Convolutional Neural Networks, in the application of semantic image segmentation. To handle the problem of segmenting objects at multiple scales, we design modules which employ atrous convolution in cascade or in parallel to capture multi-scale context by adopting multiple atrous rates. Furthermore, we propose to augment our previously proposed Atrous Spatial Pyramid Pooling module, which probes convolutional features at multiple scales, with image-level features encoding global context and further boost performance. We also elaborate on implementation details and share our experience on training our system. The proposed `DeepLabv3' system significantly improves over our previous DeepLab versions without DenseCRF post-processing and attains comparable performance with other state-of-art models on the PASCAL VOC 2012 semantic image segmentation benchmark.

Interactive Medical Image Segmentation (IMIS) has long been constrained by the limited availability of large-scale, diverse, and densely annotated datasets, which hinders model generalization and consistent evaluation across different models. In this paper, we introduce the IMed-361M benchmark dataset, a significant advancement in general IMIS research. First, we collect and standardize over 6.4 million medical images and their corresponding ground truth masks from multiple data sources. Then, leveraging the strong object recognition capabilities of a vision foundational model, we automatically generated dense interactive masks for each image and ensured their quality through rigorous quality control and granularity management. Unlike previous datasets, which are limited by specific modalities or sparse annotations, IMed-361M spans 14 modalities and 204 segmentation targets, totaling 361 million masks-an average of 56 masks per image. Finally, we developed an IMIS baseline network on this dataset that supports high-quality mask generation through interactive inputs, including clicks, bounding boxes, text prompts, and their combinations. We evaluate its performance on medical image segmentation tasks from multiple perspectives, demonstrating superior accuracy and scalability compared to existing interactive segmentation models. To facilitate research on foundational models in medical computer vision, we release the IMed-361M and model at https://github.com/uni-medical/IMIS-Bench.

Despite significant advancements in Large Vision-Language Models (LVLMs)' capabilities, existing pixel-grounding models operate in single-image settings, limiting their ability to perform detailed, fine-grained comparisons across multiple images. Conversely, current multi-image understanding models lack pixel-level grounding. Our work addresses this gap by introducing the task of multi-image pixel-grounded reasoning alongside PRIMA, an LVLM that integrates pixel-level grounding with robust multi-image reasoning to produce contextually rich, pixel-grounded explanations. Central to PRIMA is SQuARE, a vision module that injects cross-image relational context into compact query-based visual tokens before fusing them with the language backbone. To support training and evaluation, we curate M4SEG, a new multi-image reasoning segmentation benchmark consisting of sim744K question-answer pairs that require fine-grained visual understanding across multiple images. PRIMA outperforms state-of-the-art baselines with 7.83% and 11.25% improvements in Recall and S-IoU, respectively. Ablation studies further demonstrate the effectiveness of the proposed SQuARE module in capturing cross-image relationships.

Food image segmentation is a critical and indispensible task for developing health-related applications such as estimating food calories and nutrients. Existing food image segmentation models are underperforming due to two reasons: (1) there is a lack of high quality food image datasets with fine-grained ingredient labels and pixel-wise location masks -- the existing datasets either carry coarse ingredient labels or are small in size; and (2) the complex appearance of food makes it difficult to localize and recognize ingredients in food images, e.g., the ingredients may overlap one another in the same image, and the identical ingredient may appear distinctly in different food images. In this work, we build a new food image dataset FoodSeg103 (and its extension FoodSeg154) containing 9,490 images. We annotate these images with 154 ingredient classes and each image has an average of 6 ingredient labels and pixel-wise masks. In addition, we propose a multi-modality pre-training approach called ReLeM that explicitly equips a segmentation model with rich and semantic food knowledge. In experiments, we use three popular semantic segmentation methods (i.e., Dilated Convolution based, Feature Pyramid based, and Vision Transformer based) as baselines, and evaluate them as well as ReLeM on our new datasets. We believe that the FoodSeg103 (and its extension FoodSeg154) and the pre-trained models using ReLeM can serve as a benchmark to facilitate future works on fine-grained food image understanding. We make all these datasets and methods public at https://xiongweiwu.github.io/foodseg103.html.

Few-shot medical image segmentation (FS-MIS) aims to segment novel regions of interest (ROIs) from a few annotated support examples. Despite rapid progress, existing FS-MIS solutions span diverse paradigms but are evaluated under inconsistent settings, leaving their relative effectiveness unclear. We introduce FAME, a unified benchmark for evaluating FS-MIS solutions, covering specialists, SAM-based methods, CLIP-based methods, and MLLM-based methods. FAME contains 14,958 test samples across 7 anatomical sites, 9 imaging modalities, and 14 ROI categories, and evaluates models under zero-shot and ten-shot settings with additional assessment of target-absence recognition and generalization under covariate and semantic shifts. Our evaluation reveals several findings. First, effective few-shot segmentation depends on how models exploit support examples: direct visual adaptation generally outperforms prompt-based strategies. Second, increasing support examples improves performance only when models can effectively utilize them. Third, semantic transfer remains substantially more challenging than imaging-domain adaptation, and strong localization ability does not necessarily imply reliable target-absence recognition. We hope FAME provides a comprehensive understanding of current FS-MIS solutions and facilitates the development of more effective and reliable few-shot medical segmentation methods.

Despite the considerable progress in automatic abdominal multi-organ segmentation from CT/MRI scans in recent years, a comprehensive evaluation of the models' capabilities is hampered by the lack of a large-scale benchmark from diverse clinical scenarios. Constraint by the high cost of collecting and labeling 3D medical data, most of the deep learning models to date are driven by datasets with a limited number of organs of interest or samples, which still limits the power of modern deep models and makes it difficult to provide a fully comprehensive and fair estimate of various methods. To mitigate the limitations, we present AMOS, a large-scale, diverse, clinical dataset for abdominal organ segmentation. AMOS provides 500 CT and 100 MRI scans collected from multi-center, multi-vendor, multi-modality, multi-phase, multi-disease patients, each with voxel-level annotations of 15 abdominal organs, providing challenging examples and test-bed for studying robust segmentation algorithms under diverse targets and scenarios. We further benchmark several state-of-the-art medical segmentation models to evaluate the status of the existing methods on this new challenging dataset. We have made our datasets, benchmark servers, and baselines publicly available, and hope to inspire future research. Information can be found at https://amos22.grand-challenge.org.

The high cure rate of cancer is inextricably linked to physicians' accuracy in diagnosis and treatment, therefore a model that can accomplish high-precision tumor segmentation has become a necessity in many applications of the medical industry. It can effectively lower the rate of misdiagnosis while considerably lessening the burden on clinicians. However, fully automated target organ segmentation is problematic due to the irregular stereo structure of 3D volume organs. As a basic model for this class of real applications, U-Net excels. It can learn certain global and local features, but still lacks the capacity to grasp spatial long-range relationships and contextual information at multiple scales. This paper proposes a tumor segmentation model MPU-Net for patient volume CT images, which is inspired by Transformer with a global attention mechanism. By combining image serialization with the Position Attention Module, the model attempts to comprehend deeper contextual dependencies and accomplish precise positioning. Each layer of the decoder is also equipped with a multi-scale module and a cross-attention mechanism. The capability of feature extraction and integration at different levels has been enhanced, and the hybrid loss function developed in this study can better exploit high-resolution characteristic information. Moreover, the suggested architecture is tested and evaluated on the Liver Tumor Segmentation Challenge 2017 (LiTS 2017) dataset. Compared with the benchmark model U-Net, MPU-Net shows excellent segmentation results. The dice, accuracy, precision, specificity, IOU, and MCC metrics for the best model segmentation results are 92.17%, 99.08%, 91.91%, 99.52%, 85.91%, and 91.74%, respectively. Outstanding indicators in various aspects illustrate the exceptional performance of this framework in automatic medical image segmentation.

In this work, we report the set-up and results of the Liver Tumor Segmentation Benchmark (LiTS), which was organized in conjunction with the IEEE International Symposium on Biomedical Imaging (ISBI) 2017 and the International Conferences on Medical Image Computing and Computer-Assisted Intervention (MICCAI) 2017 and 2018. The image dataset is diverse and contains primary and secondary tumors with varied sizes and appearances with various lesion-to-background levels (hyper-/hypo-dense), created in collaboration with seven hospitals and research institutions. Seventy-five submitted liver and liver tumor segmentation algorithms were trained on a set of 131 computed tomography (CT) volumes and were tested on 70 unseen test images acquired from different patients. We found that not a single algorithm performed best for both liver and liver tumors in the three events. The best liver segmentation algorithm achieved a Dice score of 0.963, whereas, for tumor segmentation, the best algorithms achieved Dices scores of 0.674 (ISBI 2017), 0.702 (MICCAI 2017), and 0.739 (MICCAI 2018). Retrospectively, we performed additional analysis on liver tumor detection and revealed that not all top-performing segmentation algorithms worked well for tumor detection. The best liver tumor detection method achieved a lesion-wise recall of 0.458 (ISBI 2017), 0.515 (MICCAI 2017), and 0.554 (MICCAI 2018), indicating the need for further research. LiTS remains an active benchmark and resource for research, e.g., contributing the liver-related segmentation tasks in http://medicaldecathlon.com/. In addition, both data and online evaluation are accessible via www.lits-challenge.com.

Aerial Image Segmentation is a top-down perspective semantic segmentation and has several challenging characteristics such as strong imbalance in the foreground-background distribution, complex background, intra-class heterogeneity, inter-class homogeneity, and tiny objects. To handle these problems, we inherit the advantages of Transformers and propose AerialFormer, which unifies Transformers at the contracting path with lightweight Multi-Dilated Convolutional Neural Networks (MD-CNNs) at the expanding path. Our AerialFormer is designed as a hierarchical structure, in which Transformer encoder outputs multi-scale features and MD-CNNs decoder aggregates information from the multi-scales. Thus, it takes both local and global contexts into consideration to render powerful representations and high-resolution segmentation. We have benchmarked AerialFormer on three common datasets including iSAID, LoveDA, and Potsdam. Comprehensive experiments and extensive ablation studies show that our proposed AerialFormer outperforms previous state-of-the-art methods with remarkable performance. Our source code will be publicly available upon acceptance.

Open-vocabulary image segmentation aims to partition an image into semantic regions according to arbitrary text descriptions. However, complex visual scenes can be naturally decomposed into simpler parts and abstracted at multiple levels of granularity, introducing inherent segmentation ambiguity. Unlike existing methods that typically sidestep this ambiguity and treat it as an external factor, our approach actively incorporates a hierarchical representation encompassing different semantic-levels into the learning process. We propose a decoupled text-image fusion mechanism and representation learning modules for both "things" and "stuff". Additionally, we systematically examine the differences that exist in the textual and visual features between these types of categories. Our resulting model, named HIPIE, tackles HIerarchical, oPen-vocabulary, and unIvErsal segmentation tasks within a unified framework. Benchmarked on over 40 datasets, e.g., ADE20K, COCO, Pascal-VOC Part, RefCOCO/RefCOCOg, ODinW and SeginW, HIPIE achieves the state-of-the-art results at various levels of image comprehension, including semantic-level (e.g., semantic segmentation), instance-level (e.g., panoptic/referring segmentation and object detection), as well as part-level (e.g., part/subpart segmentation) tasks. Our code is released at https://github.com/berkeley-hipie/HIPIE.

We extend first-order model agnostic meta-learning algorithms (including FOMAML and Reptile) to image segmentation, present a novel neural network architecture built for fast learning which we call EfficientLab, and leverage a formal definition of the test error of meta-learning algorithms to decrease error on out of distribution tasks. We show state of the art results on the FSS-1000 dataset by meta-training EfficientLab with FOMAML and using Bayesian optimization to infer the optimal test-time adaptation routine hyperparameters. We also construct a small benchmark dataset, FP-k, for the empirical study of how meta-learning systems perform in both few- and many-shot settings. On the FP-k dataset, we show that meta-learned initializations provide value for canonical few-shot image segmentation but their performance is quickly matched by conventional transfer learning with performance being equal beyond 10 labeled examples. Our code, meta-learned model, and the FP-k dataset are available at https://github.com/ml4ai/mliis .

This study explores the potential of graph neural networks (GNNs) to enhance semantic segmentation across diverse image modalities. We evaluate the effectiveness of a novel GNN-based U-Net architecture on three distinct datasets: PascalVOC, a standard benchmark for natural image segmentation, WoodScape, a challenging dataset of fisheye images commonly used in autonomous driving, introducing significant geometric distortions; and ISIC2016, a dataset of dermoscopic images for skin lesion segmentation. We compare our proposed UNet-GNN model against established convolutional neural networks (CNNs) based segmentation models, including U-Net and U-Net++, as well as the transformer-based SwinUNet. Unlike these methods, which primarily rely on local convolutional operations or global self-attention, GNNs explicitly model relationships between image regions by constructing and operating on a graph representation of the image features. This approach allows the model to capture long-range dependencies and complex spatial relationships, which we hypothesize will be particularly beneficial for handling geometric distortions present in fisheye imagery and capturing intricate boundaries in medical images. Our analysis demonstrates the versatility of GNNs in addressing diverse segmentation challenges and highlights their potential to improve segmentation accuracy in various applications, including autonomous driving and medical image analysis.

Recent transformer-based architectures have shown impressive results in the field of image segmentation. Thanks to their flexibility, they obtain outstanding performance in multiple segmentation tasks, such as semantic and panoptic, under a single unified framework. To achieve such impressive performance, these architectures employ intensive operations and require substantial computational resources, which are often not available, especially on edge devices. To fill this gap, we propose Prototype-based Efficient MaskFormer (PEM), an efficient transformer-based architecture that can operate in multiple segmentation tasks. PEM proposes a novel prototype-based cross-attention which leverages the redundancy of visual features to restrict the computation and improve the efficiency without harming the performance. In addition, PEM introduces an efficient multi-scale feature pyramid network, capable of extracting features that have high semantic content in an efficient way, thanks to the combination of deformable convolutions and context-based self-modulation. We benchmark the proposed PEM architecture on two tasks, semantic and panoptic segmentation, evaluated on two different datasets, Cityscapes and ADE20K. PEM demonstrates outstanding performance on every task and dataset, outperforming task-specific architectures while being comparable and even better than computationally-expensive baselines.

The adoption of Vision Transformers (ViTs) based architectures represents a significant advancement in 3D Medical Image (MI) segmentation, surpassing traditional Convolutional Neural Network (CNN) models by enhancing global contextual understanding. While this paradigm shift has significantly enhanced 3D segmentation performance, state-of-the-art architectures require extremely large and complex architectures with large scale computing resources for training and deployment. Furthermore, in the context of limited datasets, often encountered in medical imaging, larger models can present hurdles in both model generalization and convergence. In response to these challenges and to demonstrate that lightweight models are a valuable area of research in 3D medical imaging, we present SegFormer3D, a hierarchical Transformer that calculates attention across multiscale volumetric features. Additionally, SegFormer3D avoids complex decoders and uses an all-MLP decoder to aggregate local and global attention features to produce highly accurate segmentation masks. The proposed memory efficient Transformer preserves the performance characteristics of a significantly larger model in a compact design. SegFormer3D democratizes deep learning for 3D medical image segmentation by offering a model with 33x less parameters and a 13x reduction in GFLOPS compared to the current state-of-the-art (SOTA). We benchmark SegFormer3D against the current SOTA models on three widely used datasets Synapse, BRaTs, and ACDC, achieving competitive results. Code: https://github.com/OSUPCVLab/SegFormer3D.git

Localizing desired objects from remote sensing images is of great use in practical applications. Referring image segmentation, which aims at segmenting out the objects to which a given expression refers, has been extensively studied in natural images. However, almost no research attention is given to this task of remote sensing imagery. Considering its potential for real-world applications, in this paper, we introduce referring remote sensing image segmentation (RRSIS) to fill in this gap and make some insightful explorations. Specifically, we create a new dataset, called RefSegRS, for this task, enabling us to evaluate different methods. Afterward, we benchmark referring image segmentation methods of natural images on the RefSegRS dataset and find that these models show limited efficacy in detecting small and scattered objects. To alleviate this issue, we propose a language-guided cross-scale enhancement (LGCE) module that utilizes linguistic features to adaptively enhance multi-scale visual features by integrating both deep and shallow features. The proposed dataset, benchmarking results, and the designed LGCE module provide insights into the design of a better RRSIS model. We will make our dataset and code publicly available.

The escalating global concern over extensive food wastage necessitates innovative solutions to foster a net-zero lifestyle and reduce emissions. The LILA home composter presents a convenient means of recycling kitchen scraps and daily food waste into nutrient-rich, high-quality compost. To capture the nutritional information of the produced compost, we have created and annotated a large high-resolution image dataset of kitchen food waste with segmentation masks of 19 nutrition-rich categories. Leveraging this dataset, we benchmarked four state-of-the-art semantic segmentation models on food waste segmentation, contributing to the assessment of compost quality of Nitrogen, Phosphorus, or Potassium. The experiments demonstrate promising results of using segmentation models to discern food waste produced in our daily lives. Based on the experiments, SegFormer, utilizing MIT-B5 backbone, yields the best performance with a mean Intersection over Union (mIoU) of 67.09. Class-based results are also provided to facilitate further analysis of different food waste classes.

We present a systematic study on a new task called dichotomous image segmentation (DIS) , which aims to segment highly accurate objects from natural images. To this end, we collected the first large-scale DIS dataset, called DIS5K, which contains 5,470 high-resolution (e.g., 2K, 4K or larger) images covering camouflaged, salient, or meticulous objects in various backgrounds. DIS is annotated with extremely fine-grained labels. Besides, we introduce a simple intermediate supervision baseline (IS-Net) using both feature-level and mask-level guidance for DIS model training. IS-Net outperforms various cutting-edge baselines on the proposed DIS5K, making it a general self-learned supervision network that can facilitate future research in DIS. Further, we design a new metric called human correction efforts (HCE) which approximates the number of mouse clicking operations required to correct the false positives and false negatives. HCE is utilized to measure the gap between models and real-world applications and thus can complement existing metrics. Finally, we conduct the largest-scale benchmark, evaluating 16 representative segmentation models, providing a more insightful discussion regarding object complexities, and showing several potential applications (e.g., background removal, art design, 3D reconstruction). Hoping these efforts can open up promising directions for both academic and industries. Project page: https://xuebinqin.github.io/dis/index.html.

We present LawDIS, a language-window-based controllable dichotomous image segmentation (DIS) framework that produces high-quality object masks. Our framework recasts DIS as an image-conditioned mask generation task within a latent diffusion model, enabling seamless integration of user controls. LawDIS is enhanced with macro-to-micro control modes. Specifically, in macro mode, we introduce a language-controlled segmentation strategy (LS) to generate an initial mask based on user-provided language prompts. In micro mode, a window-controlled refinement strategy (WR) allows flexible refinement of user-defined regions (i.e., size-adjustable windows) within the initial mask. Coordinated by a mode switcher, these modes can operate independently or jointly, making the framework well-suited for high-accuracy, personalised applications. Extensive experiments on the DIS5K benchmark reveal that our LawDIS significantly outperforms 11 cutting-edge methods across all metrics. Notably, compared to the second-best model MVANet, we achieve F_β^ω gains of 4.6\% with both the LS and WR strategies and 3.6\% gains with only the LS strategy on DIS-TE. Codes will be made available at https://github.com/XinyuYanTJU/LawDIS.

Semi-supervised image segmentation has attracted great attention recently. The key is how to leverage unlabeled images in the training process. Most methods maintain consistent predictions of the unlabeled images under variations (e.g., adding noise/perturbations, or creating alternative versions) in the image and/or model level. In most image-level variation, medical images often have prior structure information, which has not been well explored. In this paper, we propose novel dual structure-aware image filterings (DSAIF) as the image-level variations for semi-supervised medical image segmentation. Motivated by connected filtering that simplifies image via filtering in structure-aware tree-based image representation, we resort to the dual contrast invariant Max-tree and Min-tree representation. Specifically, we propose a novel connected filtering that removes topologically equivalent nodes (i.e. connected components) having no siblings in the Max/Min-tree. This results in two filtered images preserving topologically critical structure. Applying the proposed DSAIF to mutually supervised networks decreases the consensus of their erroneous predictions on unlabeled images. This helps to alleviate the confirmation bias issue of overfitting to noisy pseudo labels of unlabeled images, and thus effectively improves the segmentation performance. Extensive experimental results on three benchmark datasets demonstrate that the proposed method significantly/consistently outperforms some state-of-the-art methods. The source codes will be publicly available.

Recent trends in semi-supervised learning have significantly boosted the performance of 3D semi-supervised medical image segmentation. Compared with 2D images, 3D medical volumes involve information from different directions, e.g., transverse, sagittal, and coronal planes, so as to naturally provide complementary views. These complementary views and the intrinsic similarity among adjacent 3D slices inspire us to develop a novel annotation way and its corresponding semi-supervised model for effective segmentation. Specifically, we firstly propose the orthogonal annotation by only labeling two orthogonal slices in a labeled volume, which significantly relieves the burden of annotation. Then, we perform registration to obtain the initial pseudo labels for sparsely labeled volumes. Subsequently, by introducing unlabeled volumes, we propose a dual-network paradigm named Dense-Sparse Co-training (DeSCO) that exploits dense pseudo labels in early stage and sparse labels in later stage and meanwhile forces consistent output of two networks. Experimental results on three benchmark datasets validated our effectiveness in performance and efficiency in annotation. For example, with only 10 annotated slices, our method reaches a Dice up to 86.93% on KiTS19 dataset.

Transformer-based models have been widely demonstrated to be successful in computer vision tasks by modelling long-range dependencies and capturing global representations. However, they are often dominated by features of large patterns leading to the loss of local details (e.g., boundaries and small objects), which are critical in medical image segmentation. To alleviate this problem, we propose a Dual-Aggregation Transformer Network called DuAT, which is characterized by two innovative designs, namely, the Global-to-Local Spatial Aggregation (GLSA) and Selective Boundary Aggregation (SBA) modules. The GLSA has the ability to aggregate and represent both global and local spatial features, which are beneficial for locating large and small objects, respectively. The SBA module is used to aggregate the boundary characteristic from low-level features and semantic information from high-level features for better preserving boundary details and locating the re-calibration objects. Extensive experiments in six benchmark datasets demonstrate that our proposed model outperforms state-of-the-art methods in the segmentation of skin lesion images, and polyps in colonoscopy images. In addition, our approach is more robust than existing methods in various challenging situations such as small object segmentation and ambiguous object boundaries.

Computed Tomography (CT) is one of the most popular modalities for medical imaging. By far, CT images have contributed to the largest publicly available datasets for volumetric medical segmentation tasks, covering full-body anatomical structures. Large amounts of full-body CT images provide the opportunity to pre-train powerful models, e.g., STU-Net pre-trained in a supervised fashion, to segment numerous anatomical structures. However, it remains unclear in which conditions these pre-trained models can be transferred to various downstream medical segmentation tasks, particularly segmenting the other modalities and diverse targets. To address this problem, a large-scale benchmark for comprehensive evaluation is crucial for finding these conditions. Thus, we collected 87 public datasets varying in modality, target, and sample size to evaluate the transfer ability of full-body CT pre-trained models. We then employed a representative model, STU-Net with multiple model scales, to conduct transfer learning across modalities and targets. Our experimental results show that (1) there may be a bottleneck effect concerning the dataset size in fine-tuning, with more improvement on both small- and large-scale datasets than medium-size ones. (2) Models pre-trained on full-body CT demonstrate effective modality transfer, adapting well to other modalities such as MRI. (3) Pre-training on the full-body CT not only supports strong performance in structure detection but also shows efficacy in lesion detection, showcasing adaptability across target tasks. We hope that this large-scale open evaluation of transfer learning can direct future research in volumetric medical image segmentation.

Generation of images containing multiple humans, performing complex actions, while preserving their facial identities, is a significant challenge. A major factor contributing to this is the lack of a dedicated benchmark. To address this, we introduce MultiHuman-Testbench, a novel benchmark for rigorously evaluating generative models for multi-human generation. The benchmark comprises 1,800 samples, including carefully curated text prompts, describing a range of simple to complex human actions. These prompts are matched with a total of 5,550 unique human face images, sampled uniformly to ensure diversity across age, ethnic background, and gender. Alongside captions, we provide human-selected pose conditioning images which accurately match the prompt. We propose a multi-faceted evaluation suite employing four key metrics to quantify face count, ID similarity, prompt alignment, and action detection. We conduct a thorough evaluation of a diverse set of models, including zero-shot approaches and training-based methods, with and without regional priors. We also propose novel techniques to incorporate image and region isolation using human segmentation and Hungarian matching, significantly improving ID similarity. Our proposed benchmark and key findings provide valuable insights and a standardized tool for advancing research in multi-human image generation. The dataset and evaluation codes will be available at https://github.com/Qualcomm-AI-research/MultiHuman-Testbench.

Universal medical image segmentation seeks to use a single foundational model to handle diverse tasks across multiple imaging modalities. However, existing approaches often rely heavily on manual visual prompts or retrieved reference images, which limits their automation and robustness. In addition, naive joint training across modalities often fails to address large domain shifts. To address these limitations, we propose Concept-to-Pixel (C2P), a novel prompt-free universal segmentation framework. C2P explicitly separates anatomical knowledge into two components: Geometric and Semantic representations. It leverages Multimodal Large Language Models (MLLMs) to distill abstract, high-level medical concepts into learnable Semantic Tokens and introduces explicitly supervised Geometric Tokens to enforce universal physical and structural constraints. These disentangled tokens interact deeply with image features to generate input-specific dynamic kernels for precise mask prediction. Furthermore, we introduce a Geometry-Aware Inference Consensus mechanism, which utilizes the model's predicted geometric constraints to assess prediction reliability and suppress outliers. Extensive experiments and analysis on a unified benchmark comprising eight diverse datasets across seven modalities demonstrate the significant superiority of our jointly trained approach, compared to universe- or single-model approaches. Remarkably, our unified model demonstrates strong generalization, achieving impressive results not only on zero-shot tasks involving unseen cases but also in cross-modal transfers across similar tasks. Code is available at: https://github.com/Yundi218/Concept-to-Pixel

In recent years, significant advancements have been made in deep learning for medical image segmentation, particularly with convolutional neural networks (CNNs) and transformer models. However, CNNs face limitations in capturing long-range dependencies, while transformers suffer from high computational complexity. To address this, we propose RWKV-UNet, a novel model that integrates the RWKV (Receptance Weighted Key Value) structure into the U-Net architecture. This integration enhances the model's ability to capture long-range dependencies and to improve contextual understanding, which is crucial for accurate medical image segmentation. We build a strong encoder with developed Global-Local Spatial Perception (GLSP) blocks combining CNNs and RWKVs. We also propose a Cross-Channel Mix (CCM) module to improve skip connections with multi-scale feature fusion, achieving global channel information integration. Experiments on 11 benchmark datasets show that the RWKV-UNet achieves state-of-the-art performance on various types of medical image segmentation tasks. Additionally, smaller variants, RWKV-UNet-S and RWKV-UNet-T, balance accuracy and computational efficiency, making them suitable for broader clinical applications.