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arXiv2026

SD-FSMIS: Adapting Stable Diffusion for Few-Shot Medical Image Segmentation

Few-Shot Medical Image Segmentation (FSMIS) aims to segment novel object classes in medical images using only minimal annotated examples, addressing the critical challenges of data scarcity and domain shifts prevalent in medical imaging. While Diffusion Models (DM) excel in visual tasks, their potential for FSMIS remains largely unexplored. We propose that the rich visual priors learned by large-scale DMs offer a powerful foundation for a more robust and data-efficient segmentation approach. In this paper, we introduce SD-FSMIS, a novel framework designed to effectively adapt the powerful pre-trained Stable Diffusion (SD) model for the FSMIS task. Our approach repurposes its conditional generative architecture by introducing two key components: a Support-Query Interaction (SQI) and a Visual-to-Textual Condition Translator (VTCT). Specifically, SQI provides a straightforward yet powerful means of adapting SD to the FSMIS paradigm. The VTCT module translates visual cues from the support set into an implicit textual embedding that guides the diffusion model, enabling precise conditioning of the generation process. Extensive experiments demonstrate that SD-FSMIS achieves competitive results compared to state-of-the-art methods in standard settings. Surprisingly, it also demonstrated excellent generalization ability in more challenging cross-domain scenarios. These findings highlight the immense potential of adapting large-scale generative models to advance data-efficient and robust medical image segmentation.

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arXiv2024

Adaptive Prompt Learning with SAM for Few-shot Scanning Probe Microscope Image Segmentation

The Segment Anything Model (SAM) has demonstrated strong performance in image segmentation of natural scene images. However, its effectiveness diminishes markedly when applied to specific scientific domains, such as Scanning Probe Microscope (SPM) images. This decline in accuracy can be attributed to the distinct data distribution and limited availability of the data inherent in the scientific images. On the other hand, the acquisition of adequate SPM datasets is both time-intensive and laborious as well as skill-dependent. To address these challenges, we propose an Adaptive Prompt Learning with SAM (APL-SAM) framework tailored for few-shot SPM image segmentation. Our approach incorporates two key innovations to enhance SAM: 1) An Adaptive Prompt Learning module leverages few-shot embeddings derived from limited support set to learn adaptively central representatives, serving as visual prompts. This innovation eliminates the need for time-consuming online user interactions for providing prompts, such as exhaustively marking points and bounding boxes slice by slice; 2) A multi-source, multi-level mask decoder specifically designed for few-shot SPM image segmentation is introduced, which can effectively capture the correspondence between the support and query images. To facilitate comprehensive training and evaluation, we introduce a new dataset, SPM-Seg, curated for SPM image segmentation. Extensive experiments on this dataset reveal that the proposed APL-SAM framework significantly outperforms the original SAM, achieving over a 30% improvement in terms of Dice Similarity Coefficient with only one-shot guidance. Moreover, APL-SAM surpasses state-of-the-art few-shot segmentation methods and even fully supervised approaches in performance. Code and dataset used in this study will be made available upon acceptance.

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arXiv2026

A Novel Framework using Intuitionistic Fuzzy Logic with U-Net and U-Net++ Architecture: A case Study of MRI Bain Image Segmentation

Accurate segmentation of brain images from magnetic resonance imaging (MRI) scans plays a pivotal role in brain image analysis and the diagnosis of neurological disorders. Deep learning algorithms, particularly U-Net and U-Net++, are widely used for image segmentation. However, it finds difficult to deal with uncertainty in images. To address this challenge, this work integrates intuitionistic fuzzy logic into U-Net and U-Net++, propose a novel framework, named as IFS U-Net and IFS U-Net++. These models accept input data in an intuitionistic fuzzy representation to manage uncertainty arising from vague ness and imprecise data. This approach effectively handles tissue ambiguity caused by the partial volume effect and boundary uncertainties. To evaluate the effectiveness of IFS U-Net and IFS U-Net++, experiments are conducted on two publicly available MRI brain datasets: the Internet Brain Segmentation Repository (IBSR) and the Open Access Series of Imaging Studies (OASIS). Segmentation performance is quantitatively assessed using Accuracy, Dice Coefficient, and Intersection over Union (IoU). The results demonstrate that the proposed architectures consistently improve segmentation performance by effectively addressing uncertainty

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arXiv2021

Deep Learning in Medical Ultrasound Image Segmentation: a Review

Applying machine learning technologies, especially deep learning, into medical image segmentation is being widely studied because of its state-of-the-art performance and results. It can be a key step to provide a reliable basis for clinical diagnosis, such as 3D reconstruction of human tissues, image-guided interventions, image analyzing and visualization. In this review article, deep-learning-based methods for ultrasound image segmentation are categorized into six main groups according to their architectures and training at first. Secondly, for each group, several current representative algorithms are selected, introduced, analyzed and summarized in detail. In addition, common evaluation methods for image segmentation and ultrasound image segmentation datasets are summarized. Further, the performance of the current methods and their evaluations are reviewed. In the end, the challenges and potential research directions for medical ultrasound image segmentation are discussed.

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arXiv2023

Deep Learning-based Bio-Medical Image Segmentation using UNet Architecture and Transfer Learning

Image segmentation is a branch of computer vision that is widely used in real world applications including biomedical image processing. With recent advancement of deep learning, image segmentation has achieved at a very high level performance. Recently, UNet architecture is found as the core of novel deep learning segmentation methods. In this paper we implement UNet architecture from scratch with using basic blocks in Pytorch and evaluate its performance on multiple biomedical image datasets. We also use transfer learning to apply novel modified UNet segmentation packages on the biomedical image datasets. We fine tune the pre-trained transferred model with each specific dataset. We compare its performance with our fundamental UNet implementation. We show that transferred learning model has better performance in image segmentation than UNet model that is implemented from scratch.

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arXiv2017

Robust Seed Mask Generation for Interactive Image Segmentation

In interactive medical image segmentation, anatomical structures are extracted from reconstructed volumetric images. The first iterations of user interaction traditionally consist of drawing pictorial hints as an initial estimate of the object to extract. Only after this time consuming first phase, the efficient selective refinement of current segmentation results begins. Erroneously labeled seeds, especially near the border of the object, are challenging to detect and replace for a human and may substantially impact the overall segmentation quality. We propose an automatic seeding pipeline as well as a configuration based on saliency recognition, in order to skip the time-consuming initial interaction phase during segmentation. A median Dice score of 68.22% is reached before the first user interaction on the test data set with an error rate in seeding of only 0.088%.

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arXiv2023

MobileUtr: Revisiting the relationship between light-weight CNN and Transformer for efficient medical image segmentation

Due to the scarcity and specific imaging characteristics in medical images, light-weighting Vision Transformers (ViTs) for efficient medical image segmentation is a significant challenge, and current studies have not yet paid attention to this issue. This work revisits the relationship between CNNs and Transformers in lightweight universal networks for medical image segmentation, aiming to integrate the advantages of both worlds at the infrastructure design level. In order to leverage the inductive bias inherent in CNNs, we abstract a Transformer-like lightweight CNNs block (ConvUtr) as the patch embeddings of ViTs, feeding Transformer with denoised, non-redundant and highly condensed semantic information. Moreover, an adaptive Local-Global-Local (LGL) block is introduced to facilitate efficient local-to-global information flow exchange, maximizing Transformer's global context information extraction capabilities. Finally, we build an efficient medical image segmentation model (MobileUtr) based on CNN and Transformer. Extensive experiments on five public medical image datasets with three different modalities demonstrate the superiority of MobileUtr over the state-of-the-art methods, while boasting lighter weights and lower computational cost. Code is available at https://github.com/FengheTan9/MobileUtr.

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arXiv2020

Robustness study of noisy annotation in deep learning based medical image segmentation

Partly due to the use of exhaustive-annotated data, deep networks have achieved impressive performance on medical image segmentation. Medical imaging data paired with noisy annotation are, however, ubiquitous, but little is known about the effect of noisy annotation on deep learning-based medical image segmentation. We studied the effects of noisy annotation in the context of mandible segmentation from CT images. First, 202 images of Head and Neck cancer patients were collected from our clinical database, where the organs-at-risk were annotated by one of 12 planning dosimetrists. The mandibles were roughly annotated as the planning avoiding structure. Then, mandible labels were checked and corrected by a physician to get clean annotations. At last, by varying the ratios of noisy labels in the training data, deep learning-based segmentation models were trained, one for each ratio. In general, a deep network trained with noisy labels had worse segmentation results than that trained with clean labels, and fewer noisy labels led to better segmentation. When using 20% or less noisy cases for training, no significant difference was found on the prediction performance between the models trained by noisy or clean. This study suggests that deep learning-based medical image segmentation is robust to noisy annotations to some extent. It also highlights the importance of labeling quality in deep learning

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arXiv2024

Leveraging Adaptive Implicit Representation Mapping for Ultra High-Resolution Image Segmentation

Implicit representation mapping (IRM) can translate image features to any continuous resolution, showcasing its potent capability for ultra-high-resolution image segmentation refinement. Current IRM-based methods for refining ultra-high-resolution image segmentation often rely on CNN-based encoders to extract image features and apply a Shared Implicit Representation Mapping Function (SIRMF) to convert pixel-wise features into segmented results. Hence, these methods exhibit two crucial limitations. Firstly, the CNN-based encoder may not effectively capture long-distance information, resulting in a lack of global semantic information in the pixel-wise features. Secondly, SIRMF is shared across all samples, which limits its ability to generalize and handle diverse inputs. To address these limitations, we propose a novel approach that leverages the newly proposed Adaptive Implicit Representation Mapping (AIRM) for ultra-high-resolution Image Segmentation. Specifically, the proposed method comprises two components: (1) the Affinity Empowered Encoder (AEE), a robust feature extractor that leverages the benefits of the transformer architecture and semantic affinity to model long-distance features effectively, and (2) the Adaptive Implicit Representation Mapping Function (AIRMF), which adaptively translates pixel-wise features without neglecting the global semantic information, allowing for flexible and precise feature translation. We evaluated our method on the commonly used ultra-high-resolution segmentation refinement datasets, i.e., BIG and PASCAL VOC 2012. The extensive experiments demonstrate that our method outperforms competitors by a large margin. The code is provided in supplementary material.

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arXiv2021

PoissonSeg: Semi-Supervised Few-Shot Medical Image Segmentation via Poisson Learning

The application of deep learning to medical image segmentation has been hampered due to the lack of abundant pixel-level annotated data. Few-shot Semantic Segmentation (FSS) is a promising strategy for breaking the deadlock. However, a high-performing FSS model still requires sufficient pixel-level annotated classes for training to avoid overfitting, which leads to its performance bottleneck in medical image segmentation due to the unmet need for annotations. Thus, semi-supervised FSS for medical images is accordingly proposed to utilize unlabeled data for further performance improvement. Nevertheless, existing semi-supervised FSS methods has two obvious defects: (1) neglecting the relationship between the labeled and unlabeled data; (2) using unlabeled data directly for end-to-end training leads to degenerated representation learning. To address these problems, we propose a novel semi-supervised FSS framework for medical image segmentation. The proposed framework employs Poisson learning for modeling data relationship and propagating supervision signals, and Spatial Consistency Calibration for encouraging the model to learn more coherent representations. In this process, unlabeled samples do not involve in end-to-end training, but provide supervisory information for query image segmentation through graph-based learning. We conduct extensive experiments on three medical image segmentation datasets (i.e. ISIC skin lesion segmentation, abdominal organs segmentation for MRI and abdominal organs segmentation for CT) to demonstrate the state-of-the-art performance and broad applicability of the proposed framework.

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arXiv2023

LViT: Language meets Vision Transformer in Medical Image Segmentation

Deep learning has been widely used in medical image segmentation and other aspects. However, the performance of existing medical image segmentation models has been limited by the challenge of obtaining sufficient high-quality labeled data due to the prohibitive data annotation cost. To alleviate this limitation, we propose a new text-augmented medical image segmentation model LViT (Language meets Vision Transformer). In our LViT model, medical text annotation is incorporated to compensate for the quality deficiency in image data. In addition, the text information can guide to generate pseudo labels of improved quality in the semi-supervised learning. We also propose an Exponential Pseudo label Iteration mechanism (EPI) to help the Pixel-Level Attention Module (PLAM) preserve local image features in semi-supervised LViT setting. In our model, LV (Language-Vision) loss is designed to supervise the training of unlabeled images using text information directly. For evaluation, we construct three multimodal medical segmentation datasets (image + text) containing X-rays and CT images. Experimental results show that our proposed LViT has superior segmentation performance in both fully-supervised and semi-supervised setting. The code and datasets are available at https://github.com/HUANGLIZI/LViT.

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arXiv2025

Towards Reliable Medical Image Segmentation by Modeling Evidential Calibrated Uncertainty

Medical image segmentation is critical for disease diagnosis and treatment assessment. However, concerns regarding the reliability of segmentation regions persist among clinicians, mainly attributed to the absence of confidence assessment, robustness, and calibration to accuracy. To address this, we introduce DEviS, an easily implementable foundational model that seamlessly integrates into various medical image segmentation networks. DEviS not only enhances the calibration and robustness of baseline segmentation accuracy but also provides high-efficiency uncertainty estimation for reliable predictions. By leveraging subjective logic theory, we explicitly model probability and uncertainty for medical image segmentation. Here, the Dirichlet distribution parameterizes the distribution of probabilities for different classes of the segmentation results. To generate calibrated predictions and uncertainty, we develop a trainable calibrated uncertainty penalty. Furthermore, DEviS incorporates an uncertainty-aware filtering module, which designs the metric of uncertainty-calibrated error to filter out-of-distribution data. We conducted validation studies on publicly available datasets, including ISIC2018, KiTS2021, LiTS2017, and BraTS2019, to assess the accuracy and robustness of different backbone segmentation models enhanced by DEviS, as well as the efficiency and reliability of uncertainty estimation.

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arXiv2025

CADFormer: Fine-Grained Cross-modal Alignment and Decoding Transformer for Referring Remote Sensing Image Segmentation

Referring Remote Sensing Image Segmentation (RRSIS) is a challenging task, aiming to segment specific target objects in remote sensing (RS) images based on a given language expression. Existing RRSIS methods typically employ coarse-grained unidirectional alignment approaches to obtain multimodal features, and they often overlook the critical role of language features as contextual information during the decoding process. Consequently, these methods exhibit weak object-level correspondence between visual and language features, leading to incomplete or erroneous predicted masks, especially when handling complex expressions and intricate RS image scenes. To address these challenges, we propose a fine-grained cross-modal alignment and decoding Transformer, CADFormer, for RRSIS. Specifically, we design a semantic mutual guidance alignment module (SMGAM) to achieve both vision-to-language and language-to-vision alignment, enabling comprehensive integration of visual and textual features for fine-grained cross-modal alignment. Furthermore, a textual-enhanced cross-modal decoder (TCMD) is introduced to incorporate language features during decoding, using refined textual information as context to enhance the relationship between cross-modal features. To thoroughly evaluate the performance of CADFormer, especially for inconspicuous targets in complex scenes, we constructed a new RRSIS dataset, called RRSIS-HR, which includes larger high-resolution RS image patches and semantically richer language expressions. Extensive experiments on the RRSIS-HR dataset and the popular RRSIS-D dataset demonstrate the effectiveness and superiority of CADFormer. Datasets and source codes will be available at https://github.com/zxk688.

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arXiv2016

3D Ultrasound image segmentation: A Survey

Three-dimensional Ultrasound image segmentation methods are surveyed in this paper. The focus of this report is to investigate applications of these techniques and a review of the original ideas and concepts. Although many two-dimensional image segmentation in the literature have been considered as a three-dimensional approach by mistake but we review them as a three-dimensional technique. We select the studies that have addressed the problem of medical three-dimensional Ultrasound image segmentation utilizing their proposed techniques. The evaluation methods and comparison between them are presented and tabulated in terms of evaluation techniques, interactivity, and robustness.

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arXiv2021

Topology-Preserving 3D Image Segmentation Based On Hyperelastic Regularization

Image segmentation is to extract meaningful objects from a given image. For degraded images due to occlusions, obscurities or noises, the accuracy of the segmentation result can be severely affected. To alleviate this problem, prior information about the target object is usually introduced. In [10], a topology-preserving registration-based segmentation model was proposed, which is restricted to segment 2D images only. In this paper, we propose a novel 3D topology-preserving registration-based segmentation model with the hyperelastic regularization, which can handle both 2D and 3D images. The existence of the solution of the proposed model is established. We also propose a converging iterative scheme to solve the proposed model. Numerical experiments have been carried out on the synthetic and real images, which demonstrate the effectiveness of our proposed model.

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arXiv2022

ProSFDA: Prompt Learning based Source-free Domain Adaptation for Medical Image Segmentation

The domain discrepancy existed between medical images acquired in different situations renders a major hurdle in deploying pre-trained medical image segmentation models for clinical use. Since it is less possible to distribute training data with the pre-trained model due to the huge data size and privacy concern, source-free unsupervised domain adaptation (SFDA) has recently been increasingly studied based on either pseudo labels or prior knowledge. However, the image features and probability maps used by pseudo label-based SFDA and the consistent prior assumption and the prior prediction network used by prior-guided SFDA may become less reliable when the domain discrepancy is large. In this paper, we propose a \textbf{Pro}mpt learning based \textbf{SFDA} (\textbf{ProSFDA}) method for medical image segmentation, which aims to improve the quality of domain adaption by minimizing explicitly the domain discrepancy. Specifically, in the prompt learning stage, we estimate source-domain images via adding a domain-aware prompt to target-domain images, then optimize the prompt via minimizing the statistic alignment loss, and thereby prompt the source model to generate reliable predictions on (altered) target-domain images. In the feature alignment stage, we also align the features of target-domain images and their styles-augmented counterparts to optimize the source model, and hence push the model to extract compact features. We evaluate our ProSFDA on two multi-domain medical image segmentation benchmarks. Our results indicate that the proposed ProSFDA outperforms substantially other SFDA methods and is even comparable to UDA methods. Code will be available at \url{https://github.com/ShishuaiHu/ProSFDA}.

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arXiv2025

Few-Shot Adaptation of Training-Free Foundation Model for 3D Medical Image Segmentation

Vision foundation models have achieved remarkable progress across various image analysis tasks. In the image segmentation task, foundation models like the Segment Anything Model (SAM) enable generalizable zero-shot segmentation through user-provided prompts. However, SAM primarily trained on natural images, lacks the domain-specific expertise of medical imaging. This limitation poses challenges when applying SAM to medical image segmentation, including the need for extensive fine-tuning on specialized medical datasets and a dependency on manual prompts, which are both labor-intensive and require intervention from medical experts. This work introduces the Few-shot Adaptation of Training-frEe SAM (FATE-SAM), a novel method designed to adapt the advanced Segment Anything Model 2 (SAM2) for 3D medical image segmentation. FATE-SAM reassembles pre-trained modules of SAM2 to enable few-shot adaptation, leveraging a small number of support examples to capture anatomical knowledge and perform prompt-free segmentation, without requiring model fine-tuning. To handle the volumetric nature of medical images, we incorporate a Volumetric Consistency mechanism that enhances spatial coherence across 3D slices. We evaluate FATE-SAM on multiple medical imaging datasets and compare it with supervised learning methods, zero-shot SAM approaches, and fine-tuned medical SAM methods. Results show that FATE-SAM delivers robust and accurate segmentation while eliminating the need for large annotated datasets and expert intervention. FATE-SAM provides a practical, efficient solution for medical image segmentation, making it more accessible for clinical applications.

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arXiv2026

Exploiting DINOv3-Based Self-Supervised Features for Robust Few-Shot Medical Image Segmentation

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.

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