arXiv AI

GazeRefine: Expert Gaze as a Test-Time Prompt for Training-Free Medical Image Segmentation

GazeRefine is a training‑free framework that uses eye‑gaze data as an inference‑time prompt for zero‑shot medical image segmentation. It converts sparse, duration‑weighted fixations into foreground and background priors that initialize semantic prototypes in a frozen DINOv3 feature space, then iteratively refines these prototypes through discrimination, affinity propagation, and anchoring to the gaze guidance. The method achieves strong results on colonoscopy polyp segmentation and competitive performance on prostate MRI, demonstrating that gaze‑guided prototype refinement can enable segmentation without dense expert annotations or model fine‑tuning.

arXiv Computer Vision
Sep 4

FoRIS: Progressive Foreground Refinement for Training-Free In-Context Segmentation

FoRIS is a training‑free in‑context segmentation framework that refines foreground masks through a coarse‑to‑fine process. It operates in three stages—Foreground Purification, Localization, and Consolidation—to suppress background noise, pinpoint target regions, and reconstruct complete foreground structures. The method achieves state‑of‑the‑art performance, improving mIoU by 4.5 and 4.8 points in 1‑shot and 5‑shot settings respectively.

By Ming Hu, Jianfu Yin, Mingyu Dou, Miaomiao Zhang, Yao Wang, Cong Hu, Bingliang Hu, Quan Wang
arXiv AI
Oct 15

PR-MaGIC: Prompt Refinement Via Mask Decoder Gradient Flow For In-Context Segmentation

PR-MaGIC is a training‑free, test‑time framework that refines prompts for in‑context image segmentation by using gradient flow from the mask decoder of the Segment Anything Model (SAM). It integrates seamlessly into existing in‑context segmentation pipelines and employs a simple top‑1 selection strategy to stabilize performance. Extensive evaluations show that PR‑MaGIC consistently improves segmentation quality across multiple benchmarks without requiring additional training or architectural changes.

By Minjae Lee, Sungwoo Hur, Soojin Hwang, Won Hwa Kim
arXiv Computer Vision
Oct 22

SAM-DCE: Decoupled Context Enhancement for Prompt-Free Medical Image Segmentation

SAM-DCE is a framework that adapts the Segment Anything Model (SAM) for fully automatic, prompt‑free medical image segmentation. It introduces Spatial Representation Compensation (SRC) to recover fine anatomical details from intermediate Vision Transformer features and Semantic Token Calibration (STC) to enhance the consistency of foreground mask tokens. By refining spatial and semantic representations before using SAM’s original token‑to‑mask mechanism, SAM‑DCE achieves superior performance on the Synapse multi‑organ CT segmentation dataset, with a mean Dice score of 83.86% and an HD95 of 16.04 mm, outperforming several CNN, Transformer, and SAM baselines.

By Yingzhen Hu, Yiheng Zhong, Aijing Yang, Georges El Fakhri, Xiaofeng Liu
arXiv Computer Vision
Oct 5

Fed-ADApt: Federated Anytime Depth Adaptation for Resource-Aware Medical Image Segmentation

arXiv:2610.03474v1 Announce Type: new Abstract: Federated learning (FL) enables collaborative training of medical image segmentation models without sharing raw patient data, yet existing approaches a...

By Abhijeet Parida, Zhifan Jiang, Pooneh Roshanitabrizi, Austin Tapp, Maria J. Ledesma-Carbayo, Syed Muhammad Anwar, Ziyue Xu, Marius George Linguraru, Holger R. Roth
arXiv Machine Learning
Aug 18

Comprehensive language-image pre-training for 3D medical image understanding

arXiv:2510. 15042v3 Announce Type: replace-cross Abstract: In the 3D medical image domain, vision-language pre-training is used to create vision-language encoders (VLEs) that can support radiologists by retrieving patients with similar abnormalities, predicting likelihoods of abnormality, or, with downstream adaptation, generating radiological reports.

By Tassilo Wald, Ibrahim Ethem Hamamci, Yuan Gao, Sam Bond-Taylor, Harshita Sharma, Maximilian Ilse, Cynthia Lo, Olesya Melnichenko, Anton Schwaighofer, Noel C. F. Codella, Maria Teodora Wetscherek, Klaus H. Maier-Hein, Panagiotis Korfiatis, Valentina Salvatelli, Javier Alvarez-Valle, Fernando P\'erez-Garc\'ia