The study investigates how few expert-annotated cases are needed to fine‑tune MedSAM3 for abdominal organ segmentation using Low‑Rank Adaptation (LoRA). With only 10 annotated CT or MRI cases, the LoRA‑adapted models achieve performance comparable to specialist systems that require orders of magnitude more data, including reliable gallbladder segmentation and near‑state‑of‑the‑art results for liver, kidneys, and spleen. The approach also generalizes to cardiac segmentation on the Whole Heart dataset, and training takes only 3–5 hours per organ on a single GPU, roughly twice as fast as nnU-Net.
By Sachin Dudda Nagaraju, Bendik Skarre Abrahamsen, Ashkan Moradi, Mattijs Elschot
The paper introduces SWIFT, a Swin V2‑based model pretrained on 10,444 3D CT volumes and fine‑tuned for rectal cancer segmentation on T2‑weighted MRI. Four configurations—full fine‑tuning (SWIFT), decoder compression (SWIFTe), low‑rank adaptation (SWIFTe‑LoRA), and a LoRA‑decoder ensemble (SWIFTe‑LDE4)—were evaluated on 247 cases, showing that SWIFTe reduces parameters by 70.1% while improving tumor detection and radiomic agreement. The study also demonstrates a trade‑off between detection and boundary agreement, and highlights that SWIFTe‑LDE4 achieves the lowest calibration errors after temperature scaling.
By Aneesh Rangnekar, Jorge Tapias Gomez, Joseph O Deasy, Harini Veeraraghavan
arXiv:2609.13043v1 Announce Type: new
Abstract: Robust medical image segmentation across imaging modalities is challenging because of large differences in appearance and intensity distributions. Mode...
By Ziliang Hong, Hongyi Pan, Halil Ertugrul Aktas, Andrea Bejar, Elif Keles, Frank H. Miller, Michael B. Wallace, Rajesh N. Keswani, Gorkem Durak, Ulas Bagci
VGG16-MCA UNet is a hybrid neural network that combines an ImageNet‑pretrained VGG16 encoder with a decoder enhanced by a Multi‑Channel Attention module, trained using Focal Tversky loss to address class imbalance. The model was evaluated as a 2‑D, FLAIR‑only whole‑tumor segmenter on BraTS 2020 and LGG datasets, achieving a pixel‑level Dice of 95.10 % on BraTS and 88.32 % on LGG in a 5‑fold cross‑validation setting. Inference time is 66.32 ms per 256×256 slice on a single RTX 2060, only slightly slower than a VGG16‑UNet without attention.
whyItMatters":"The study provides a reproducible 2‑D FLAIR baseline for whole‑tumor segmentation, demonstrating high Dice scores and detailed reporting of training and evaluation protocols."
By Shubham Gajjar, Deep Joshi, Avi Poptani, Vishal Barot
arXiv:2604.27697v2 Announce Type: replace-cross
Abstract: Peritoneal metastases (PM) are staged using the surgically determined Peritoneal Cancer Index (sPCI), which requires invasive laparoscopic as...
By Pieter C. Gort, Lotte J. S. Fleurkens-Ewals, Lenah D. Kampmeijer, Anna F. van Herwijnen, Marion W. Tops-Welten, Cris H. B. Claessens, Joost Nederend, Ignace H. J. T. De Hingh, Max J. Lahaye, Misha D. P. Luyer, Fons van der Sommen
arXiv:2602.20773v2 Announce Type: replace
Abstract: Purpose: Developing generalizable medical image segmentation models is challenging because imaging data are distributed across institutions and dif...
By Sachin Dudda Nagaraju, Ashkan Moradi, Bendik Skarre Abrahamsen, Mattijs Elschot
The study explores how adding anatomical priors and active learning can improve the accuracy of deep learning models for segmenting the Clinical Target Volume (CTV) in gastric cancer radiotherapy. Using 100 retrospective CT scans, an nnU‑Net model trained on 10 expert‑contoured cases was enhanced with voxel‑wise anatomical prior maps and iterative active learning over four rounds. The combined approach raised the mean Dice Similarity Coefficient from 0.84 to 0.87, demonstrating that both techniques individually and together improve segmentation performance and generalizability.
By Phillip Chlap, Mark Lee, Trevor Leong, Matthew Field, Jason Dowling, Hang Min, Julie Chu, Jennifer Tan, Phillip K. Tran, Tomas Kron, Annette Haworth, Martin A. Ebert, Shalini K. Vinod, Lois Holloway
The paper introduces Report Supervision (R‑Super), a framework that uses radiology reports to supervise tumor segmentation models. By incorporating loss functions that align segmentation outputs with report‑derived tumor counts, sizes, and locations, R‑Super improves detection and segmentation performance. Experiments on kidney and pancreatic tumors show up to a 15% increase in F1‑Score and DSC compared to mask‑only training, outperforming methods like CLIP and multi‑task learning.
By Pedro R. A. S. Bassia, Wenxuan Li, Jakob Wasserthal, Jieneng Chen, Xinze Zhou, Zheren Zhu, Chuntung Zhuanga, Sergio Decherchi, Andrea Cavalli, Kang Wang, Yang Yang, Alan Yuille, Zongwei Zhou
arXiv:2606. 04365v1 Announce Type: cross Abstract: Radiology reports describe kidney lesions by type, size, enhancement, and attenuation, yet existing 3D methods predict only at the patient or organ level.
By Renjie Liang, Zhengkang Fan, Jinqian Pan, Chenkun Sun, Jiang Bian, Russell Terry, Jie Xu
arXiv:2606. 19300v1 Announce Type: cross Abstract: Glioma segmentation in multiparametric MRI is a critical component of treatment planning.
By Xin Ci Wong, Duygu Sarikaya, Kieran Zucker, Marc De Kamps, Nishant Ravikumar
The paper reports the submissions of team nucli to the HECKTOR 2026 challenge, which evaluates machine learning methods for head‑and‑neck cancer imaging. The team used self‑supervised pre‑trained encoders, training a 2D DINOv2 encoder on PET scans and combining a DynUNet with a SwinUNETR for segmentation, achieving a mean Dice of 0.5409. For TN staging, they fused geometric features from segmentation masks with PET‑DINOv2‑MIPs deep features via logistic regression, obtaining balanced accuracies of 0.3962 (T‑stage) and 0.6432 (N‑stage). For recurrence‑free survival prognosis, they fine‑tuned the PET‑DINOv2‑MIPs ViT‑S encoder with an MLP head under a CoxPH loss, achieving a Harrell's C‑index of 0.6577 and a weighted challenge score of 0.5802.
arXiv:2606. 17702v1 Announce Type: cross Abstract: Characterising the tumour microenvironment (TME) from routine H&E-stained histology images requires simultaneous cell segmentation, feature extraction, and interpretable clinical reporting.
By Wan Siti Halimatul Munirah Wan Ahmad, Faris Syahmi Samidi, Mohammad Badal Ahmmed, Vimal Angela Thiviyanathan, Selvam James Thavaraj, Anwar P. P. Abdul Majeed