The paper introduces an anatomy-aware, promptable segmentation model for whole-body lesion detection in FDG and PSMA PET/CT scans, tailored for the AUTOPET V challenge. The approach builds on nnU-Net, employing a two-stage training process: an initial pre-training phase for strong baseline segmentation and an online interactive phase that refines predictions using scribble prompts. Anatomical context is integrated via organ supervision with a shared head predicting both lesions and organs, reducing false positives, while a tracer classifier directs studies to either a combined FDG+PSMA model or a PSMA-specific model. Cross-validation results show that organ-supervised training yields the most stable performance, the interactive stage consistently improves Dice scores, and PSMA-specific training delivers the best tracer-wise results.
By Pablo Lozano-Jimenez, Sergio Romero-Tapiador, Ruben Tolosana
arXiv:2609.01554v1 Announce Type: cross
Abstract: Automated lesion segmentation in whole-body PET/CT is complicated by the variety of physiological tracer uptake patterns and by the differing appeara...
By Marven Sherif (Brightskies), Amgad Elmasry (Brightskies), Youssef Ghazal (Brightskies), Ayman Elghotni (Brightskies)
arXiv:2607. 25164v1 Announce Type: cross Abstract: A CT examination captures multiple organs, but many biomedical questions concern abnormalities, prognosis, or longitudinal change in a specific organ.
By Zhixuan Ge, Anqi Li, Sadeer Al-Kindi, Hanwen Xu, Wei Qiu
arXiv:2606. 28392v1 Announce Type: cross Abstract: Accurate lesion segmentation in PET/CT is critical for oncology, yet remains challenging because physiologic tracer uptake and artifacts can mimic malignant signal.
By Jiasheng Wang, Tanun Jitwatcharakomol, Piyawadee Jongpradubgiat, Simeng Zhu
The paper introduces the first adaptation of the MedSAM2 foundation model for interactive 3D segmentation of interstitial lung disease (ILD) on thoracic CT scans. It evaluates three fine‑tuning strategies and four prompt types—bounding‑boxes, points, lassos, and scribbles—finding that full model fine‑tuning yields the best performance, improving Dice scores by 4.7 percentage points over the baseline. A proof‑of‑concept workflow is presented where MedSAM2 is first initialized with an automatic prior and then refined by radiologist prompts, with all resources released on GitHub.
By Vasilis Dedousis, Lubnaa Abdur Rahman, Lorenzo Brigat{\omicron}, Ethan Dack, Andreas Christe, Christoph Frank, Manuela Funke-Chambour, Justus Roos, Adrian Huber, Lukas Ebner, Stavroula Mougiakakou
Organ segmentation from PET/CT is critical for quantitative analysis and radiotherapy planning in oncology. To ease the high annotation cost of PET/CT segmentation, semi-supervised learning (SSL) provides a practical and effective solution for developing deep models with limited labeled data.
arXiv:2606. 15611v1 Announce Type: cross Abstract: Organ segmentation from PET/CT is critical for quantitative analysis and radiotherapy planning in oncology.
By Fuyou Mao, Beining Wu, Yanfeng Jiang, Bohan Xu, Lixin Lin, Naye Ji, Hao Zhang, Yan Tang
arXiv:2608. 19666v1 Announce Type: new Abstract: Deep learning-based whole-body PET-CT lesion segmentation can support cancer staging, treatment planning, and response assessment, but generalization is limited by scarce annotations and domain shifts.
By Bashirul Azam Biswas, Amartya Bhattacharya, Biratal Raj Wagle, Matthew E. Maeder, James B. Yu, Indrani Bhattacharya
InstEditSeg is a generative framework that treats medical segmentation as an instruction-driven image editing task. Instead of producing binary masks, it renders a color-coded overlay on the original image guided by textual instructions, leveraging latent diffusion models to align with natural image distributions and reduce domain gaps. The method incorporates a DINOv3 visual encoder and a multi-scale feature pyramid fused into the diffusion U‑Net, and uses a dual‑branch classifier‑free guidance strategy to lower inference cost, achieving competitive accuracy on polyp and skin lesion datasets while improving cross‑domain generalization and multi‑lesion segmentation.
By Ziquan Liu, Zhewei Zhu, Xuyang Shi
The paper presents Libo Zhang’s algorithmic solution for the autoPETV Grand Challenge, focusing on interactive lesion segmentation in whole-body PET/CT scans. The method encodes user scribbles as two additional input channels and trains a large residual‑encoder U‑Net (≈140 M parameters) through a three‑phase curriculum over 4000 epochs, progressively moving from fully automatic segmentation to handling user‑provided scribbles and finally correcting its own mistakes via simulated error‑driven steps. Using 1811 studies for training and an ensemble of five‑fold checkpoints, the approach achieves a mean AUC‑Dice of 3.836 and a mean AUC‑DMM of 3.869 in interactive five‑fold cross‑validation, with significant gains from the first corrective scribble.
By Libo Zhang
arXiv:2609.00473v1 Announce Type: cross
Abstract: Manual annotation remains a major bottleneck in ultrasound (US) bone segmentation, where experts typically iteratively refine rough brush masks rathe...
By Arash Tavangar, Larissa K. Chiu, Hamidreza Khodashenas, Gregory K. Berry, Amir Hooshiar
arXiv:2509. 25594v2 Announce Type: replace-cross Abstract: Medical image segmentation is fundamental to clinical decision-making, yet existing models remain fragmented.
By Bangwei Guo, Yunhe Gao, Meng Ye, Difei Gu, Yang Zhou, Leon Axel, Dimitris Metaxas