The paper introduces a geometry‑guided sampling operator that directs feature sampling rather than altering convolution kernels in 3D encoder‑decoder networks. By predicting local orientations and bounded step sizes, the operator samples symmetrically around each voxel, generating compact geometric and boundary cues that improve fine‑structure segmentation. Replacing stride‑1 and stride‑2 operations in a 3D U‑Net yields consistent gains on BraTS, MSD Hepatic Vessel, and TDSC‑ABUS datasets, with better boundary metrics and fewer parameters, and the operator can be integrated into other backbones without architectural changes.
By Sizhe Wang, Himashi Peiris, Zhaolin Chen
arXiv:2608. 08575v1 Announce Type: cross Abstract: Accurate 3D medical image segmentation requires the integration of long-range anatomical context with fine boundary detail.
By Zheyang Jing, Qin Lu, Jianwang Li, Yujie Yang, Chen Yi, Shaofeng Jiang
arXiv:2607. 22718v1 Announce Type: cross Abstract: We propose parameter-efficient SSM-based U-Net architectures for 3D medical image segmentation.
By Mohammad Arafat Hussain, Ellen Grant, Yangming Ou
DALE-CT introduces depth‑aware 2D slice encoders that learn an anatomical world model of chest CT scans without 3D or positional supervision. By sampling self‑supervised views across a physical $z$‑axis slab, the encoder captures how anatomy changes between neighboring slices, enabling it to recover slice ordering and distinguish slices by anatomy alone. The model, trained on a large 287k‑scan corpus, achieves state‑of‑the‑art performance on CT‑RATE and is released with full code and evaluation tools.
By Evan W. Damron, Mahmut S. Gokmen, Mitchell A. Klusty, Caroline N. Leach, Emily B. Collier, V. K. Cody Bumgardner
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
arXiv:2607. 26829v1 Announce Type: cross Abstract: Many high-performing volumetric segmentation models maintain dense multi-scale feature maps, leading to high activation memory and inference cost.
By David Hagerman, Roman Naeem, Fredrik Kahl
Foundation models such as Segment Anything Model 2 (SAM2) have transformed natural-image and video segmentation, and recent work has begun adapting them to medical imaging. These adaptations, however, are largely general-purpose models that treat MRI as one modality among many; large-scale, MRI-specific modelling and benchmarking remain limited, even though MRI's low soft-tissue contrast leaves many boundaries effectively invisible on individual slices.
The paper introduces MedREAL, a unified framework that aligns linguistic reasoning with spatial grounding for medical visual question answering and segmentation. MedREAL employs Seg Anchored Reasoning Pooling (SARP) to extract semantic evidence from segmentation tokens and a Reasoning-to-Visual (R2V) fusion mechanism to integrate these features into a segmentation pipeline. Using the newly created MedRAVS-13K dataset, MedREAL achieves superior performance, reporting 68.49% gIoU and 70.47% cIoU, and generates evidence masks that consistently match textual diagnoses.
By Haowen Gu, Gensheng Pei, Junzhu Mao, Qiong Wang, Mingwu Ren, Yazhou Yao
arXiv:2608. 08135v1 Announce Type: cross Abstract: Cross-modality medical image translation can reduce the burden of multi-modal acquisitions, yet the field remains constrained by two coupled limitations: methods operate on 2D slices or 3D patches rather than whole volumes, and train a separate model for each translation task.
By Daniele Molino, Alessio Zoboli, Camillo Maria Caruso, Valerio Guarrasi, Paolo Soda
arXiv:2608.28455v1 Announce Type: new
Abstract: Contrastive vision-language learning uses paired chest CT volumes and radiology reports to learn abnormality classifiers without manually annotated lab...
By Huseyin Umut Isik, Mehmet Alp Ozaydin, Sila Kurugol, \c{S}eyda Ertekin
arXiv:2608. 12274v1 Announce Type: cross Abstract: Background: Accurate segmentation of the Left Anterior Descending (LAD) artery in 3D free-breathing, non-contrast CT is critical for cardiac dose sparing in thoracic radiotherapy.
By Rafi Ibn Sultan, Chengyin Li, Yiannos Demetriou, Ahmed I. Ghanem, Joshua P. Kim, Justine Cunningham, Hassan Bagher-Ebadian, Dongxiao Zhu, Kundan S. Thind
X‑LMC is a spatiotemporal deep‑learning framework that automatically scores leptomeningeal collateral (LMC) status from time‑resolved biplane digital subtraction angiography (DSA). It uses a DINOv2 backbone to encode spatial frames, a token‑level cross‑view attention module to fuse orthogonal projections, and a recurrent network to model contrast bolus dynamics. On a multicenter dataset of 134 M1‑segment occlusion patients, X‑LMC achieved a Quadratic Weighted Kappa of 0.398 and a macro‑F1 of 0.711, outperforming static and other spatiotemporal baselines and matching clinical inter‑rater agreement.