Multimodal Routing and Region Refinement for Language-Guided Medical Image Segmentation (MRSeg) is a parameter‑efficient framework that uses frozen ConvNeXt‑Tiny and PubMedBERT encoders to extract multiscale visual features and clinical text tokens. A joint router predicts a sparse mixture over low‑rank adapter bases, enabling separate adaptation for two visual scales and text while keeping feature‑specific parameters distinct. Region Bridge aggregates dense visual tokens into latent regions using text‑derived queries, refines them via self‑attention and text cross‑attention, and redistributes the refined information back to the feature maps, culminating in a multiscale decoder that combines refined semantic features with shallow image evidence. MRSeg achieves state‑of‑the‑art Dice/mIoU scores on QaTa‑COV19 and MosMedData+ with only 7.11 M trainable parameters and 7.60 GFLOPs.
By Md Maklachur Rahman, Md Hasan Al Banna, Saraf Anjum, Assame Arnob, Tracy Hammond
arXiv:2607. 09481v1 Announce Type: cross Abstract: Text-guided medical image segmentation leverages clinical semantics to improve lesion delineation, yet many existing models bind cross-modal fusion, supervision, and decoder design into a task-specific architecture.
By Yungeng Liu, Xuanzi Fang, Haijin Zeng, Qi Dai, Yongyong Chen
BiCLIP is a bidirectional multimodal framework that enhances medical image segmentation by allowing visual features to iteratively refine textual representations, improving semantic alignment. It incorporates an augmentation consistency objective to stabilize learning against perturbed inputs. Experiments on QaTa-COV19 and MosMedData+ show that BiCLIP outperforms state‑of‑the‑art image‑only and multimodal baselines, achieving strong performance even with only 1% labeled data and resisting common clinical artifacts such as motion blur and low‑dose CT noise.
By Saivan Talaei, Fatemeh Daneshfar, Abdulhady Abas Abdullah, Mourad Oussalah
arXiv:2608. 13690v1 Announce Type: cross Abstract: Medical image segmentation is still largely treated as a vision-only problem, although clinical interpretation often relies on textual knowledge of anatomy, location, appearance, and surrounding context.
By Rafi Ibn Sultan, Hui Zhu, Chengyin Li, Dongxiao Zhu
arXiv:2607.12896v3 Announce Type: replace
Abstract: Medical image segmentation foundation models are expected to generalize across diverse clinical scenarios, yet existing universal methods remain fr...
By Yunzhou Li, Jiesi Hu, Yanwu Yang, Hanyang Peng, Chenfei Ye, Jianfeng Cao, Yixuan Yuan, Ting Ma
arXiv:2608.22619v1 Announce Type: cross
Abstract: Generative segmentation provides an alternative to direct pixel-wise prediction by operating on learned latent representations, but effective image-t...
By Md Maklachur Rahman, Md Hasan Al Banna, Saraf Anjum, Mahmudul Hasan, Tracy Hammond
Integrating 3D medical images with vision-language models (VLMs) holds substantial promise for computer-aided diagnosis. However, volumetric images generate prohibitively long visual-token sequences with considerable spatial and inter-slice redundancy.
The paper introduces LoG, a localization‑infused vision‑language fusion framework for text‑guided medical image segmentation. LoG jointly performs multi‑scale target localization to explicitly capture target‑oriented semantics and employs three levels of localization‑infused fusion—feature, attention, and loss—to integrate spatial information into segmentation. Experiments on three benchmark datasets across three imaging modalities show that LoG consistently outperforms state‑of‑the‑art methods.
By Songyue Han, Mingye Zou, Shuchang Ye, Lei Bi, Mingyuan Meng
arXiv:2609.23139v1 Announce Type: new
Abstract: Most medical vision-language models (VLMs) excel at open-ended report generation and VQA but provide limited support for structured, fine-grained clini...
By Le Thien Phuc Nguyen, Thien Nguyen, Thanh-Huy Nguyen, Gia Minh Hoang, Anh Mai Vu, Ulas Bagci
arXiv:2608. 10635v1 Announce Type: cross Abstract: Medical Vision-Language Models (Med-VLMs) excel at verbalizing visual content, yet precise visual perception, segmentation, and grounding remain challenging.
By Yuan Wang, Hualiang Wang, Yixin Chen, Songtao Jiang, Shujian Gao, Jiaming Lin, Siming Fu, Jian Wu, Zuozhu Liu
MedFG-VQA is a lightweight medical visual question answering framework that uses a memory bank to enhance low‑frequency DCT features and graph‑enhanced cross‑attention for visual‑textual alignment. It introduces Frequency‑Memory Fusion to retrieve and fuse low‑frequency information from a learnable memory bank, and Graph‑Aware Cross‑Attention to refine cross‑modal features via graph convolution. The authors also create SynMed‑VQA, a synthetic dataset of over 2 million QA pairs across nine imaging modalities, and show that MedFG‑VQA matches or outperforms larger models on several biomedical VQA benchmarks while keeping computational costs low.
By Haowen Gu, Gensheng Pei, Zeren Sun, Mingwu Ren, Xiangbo Shu, Yazhou Yao, Fumin Shen
The paper investigates how much clinical text influences pixel‑level predictions in multimodal medical image segmentation. It shows that segmentation performance is largely insensitive to the choice of fusion module, but that the impact of text varies across datasets: removing text severely degrades performance on BUSI and BTMRI, while it has only a marginal effect on ISIC and Kvasir‑SEG. Using an Evidence Decoupling Decoder, the authors reveal that text mainly modulates global semantic context rather than spatial localization, and that the specific semantic components driving sensitivity differ by dataset.
By Ziquan Liu, Zhewei Zhu, Xuyang Shi