Medical image segmentation relies on the ability of encoder-decoder architectures to translate rich feature representations into accurate pixel-level predictions under challenging conditions such as low contrast, structural ambiguity, and scale variability. While recent advances in large-scale pretraining and transformer-based encoders have substantially improved feature extraction, segmentation accuracy remains constrained by decoder design, particularly in terms of cross-scale alignment, contextual integration, and boundary preservation.
arXiv:2608.22281v1 Announce Type: cross Abstract: Medical image segmentation requires high accuracy and robustness, yet practical commercial deployment also demands privacy preservation and computati...
arXiv:2608.30371v1 Announce Type: new Abstract: Automatic cardiac image segmentation is pivotal for diagnosing and treating cardiac diseases. In this work, we introduce MCSeg, a volumetric transforme...
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.
arXiv:2608. 20229v1 Announce Type: cross Abstract: Anatomically plausible segmentation remains challenging because of low contrast, ambiguous boundaries, and modality-specific artifacts.
arXiv:2610.00279v1 Announce Type: new Abstract: The segmentation of anatomical structures in medical images and particularly in MRI scans, is essential for clinical diagnosis and monitoring disease p...
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...
Textual descriptions can reduce ambiguity in medical image segmentation by specifying the finding and location to be delineated. Existing text-guided methods mainly improve where image and language fe...
CoMLP introduces a cooperatively-gated MLP module that fuses multimodal medical data—such as imaging modalities and clinical reports—without relying on computationally heavy cross-attention. The module uses regional and dilated MLP interactions to capture both local and global cross-modal dependencies, enabling fine-grained fusion at high spatial resolutions. Experiments on five segmentation benchmarks, covering 2D/3D images and diverse anatomical regions, show consistent improvements over state-of-the-art multi-modal and language-guided methods, highlighting the effectiveness of MLP-based interaction for medical image segmentation.
Feature Reconfiguration With Visual Prior for Medical Lesion Segmentation proposes FreNet, a framework that reconfigures images and features before and during encoding to improve lesion segmentation. It introduces an Implicit Prior Neural Network that uses a visual prior from SAM to suppress background responses, and a Dual-domain Feature Reconfiguration module that decouples features in frequency and spatial domains to better handle diverse lesion morphology. Experiments on nine benchmarks across three imaging modalities show FreNet outperforms state‑of‑the‑art methods, achieving a 5.0% Dice improvement over the best prior method on the ETIS dataset.
The paper introduces FreNet, a feature reconfiguration framework that incorporates visual priors for medical lesion segmentation. FreNet performs pixel‑level reconfiguration before encoding using an Implicit Prior Neural Network (IPNN) that leverages SAM, and feature‑level reconfiguration during encoding via a Dual‑domain Feature Reconfiguration (DFR) module, which includes a Frequency Decoupling Module (FDM) and a Spatial Localization Module (SLM). Experiments on nine benchmarks across three imaging modalities show that FreNet outperforms state‑of‑the‑art methods, achieving a 5.0% Dice improvement over the best baseline on the ETIS dataset and a 7.2% improvement over SAM.
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.
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...