arXiv Computer Vision

Prompt-Guided Interactive Segmentation of Interstitial Lung Disease in Thoracic CT

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.

arXiv Machine Learning
Aug 4

MedSAM2-Anatomy: Training-Free Inference-Time Optimization for Musculoskeletal Segmentation

arXiv:2608. 00195v1 Announce Type: cross Abstract: High-resolution 3D segmentation of hip and shoulder anatomy from CT and MRI is essential for surgical planning, yet frozen segmentation models often fail under domain shift.

By John Garcia Henao, Nicholas B\"unger, Benedikt Herzog, Cindy Guerrero Toro, Benjamin Vella, Matthias Biner, Rico Br\"utsch, Carmen Castroviejo Fernandez, Felix \"Ottl, Norman Juchler, Armando Hoch, Bettina Hochreiter, Sven Hirsch, Sebastiano Caprara
arXiv Computer Vision
1d ago

Anatomy-Aware Promptable Segmentation with Online Interactive Training for AUTOPET V

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 Machine Learning
Jul 2

Foundation Models vs. Radiomics for Lung Computed Tomography: A Benchmark of Feature Extractors, Classification Heads, and Segmentation Choices

arXiv:2607. 01001v1 Announce Type: cross Abstract: Radiomics is the established approach for CT-based lung cancer phenotyping, yet comparisons with foundation models rarely isolate contributions of feature extractor, classification head, and segmentation choice, or test cross-cohort robustness.

By Nils Neukirch, Martin Maurer, Nils Strodthoff
arXiv Computer Vision
4d ago

Unsupervised Adaptation of 3D CT Foundation Models for 3D CBCT Segmentation

The paper introduces an unsupervised domain adaptation framework that aligns redundancy-reducing features to enable accurate 3D segmentation of cone-beam CT (CBCT) without target-domain annotations or inference-time adaptation. The method is architecture-agnostic, working with both CNN-based and ViT-based foundation models, and is evaluated on two liver segmentation benchmarks for interventional vascular procedures and radiation therapy. Results show that even large pretrained segmentation networks need explicit feature-space bridging to generalize across diagnostic CT and CBCT, and the proposed approach consistently outperforms existing pretrained foundation models and UDA strategies.

By Gauthier Miralles, Loic Le Folgoc, Vincent Jugnon, Pietro Gori