arXiv Computer Vision

LUTSeg: A Longitudinal Multi-Expert Dataset for Ulcer Tissue Segmentation

LUTSeg is a new longitudinal dataset for chronic ulcer tissue segmentation, containing 141 images from 39 patients with wound masks and five tissue categories annotated by five expert clinicians. The dataset includes a multi‑expert gold‑standard subset for inter‑rater agreement analysis. The authors also propose TiSage, a semi‑supervised segmentation framework that uses multi‑scale semantic priors from a frozen medical vision‑language model within a teacher‑student architecture, and demonstrate its effectiveness on LUTSeg and DFUTissue.

arXiv AI
Oct 12

WoundAmbit: Bridging State-of-the-Art Semantic Segmentation and Real-World Wound Care

WoundAmbit is a framework that evaluates state‑of‑the‑art deep learning models for wound segmentation, benchmarking general‑purpose vision, medical imaging, and public wound challenge methods under standardized training, augmentation, and cross‑validation. The study finds transformer‑based TransNeXt offers the best generalizability, while all models run at least one image per second on a CPU and show strong interpretability and expert‑approved mask quality. The framework also introduces a reference‑object approach to convert masks into clinically relevant wound size estimates, demonstrating close alignment with expert annotations and integration into a custom telehealth system.

By Vanessa Borst, Timo Dittus, Tassilo Dege, Astrid Schmieder, Samuel Kounev
arXiv AI
Oct 1

Colorectal Cancer Segmentation with Adaptive Augmentation and Multi-Resolution Ensemble Models

The paper presents an automated segmentation pipeline for whole‑slide histopathology images of colorectal cancer, labeling tumor grades 1‑3 and normal mucosa. It employs dense prediction transformers with multiple encoder backbones, overlapping patches, test‑time augmentation, and an adaptive augmentation policy guided by large language models. The approach, combined with soft‑voting ensembles and post‑processing refinements, raises the F1 score from 62.92 to 69.84 on a colorectal cancer grade dataset.

By \"Umit Mert \c{C}a\u{g}lar, Alptekin Temizel
arXiv Computer Vision
Sep 11

Automated multi-class wound assessment using dedicated instance segmentation models for boundary detection and classification

The paper introduces two YOLOv11-based instance segmentation models that simultaneously perform wound boundary segmentation and wound classification across five clinically relevant wound types. Using a balanced dataset of 2,963 annotated images and data augmentation, the models achieve high performance, with YOLOv11x excelling in boundary segmentation and YOLOv11m and YOLOv11l leading in classification metrics. The lightweight YOLOv11n variant offers comparable accuracy with lower computational demands, making it suitable for resource-constrained clinical and remote care deployments.

By Mehedi Hasan Tusar, Fateme Fayyazbakhsh, Igor Melnychuk, Ming C. Leu
arXiv AI
Sep 3

InstEditSeg: Instruction-Driven Image Editing for Polyp and Skin Lesion Segmentation

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
arXiv AI
Oct 7

FedDermaSeg: Federated Learning for Dermatological Image Segmentation

FedDermaSeg explores federated learning for skin lesion segmentation, aiming to preserve privacy by avoiding centralized data aggregation. Using the ISIC 2018 dataset in a simulated distributed setting, the federated model matches centralized training performance and outperforms locally trained models. The study demonstrates that collaborative, privacy‑preserving segmentation is feasible without central image storage.

By Anabik Pal, Ganesh Patidar, Bikash Santra
arXiv Computer Vision
Sep 14

Early Intervention for VFM-based Multimodal Medical Image Classification

The paper introduces an Early Intervention (EI) framework for multimodal medical image classification that addresses two key challenges: limited exploitation of complementary multimodal information and scarcity of labeled data for Vision Foundation Models (VFMs). EI treats one modality as the target and uses high‑level semantic tokens from other modalities as intervention tokens to guide the target’s embedding early in the process. The authors also propose Mixture of varied‑rank LoRAs (MoR) for efficient VFM adaptation, and demonstrate the method’s effectiveness on retinal, skin, and knee medical image datasets.

By Qijie Wei, Hailan Lin, Xirong Li
arXiv Computer Vision
Oct 23

A General-Purpose Dual-Path Interaction Framework for Multi-View Medical Image Segmentation: Alleviating Data Volume Dependency in Small-Sample Regimes

The paper introduces DPIF, a plug‑and‑play dual‑path interaction framework that can be integrated with any encoder‑decoder segmentation network. DPIF aligns cross‑view distributions using Sinkhorn optimal transport, decouples features via conditional mutual information to transfer knowledge within shared semantic spaces, and applies persistent homology‑based topological regularization to encode anatomical invariants. Experiments on a private echocardiography dataset and two public datasets show that DPIF‑enhanced models outperform single‑view baselines and achieve comparable performance to full‑data single‑view models while using only 40–60% of the data.

By Shuhuan Wang, Yuanyuan Cui, Pengju Wang, Huimin Guo, Ling Yue, Yin Gu, Yanchao Zhang, Wei Feng, Yunhe Liu, Wei Qian, Mingjun Xu, Shuang Liu, He Ma
arXiv AI
Oct 12

CORE-Seg: Reasoning-Driven Segmentation for Complex Lesions via Reinforcement Learning

The paper introduces CORE‑Seg, an end‑to‑end framework that combines reasoning and segmentation for complex lesion detection in medical images. It leverages a Semantic‑Guided Prompt Adapter and a progressive training strategy from SFT to GRPO, using an adaptive dual‑granularity reward mechanism to address reward sparsity. CORE‑Seg achieves state‑of‑the‑art performance, with a mean Dice score of 37.06%—14.89% higher than the next best baseline—and reduces the failure rate to 18.42%.

By Yuxin Xie, Yuming Chen, Yishan Yang, Yi Zhou, Tao Zhou, Zhen Zhao, Jiacheng Liu, Huazhu Fu