Learning across medical imaging modalities requires making use of images without paired text and accommodating new domains while retaining existing representations. We propose a medical vision-languag...
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.
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.
arXiv:2605. 18419v2 Announce Type: replace-cross Abstract: Vision-language models (VLMs) can couple visual perception with open-ended clinical reasoning, making them attractive for computational histopathology.
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...
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.
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.
arXiv:2606. 06534v1 Announce Type: cross Abstract: Longitudinal medical visual question answering (VQA) requires reasoning about anatomical differences between an image of a current time point and an image of a referred time point.
arXiv:2608. 04472v1 Announce Type: cross Abstract: The development of foundation models (FMs) is crucial for advancing endoscopic image analysis.
arXiv:2609.34798v2 Announce Type: replace Abstract: Recent medical multimodal models have benefited from larger corpora, broader modality coverage, and stronger reasoning-oriented training, yet effec...
Vision-language pre-training (VLP) holds great promise for general-purpose medical AI by leveraging radiology reports as rich textual supervision, yet existing methods struggle with 3D CT imaging due to inefficient visual backbones and coarse semantic alignment. To address these issues, we propose a tailored VLP framework featuring three key components: (1) a CNN-ViT hybrid encoder that replaces ViT's patch embedding with a 3D CNN backbone to efficiently capture local anatomical details while preserving global attention and compatibility with pre-trained cross-modal priors; (2) a disease-level contrastive learning mechanism using learnable query tokens to dynamically extract disease-specific semantics from full reports and align them with corresponding visual features, thereby disentangling distinct diseases within the same anatomical region; and (3) a diagnosis-aware prompt strategy that employs real clinical phrases and aggregated disease prototypes to bridge the pre-training-inference gap and enhance zero-shot diagnostic reliability.
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.