arXiv Computer Vision
Oct 22

XGLASS: X-Ray, Gaze and Language Assisted Slice Sequencing for CT Volumes

XGLASS is a method that transfers expertise from 2D X‑ray vision‑language models to 3D CT volumes by using disease‑conditioned importance maps derived from radiologist gaze on X‑rays. By aligning these gaze priors with coronal CT projections, XGLASS predicts a disease‑specific ordering of axial slices, prioritizing diagnostically relevant slices. The approach achieves a top‑10 hit rate of up to 75.9% on a 240‑slice scan and reduces downstream model calls by 87.5% while improving F1 scores, making it a lightweight preselector for volumetric CT analysis.

By Michael Gl\"ockler, Timo Ropinski
arXiv Computer Vision
Aug 28

DALE-CT: Depth-Aware 2D Slice Encoders Learn an Anatomical World Model of Chest CT

DALE-CT introduces depth‑aware 2D slice encoders that learn an anatomical world model of chest CT scans without 3D or positional supervision. By sampling self‑supervised views across a physical $z$‑axis slab, the encoder captures how anatomy changes between neighboring slices, enabling it to recover slice ordering and distinguish slices by anatomy alone. The model, trained on a large 287k‑scan corpus, achieves state‑of‑the‑art performance on CT‑RATE and is released with full code and evaluation tools.

By Evan W. Damron, Mahmut S. Gokmen, Mitchell A. Klusty, Caroline N. Leach, Emily B. Collier, V. K. Cody Bumgardner
arXiv AI
Aug 20

A Few Cases Are All You Need: An Empirical Study of Annotation-Efficient LoRA Fine-Tuning of MedSAM3

The study investigates how few expert-annotated cases are needed to fine‑tune MedSAM3 for abdominal organ segmentation using Low‑Rank Adaptation (LoRA). With only 10 annotated CT or MRI cases, the LoRA‑adapted models achieve performance comparable to specialist systems that require orders of magnitude more data, including reliable gallbladder segmentation and near‑state‑of‑the‑art results for liver, kidneys, and spleen. The approach also generalizes to cardiac segmentation on the Whole Heart dataset, and training takes only 3–5 hours per organ on a single GPU, roughly twice as fast as nnU-Net.

By Sachin Dudda Nagaraju, Bendik Skarre Abrahamsen, Ashkan Moradi, Mattijs Elschot