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
arXiv Computer Vision
Aug 28

Parameter-Efficient pretrained-CT-to-MRI Transfer for Rectal Cancer Segmentation: Performance-Calibration Trade-offs

The paper introduces SWIFT, a Swin V2‑based model pretrained on 10,444 3D CT volumes and fine‑tuned for rectal cancer segmentation on T2‑weighted MRI. Four configurations—full fine‑tuning (SWIFT), decoder compression (SWIFTe), low‑rank adaptation (SWIFTe‑LoRA), and a LoRA‑decoder ensemble (SWIFTe‑LDE4)—were evaluated on 247 cases, showing that SWIFTe reduces parameters by 70.1% while improving tumor detection and radiomic agreement. The study also demonstrates a trade‑off between detection and boundary agreement, and highlights that SWIFTe‑LDE4 achieves the lowest calibration errors after temperature scaling.

By Aneesh Rangnekar, Jorge Tapias Gomez, Joseph O Deasy, Harini Veeraraghavan
arXiv Computer Vision
Sep 14

Unified CT and MRI Pancreas Segmentation for Label-Efficient Cross-Modality Subregion Transfer

arXiv:2609.13043v1 Announce Type: new Abstract: Robust medical image segmentation across imaging modalities is challenging because of large differences in appearance and intensity distributions. Mode...

By Ziliang Hong, Hongyi Pan, Halil Ertugrul Aktas, Andrea Bejar, Elif Keles, Frank H. Miller, Michael B. Wallace, Rajesh N. Keswani, Gorkem Durak, Ulas Bagci
arXiv Computer Vision
Sep 22

VGG16-MCA UNet: Whole-Tumor Segmentation in 2D FLAIR MRI with Decoder-Side Channel Attention

VGG16-MCA UNet is a hybrid neural network that combines an ImageNet‑pretrained VGG16 encoder with a decoder enhanced by a Multi‑Channel Attention module, trained using Focal Tversky loss to address class imbalance. The model was evaluated as a 2‑D, FLAIR‑only whole‑tumor segmenter on BraTS 2020 and LGG datasets, achieving a pixel‑level Dice of 95.10 % on BraTS and 88.32 % on LGG in a 5‑fold cross‑validation setting. Inference time is 66.32 ms per 256×256 slice on a single RTX 2060, only slightly slower than a VGG16‑UNet without attention. whyItMatters":"The study provides a reproducible 2‑D FLAIR baseline for whole‑tumor segmentation, demonstrating high Dice scores and detailed reporting of training and evaluation protocols."

By Shubham Gajjar, Deep Joshi, Avi Poptani, Vishal Barot
arXiv AI
Sep 10

Deep Learning-Based Segmentation of Peritoneal Cancer Index Regions from CT Imaging

arXiv:2604.27697v2 Announce Type: replace-cross Abstract: Peritoneal metastases (PM) are staged using the surgically determined Peritoneal Cancer Index (sPCI), which requires invasive laparoscopic as...

By Pieter C. Gort, Lotte J. S. Fleurkens-Ewals, Lenah D. Kampmeijer, Anna F. van Herwijnen, Marion W. Tops-Welten, Cris H. B. Claessens, Joost Nederend, Ignace H. J. T. De Hingh, Max J. Lahaye, Misha D. P. Luyer, Fons van der Sommen