A Novel Approach to Chest X-ray Lung Segmentation Using U-net and Modified Convolutional Block Attention Module

Accurate segmentation of pulmonary lesions is essential for effective clinical diagnosis and treatment strategies. Existing segmentation approaches often lack task-specific semantic guidance, as text-based annotations typically offer coarse localization of lesions, leading to inadequate delineation of lesion boundaries and poor performance on small-scale lesions. To address this, we propose CGSM, a Concept-Guided Segmentation Model that integrates LLM-generated and clinically reviewed concepts into the segmentation process. Specifically, we design a Concept-Visual Alignment Module (CVAM) to activate relevant tokens within the concepts that align with visual features, enhancing the interaction between textual and visual information. In addition, we introduce a Concept Modulated Decoder (CM-Decoder), which uses concepts from CVAM as modulation signals to facilitate the adaptive fusion of image and text features, improving the segmentation accuracy. Extensive experiments on two public datasets show that CGSM achieves state-of-the-art performance, with results of 91.59% Dice and 84.49% mIoU on the QaTa-COV19 dataset, demonstrating its effectiveness in pulmonary lesion segmentation.

Medical image segmentation is a fundamental task in computer-aided diagnosis, yet it remains challenging due to the complexity of anatomical structures and the variability across imaging modalities. In this paper, we propose AdaKAN, an Adaptive Kolmogorov-Arnold Network (KAN) that synergistically integrates convolutional operations with a novel efficient KAN (EffiKAN) block, comprised of an efficient attention mechanism and an adaptive KAN (AdaptKAN) module. This module features a dual-branch design: one branch employs a KAN layer with Bernstein polynomial activations for globally smooth and stable function approximation, while the other branch performs channel-wise refinement through projection operations and adaptive scaling. AdaKAN adopts a U-shaped architecture that effectively captures both long-range dependencies and fine-grained local features, overcoming the limitations of conventional convolutional and Transformer-based segmentation models. Skip connections are employed to preserve spatial details during encoding and facilitate accurate reconstruction during decoding. Extensive experiments conducted on diverse medical imaging datasets demonstrate that AdaKAN achieves state-of-the-art performance in segmentation accuracy.

Medical image segmentation is crucial for clinical diagnosis and treatment planning, requiring both global contextual understanding and fine-grained structural precision. While the Segment Anything Model (SAM) demonstrates strong generalization capabilities, its direct application to medical images often lacks domain-specific adaptability. Meanwhile, State Space Models (SSMs)-based methods, such as Mamba, efficiently capture long-range dependencies but may struggle with preserving fine anatomical details. To address these challenges, we propose a segment anything model based context guided mamba unet, SAMBA-UNet, a novel framework that integrates SAM's context knowledge with Mamba's hierarchical feature learning to enhance both global representation and local detail refinement. Specifically, we introduce the Hierarchical Context Enhancement Module (HCEM), an attention-based fusion module that deeply incorporates the multi-level features of SAM and Mamba to improve detail perception and segmentation precision. Additionally, we employ LoRA and Adapter-based fine-tuning to adapt SAM to medical imaging tasks, further enhancing its domain-specific segmentation capability and robustness. We conducted a comprehensive study on several medical segmentation datasets, including Synapse, ISIC17, and ISIC18, evaluating our method across multiple metrics. Experimental results demonstrate that SAMBA-UNet achieves state-of-the-art performance, effectively balancing generalization, segmentation accuracy, and computational efficiency. Our code will be released upon acceptance.