Referring Image Segmentation (RIS) aims to segment image regions specified by natural language, enabling fine-grained and controllable visual understanding. Extending RIS to endoscopic imagery, however, presents unique challenges, including scarce high-quality annotations and complex, domain-specific image-text relationships. Although recent vision-language models demonstrate strong cross-domain alignment, they often fail to capture fine-grained textual cues in endoscopic settings, resulting in suboptimal performance and limited generalization. To address these challenges, we introduce ReferEndoscopy, a large-scale benchmark for RIS in the endoscopy field. Building on this dataset, we propose the Attribute Retrieval-based Endoscopic-RIS (AR-ERIS) framework for open-vocabulary endoscopic compositional referring segmentation. AR-ERIS leverages attribute retrieval for open-vocabulary endoscopic compositional referring segmentation and is pretrained on the curated ReferEndoscopy dataset, achieving state-of-the-art performance with strong generalization across both simulated and real-world endoscopic data. The dataset and code will be publicly released upon completion of the review process.
Recent advances in vision foundation models (VFMs) have shown remarkable capabilities across diverse unimodal visual tasks. However, adapting VFMs to referring image segmentation (RIS) typically necessitates precise vision-language alignment via full fine-tuning, incurring substantial computational overhead and risking catastrophic forgetting. While existing parameter-efficient fine-tuning (PEFT) methods enable safe knowledge transfer with minimal training costs, they predominantly operate independently within individual modalities or focus exclusively on unidirectional guidance from language to vision, overlooking progressive cross-modal interaction and visual feedback for textual refinement. To address these limitations, we propose Bidirectional Reciprocal Learning (BRL), a novel adapter-based PEFT framework that facilitates hierarchical, bidirectional information flow within both token-mixing and channel-mixing layers of frozen foundation models. Specifically, BRL introduces two complementary lightweight modules. The Reciprocal Attention Adapter (RAA) performs cross-modal query-key exchanges at the token level, enabling visual and linguistic tokens to mutually attend to each other for fine-grained spatial grounding. The Reciprocal Gate Adapter (RGA) generates cross-modal gating signals at the channel level, allowing global semantic context from one modality to adaptively recalibrate channel activations of the other. Extensive experiments on RefCOCO, RefCOCO+, and RefCOCOg benchmarks demonstrate the superiority of BRL over prior RIS methods, achieving state-of-the-art performance while requiring less than 0.5% backbone parameter updates. Code and models will be released at https://github.com/xiaoqiang-lu/BRL.
Referring segmentation grounds natural-language queries to pixel-level masks, but extending it to complex scenarios with multiple instances, cross-category groups, or open-ended target sets remains challenging. Previous Large Vision Language Model (LVLM)-based methods represent referred targets with one or more special tokens sequentially, treating multiple targets as separate outputs rather than a coherent set and offering little incentive to capture set-level properties such as completeness and mutual exclusivity. We reformulate open-ended referring segmentation as explicit set-level concept prediction and propose Set-Concept Segmentation (SetCon), which uses LVLM-generated natural-language concepts, instead of segmentation-specific tokens, as semantic conditions for joint mask-set decoding. A hierarchical semantic decomposition first predicts a shared set-level concept defining the target scope and then refines it into fine-grained concept groups aligned with target subsets. To support this, a two-stage annotation pipeline augments existing reasoning segmentation datasets with hierarchical semantic supervision (236k samples, 784k concept phrases). SetCon achieves state-of-the-art results on image benchmarks (+3.3 gIoU on gRefCOCO, +12.1 gIoU on MUSE), with margins that grow as the number of referred targets increases. The concept interface also transfers to video under a detect-and-track setting, yielding new state-of-the-art results on seven referring video benchmarks, including +10.9 J&F on MeViS and +12.4 J&F on Ref-SeCVOS.
Referring image segmentation (RIS) requires accurate segmentation of target regions in images according to language descriptions, which is a cross-modal task integrating vision and language. Existing RIS methods typically employ large-scale vision and language encoding models to improve performance, but their enormous parameter size severely restricts deployment in scenarios with limited computing resources. To solve this problem, this paper proposes a channel attention-guided cross-modal knowledge distillation method, which transfers the high-order fine-grained correlations between vision and language learned by the teacher network, as well as the correlations between semantic components represented by each channel, to the student network. Compared with the traditional pixel-wise relational distillation, this method not only enables the student to learn the knowledge of the teacher, but also retains part of its independent learning ability, alleviating the transfer of learning bias. Experimental results on two public datasets show that the proposed distillation method does not introduce additional parameters during inference and can achieve significant performance improvement for the student model.