Image segmentation remains challenging due to occlusions, poor lighting, and irregular structures. Although transformer-based methods achieve high accuracy, they rely heavily on long-range spatial features, leading to high computational costs and neglecting prior knowledge or noise patterns, resulting in missing details and unclear boundaries. To address these issues, we propose Frequency Spatial Aware Network (FSANet), which integrates prior knowledge with a dual-domain solver to sequentially adapt to diverse segmentation tasks. Specifically, we design three key modules: (1) Structure Prior Module, which recovers overlooked details; (2) Dual-Domain Awareness Module, which captures salient features while disentangling noise; and (3) Edge Estimation Module, which enhances edge awareness for more precise segmentation. In addition, the limited availability of comprehensive segmentation datasets covering various real-world scenarios hinders the performance of existing methods. To address this, we introduce SceneX, a novel open-source dataset featuring 10 challenging non-ideal scenarios, establishing a new benchmark for evaluating and improving the robustness and real-world applicability of the segmentation models. Extensive experiments demonstrate the efficiency and effectiveness of FSANet.
Deep learning has substantially advanced medical image segmentation, yet achieving robust generalization across diverse imaging modalities and anatomical structures remains a major challenge. A key contributor to this limitation lies in how existing architectures, ranging from CNNs to Transformers and their hybrids, primarily encode spatial information while overlooking frequency-domain representations that capture rich structural and textural cues. Although recent studies have begun exploring spectral information at the feature level, supervision-level integration of frequency cues-crucial for fine-grained object localization-remains largely untapped. To this end, we propose Phi-SegNet, a CNN-based architecture that incorporates phase-aware information at both architectural and optimization levels. The network integrates Bi-Feature Mask Former (BFMF) modules that blend neighboring encoder features to reduce semantic gaps, and Reverse Fourier Attention (RFA) blocks that refine decoder outputs using phase-regularized features. A dedicated phase-aware loss aligns these features with structural priors, forming a closed feedback loop that emphasizes boundary precision. Evaluated on five public datasets spanning X-ray, US, histopathology, MRI, and colonoscopy, Phi-SegNet consistently achieved state-of-the-art performance, with an average relative improvement of 1.54+/-1.26% in IoU and 0.98+/-0.71% in F1-score over the next best-performing model. In cross-dataset generalization scenarios involving unseen datasets from the known domain, it also exhibits robust and superior performance, highlighting its adaptability and modality-agnostic design. These findings demonstrate the potential of leveraging spectral priors in both feature representation and supervision, paving the way for generalized segmentation frameworks that excel in fine-grained object localization. Our code is available on GitHub.
Medical image segmentation is a critical task in computer-aided diagnosis and treatment planning. However, deep learning models often struggle to generalize across datasets due to domain shifts arising from variations in imaging protocols, scanner types, and patient populations. Traditional domain generalization (DG) methods utilize causal feature learning, adversarial consistency, and style augmentation to improve segmentation robustness. While effective, these approaches rely on explicit feature alignment, adversarial objectives, or handcrafted augmentations, which may not fully exploit the capabilities of foundation models. Recently, the Segment Anything Model (SAM) has demonstrated strong generalization capabilities in segmentation tasks. SAM-based DG methods attempt to improve medical image segmentation. However, these approaches primarily operate in the spatial domain and overlook frequency-based discrepancies that significantly affect model robustness. In this work, we propose Frequency-based Domain Generalization with SAM (FSAM), a novel framework that integrates Low-Rank Adaptation (LoRA) for efficient fine-tuning and a frequency adapter to incorporate frequency-domain representations for single-source domain generalization. FSAM enhances SAM's segmentation robustness by extracting domain-invariant high-frequency features, mitigating frequency-related domain shifts. Experimental results on fundus and prostate datasets demonstrate that FSAM outperforms existing traditional DG and SAM-based DG approaches in domain generalization. Codes and pre-trained models will be made available on GitHub.
Driven by rapid advances in large-scale generative models, synthetic data has emerged as a promising solution for visual understanding. While modern diffusion models achieve remarkable photorealistic image synthesis, their potential in complex visual segmentation tasks remains underexplored. In this work, we conduct a systematic analysis of synthetic images from state-of-the-art diffusion models to uncover the factors governing their utility. In particular, synthetic images characterized by dense scene composition and fine instance fidelity demonstrate distinctive benefits, yielding significantly more discriminative spatial representations. Building on these insights, we propose SENSE, a unified framework that leverages flexible and scalable synthetic data to substantially enhance segmentation performance. Notably, SENSE is model-agnostic, compatible with diverse architectures (e.g., DPT and Mask2Former), and scales effectively across models with varying parameter capacities. Extensive experiments on Cityscapes, COCO, and ADE20K validate the effectiveness and generalization capability of our approach. Code is available at https://github.com/zhang0jhon/SENSE.