Image Segmentation

Peritoneal metastases (PM) are staged using the surgically determined Peritoneal Cancer Index (sPCI), which requires invasive laparoscopic assessment. Although CT is routinely used for preoperative evaluation, imaging-based assessment of PM extent remains challenging and is often less structured than surgical PCI scoring. A recent consensus study defined radiological PCI (rPCI) regions for cross-sectional imaging. We present the first deep learning approach to automatically segment 13 rPCI regions on CT. 62 contrast-enhanced CT scans were retrospectively collected across the full PCI range. Each scan was annotated into non-overlapping rPCI regions by one researcher, reviewed by a second, with disagreements resolved by a radiologist. Using five-fold cross-validation, we compared nnU-Net and Swin UNETR with Dice, 95th-percentile Hausdorff distance (HD95) and Average Surface Distance (ASD). We introduce an anatomically constrained pipeline that trains on merged super-regions and splits them during post-processing using TotalSegmentator landmarks at the hips and the ligament of Treitz. On this 62-scan cohort, the baseline nnU-Net reached an overall Dice of 0.81 and outperformed Swin UNETR (0.76). The proposed pipeline improved the overall Dice to 0.84 and reduced boundary error (HD95 13.7 to 11.8 mm; ASD 4.1 to 3.4 mm), with the largest gains in the small-bowel regions, approaching the interobserver Dice of 0.87. Automated rPCI region segmentation on CT is feasible and approaches interobserver agreement. Encoding anatomical boundary constraints substantially improves segmentation quality in the most challenging regions. This provides a reproducible foundation for non-invasive, imaging-based PCI assessment. The main limitations are the single-center cohort and the small interobserver subset.

Reliable segmentation of multiphase pore-scale X-ray images of rocks is necessary to quantify fluid saturation, connectivity, and interfacial geometry. However, current 3D segmentation methods are typically dataset-specific, requiring retraining or extensive fine-tuning whenever rock type, fluid pattern, scanner, or acquisition conditions change. Foundation models such as the Segment Anything Model (SAM) provide strong 2D boundary priors, but they are not directly applicable to 3D data. We present SAMamba3D, a parameter-efficient framework that adapts a largely frozen SAM encoder to generalizable 3D pore-scale segmentation by coupling it with Mamba-based volumetric context modeling and progressive cross-scale feature interaction. For sandstone and carbonate datasets, with different fluids, wettability, and scanning conditions, SAMamba3D matches or outperforms current 3D baselines while reducing the need for case-specific retraining. The resulting segmented images preserve physically meaningful descriptors, including fluid saturation, connectivity, and interface morphology, enabling more reliable and rapid analysis of large 3D multiphase images.

We report our multi-stage framework designed for the problem of multi-class bi-atrial segmentation from 3D late gadolinium-enhanced (LGE) MRI of the human heart. The pipeline consists of a preprocessing step using multidimensional contrast limited adaptive histogram equalization (MCLAHE); coarse region segmentation from MCLAHE-enhanced and down-sampled MRI using a V-Net family model; and fine segmentation from the coarse region using another V-Net model. Asymmetric loss is adopted to optimize the model weights.

Foundation segmentation models such as the Segment Anything Model (SAM) have demonstrated strong generalization across natural images; however, their robustness under clinically realistic medical imaging domain shifts remains insufficiently quantified. We present a systematic slice-level robustness audit of SAM (ViT-B) for spleen segmentation in abdominal CT using 1,051 nonempty slices from 41 volumes in the Medical Segmentation Decathlon. A standardized ground-truth-derived bounding-box protocol was used to isolate encoder robustness from prompt uncertainty. Controlled perturbations simulating inter-scanner variability, including Gaussian noise, blur, contrast scaling, gamma correction, and resolution mismatch, were applied across ten conditions. The clean baseline achieved a mean Dice score of 0.9145 (95% CI: [0.909, 0.919]) with a failure rate of 0.67%. Across all perturbations, the absolute mean ΔDice remained below 0.01. Paired Wilcoxon signed-rank tests with Benjamini-Hochberg false discovery rate correction identified statistically significant but small-magnitude changes under selected conditions, while McNemar analysis showed no significant increase in failure probability. These findings indicate that SAM exhibits stable segmentation behavior under moderate CT domain shifts, supporting its role as a robust foundation baseline for medical image segmentation research. As health digital twins increasingly incorporate foundation segmentation models for anatomical modeling and organ-level monitoring, formal characterization of robustness under real-world imaging variability is a necessary step toward trustworthy deployment.

Visual state-space models (SSMs) have shown strong potential for medical image segmentation, yet their effectiveness is often limited by two practical issues: axis-biased scan ordering weakens the modeling of oblique and curved structures, and naive multi-branch fusion tends to amplify redundant responses. We present TopoMamba, a topology-aware scan-and-fuse framework for segmenting heterogeneous medical visual media. The method combines a diagonal/anti-diagonal TopoA-Scan branch with the standard Cross-Scan branch to provide complementary structural priors, and introduces ScanCache, a device-aware caching mechanism that amortizes explicit scan-index construction across recurring resolutions. To fuse heterogeneous scan features efficiently, we further propose a lightweight HSIC Gate that regulates branch interaction using a dependence-aware scalar gating rule. We also instantiate a volumetric TopoMamba-3D for practical 3D clinical segmentation. Experiments on Synapse CT, ISIC 2017 dermoscopy, and CVC-ClinicDB endoscopy show that TopoMamba consistently improves segmentation quality over strong CNN, Transformer, and SSM baselines, with particularly clear gains on thin or curved targets such as the pancreas and gallbladder, while maintaining favorable deployment efficiency under dynamic input resolutions. These results suggest that topology-aware scan ordering and lightweight dependence-aware fusion form an effective and practical design for medical multimedia segmentation. The code will be made publicly available.

Recent knowledge distillation (KD) methods for semantic segmentation introduce increasingly complex hand-crafted objectives, yet are typically evaluated under fixed iteration schedules. These objectives substantially increase per-iteration cost, meaning equal iteration counts do not correspond to equal training budgets. It is therefore unclear whether reported gains reflect stronger distillation signals or simply greater compute. We show that iteration-based comparisons are misleading: when wall-clock compute is matched, canonical logit- and feature-based KD outperform recent segmentation-specific methods. Under extended training, feature-based distillation achieves state-of-the-art ResNet-18 performance on Cityscapes and ADE20K. A PSPNet ResNet-18 student closely approaches its ResNet-101 teacher despite using only one quarter of the parameters, reaching 99% of the teacher's mIoU on Cityscapes (79.0 vs 79.8) and 92% on ADE20K. Our results challenge the prevailing assumption that KD for segmentation requires task-specific mechanisms and suggest that scaling, rather than complex hand-crafted objectives, should guide future method design.

Open-vocabulary semantic segmentation requires assigning pixel-level semantic labels while supporting an open and unrestricted set of categories. Training-free CLIP-based approaches preserve strong zero-shot generalization but typically rely on a single inference mechanism, limiting their ability to jointly address unreliable local tokens and insufficient spatial coherence. We propose DouC, a training-free dual-branch CLIP framework that decomposes dense prediction into two complementary components. OG-CLIP improves patch-level reliability via lightweight, inference-time token gating, while FADE-CLIP injects external structural priors through proxy attention guided by frozen vision foundation models. The two branches are fused at the logit level, enabling local token reliability and structure-aware patch interactions to jointly influence final predictions, with optional instance-aware correction applied as post-processing. DouC introduces no additional learnable parameters, requires no retraining, and preserves CLIP's zero-shot generalization. Extensive experiments across eight benchmarks and multiple CLIP backbones demonstrate that DouC consistently outperforms prior training-free methods and scales favorably with model capacity.

Text guided 3D medical image segmentation offers a flexible alternative to class based and spatial prompt based models by allowing users to specify regions of interest directly in natural language. This paradigm avoids reliance on predefined label sets, reduces ambiguous outputs, and aligns more naturally with clinical workflows. However, existing text guided frameworks are often computationally expensive, exhibit weak text volume feature alignment, and fail to capture fine anatomical details. We propose ESICA, a lightweight and scalable framework that addresses these challenges through three innovations: (1) a similarity matrix based mask prediction formulation that enhances semantic alignment, (2) an efficient decomposed decoder with adapter modules for accurate volumetric decoding, and (3) a two pass refinement strategy that sharpens boundaries and resolves uncertain regions. To improve training stability and generalization, ESICA adopts a two stage scheme consisting of positive only pretraining followed by balanced fine tuning. On the CVPR BiomedSegFM benchmark spanning five imaging modalities (CT, MRI, PET, ultrasound, and microscopy), ESICA achieves state of the art segmentation accuracy, while the compact ESICA4 Lite variant attains similar segmentation performance with substantially fewer parameters, yielding a superior efficiency accuracy trade off. Our framework advances text guided segmentation toward efficient, scalable, and clinically deployable systems. Code will be made publicly available at https://github.com/mirthAI/ESICA.

Segmentation models such as Segment Anything Model (SAM) and SAM2 achieve strong prompt-driven zero-shot performance. However, their training on natural images limits domain transfer to medical data. Consequently, accurate segmentation typically requires extensive fine-tuning and expert-designed prompts. We propose DiffuSAM, a diffusion-based adaptation of SAM2 for prompt-free medical image segmentation. Our framework synthesizes SAM2-compatible segmentation mask-like embeddings via a lightweight diffusion-prior from off-the-shelf frozen SAM2 image features. The generated embeddings are integrated into SAM2's mask decoder to produce accurate segmentations, thereby eliminating the need for user prompts. The diffusion prior is further conditioned on previously segmented slices, enforcing spatial consistency across volumes. Evaluated on the BTCV and CHAOS datasets for CT and MRI under Source-Free Unsupervised Domain Adaptation (SF-UDA) and Few-Shot settings, DiffuSAM achieves competitive performance with efficient training and inference. Code is available upon request from the corresponding author.

Multimodal Large Language Models (MLLMs) have demonstrated strong image-level visual understanding and reasoning, yet their pixel-level perception across both images and videos remains limited. Foundation segmentation models such as the SAM series produce high-quality masks, but they rely on low-level visual prompts and cannot natively interpret complex conversational instructions. Existing segmentation MLLMs narrow this gap, but are usually specialized for either images or videos and rarely support both textual and visual prompts in one interface. We introduce X2SAM, a unified segmentation MLLM that extends any-segmentation capabilities from images to videos. Given conversational instructions and visual prompts, X2SAM couples an LLM with a Mask Memory module that stores guided vision features for temporally consistent video mask generation. The same formulation supports generic, open-vocabulary, referring, reasoning, grounded conversation generation, interactive, and visual grounded segmentation across image and video inputs. We further introduce the Video Visual Grounded (V-VGD) segmentation benchmark, which evaluates whether a model can segment object tracks in videos from interactive visual prompts. With a unified joint training strategy over heterogeneous image and video datasets, X2SAM delivers strong video segmentation performance, remains competitive on image segmentation benchmarks, and preserves general image and video chat ability.

Diffusion models are primarily trained for image synthesis, yet their denoising trajectories encode rich, spatially aligned visual priors. In this paper, we demonstrate that these priors can be utilized for text-conditioned semantic and open-vocabulary segmentation, and this approach can be generalized to various downstream tasks to make a general-purpose diffusion segmentation framework. Concretely, we introduce DiGSeg (Diffusion Models as a Generalist Segmentation Learner), which repurposes a pretrained diffusion model into a unified segmentation framework. Our approach encodes the input image and ground-truth mask into the latent space and concatenates them as conditioning signals for the diffusion U-Net. A parallel CLIP-aligned text pathway injects language features across multiple scales, enabling the model to align textual queries with evolving visual representations. This design transforms an off-the-shelf diffusion backbone into a universal interface that produces structured segmentation masks conditioned on both appearance and arbitrary text prompts. Extensive experiments demonstrate state-of-the-art performance on standard semantic segmentation benchmarks, as well as strong open-vocabulary generalization and cross-domain transfer to medical, remote sensing, and agricultural scenarios-without domain-specific architectural customization. These results indicate that modern diffusion backbones can serve as generalist segmentation learners rather than pure generators, narrowing the gap between visual generation and visual understanding.

In pathology, the spatial distribution and proportions of tissue types are key indicators of disease progression, and are more readily available than fine-grained annotations. However, these assessments are rarely mapped to pixel-wise segmentation. The task is fundamentally underdetermined, as many spatially distinct segmentations can satisfy the same global proportions in the absence of pixel-wise constraints. To address this, we introduce Variational Segmentation from Label Proportions (VSLP), a two-stage framework that infers dense segmentations from global label proportions, without any pixel-level annotations. This framework first leverages a pre-trained transformer model with test-time augmentation to produce a pixel-wise confidence estimate. In the second stage, these estimates are fused by solving a variational optimization problem that incorporates a Wasserstein data fidelity term alongside a learned regularizer. Unlike end-to-end networks, our variational method can visualize the fidelity-regularization energy, resulting in more interpretable segmentation. We validate our approach on two public datasets, achieving superior performance over existing weakly supervised and unsupervised methods. For one of these datasets, proportions have been estimated by an experienced pathologist to provide a realistic benchmark to the community. Furthermore, the method scales to an in-house dataset with noisy pathologist labels, severely outperforming state-of-the-art methods, thereby demonstrating practical applicability. The code and data will be made publicly available upon acceptance at https://github.com/xiaoliangpi/VSLP.

Instance-sensitive losses for semantic segmentation such as blob loss and CC loss were designed to address instance imbalance, ensuring small lesions generate the same gradient as large ones, but operate only on single-class segmentation. In multi-class settings, class imbalance poses an additional problem: rare classes with few instances receive a disproportionately small share of the training signal. We show that extending instance-sensitive losses to multi-class segmentation via a one-vs-rest class decomposition repurposes them to also address class imbalance, as uniform averaging over classes ensures each class contributes equally regardless of frequency. We further show that inverse-size weighting, which destabilizes training when applied globally due to weight imbalances across rare and common classes, becomes effective when integrated within the per-component loss, confining the reweighting to each component's spatial context. On the BraTS-METS 2025 dataset (260 test cases), multi-class CC loss improves foreground Dice (0.64 +/- 0.26 vs. 0.59 +/- 0.27 baseline) and rare-class Dice, while maintaining Panoptic Quality at DSC threshold 0.5. Multi-class blob loss achieves the best Panoptic Quality at threshold 0.5 (0.40 +/- 0.24 vs. 0.38 +/- 0.25 baseline) and recognition quality (0.53 +/- 0.29 vs. 0.49 +/- 0.30). Integrating inverse-size weighting within the per-component loss increases rare-class Dice to 0.44 +/- 0.36 at the cost of reduced detection quality.

Semi-supervised learning (SSL) has become a promising solution to alleviate the annotation burden of deep learning-based medical image segmentation models. While recent advances in foundation model-driven SSL have pushed the boundary to extremely limited annotation scenarios, they fail to maintain robust competitive performance in complex imaging modalities. In this paper, we propose SemiSAM-O1, an annotation-efficient framework using only one annotated template image for segmentation. SemiSAM-O1 extends the specialist-generalist collaborative learning framework to the extreme one-label setting by fully exploiting the foundation model's feature representation capability beyond its prompting interface. SemiSAM-O1 operates in two stages. In the first stage, the foundation model's encoder extracts dense features from all volumes, and class prototypes derived from the single annotated template are propagated to the unlabeled pool via feature similarity to produce coarse initial pseudo-labels. In the second stage, an iterative training-and-refinement loop progressively improves both the segmentation model and the pseudo-labels over multiple rounds, where each round trains the model from scratch on current pseudo-labels and generates updated predictions with voxel-wise uncertainty estimates. An uncertainty-guided refinement step further leverages the foundation model's global feature space to correct high-uncertainty regions by aggregating labels from their most similar confident neighbors, establishing a virtuous cycle of mutual improvement. Extensive experiments on a wide range of segmentation tasks across different modalities and anatomical targets demonstrate that SemiSAM-O1 significantly narrows the performance gap between one-label semi-supervised learning and full supervision, while significantly reducing the computational overhead of online foundation model inference.

Accurate whole-cell and nuclear segmentation is essential for precision pathology and spatial omics, yet routine hematoxylin and eosin (H&E) staining provides limited cytoplasmic contrast, restricting analyses to nuclei. Multiplex immunofluorescence (mIF) facilitates precise whole-cell delineation but remains constrained by cost and accessibility. We introduce VitaminP, a cross-modal learning framework enabling whole cell segmentation from H&E images. By learning from paired H&E-mIF data, VitaminP transfers molecular boundary information from mIF to overcome cytoplasmic contrast in H&E, establishing cross-modal supervision as a general strategy for recovering missing biological structure. We train VitaminP on 14 public datasets covering 34 cancer types and over 7 million instances, integrating publicly available labels with extensive annotations generated in this study, forming one of the largest resources for segmentation. VitaminP outperforms four state-of-the-art methods and generalizes to unseen datasets, including an in-house dataset spanning 24 rare cancer types. We further developed VitaminPScope, an open-source platform providing an interface for scalable inference and enabling broad adoption.

We present CRC-SAM, a unified framework for colorectal cancer segmentation across colonoscopy, CT, and histopathology images. Unlike prior single-modality methods, CRC-SAM provides consistent, modality-agnostic segmentation throughout the clinical workflow. Built on MedSAM, it incorporates low-rank adaptation (LoRA) layers into a frozen encoder, enabling efficient domain transfer to underrepresented modalities with minimal trainable parameters. Experiments on MSD-Colon, CVC-ClinicDB, and EBHI-Seg demonstrate superior performance across modalities, outperforming state-of-the-art baselines and highlighting the effectiveness of lightweight LoRA adaptation for foundation-model-based colorectal cancer analysis.

This work introduces DyABD, a novel and complex benchmark dataset of dynamic abdominal MRIs from patients with abdominal hernias and associated high quality abdominal muscle annotations. DyABD is the first-of-its-kind in four key ways; (1) it proposes the first abdominal muscle segmentation task, (2) the dynamic MRIs are acquired whilst the patients perform various exercises, introducing extreme anatomical variability, making it one of the most challenging segmentation datasets to date, (3) it includes both pre and post corrective MRIs and (4) DyABD promotes clinical research into the high recurrence rates of abdominal hernias. Beyond dataset introduction, this work provides a comprehensive evaluation of the generalisation capabilities of existing segmentation models across Supervised, Few Shot and Zero Shot paradigms on the unseen DyABD dataset. This work reveals that there is still room for substantial improvement in the field of medical image segmentation, with the majority of techniques achieving a Dice Coefficient of 0.82. This work therefore sheds light on the true progress of the field and redefines the benchmark for progress in medical image segmentation.

A levelset free but a hybrid image segmentation approach based on a modified version of the piece wise constant shape gradient of an Mumford Shah shape functional and a repulsive function is considered. The segmentation is performed a non-local shape based through an evolution of discrete curves driven by a non local shape based energy to segment images containing disjoint regions and multiple boundaries. This formulation has a novel additional component as a multivariable function dependent on a few sampled points of the curves that handles the occurrence of self intersection during boundary curves evolution. The method is applied to a few gray scale and color images, including images with nested structures and astronomical objects. The results indicate effective segmentation in complex scenarios with absolute control on the topology of the segments and self-intersections of the boundaries

Reliable object perception is necessary for general-purpose service robots. Open-vocabulary detectors struggle to generalize beyond a few classes and fully supervised training of object detectors requires time-intensive annotations. We present a semi-supervised label propagation approach for household object segmentation. A segment proposer generates class-agnostic masks, and an ensemble of Hopfield networks assigns labels by learning representative embeddings in complementary foundation model embedding spaces (CLIP, ViT, Theia). Our approach scales to 50 object classes with limited annotation overhead and can automatically label 60% of the data in a RoboCup@Home setting, where preparation time is severely constrained. Dataset and code are publicly available at https://github.com/ais-bonn/label_propagation.

Gaseous microemboli (GME) represent a common complication of cardiac structural interventions across both surgical and transcatheter approaches. Transthoracic cardiac ultrasound imaging represents a convenient methodology to visualize the presence of circulating GME. However, their detection and quantification are far from trivial due to operator-dependent view, high velocity, and objects with similar structure in the background. Here, we propose an approach based on a 2.5D U-Net architecture to segment GME in space-time connected data. Such an approach yields robust detection against the background and high segmentation accuracy while retaining real-time execution speed. These properties facilitated the integration of the proposed pipeline into patient-monitoring surgical protocols, providing the quantification of GME area over time.

This paper deals with the case of using nonlinear diffusion filters to obtain piecewise constant images as a previous process for segmentation techniques. We first show an intrinsic formulation for the nonlinear diffusion equation to provide some design conditions on the diffusion filters. According to this theoretical framework, we propose a new family of diffusivities; they are obtained from nonlinear diffusion techniques and are related with backward diffusion. Their goal is to split the image in closed contours with a homogenized grey intensity inside and with no blurred edges. We also prove that our filters satisfy the well-posedness semi-discrete and full discrete scale-space requirements. This shows that by using semi-implicit schemes, a forward nonlinear diffusion equation is solved, instead of a backward nonlinear diffusion equation, connecting with an edge-preserving process. Under the conditions established for the diffusivity and using a stopping criterion for the diffusion time, we get piecewise constant images with a low computational effort. Finally, we test our filter with real images and we illustrate the effects of our diffusivity function as a method to get piecewise constant images. The code is available at https://github.com/cplatero/NonlinearDiffusion.

Monitoring frying oil degradation is critical for food safety, yet current practice relies on destructive wet-chemistry assays that provide no spatial information and are unsuitable for real-time use. We identify a fundamental obstacle in thermal-image-based inspection, the camera-fingerprint shortcut, whereby models memorize sensor-specific noise and thermal bias instead of learning oxidation chemistry, collapsing under video-disjoint evaluation. We propose FryNet, a dual-stream RGB-thermal framework that jointly performs oil-region segmentation, serviceability classification, and regression of four chemical oxidation indices (PV, p-AV, Totox, temperature) in a single forward pass. A ThermalMiT-B2 backbone with channel and spatial attention extracts thermal features, while an RGB-MAE Encoder learns chemically grounded representations via masked autoencoding and chemical alignment. Dual-Encoder DANN adversarially regularizes both streams against video identity via Gradient Reversal Layers, and FiLM fusion bridges thermal structure with RGB chemical context. On 7,226 paired frames across 28 frying videos, FryNet achieves 98.97% mIoU, 100% classification accuracy, and 2.32 mean regression MAE, outperforming all seven baselines.

Accurate quantification of the physical exposure area of beach litter, rather than simple item counts, is essential for credible ecological risk assessment of marine debris. However, automated UAV-based monitoring predominantly relies on bounding-box detection, which systematically overestimates the planar area of irregular litter objects. To address this geometric limitation, we develop PLAS-Net (Pixel-level Litter Area Segmentor), an instance segmentation framework that extracts pixel-accurate physical footprints of coastal debris. Evaluated on UAV imagery from a monsoon-driven pocket beach in Koh Tao, Thailand, PLAS-Net achieves a mAP_50 of 58.7% with higher precision than eleven baseline models, demonstrating improved mask fidelity under complex coastal conditions. To illustrate how the accuracy of the masking affects the conclusions of environmental analysis, we conducted three downstream demonstrations: (i) power-law fitting of normalized plastic density (NPD) to characterize fragmentation dynamics; (ii) area-weighted ecological risk index (ERI) to map spatial pollution hotspots; and (iii) source composition analysis revealing the abundance-area paradox: fishing gear constitutes a small proportion of the total number of items, but has the largest physical area per unit item. Pixel-level area extraction can provide more valuable information for coastal monitoring compared to methods based solely on counting.

We propose a learning-augmented framework for accelerating max-flow computation and image segmentation by integrating Graph Neural Networks (GNNs) with the Ford-Fulkerson algorithm. Rather than predicting initial flows, our method learns edge importance probabilities to guide augmenting path selection. We introduce a Message Passing GNN (MPGNN) that jointly learns node and edge embeddings through coupled updates, capturing both global structure and local flow dynamics such as residual capacity and bottlenecks. Given an input image, we propose a method to construct a grid-based flow network with source and sink nodes, extract features, and perform a single GNN inference to assign edge probabilities reflecting their likelihood of belonging to high-capacity cuts. These probabilities are stored in a priority queue and used to guide a modified Ford-Fulkerson procedure, prioritizing augmenting paths via an Edmonds-Karp-style search with bottleneck-aware tie-breaking. This avoids repeated inference over residual graphs while leveraging learned structure throughout optimization. We further introduce a bidirectional path construction strategy centered on high-probability edges and provide a theoretical framework relating prediction quality to efficiency via a weighted permutation distance metric. Our method preserves max-flow/min-cut optimality while reducing the number of augmentations in practice. We also outline a hybrid extension combining flow warm-starting with edge-priority prediction, establishing a foundation for learning-guided combinatorial optimization in image segmentation.

Liver cancer, especially hepatocellular carcinoma (HCC), imposes a substantial global disease burden. Accurate diagnosis and prognostic assessment directly influence treatment selection and patient survival, and pathological examination remains the gold standard for liver cancer diagnosis. Identifying diverse tissue components and pathological subtypes on histopathology slides is crucial for estimating postoperative recurrence risk and overall prognosis. However, most publicly available resources are still provided at the whole-slide image (WSI) level, and well-annotated datasets for fine-grained tissue component identification in liver cancer are scarce, which hinders reproducible model development and the deployment of quantitative analysis tools. To address this gap, we release HepatoBench, a patch-level image database for liver cancer with annotations for seven key tissue categories. Based on HepatoBench, we train and open-source a deep learning classification model as a tissue recognition tool. Furthermore, we train a WSI-level tumor/non-tumor segmentation model to automatically localize lesion regions across entire slides. By integrating the patch-level tissue classifier with the WSI-level segmentation model, we build HepatoQuant, an end-to-end, disease-specific regional quantification tool for liver cancer, enabling a unified workflow from WSIs to tissue composition parsing and quantitative statistics. We also open-source HepatoBench, the benchmarking protocol, and supporting tools, providing a solid foundation for automated regional quantification and fair method comparison in liver cancer pathology.

Recent works show that image and video generators exhibit zero-shot visual understanding behaviors, in a way reminiscent of how LLMs develop emergent capabilities of language understanding and reasoning from generative pretraining. While it has long been conjectured that the ability to create visual content implies an ability to understand it, there has been limited evidence that generative vision models have developed strong understanding capabilities. In this work, we demonstrate that image generation training serves a role similar to LLM pretraining, and lets models learn powerful and general visual representations that enable SOTA performance on various vision tasks. We introduce Vision Banana, a generalist model built by instruction-tuning Nano Banana Pro (NBP) on a mixture of its original training data alongside a small amount of vision task data. By parameterizing the output space of vision tasks as RGB images, we seamlessly reframe perception as image generation. Our generalist model, Vision Banana, achieves SOTA results on a variety of vision tasks involving both 2D and 3D understanding, beating or rivaling zero-shot domain-specialists, including Segment Anything Model 3 on segmentation tasks, and the Depth Anything series on metric depth estimation. We show that these results can be achieved with lightweight instruction-tuning without sacrificing the base model's image generation capabilities. The superior results suggest that image generation pretraining is a generalist vision learner. It also shows that image generation serves as a unified and universal interface for vision tasks, similar to text generation's role in language understanding and reasoning. We could be witnessing a major paradigm shift for computer vision, where generative vision pretraining takes a central role in building Foundational Vision Models for both generation and understanding.

We propose Semantic-Fast-SAM (SFS), a semantic segmentation framework that combines the Fast Segment Anything model with a semantic labeling pipeline to achieve real-time performance without sacrificing accuracy. FastSAM is an efficient CNN-based re-implementation of the Segment Anything Model (SAM) that runs much faster than the original transformer-based SAM. Building upon FastSAM's rapid mask generation, we integrate a Semantic-Segment-Anything (SSA) labeling strategy to assign meaningful categories to each mask. The resulting SFS model produces high-quality semantic segmentation maps at a fraction of the computational cost and memory footprint of the original SAM-based approach. Experiments on Cityscapes and ADE20K benchmarks demonstrate that SFS matches the accuracy of prior SAM-based methods (mIoU ~ 70.33 on Cityscapes and 48.01 on ADE20K) while achieving approximately 20x faster inference than SSA in the closed-set setting. We also show that SFS effectively handles open-vocabulary segmentation by leveraging CLIP-based semantic heads, outperforming recent open-vocabulary models on broad class labeling. This work enables practical real-time semantic segmentation with the "segment-anything" capability, broadening the applicability of foundation segmentation models in robotics scenarios. The implementation is available at https://github.com/KBH00/Semantic-Fast-SAM.

Accurate medical image segmentation requires both long-range contextual reasoning and precise boundary delineation, a task where existing transformer- and diffusion-based paradigms are frequently bottlenecked by quadratic computational complexity and prohibitive inference latency. We propose RF-HiT, a Rectified Flow Hierarchical Transformer that integrates an Hourglass Transformer backbone with a multi-scale hierarchical encoder for anatomically guided feature conditioning. Unlike prior diffusion-based approaches that rely on hundreds of denoising steps, RF-HiT leverages rectified flow with efficient transformer blocks, achieving linear complexity and requiring only a few discretization steps. The model further fuses conditioning features at each resolution via learnable interpolation, enabling effective multi-scale feature integration with minimal computational overhead. As a result, RF-HiT achieves a strong efficiency-performance trade-off, requiring only 10.14 GFLOPs, 13.6M parameters, and inference in as few as 3 steps. Despite its compact design, RF-HiT attains 91.27% mean Dice on ACDC and 87.40% on BraTS 2021, achieving performance comparable to or exceeding that of significantly more intensive architectures. These results suggest that RF-HiT is a promising, computationally efficient foundation for clinical image segmentation.

Automatic pancreas segmentation is fundamental to abdominal MRI analysis, yet deep learning models trained on one MRI sequence often fail catastrophically when applied to another-a challenge that has received little systematic investigation. We introduce CrossPan, a multi-institutional benchmark comprising 1,386 3D scans across three routinely acquired sequences (T1-weighted, T2-weighted, and Out-of-Phase) from eight centers. Our experiments reveal three key findings. First, cross-sequence domain shifts are far more severe than cross-center variability: models achieving Dice scores above 0.85 in-domain collapse to near-zero (<0.02) when transferred across sequences. Second, state-of-the-art domain generalization methods provide negligible benefit under these physics-driven contrast inversions, whereas foundation models like MedSAM2 maintain moderate zero-shot performance through contrast-invariant shape priors. Third, semi-supervised learning offers gains only under stable intensity distributions and becomes unstable on sequences with high intra-organ variability. These results establish cross-sequence generalization-not model architecture or center diversity-as the primary barrier to clinically deployable pancreas MRI segmentation. Dataset and code are available at https://crosspan.netlify.app/.

The correlation between insect morphological traits and climate has been documented in physiological studies, but such studies remain limited by the time-consuming nature of the data analysis. In particular, the open source datasets often lack annotations of species' morphological traits, making dedicated annotations campaigns necessary; these efforts are typically local in scale and costly. In this paper, we propose a pipeline to identify and segment body parts of Odonates (dragonflies and damselflies) using deep neural networks, with the ultimate goal of extracting body parts' colouration. The pipeline is trained on a limited annotated dataset and refined with pseudo supervised data. We show that, by using open source images from citizen science platforms, our approach can segment each visible subject (Odonates) into head, thorax, abdomen, and wings and then extract a colour palette for each body part. This will enable large-scale statistical analysis of ecological correlations (e.g., between colouration and climate change, habitat loss, or geolocation) which are crucial for quantifying and assessing ecosystem biodiversity status.