Text-Guided Image Segmentation

Follow this topic Ask about this topic

Momentum

7 papers in the last four weeks, up 75% on the four weeks before. 0.1% of all new papers.

Jul 13Week of Sep 28

Latest papers 60

Jun 14, 2026cs.CV

CPS4: Class Prompt driven Semi-Supervised Spine Segmentation with Class-specific Consistency Constraint

Vision Language Model (VLM) has great potential to enhance the quality of pseudo labels in semi-supervised spine segmentation by leveraging textual class prompts to generate segmentation map, but no one has studied it yet. Although promising, it lacks explicit constraints to ensure consistency between spine class prompts and spine unit region, resulting in unsatisfactory performance in multi-class segmentation map generation. In this paper, we propose CPS4, the first text-guided semi-supervised spine segmentation network using class prompts to enhance the quality of spine pseudo labels. Specifically, CPS4 is implemented through two training stages. (i) Class-specific consistency constrained VLM pretraining stage: we propose token- and pixel-level attention loss to optimize the consistency between class prompts and spine units, forcing the textual class prompt to be closely coupled with the target spine unit in the semantic space. (ii) Class Prompt driven semi-supervised spine segmentation stage: using the pretrained vision-text encoder, we derive each class-specific binary segmentation map for the unlabeled spine image and integrate them into an unified multi-class segmentation map, improving the quality of the spine pseudo label generated by the semi-supervised spine segmentation network. Experimental results show that our CPS4 achieves superior spine segmentation performance with Dice of 80.44%, only using 5% labeled data on the public spine segmentation dataset, surpassing popular semi-supervised learning and VLM methods. Our code will be available.

Qingtao Pan, Hongzan Sun, Bing Ji +1

School of Control Science and Engineering, Shandong University, Jinan, Shandong 250061, China · Department of Computer and Data Science, Case Western Reserve University, Cleveland, OH 44106, USA · Department of Nuclear Medicine, Shengjing Hospital of China Medical University, Shenyang, Liaoning 110004, China +1

VLM Adaptation Text-Guided Image Segmentation Semi-Supervised Medical Image Segmentation Medical Image Segmentation

Jun 8, 2026cs.CV

Reason Twice: Segmentation via Candidate Discovery and Comparative Reasoning

The rapid development of pretrained foundation models has enabled more general image segmentation. Multimodal large language models (MLLMs) have been widely explored for image segmentation with complex queries that require high-level reasoning. Despite promising progress, existing methods are often constrained by limited training data and the gap between MLLMs and mask generation modules. To better transfer MLLMs' perception and reasoning ability to complex reasoning-based segmentation tasks, we propose a two-stage framework Rea2Seg for mask generation and selection. Specifically, the framework first identifies potential regions as candidate masks based on the attention maps of a segmentation MLLM. It then employs an MLLM to reason over the question and candidate masks and assign scores to each mask. The final segmentation result is obtained by reranking the candidates and selecting the highest-scoring mask, reformulating image segmentation as candidate discovery followed by discriminative mask selection. We also notice that a large portion of questions in existing benchmarks focus on commonsense reasoning, and these questions usually do not fully require joint visual observation and reasoning. To address this issue, we introduce a new benchmark called ReasonSeg-SGDR that comprehensively evaluates a model's perception, grounding, and reasoning abilities across multiple dimensions, including discriminative recognition, spatial reasoning, geometric reasoning, and multi-step reasoning, with fine-grained mask generation. In addition, we collect training data to enhance MLLMs' ability to jointly understand multimodal queries and candidate masks, and to assign scores through reasoning. Experimental results on the proposed benchmark and ReasonSeg demonstrate the effectiveness of the unified mask generation and selection framework.

Xinyan Gao, Haoran Hao, Xiangyu Yue

MMLab, The Chinese University of Hong Kong · Nanjing University

Image Segmentation Text-Guided Image Segmentation Multimodal Large Language Models VLM Reasoning Reasoning Segmentation

Jun 7, 2026cs.CV

Sub-Semantic Image Segmentation

Images can be segmented based on visual cues (i.e., texture segmentation) or into objects (i.e., semantic segmentation). We propose a new category of sub-semantic image segmentation that blurs the line between the two. In sub-semantic image segmentation, language is not used to name whole objects. Instead, it is used to partition an image into stable appearance patterns that can be described by language. To do that, we couple a general-purpose vision-language model to SAM 3, a promptable segmentation backbone whose native text pathway can ground rich descriptions into masks. Simple coupling fails for a number of reasons that we identify in the paper, and we overcome them by introducing DETECTURE that resolves three concrete failure modes -- language leakage between texture regions, prompt competition inside the segmentation backbone, and semantic distortion at the language-to-mask interface. Since there is no dataset of sub-semantic image segmentation, we introduce one, termed TextureADE. The new dataset is derived from the ADE20K dataset using a system we designed. We compare DETECTURE to a number of baselines and find that it achieves the strongest performance on several datasets using different metrics. Code is available at https://github.com/Scientific-Computing-Lab/TextureDetecture.

Aviad Cohen Zada, Nadav Orenstein, Shai Avidan +1

Tel Aviv University, Israel · Stanford University, Technion, USA · Technion

Image Segmentation Text-Guided Image Segmentation Promptable Image Segmentation

Jun 2, 2026cs.CV

MAOAM: Unified Object and Material Selection with Vision-Language Models

Selection is a core operation in interactive image editing. To be practical, a user should be able to specify and disambiguate the desired selection region through either text or click-based interactions, and the system should support selecting not only objects but also other criteria, such as materials. Material-based selection is valuable for tasks like re-texturing surfaces or editing instances of a specific material. However, existing vision-language-model (VLM) based selection methods are object-centric and typically support a single interaction modality, limiting their applicability. In this work, we thus present Mask Any Object And Material (MAOAM), a unified selection framework that enables precise object and material-level selection across both text- and click-based interactions. MAOAM leverages a VLM with a segmentation head to produce pixel-accurate masks from user prompts: the VLM interprets the user's selection intent (object or material-level) and encodes visual entities, attributes, and spatial relations, while the segmentation head decodes the output token into a mask. A key challenge is the lack of material selection datasets with text annotations. We propose a scalable data generation pipeline: we collect real and synthetic images with material masks, and leverage VLMs to generate material descriptions with rich visual-semantics. We train MAOAM with a multi-task objective over click and text-based selection, along with an auxiliary VQA task derived from the material descriptions to facilitate deeper material understanding. Despite being trained with uni-modal prompts, our model exhibits an emergent improvement in selection when combining text and clicks at inference, enabling flexible image editing workflows. Experiments demonstrate accurate and coherent selections across diverse objects, materials, and interaction scenarios, highlighting robustness in practice.

Jaden Park, Valentin Deschaintre, Jason Kuen +5

University of Wisconsin-Madison, USA · Adobe Research, United Kingdom · Adobe Research, USA

Vision-Language Models Text-Guided Image Segmentation Promptable Image Segmentation

Jun 2, 2026cs.CV

CR-Seg: Attention-Guided and CoT-Enhanced Coarse-to-Refined Reasoning Segmentation

Reasoning segmentation aims to segment target objects described by complex language through joint visual-textual reasoning. Existing methods typically rely on either learned semantic tokens to bridge Multimodal Large Language Models (MLLMs) and segmentation models, suffering from difficult cross-modal alignment, or explicit spatial prompts such as bounding boxes, which may lose holistic response semantics. To address these limitations, we propose Attention-Guided and CoT-Enhanced Coarse-to-Refined Reasoning Segmentation, termed CR-Seg, a two-stage framework for coarse-to-refined reasoning segmentation. Specifically, we design an Extract Attention Maps and Points (EAP) module to extract attention maps for coarse target localization and select informative points, both of which are fed into SAM for mask refinement. To alleviate reasoning--answer inconsistency, we further introduce Global-to-Local Chain-of-Thought (GLCoT), which guides the model to reason progressively from global scene context to local target details. Extensive experiments on reasoning segmentation benchmarks demonstrate the effectiveness of CR-Seg.

Yifan Cao, Xiaocui Yang, Faxian Wan +3

School of Computer Science and Engineering, Northeastern University Shenyang 110819, China

Text-Guided Image Segmentation Promptable Image Segmentation Multimodal CoT Reasoning Reasoning Segmentation

May 28, 2026cs.CV

FlowSeg: Dynamic Semantic Guidance for LLM-Conditioned Segmentation

LLM-conditioned segmentation has recently advanced rapidly by coupling large language models with iterative mask generation frameworks. However, we identify a persistent failure mode in current propose-then-select pipelines. Although high-quality mask candidates are often generated, the final prediction may fail to match the given linguistic condition. This failure arises because language semantics are typically used as static prompts or post-hoc matching signals, rather than participating in the iterative mask generation process. Through systematic analysis, we show that many errors stem from semantic misalignment rather than poor mask quality. To address this issue, we propose FlowSeg, which introduces dynamic semantic guidance via a bidirectional semantic flow between intermediate decoding states and LLM-derived condition embeddings throughout the generation process. Language conditions actively guide mask refinement at each stage, while condition embeddings are progressively updated by emerging visual evidence. This design yields semantically grounded mask representations and visually aligned language conditions, enabling more reliable matching. We further incorporate a lightweight boundary-aware refinement to selectively enhance uncertain regions without perturbing confident interiors. Extensive experiments on referring expression segmentation and reasoning segmentation tasks demonstrate that FlowSeg consistently improves language-mask alignment and achieves state-of-the-art performance. Project page: https://zkzhang98.github.io/FlowSeg_page

Zekang Zhang, Guangyu Gao, Youyun Tang +7

School of Computer Science, Beijing Institute of Technology · School of Computer Science, University of Birmingham · WEI Lab, Institute of Information Science, Beijing Jiaotong University +1

Text-Guided Image Segmentation Referring Image Segmentation Vision-Language Alignment Reasoning Segmentation

May 27, 2026cs.CV

Toward Semantic-Agnostic and Shape-Aware Vision-Language Segmentation Models

Vision-language segmentation models have recently achieved strong performance by leveraging high-level semantic object categories expressed in natural language. However, this semantic dependence limits their ability to reason about intrinsic visual properties such as shape, geometry, or texture, which are essential in many real-world applications. In this work, we introduce Semantic-Agnostic aNd Shape-Aware (SANSA) segmentation, a new paradigm that requires segmentation models to operate solely from non-semantic textual descriptions. To this end, we propose two strategies to generate SANSA segmentation prompts based on either dictionary constraints or example guidance, both generating semantic-agnostic textual descriptions. These prompts are then used to finetune segmentation models under semantic-agnostic supervision. Experiments show that finetuning on SANSA prompts yields up to a 20% mIoU improvement on this new segmentation task, compared to pretrained state-of-the-art models, while maintaining strong performance on standard semantic prompts. These results highlight the importance of low- and mid-level visual reasoning for improving the generalization and controllability of vision-language segmentation models.

Corentin Seutin, Mohamed Amine Ettaki, Michaël Clément +2

Univ. Bordeaux, CNRS, Bordeaux INP, LaBRI, UMR 5800, France · Univ. Bordeaux, CNRS, Bordeaux INP, IMS, UMR 5218, France

VLM Adaptation Text-Guided Image Segmentation Semantic Segmentation

May 26, 2026cs.CV

Can Segmentation Models Understand the World? Towards Proactive Affordance Reasoning via Visual Chain-of-Thought

Recent segmentation models couple large language models (LLMs) with mask decoders to ground complex language expressions into masks, yet their instructions remain target-referential: they describe, constrain, or imply the region to be segmented. However, in real-world embodied interaction, human instructions are often at the intent-level, which includes the desired outcome without naming the region that enables it. To bridge this gap, we introduce SegWorld, where the model reasons about the scene through a multi-level visual chain-of-thought (CoT) before committing to a mask. Before receiving any instructions, it proactively observes the scene, describing visible objects and inferring plausible events they may support. Given an instruction, it continues the chain: from the object relevant to the intent, through the action that satisfies it, to the physical interaction site, the object part that affords the action. We formalize SegWorld as probabilistic inference, in which proactive observation supplies a linguistic scene context that improves mask prediction when instructions are given at the level of intent. We construct an intent-to-part benchmark for evaluating affordance-bearing part segmentation from high-level goals. Experiments show SegWorld matches instruction-driven baselines on target-referential instructions and improves substantially on intent-level ones.

Yuchen Guo, Junli Gong, Hongmin Cai +2

Northwestern University · Northeastern University · South China University of Technology +2

Image Segmentation Text-Guided Image Segmentation Latent Visual Reasoning Visually Grounded Reasoning Reasoning Segmentation Semantic Segmentation

May 25, 2026cs.CV

InstructSAM: Segment Any Instance with Any Instructions

In this paper, we introduce InstructSAM, a unified and streamlined framework designed for multi-instance segmentation under arbitrary instructions. We formulates instruction-driven instance segmentation as a set-structured query prediction problem and propose an explicit reasoning-to-instance query interface that elegantly bridges a vision-language model (VLM) and SAM3. Specifically, a bank of learnable instance queries is injected into the VLM and contextualized with instruction and visual information, enabling each query to serve as an instance-aware slot. A hybrid-attention mechanism further promotes interaction among these queries, visual tokens, and instruction tokens, improving instance enumeration and reducing duplicate predictions. The resulting LLM-conditioned queries are projected into SAM3's detector query space to drive accurate multi-instance segmentation in a single forward pass. This design equips SAM3 with high-level instruction understanding, compositional reasoning, and instance-level set prediction without modifying its core architecture. To support training and evaluation, we further construct Inst2Seg, a high-quality and large-scale instruction-based instance segmentation dataset and benchmark that couples free-form instructions with instance-level masks. Extensive experiments show that only 2B-scale InstructSAM achieves strong results across complex instruction-driven and phrase-level referring segmentation benchmarks, outperforming prior end-to-end methods and SAM3's agentic pipeline while enabling efficient single-pass multi-instance prediction.

Yuqian Yuan, Wentong Li, Zhaocheng Li +6

Zhejiang University · Nanjing University of Aeronautics and Astronautics

Image Segmentation Text-Guided Image Segmentation Instance Segmentation Set Prediction Structured Prediction

May 24, 2026cs.CV

CLIP-Guided SAM: Parameter-Efficient Semantic Conditioning for Promptable Segmentation

Promptable foundation models such as the Segment Anything Model (SAM) produce high-quality masks but remain semantically blind, relying on external prompts to specify categories. Existing vision-language approaches address this limitation by using external prompt coupling, where a vision-language model generates spatial prompts for SAM as a separate stage. We propose CLIP-Guided SAM, a parameter-efficient segmentation framework built on internal semantic conditioning. Instead of using semantic signals only to generate prompts, we inject CLIP-derived text, vision, and similarity features directly into SAM's image encoder through lightweight multi-modal semantic adapters. These adapters condition SAM's internal feature representations, allowing semantic information to influence mask prediction while preserving SAM's original promptable interface. Our framework is designed for low labeled-data settings and applies to both general-domain benchmarks and specialized downstream tasks. It supports two operating modes: Manual mode, for interactive segmentation with both text and spatial prompts, and Semi-Automatic text-only mode, for applications that require concept-specific segmentation using only textual input. We show that robustness depends on aligning training with the type of prompts used at inference, making train-test prompt consistency an important design principle. Through extensive experiments and ablations, we evaluate our method against SAM+PEFT baselines without semantic conditioning, vision-language + SAM pipelines, SAM 3, and strong semi-supervised segmentation methods that rely on large amounts of unlabeled data. Across these settings, CLIP-Guided SAM consistently achieves superior or competitive performance while remaining parameter-efficient in both training and deployment.

Shayan Jalilian, Abdul Bais

University of Regina, Regina, SK, Canada

VLM Adaptation Text-Guided Image Segmentation Promptable Image Segmentation Parameter-Efficient Fine-Tuning

May 21, 2026cs.CV

SegCompass: Exploring Interpretable Alignment with Sparse Autoencoders for Enhanced Reasoning Segmentation

While large language models provide strong compositional reasoning, existing reasoning segmentation pipelines fail to transparently connect this reasoning to visual perception. Current methods, such as latent query alignment, are end-to-end yet opaque "black boxes". Conversely, textual localization readout is merely readable, not truly interpretable, often functioning as an unconstrained post-hoc step. To bridge this interpretability gap, we propose SegCompass, an end-to-end model that leverages a Sparse Autoencoder (SAE) to forge an explicit, interpretable, and differentiable alignment pathway. Given an image-instruction pair, SegCompass first generates a chain-of-thought (CoT) trace. The core of our method is an SAE that maps both the CoT and visual tokens into a shared, high-dimensional sparse concept space. A query codebook selects salient concepts from this space, which are then spatially grounded by a slot mapper into a multi-slot heatmap that guides the final mask decoder. The entire model is trained jointly, unifying reinforcement learning for the reasoning path with standard segmentation supervision. This SAE-driven interface provides a "white-box" connection that is significantly more traceable than latent queries and more coherent than textual readouts. Extensive experiments on five challenging benchmarks demonstrate that SegCompass matches or surpasses state-of-the-art performance. Crucially, our visual and quantitative analyses show a strong correlation between the quality of the learned sparse concepts and final mask accuracy, confirming that SegCompass achieves superior results through its enhanced and inspectable alignment. Code is available at https://github.com/ZhenyuLU-Heliodore/SegCompass.

Zhenyu Lu, Liupeng Li, Jinpeng Wang +4

Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences · Peng Cheng Laboratory · University of Chinese Academy of Sciences +3

Image Segmentation Text-Guided Image Segmentation VLM Interpretability Visually Grounded Reasoning Vision-Language Alignment Reasoning Segmentation

May 19, 2026cs.CV

PrAda: Few-Shot Visual Adaptation for Text-Prompted Segmentation

Segmenting images is critical for visual understanding but demands extensive pixel-level annotations. Foundational models have enabled new paradigms for predicting new classes guided by textual prompts, without annotations from the target domain. Yet, on specialized target domains, far from the original pre-training, their performance degrades. We study the errors of existing methods under such domain-shift, finding that misclassification rather than mask generation is the main culprit. To address this, we introduce the novel problem of Few-Shot Visual Adaptation for text-prompted Segmentation. This kind of adaptation has been largely studied for image classification, but it remains unexplored for segmentation. We tackle this task with Prototype Adaptation (PrAda), a novel, parameter-efficient method that adapts a frozen text-prompted segmentation model. Our approach learns class-specific prototypes by combining fine-grained pixel features and high-level transformer representations, which are then fused with the original text-based predictions through a learned importance factor. This preserves the model's zero-shot potential while enabling strong adaptation to new domains. Experiments across semantic, instance, and panoptic segmentation on five benchmarks demonstrate that PrAda yields significant improvements over state-of-the-art and proposed baselines.

Gabriele Rosi, Fabio Cermelli, Carlo Masone +1

Politecnico di Torino · Focoos AI

VLM Adaptation Text-Guided Image Segmentation Prototype Learning Few-Shot Semantic Segmentation Semantic Segmentation

May 18, 2026cs.CV

Rad-VLSM: A Cross-Modal Framework with Semantics-Assisted Prompting for Medical Segmentation and Diagnosis

Medical image segmentation is more clinically valuable when it supports diagnosis rather than merely producing lesion masks. However, diagnostically relevant lesion cues are often subtle and localized, while existing models may be distracted by background tissues, acoustic artifacts, and irrelevant visual correlations. To address this problem, we propose Rad-VLSM, a two-stage cross-modal framework for semantics-assisted lesion focusing, robust segmentation, and visually grounded diagnosis. In the first stage, a BLIP-2-based vision-language alignment module identifies lesion-related candidate regions under semantic guidance and converts them into box prompts. In the second stage, these prompts are fed into a SAM-based multitask network, where a multi-candidate region aggregation strategy improves prompt stability and guides lesion segmentation. The predicted masks are then used as spatial priors for diagnosis, and a visual-radiomics fusion head integrates lesion-aware visual features with selected radiomics descriptors. By using semantic information for localization rather than direct prediction, Rad-VLSM reduces text-to-diagnosis dependence and grounds diagnosis in lesion-level evidence. Experiments on a private clinical breast ultrasound dataset and public benchmarks show that Rad-VLSM achieves strong segmentation and diagnostic performance with favorable generalization.

Fengyi Zhang, Xujie Zeng, Mohan Liu +2

Ultrasound Image Segmentation Cross-Modality Medical Image Segmentation Image Segmentation Text-Guided Image Segmentation Promptable Image Segmentation Medical Image Analysis

May 13, 2026cs.CV

Seg-Agent: Test-Time Multimodal Reasoning for Training-Free Language-Guided Segmentation

Language-guided segmentation transcends the scope limitations of traditional semantic segmentation, enabling models to segment arbitrary target regions based on natural language instructions. Existing approaches typically adopt a two-stage framework: employing Multimodal Large Language Models (MLLMs) to interpret instructions and generate visual prompts, followed by foundational segmentation models (e.g., SAM) to produce masks. However, due to the limited spatial grounding capabilities of off-the-shelf MLLMs, these methods often rely on extensive training on large-scale datasets to achieve satisfactory accuracy. While recent advances have introduced reasoning mechanisms to improve performance, they predominantly operate within the textual domain, performing chain-of-thought reasoning solely based on abstract text representations without direct visual feedback. In this paper, we propose Seg-Agent, a completely training-free framework that pioneers Explicit Multimodal Chain-of-Reasoning. Unlike prior text-only reasoning, our approach constructs an interactive visual reasoning loop comprising three stages: generation, selection, and refinement. Specifically, we leverage Set-of-Mark (SoM) visual prompting to render candidate regions directly onto the image, allowing the MLLM to ``see'' and iteratively reason about spatial relationships in the visual domain rather than just the textual one. This explicit multimodal interaction enables Seg-Agent to achieve performance comparable to state-of-the-art training-based methods without any parameter updates. Furthermore, to comprehensively evaluate generalization across diverse scenarios, we introduce Various-LangSeg, a novel benchmark covering explicit semantic, generic object, and reasoning-guided segmentation tasks. Extensive experiments demonstrate the effectiveness and robustness of our method.

Chao Hao, Jun Xu, Ji Du +6

School of Computing and Information Technology, Great Bay University, Dongguan, Guangdong, 523000, China · Hangzhou International Innovation Institute, Beihang University, Hangzhou, 311115, China · Department of Computing, The Hong Kong Polytechnic University, Hong Kong

Text-Guided Image Segmentation Promptable Image Segmentation Multimodal Large Language Models Multimodal Reasoning VLM Reasoning

May 11, 2026cs.CV

MPerS: Dynamic MLLM MixExperts Perception-Guided Remote Sensing Scene Segmentation

The multimodal fusion of images and scene captions has been extensively explored and applied in various fields. However, when dealing with complex remote sensing (RS) scenes, existing studies have predominantly concentrated on architectural optimizations for integrating textual semantic information with visual features, while largely neglecting the generation of high-quality RS captions and the investigation of their effectiveness in multimodal semantic fusion.In this context, we propose the Dynamic MLLM Mixture-of-Experts Perception-Guided Remote Sensing Scene Segmentation, referred to as MPerS.We design multiple prompts for MLLMs to generate high-quality RS captions, enabling MLLMs to perceive RS scenes from diverse expert perspectives. DINOv3 is employed to extract dense visual representations of land-covers.We design a Dynamic MixExperts module that adaptively integrates the most effective textual semantics. Linguistic Query Guided Attention is constructed to utilize textual semantic information to guide visual features for precise segmentation. The MLLMs include LLaVA, ChatGPT, and Qwen. Our method achieves superior performance on three public semantic segmentation RS datasets.

Ziyi Wang, Xianping Ma, Ziyao Wang +2

The Chinese University of Hong Kong (Shenzhen) · Southwest Jiaotong University

Remote Sensing Image Understanding Image Segmentation Remote Sensing Image Segmentation Text-Guided Image Segmentation Mixture of Experts Multimodal Fusion

May 6, 2026cs.CV

FlowDIS: Language-Guided Dichotomous Image Segmentation with Flow Matching

Accurate image segmentation is essential for modern computer vision applications such as image editing, autonomous driving, and medical image analysis. In recent years, Dichotomous Image Segmentation (DIS) has become a standard task for training and evaluating highly accurate segmentation models. Existing DIS approaches often fail to preserve fine-grained details or fully capture the semantic structure of the foreground. To address these challenges, we present FlowDIS, a novel dichotomous image segmentation method built on the flow matching framework, which learns a time-dependent vector field to transport the image distribution to the corresponding mask distribution, optionally conditioned on a text prompt. Moreover, with our Position-Aware Instance Pairing (PAIP) training strategy, FlowDIS offers strong controllability through text prompts, enabling precise, pixel-level object segmentation. Extensive experiments demonstrate that our method significantly outperforms state-of-the-art approaches both with and without language guidance. Compared with the best prior DIS method, FlowDIS achieves a 5.5% higher

F_β^ω

measure and 43% lower MAE (

\mathcal{M}

) on the DIS-TE test set. The code is available at: https://github.com/Picsart-AI-Research/FlowDIS

Andranik Sargsyan, Shant Navasardyan

Picsart AI Research (PAIR)

Image Segmentation Text-Guided Image Segmentation Promptable Image Segmentation Semantic Segmentation

May 6, 2026cs.CV

From Diffusion to Rectified Flow: Rethinking Text-Based Segmentation

Text-based image segmentation aims to delineate object boundaries within an image from text prompts, offering higher flexibility and broader application scope compared to traditional fixed-category segmentation tasks. Recent studies have shown that diffusion models (e.g., Stable Diffusion) can provide rich multimodal semantic features, leading to studies of using diffusion models as feature extractors for segmentation tasks. Such methods, however, inherit the generative natures of diffusion models that are harmful to discriminative segmentation tasks. In response, we propose RLFSeg, a novel framework that leverages Rectified Flow to learn direct mapping from the image to the segmentation mask within the latent space. The model is thus freed from the noise-denoise process and the need to optimize the time step of diffusion models, resulting in substantially better performance than previous diffusion-based methods, especially on zero-shot scenarios. By introducing label refinement and an Adaptive One-Step Sampling strategy, the model achieves higher accuracy even on a single inference step. The framework redirects a pretrained generative model to the discriminative segmentation task with zero modification to model structure, thus reveals promising application potential and significant research value.

Zishen Qu, Xuesong Li, Haijian Gu +5

Zhejiang University · bytedance · Southeast University

Image Segmentation Text-Guided Image Segmentation Semantic Segmentation Diffusion Models

Apr 27, 2026cs.CV

ESICA: A Scalable Framework for Text-Guided 3D Medical Image Segmentation

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.

Yu Xin, Gorkem Can Ates, Jun Ma +5

University of Florida · University of Toronto · NVIDIA Corporation

Image Segmentation Text-Guided Image Segmentation 3D Medical Image Segmentation

Apr 27, 2026cs.CV

Diffusion Model as a Generalist Segmentation Learner

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.

Haoxiao Wang, Antao Xiang, Haiyang Sun +8

Zhejiang University · South China University of Technology · Nanjing University +1

Image Segmentation Text-Guided Image Segmentation Open-Vocabulary Semantic Segmentation Semantic Segmentation Diffusion Models

Apr 27, 2026cs.CV

Open-Vocabulary Semantic Segmentation Network Integrating Object-Level Label and Scene-Level Semantic Features for Multimodal Remote Sensing Images

Semantic segmentation of multi-modal remote sensing imagery plays a pivotal role in land use/land cover (LULC) mapping, environmental monitoring, and precision earth observation. Current multi-modal approaches mainly focus on integrating complementary visual modalities, yet neglect the incorporating of non-visual textual data - a rich source of knowledge that can bridge semantic gaps between visual patterns and real-world concepts. To address this limitation, we propose TSMNet, a text supervised multi-modal open vocabulary semantic segmentation network that synergistically integrates textual supervision with visual representation for open-vocabulary semantic segmentation. Unlike conventional multi-modal segmentation frameworks, TSMNet introduces a dual-branch text encoder to extract both scene-level semantic and object-level label information from various textual data, enabling dynamic cross-modal fusion. These text-derived features dynamically interact with visual embeddings through the proposed text-guided visual semantic fusion module, enabling domain-aware feature refinement and human-interpretable decision-making. To verify our method, we innovatively construct two new multi-modal datasets, and carry out extensive experiments to make a comprehensive comparison between the proposed method and other state-of-the-art (SOTA) semantic segmentation models. Results demonstrate that TSMNet achieves superior segmentation accuracy while exhibiting robust generalization capabilities across diverse geographical and sensor-specific scenarios. This work establishes a new paradigm for explainable remote sensing analysis, demonstrating that textual knowledge integration significantly enhances model generalizability. The source code will be available at https://github.com/yeyuanxin110/TSMNet

Jinkun Dai, Yuanxin Ye, Peng Tang +4

Faculty of Geosciences and Engineering, Southwest Jiaotong University, Chengdu 611756, China · State-Province Joint Engineering Laboratory of Spatial Information Technology for High-Speed Railway Safety, Southwest Jiaotong University, Chengdu 611756, China · School of Artificial Intelligence, Wuhan University, Wuhan 430072, China +1

Remote Sensing Image Segmentation Text-Guided Image Segmentation Open-Vocabulary Semantic Segmentation Multimodal Fusion Semantic Segmentation

Apr 20, 2026cs.CV

Align then Refine: Text-Guided 3D Prostate Lesion Segmentation

Automated 3D segmentation of prostate lesions from biparametric MRI (bp-MRI) is essential for reliable algorithmic analysis, but achieving high precision remains challenging. Volumetric methods must combine multiple modalities while ensuring anatomical consistency, but current models struggle to integrate cross-modal information reliably. While vision-language models (VLMs) are replacing the currently used architectural designs, they still lack the fine-grained, lesion-level semantics required for effective localized guidance. To address these limitations, we propose a new multi-encoder U-Net architecture incorporating three key innovations: (1) an alignment loss that enhances foreground text-image similarity to inject lesion semantics; (2) a heatmap loss that calibrates the similarity map and suppresses spurious background activations; and (3) a final-stage, confidence-gated multi-head cross-attention refiner that performs localized boundary edits in high-confidence regions. A phase-scheduled training regime stabilizes the optimization of these components. Our method consistently outperforms prior approaches, establishing a new state-of-the-art on the PI-CAI dataset through enhanced multi-modal fusion and localized text guidance. Our code is available at https://github.com/NUBagciLab/Prostate-Lesion-Segmentation.

Cuiling Sun, Linkai Peng, Adam Murphy +9

Department of Radiology, Northwestern University, Chicago, USA · Department of Urology, Northwestern University, Chicago, USA · Center for Cancer Research, National Cancer Institute, Bethesda, USA

Cross-Modality Medical Image Segmentation Text-Guided Image Segmentation Medical Image Segmentation 3D Medical Image Segmentation

Apr 20, 2026cs.CV

AnchorSeg: Language Grounded Query Banks for Reasoning Segmentation

Reasoning segmentation requires models to ground complex, implicit textual queries into precise pixel-level masks. Existing approaches rely on a single segmentation token

\texttt{<SEG>}

, whose hidden state implicitly encodes both semantic reasoning and spatial localization, limiting the model's ability to explicitly disentangle what to segment from where to segment. We introduce AnchorSeg, which reformulates reasoning segmentation as a structured conditional generation process over image tokens, conditioned on language grounded query banks. Instead of compressing all semantic reasoning and spatial localization into a single embedding, AnchorSeg constructs an ordered sequence of query banks: latent reasoning tokens that capture intermediate semantic states, and a segmentation anchor token that provides explicit spatial grounding. We model spatial conditioning as a factorized distribution over image tokens, where the anchor query determines localization signals while contextual queries provide semantic modulation. To bridge token-level predictions and pixel-level supervision, we propose Token--Mask Cycle Consistency (TMCC), a bidirectional training objective that enforces alignment across resolutions. By explicitly decoupling spatial grounding from semantic reasoning through structured language grounded query banks, AnchorSeg achieves state-of-the-art results on ReasonSeg test set (67.7% gIoU and 68.1% cIoU). All code and models are publicly available at https://github.com/rui-qian/AnchorSeg.

Rui Qian, Chuanhang Deng, Qiang Huang +6

College of Computer Science and Artificial Intelligence, Fudan University · 2BEDI Cloud

Image Segmentation Text-Guided Image Segmentation Vision-Language Grounding Visually Grounded Reasoning Reasoning Segmentation

Mar 18, 2026cs.CV

LoGSAM: Parameter-Efficient Cross-Modal Grounding for MRI Segmentation

Precise localization and delineation of brain tumors using magnetic resonance imaging (MRI) are essential for planning therapy and guiding surgical decisions. To address this, we propose LoGSAM, a parameter-efficient, detection-driven framework that transforms radiologist dictation into text prompts for foundation-model-based localization and segmentation. Radiologist speech is first transcribed and translated using a pretrained Whisper ASR model, followed by negation-aware clinical NLP to extract tumor-specific textual prompts. These prompts guide text-conditioned tumor localization via a LoRA-adapted vision-language detection model, Grounding DINO (GDINO). The predicted bounding boxes are used as prompts for MedSAM to generate pixel-level tumor masks without any additional fine-tuning. On BRISC 2025, LoGSAM attains a Dice score of 80.32%, reaching 98.6% of a fully fine-tuned GDINO + MedSAM baseline while training fewer than 5% of its parameters, indicating a favorable accuracy/parameter trade-off. In addition, we evaluate the full pipeline using German dictations from a board-certified radiologist on unseen MRI scans, achieving 91.7% case-level class-extraction accuracy. These results highlight the feasibility of constructing a modular speech-to-segmentation pipeline from pretrained foundation models with minimal parameter updates.

Mohammad Robaitul Islam Bhuiyan, Sheethal Bhat, Melika Qahqaie

Pattern Recognition Lab, Friedrich-Alexander-Universität, Erlangen, Germany · Siemens Healthineers, Erlangen, Germany

Image Segmentation Medical Imaging Foundation Models Text-Guided Image Segmentation Medical Image Segmentation Medical Image Grounding Brain Tumor Segmentation

Mar 10, 2026cs.CV

A Guideline-Aware AI Agent for Zero-Shot Target Volume Auto-Delineation

Delineating the clinical target volume (CTV) in radiotherapy involves complex margins constrained by tumor location and anatomical barriers. While deep learning models automate this process, their rigid reliance on expert-annotated data requires costly retraining whenever clinical guidelines update. To overcome this limitation, we introduce OncoAgent, a novel guideline-aware AI agent framework that seamlessly converts textual clinical guidelines into three-dimensional target contours in a training-free manner. Evaluated on esophageal cancer cases, the agent achieves a zero-shot Dice similarity coefficient of 0.842 for the CTV and 0.880 for the planning target volume, demonstrating performance highly comparable to a fully supervised nnU-Net baseline. Notably, in a blinded clinical evaluation, physicians strongly preferred OncoAgent over the supervised baseline, rating it higher in guideline compliance, modification effort, and clinical acceptability. Furthermore, the framework generalizes zero-shot to alternative esophageal guidelines and other anatomical sites (e.g., prostate) without any retraining. Beyond mere volumetric overlap, our agent-based paradigm offers near-instantaneous adaptability to alternative guidelines, providing a scalable and transparent pathway toward interpretability in radiotherapy treatment planning.

Yoon Jo Kim, Wonyoung Cho, Jongmin Lee +7

Oncosoft Inc., Seoul, South Korea · Department of Radiation Oncology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, South Korea

Text-Guided Image Segmentation Medical Image Segmentation 3D Medical Image Segmentation

Nov 24, 2025cs.CV

MedSAM3: Delving into Segment Anything with Medical Concepts

Medical image segmentation is fundamental for biomedical discovery. Existing methods lack generalizability and demand extensive, time-consuming manual annotation for new clinical application. Here, we propose MedSAM-3, a text promptable medical segmentation model for medical image and video segmentation. By fine-tuning the Segment Anything Model (SAM) 3 architecture on medical images paired with semantic conceptual labels, our MedSAM-3 enables medical Promptable Concept Segmentation (PCS), allowing precise targeting of anatomical structures via open-vocabulary text descriptions rather than solely geometric prompts. We further introduce the MedSAM-3 Agent, a framework that integrates Multimodal Large Language Models (MLLMs) to perform complex reasoning and iterative refinement in an agent-in-the-loop workflow. Comprehensive experiments across diverse medical imaging modalities, including X-ray, MRI, Ultrasound, CT, and video, demonstrate that our approach significantly outperforms existing specialist and foundation models. We will release our code and model at https://github.com/Joey-S-Liu/MedSAM3.

Anglin Liu, Xu R. Cao, Yifan Shen +4

The Hong Kong University of Science and Technology (Guangzhou) · University of Illinois Urbana-Champaign · Southeast University +1

Image Segmentation Medical Imaging Foundation Models Text-Guided Image Segmentation Medical Image Segmentation

Nov 15, 2025cs.CV

MediRound: Multi-Round Entity-Level Reasoning Segmentation in Medical Images

Despite notable progress in text-guided medical image segmentation nowadays, these methods are limited to single-round dialogues and fail to support multi-round reasoning, which is important for medical education scenarios. In this work, we introduce Multi-Round Entity-Level Medical Reasoning Segmentation (MEMR-Seg), a new task that requires generating segmentation masks through multi-round queries with entity-level reasoning, helping learners progressively develop their understanding of medical knowledge. To support this task, we construct MR-MedSeg, a large-scale dataset of 177K multi-round medical segmentation dialogues, featuring entity-based reasoning across rounds. Furthermore, we propose MediRound, an effective baseline model designed for multi-round medical reasoning segmentation. To mitigate the inherent error propagation within the chain-like pipeline of multi-round segmentation, we introduce a lightweight yet effective Judgment & Correction Mechanism during model inference. Experimental results demonstrate that our method effectively addresses the MEMR-Seg task and outperforms conventional medical referring segmentation methods. The project is available at https://github.com/Edisonhimself/MediRound.

Qinyue Tong, Ziqian Lu, Jun Liu +3

Zhejiang University, Hangzhou, Zhejiang, China · Zhejiang Sci-Tech University, Hangzhou, Zhejiang, China · National University of Singapore, Singapore

Interactive Medical Image Segmentation Text-Guided Image Segmentation Multimodal Reasoning Medical Image Segmentation Reasoning Segmentation Medical Image Benchmarks

May 26, 2025cs.CV

LlamaSeg: Image Segmentation via Autoregressive Mask Generation

We present \textbf{LlamaSeg}, a visual autoregressive framework that unifies multiple image segmentation tasks via natural language instructions. By reformulating segmentation as visual generation, LlamaSeg encodes masks as visual tokens and uses a LLaMA-style Transformer for direct next-token prediction, naturally fitting segmentation into autoregressive architectures. To support large-scale training, we introduce a data annotation pipeline and construct the \textbf{SA-OVRS} dataset, which contains \textbf{2M} segmentation masks annotated with over \textbf{5,800} open vocabulary labels or diverse textual descriptions, spanning diverse real-world scenarios. This enables our model to localize objects in images based on text prompts and to generate fine-grained masks. We further introduce the composite metric average Hausdorff Distance (

d_{\mathrm{AHD}}

) to evaluate mask contour fidelity for generative models better. Experiments show that LlamaSeg consistently outperforms existing generative approaches on multiple segmentation benchmarks and delivers finer, more accurate segmentation masks. Code and dataset are available at https://github.com/GML-FMGroup/llamaseg.

Jiru Deng, Tengjin Weng, Tianyu Yang +3

Guangdong Laboratory of Artificial Intelligence and Digital Economy (SZ) · Tsinghua University · Shenzhen University +2

Image Segmentation Text-Guided Image Segmentation Promptable Image Segmentation Open-Vocabulary Semantic Segmentation

May 6, 2025cs.CV

Synergistic Vision-Language Reinforcement Enables Scalable On-Demand Analysis across Diverse Clinical Tasks

Accurate delineation of tumors and surrounding organs-at-risk is essential for radiotherapy, surgery and treatment response assessment, yet remains time-consuming and expertise-intensive. Existing artificial intelligence systems often require manual spatial prompts or task-specific retraining, while generic class labels provide limited semantic grounding for heterogeneous disease targets. Here we present SyRe, a promptable segmentation foundation model based on Synergistic vision-language Reinforcement. SyRe strengthens bidirectional interaction between visual and linguistic representations to improve semantically grounded spatial understanding. To support large-scale training, we introduce the Color Region Description strategy and construct SyReData, comprising 20 million image-mask-description triplets across 9 modalities and 229 segmentation tasks. Training with diversified prompt forms further enables open-ended prompting, invalid-prompt rejection and flexible switching between single- and multi-target analysis. SyRe achieves accurate text-prompted segmentation across diverse clinical scenarios, with particularly strong performance on disease-related targets. Across 28 unseen external datasets, including 20 cancer types and multinational in-house cohorts, SyRe generalizes robustly under real-world distribution shifts. SyRe-generated masks also preserve clinically relevant quantitative information in pathology and yield radiomics features that stratify survival and improve prognostic modeling across five retrospective CT and MRI tumor cohorts. Finally, clinician-in-the-loop refinement enables efficient case-level correction when greater precision is required. These results establish SyRe as a generalizable foundation for scalable quantitative oncology and clinician-guided segmentation refinement.

Haonan Wang, Jiaji Mao, Lehan Wang +11

Department of Electronic and Computer Engineering, The Hong Kong University of Science and Technology, Hong Kong SAR · Department of Radiology, Guangdong Provincial Key Laboratory of Malignant Tumor Epigenetics and Gene Regulation, Sun Yat-Sen Memorial Hospital, Sun Yat-Sen University, Guangzhou 510120, China · Department of Computer Science and Engineering, The Hong Kong University of Science and Technology, Hong Kong SAR

Image Segmentation Medical Imaging Foundation Models Text-Guided Image Segmentation Medical VLMs Medical Image Segmentation Oncology+1

Dec 18, 2024cs.CV

Language-guided Medical Image Segmentation with Target-informed Multi-level Contrastive Alignments

Medical image segmentation is a fundamental task in numerous medical engineering applications. Recently, language-guided segmentation has shown promise in medical scenarios where textual clinical reports are readily available as semantic guidance. Clinical reports contain diagnostic information provided by clinicians, which can provide auxiliary textual semantics to guide segmentation. However, existing language-guided segmentation methods neglect the inherent pattern gaps between image and text modalities, resulting in sub-optimal visual-language integration. Contrastive learning is a well-recognized approach to align image-text patterns, but it has not been optimized for bridging the pattern gaps in medical language-guided segmentation that relies primarily on medical image details to characterize the underlying disease/targets. Current contrastive alignment techniques typically align high-level global semantics without involving low-level localized target information, and thus cannot deliver fine-grained textual guidance on crucial image details. In this study, we propose a Target-informed Multi-level Contrastive Alignment framework (TMCA) to bridge image-text pattern gaps for medical language-guided segmentation. TMCA enables target-informed image-text alignments and fine-grained textual guidance by introducing: (i) a target-sensitive semantic distance module that utilizes target information for more granular image-text alignment modeling, (ii) a multi-level contrastive alignment strategy that directs fine-grained textual guidance to multi-scale image details, and (iii) a language-guided target enhancement module that reinforces attention to critical image regions based on the aligned image-text patterns. Extensive experiments on four public benchmark datasets demonstrate that TMCA enabled superior performance over state-of-the-art language-guided medical image segmentation methods.

Mingjian Li, Mingyuan Meng, Shuchang Ye +4

a School of Computer Science, The University of Sydney, Sydney, Australia. · b Institute of Translational Medicine, Shanghai Jiao Tong University, Shanghai, China. · c Zhongguancun Academy & Zhongguancun Institute of Artificial Intelligence, Beijing, China. +1

Text-Guided Image Segmentation Medical Image Segmentation Vision-Language Alignment Multimodal Contrastive Learning

Date pendingcs.CV

CGSM: Concept-Guided Segmentation Model for Precise Pulmonary Lesion Delineation

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.

Changheng Lin, Wenjie Zhang, Yushan Lu +3

Shandong University, China

Text-Guided Image Segmentation Medical Image Segmentation