Interactive 3D Medical Image Segmentation with SAM 2Chuyun Shen, Wenhao Li, Yuhang Shi et al.
Interactive medical image segmentation (IMIS) has shown significant potential in enhancing segmentation accuracy by integrating iterative feedback from medical professionals. However, the limited availability of enough 3D medical data restricts the generalization and robustness of most IMIS methods. The Segment Anything Model (SAM), though effective for 2D images, requires expensive semi-auto slice-by-slice annotations for 3D medical images. In this paper, we explore the zero-shot capabilities of SAM 2, the next-generation Meta SAM model trained on videos, for 3D medical image segmentation. By treating sequential 2D slices of 3D images as video frames, SAM 2 can fully automatically propagate annotations from a single frame to the entire 3D volume. We propose a practical pipeline for using SAM 2 in 3D medical image segmentation and present key findings highlighting its efficiency and potential for further optimization. Concretely, numerical experiments on the BraTS2020 and the medical segmentation decathlon datasets demonstrate that SAM 2 still has a gap with supervised methods but can narrow the gap in specific settings and organ types, significantly reducing the annotation burden on medical professionals. Our code will be open-sourced and available at https://github.com/Chuyun-Shen/SAM_2_Medical_3D.
2.0CVAug 24, 2024
Decoupled Video Generation with Chain of Training-free Diffusion Model ExpertsWenhao Li, Yichao Cao, Xiu Su et al.
Video generation models hold substantial potential in areas such as filmmaking. However, current video diffusion models need high computational costs and produce suboptimal results due to extreme complexity of video generation task. In this paper, we propose \textbf{ConFiner}, an efficient video generation framework that decouples video generation into easier subtasks: structure \textbf{con}trol and spatial-temporal re\textbf{fine}ment. It can generate high-quality videos with chain of off-the-shelf diffusion model experts, each expert responsible for a decoupled subtask. During the refinement, we introduce coordinated denoising, which can merge multiple diffusion experts' capabilities into a single sampling. Furthermore, we design ConFiner-Long framework, which can generate long coherent video with three constraint strategies on ConFiner. Experimental results indicate that with only 10\% of the inference cost, our ConFiner surpasses representative models like Lavie and Modelscope across all objective and subjective metrics. And ConFiner-Long can generate high-quality and coherent videos with up to 600 frames.
4.9CLJun 22, 2025
Refine Medical Diagnosis Using Generation Augmented Retrieval and Clinical Practice GuidelinesWenhao Li, Hongkuan Zhang, Hongwei Zhang et al.
Current medical language models, adapted from large language models (LLMs), typically predict ICD code-based diagnosis from electronic health records (EHRs) because these labels are readily available. However, ICD codes do not capture the nuanced, context-rich reasoning clinicians use for diagnosis. Clinicians synthesize diverse patient data and reference clinical practice guidelines (CPGs) to make evidence-based decisions. This misalignment limits the clinical utility of existing models. We introduce GARMLE-G, a Generation-Augmented Retrieval framework that grounds medical language model outputs in authoritative CPGs. Unlike conventional Retrieval-Augmented Generation based approaches, GARMLE-G enables hallucination-free outputs by directly retrieving authoritative guideline content without relying on model-generated text. It (1) integrates LLM predictions with EHR data to create semantically rich queries, (2) retrieves relevant CPG knowledge snippets via embedding similarity, and (3) fuses guideline content with model output to generate clinically aligned recommendations. A prototype system for hypertension diagnosis was developed and evaluated on multiple metrics, demonstrating superior retrieval precision, semantic relevance, and clinical guideline adherence compared to RAG-based baselines, while maintaining a lightweight architecture suitable for localized healthcare deployment. This work provides a scalable, low-cost, and hallucination-free method for grounding medical language models in evidence-based clinical practice, with strong potential for broader clinical deployment.