Jesus Bescos

Cecilia Diana-Albelda, Roberto Alcover-Couso, Álvaro García-Martín et al.

Gliomas are aggressive brain tumors that require accurate imaging-based diagnosis, with segmentation playing a critical role in evaluating morphology and treatment decisions. Manual delineation of gliomas is time-consuming and prone to variability, motivating the use of deep learning to improve consistency and alleviate clinical workload. However, existing methods often fail to fully exploit the information available in multi-parametric MRI (mp-MRI), particularly inter-slice contextual features, and typically require considerable computational resources while lacking robustness across tumor type variations. We present GBT-SAM, a parameter-efficient deep learning framework that adapts the Segment Anything Model (SAM), a large-scale vision model, to volumetric mp-MRI data. GBT-SAM reduces input complexity by selecting fewer than 2.6\% of slices per scan while incorporating all four MRI modalities, preserving essential tumor-related information with minimal cost. Furthermore, our model is trained by a two-step fine-tuning strategy that incorporates a depth-aware module to capture inter-slice correlations and lightweight adaptation layers, resulting in just 6.5M trainable parameters, which is the lowest among SAM-based approaches. GBT-SAM achieves a Dice Score of 93.54 on the BraTS Adult Glioma dataset and demonstrates robust performance on Meningioma, Pediatric Glioma, and Sub-Saharan Glioma datasets. These results highlight GBT-SAM's potential as a computationally efficient and domain-robust framework for brain tumor segmentation using mp-MRI. Our code and models are available at https://github.com/vpulab/med-sam-brain .

Roberto Alcover-Couso, Marcos Escudero-Viñolo, Juan C. SanMiguel et al.

Segmentation models are typically constrained by the categories defined during training. To address this, researchers have explored two independent approaches: adapting Vision-Language Models (VLMs) and leveraging synthetic data. However, VLMs often struggle with granularity, failing to disentangle fine-grained concepts, while synthetic data-based methods remain limited by the scope of available datasets. This paper proposes enhancing segmentation accuracy across diverse domains by integrating Vision-Language reasoning with key strategies for Unsupervised Domain Adaptation (UDA). First, we improve the fine-grained segmentation capabilities of VLMs through multi-scale contextual data, robust text embeddings with prompt augmentation, and layer-wise fine-tuning in our proposed Foundational-Retaining Open Vocabulary Semantic Segmentation (FROVSS) framework. Next, we incorporate these enhancements into a UDA framework by employing distillation to stabilize training and cross-domain mixed sampling to boost adaptability without compromising generalization. The resulting UDA-FROVSS framework is the first UDA approach to effectively adapt across domains without requiring shared categories.