Qin Liu

Qin Liu, Meng Zheng, Benjamin Planche et al.

Automatic medical volume segmentation often lacks clinical accuracy, necessitating further refinement. In this work, we interactively approach medical volume segmentation via two decoupled modules: interaction-to-segmentation and segmentation propagation. Given a medical volume, a user first segments a slice (or several slices) via the interaction module and then propagates the segmentation(s) to the remaining slices. The user may repeat this process multiple times until a sufficiently high volume segmentation quality is achieved. However, due to the lack of human correction during propagation, segmentation errors are prone to accumulate in the intermediate slices and may lead to sub-optimal performance. To alleviate this issue, we propose a simple yet effective cycle consistency loss that regularizes an intermediate segmentation by referencing the accurate segmentation in the starting slice. To this end, we introduce a backward segmentation path that propagates the intermediate segmentation back to the starting slice using the same propagation network. With cycle consistency training, the propagation network is better regularized than in standard forward-only training approaches. Evaluation results on challenging AbdomenCT-1K and OAI-ZIB datasets demonstrate the effectiveness of our method.

Bin Wang, Anwesa Choudhuri, Meng Zheng et al.

Interactive segmentation aims to accurately segment target objects with minimal user interactions. However, current methods often fail to accurately separate target objects from the background, due to a limited understanding of order, the relative depth between objects in a scene. To address this issue, we propose OIS: order-aware interactive segmentation, where we explicitly encode the relative depth between objects into order maps. We introduce a novel order-aware attention, where the order maps seamlessly guide the user interactions (in the form of clicks) to attend to the image features. We further present an object-aware attention module to incorporate a strong object-level understanding to better differentiate objects with similar order. Our approach allows both dense and sparse integration of user clicks, enhancing both accuracy and efficiency as compared to prior works. Experimental results demonstrate that OIS achieves state-of-the-art performance, improving mIoU after one click by 7.61 on the HQSeg44K dataset and 1.32 on the DAVIS dataset as compared to the previous state-of-the-art SegNext, while also doubling inference speed compared to current leading methods. The project page is https://ukaukaaaa.github.io/projects/OIS/index.html

Xuchen Li, Hengrui Gu, Mohan Zhang et al.

Text-prompted foundation models for medical image segmentation offer an intuitive way to delineate anatomical structures from natural language queries, but their predictions often lack spatial precision and degrade under domain shift. In contrast, visual-prompted models achieve strong segmentation performance across diverse modalities by leveraging spatial cues of precise bounding-box (bbox) prompts to guide the segmentation of target lesions. However, it is costly and challenging to obtain the precise visual prompts in clinical practice. We propose PPBoost (Progressive Prompt-Boosting), a framework that bridges these limitations by transforming weak text-derived signals into strong, spatially grounded visual prompts, operating under a strict zero-shot regime with no image- or pixel-level segmentation labels. PPBoost first uses a vision-language model to produce initial pseudo-bboxes conditioned on the textual object descriptions and applies an uncertainty-aware criterion to filter unreliable predictions. The retained image-bboxes pairs are then leveraged to train a pseudo-labeled detector, producing the high-quality bboxes for the query images. During inference, PPBoost further refines the generated bboxes by appropriately expanding them to tightly cover the target anatomical structures. The enhanced spatially-grounding bbox prompts guide existing segmentation models to generate final dense masks, effectively amplifying weak text cues into strong spatial guidance. Across three datasets spanning diverse modalities and anatomies, PPBoost consistently improves Dice and Normalized Surface Distance over text- and visual-prompted baselines and, notably, surpasses few-shot segmentation models without using labeled data. PPBoost can generalize to multiple typical visual segmentation model backbones.