Hairong Shi

Zichun Wang, Hairong Shi, Bingzheng Wei et al.

Volumetric Reasoning Segmentation (VRS) aims to segment a target region in a 3D medical scan from a free-form clinical query, where the referent is often implicit and requires both medical knowledge and volume-grounded reasoning. Existing methods typically rely on specialized segmentation tokens to connect language with mask decoding, but this coupling collapses the decision process into opaque latent representations, limiting interpretability and generalization to diverse narrative expressions. In this paper, we present MedVol-R1, a reinforcement learning-based framework for VRS that explicitly decouples evidence grounding from volumetric delineation: the LVLM grounds clinical reasoning to a verifiable 2D evidence anchor (key axial slice and 2D bounding boxes), which is then propagated into a coherent 3D mask by a frozen MedSAM2 module. We train MedVol-R1 with cold-start supervised fine-tuning followed by GRPO, guided by a multi-component reward that encourages informative evidence selection, accurate 2D spatial grounding, and cross-slice volumetric coherence, without requiring costly chain-of-thought annotations. Experiments on CT-ORG, AbdomenCT-1K, and KiTS23 from the M3D-Seg benchmark demonstrate that MedVol-R1 consistently outperforms strong baselines and achieves state-of-the-art performance, with reinforcement learning providing clear gains over pure supervised fine-tuning.

Songhao Han, Wei Huang, Hairong Shi et al.

The advancement of Large Vision Language Models (LVLMs) has significantly improved multimodal understanding, yet challenges remain in video reasoning tasks due to the scarcity of high-quality, large-scale datasets. Existing video question-answering (VideoQA) datasets often rely on costly manual annotations with insufficient granularity or automatic construction methods with redundant frame-by-frame analysis, limiting their scalability and effectiveness for complex reasoning. To address these challenges, we introduce VideoEspresso, a novel dataset that features VideoQA pairs preserving essential spatial details and temporal coherence, along with multimodal annotations of intermediate reasoning steps. Our construction pipeline employs a semantic-aware method to reduce redundancy, followed by generating QA pairs using GPT-4o. We further develop video Chain-of-Thought (CoT) annotations to enrich reasoning processes, guiding GPT-4o in extracting logical relationships from QA pairs and video content. To exploit the potential of high-quality VideoQA pairs, we propose a Hybrid LVLMs Collaboration framework, featuring a Frame Selector and a two-stage instruction fine-tuned reasoning LVLM. This framework adaptively selects core frames and performs CoT reasoning using multimodal evidence. Evaluated on our proposed benchmark with 14 tasks against 9 popular LVLMs, our method outperforms existing baselines on most tasks, demonstrating superior video reasoning capabilities. Our code and dataset will be released at: https://github.com/hshjerry/VideoEspresso

Hairong Shi, Songhao Han, Shaofei Huang et al.

Tumor lesion segmentation on CT or MRI images plays a critical role in cancer diagnosis and treatment planning. Considering the inherent differences in tumor lesion segmentation data across various medical imaging modalities and equipment, integrating medical knowledge into the Segment Anything Model (SAM) presents promising capability due to its versatility and generalization potential. Recent studies have attempted to enhance SAM with medical expertise by pre-training on large-scale medical segmentation datasets. However, challenges still exist in 3D tumor lesion segmentation owing to tumor complexity and the imbalance in foreground and background regions. Therefore, we introduce Mask-Enhanced SAM (M-SAM), an innovative architecture tailored for 3D tumor lesion segmentation. We propose a novel Mask-Enhanced Adapter (MEA) within M-SAM that enriches the semantic information of medical images with positional data from coarse segmentation masks, facilitating the generation of more precise segmentation masks. Furthermore, an iterative refinement scheme is implemented in M-SAM to refine the segmentation masks progressively, leading to improved performance. Extensive experiments on seven tumor lesion segmentation datasets indicate that our M-SAM not only achieves high segmentation accuracy but also exhibits robust generalization. The code is available at https://github.com/nanase1025/M-SAM.