Lefei Zhang

Gaoren Lin, Huangxuan Zhao, Yuan Xiong et al.

Text-guided medical segmentation enhances segmentation accuracy by utilizing clinical reports as auxiliary information. However, existing methods typically rely on unaligned image and text encoders, which necessitate complex interaction modules for multimodal fusion. While CLIP provides a pre-aligned multimodal feature space, its direct application to medical imaging is limited by three main issues: insufficient preservation of fine-grained anatomical structures, inadequate modeling of complex clinical descriptions, and domain-specific semantic misalignment. To tackle these challenges, we propose TGC-Net, a CLIP-based framework focusing on parameter-efficient, task-specific adaptations. Specifically, it incorporates a Semantic-Structural Synergy Encoder (SSE) that augments CLIP's ViT with a CNN branch for multi-scale structural refinement, a Domain-Augmented Text Encoder (DATE) that injects large-language-model-derived medical knowledge, and a Vision-Language Calibration Module (VLCM) that refines cross-modal correspondence in a unified feature space. Experiments on five datasets across chest X-ray and thoracic CT modalities demonstrate that TGC-Net achieves state-of-the-art performance with substantially fewer trainable parameters, including notable Dice gains on challenging benchmarks.

Meng Lan, Lefei Zhang, Xiaomeng Li

The Segment Anything Model 2 (SAM2) has demonstrated remarkable promptable visual segmentation capabilities in video data, showing potential for extension to medical image segmentation (MIS) tasks involving 3D volumes and temporally correlated 2D image sequences. However, adapting SAM2 to MIS presents several challenges, including the need for extensive annotated medical data for fine-tuning and high-quality manual prompts, which are both labor-intensive and require intervention from medical experts. To address these challenges, we introduce OFL-SAM2, a prompt-free SAM2 framework for label-efficient MIS. Our core idea is to leverage limited annotated samples to train a lightweight mapping network that captures medical knowledge and transforms generic image features into target features, thereby providing additional discriminative target representations for each frame and eliminating the need for manual prompts. Crucially, the mapping network supports online parameter update during inference, enhancing the model's generalization across test sequences. Technically, we introduce two key components: (1) an online few-shot learner that trains the mapping network to generate target features using limited data, and (2) an adaptive fusion module that dynamically integrates the target features with the memory-attention features generated by frozen SAM2, leading to accurate and robust target representation. Extensive experiments on three diverse MIS datasets demonstrate that OFL-SAM2 achieves state-of-the-art performance with limited training data.