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Sep 2

GRES: Generalized Referring Expression Segmentation

Referring Expression Segmentation (RES) aims to generate a segmentation mask for the object described by a given language expression. Existing classic RES datasets and methods commonly support single-target expressions only, i.e., one expression refers to one target object. Multi-target and no-target expressions are not considered. This limits the usage of RES in practice. In this paper, we introduce a new benchmark called Generalized Referring Expression Segmentation (GRES), which extends the classic RES to allow expressions to refer to an arbitrary number of target objects. Towards this, we construct the first large-scale GRES dataset called gRefCOCO that contains multi-target, no-target, and single-target expressions. GRES and gRefCOCO are designed to be well-compatible with RES, facilitating extensive experiments to study the performance gap of the existing RES methods on the GRES task. In the experimental study, we find that one of the big challenges of GRES is complex relationship modeling. Based on this, we propose a region-based GRES baseline ReLA that adaptively divides the image into regions with sub-instance clues, and explicitly models the region-region and region-language dependencies. The proposed approach ReLA achieves new state-of-the-art performance on the both newly proposed GRES and classic RES tasks. The proposed gRefCOCO dataset and method are available at https://henghuiding.github.io/GRES.

Unlocking the Potential of MLLMs in Referring Expression Segmentation via a Light-weight Mask Decode

Reference Expression Segmentation (RES) aims to segment image regions specified by referring expressions and has become popular with the rise of multimodal large models (MLLMs). While MLLMs excel in semantic understanding, their token-generation paradigm struggles with pixel-level dense prediction. Existing RES methods either couple MLLMs with the parameter-heavy Segment Anything Model (SAM) with 632M network parameters or adopt SAM-free lightweight pipelines that sacrifice accuracy. To address the trade-off between performance and cost, we specifically propose MLLMSeg, a novel framework that fully exploits the inherent visual detail features encoded in the MLLM vision encoder without introducing an extra visual encoder. Besides, we propose a detail-enhanced and semantic-consistent feature fusion module (DSFF) that fully integrates the detail-related visual feature with the semantic-related feature output by the large language model (LLM) of MLLM. Finally, we establish a light-weight mask decoder with only 34M network parameters that optimally leverages detailed spatial features from the visual encoder and semantic features from the LLM to achieve precise mask prediction. Extensive experiments demonstrate that our method generally surpasses both SAM-based and SAM-free competitors, striking a better balance between performance and cost. Code is available at https://github.com/jcwang0602/MLLMSeg.

RESAnything: Attribute Prompting for Arbitrary Referring Segmentation

We present an open-vocabulary and zero-shot method for arbitrary referring expression segmentation (RES), targeting input expressions that are more general than what prior works were designed to handle. Specifically, our inputs encompass both object- and part-level labels as well as implicit references pointing to properties or qualities of object/part function, design, style, material, etc. Our model, coined RESAnything, leverages Chain-of-Thoughts (CoT) reasoning, where the key idea is attribute prompting. We generate detailed descriptions of object/part attributes including shape, color, and location for potential segment proposals through systematic prompting of a large language model (LLM), where the proposals are produced by a foundational image segmentation model. Our approach encourages deep reasoning about object or part attributes related to function, style, design, etc., enabling the system to handle implicit queries without any part annotations for training or fine-tuning. As the first zero-shot and LLM-based RES method, RESAnything achieves clearly superior performance among zero-shot methods on traditional RES benchmarks and significantly outperforms existing methods on challenging scenarios involving implicit queries and complex part-level relations. Finally, we contribute a new benchmark dataset to offer ~3K carefully curated RES instances to assess part-level, arbitrary RES solutions.

Text4Seg: Reimagining Image Segmentation as Text Generation

Multimodal Large Language Models (MLLMs) have shown exceptional capabilities in vision-language tasks; however, effectively integrating image segmentation into these models remains a significant challenge. In this paper, we introduce Text4Seg, a novel text-as-mask paradigm that casts image segmentation as a text generation problem, eliminating the need for additional decoders and significantly simplifying the segmentation process. Our key innovation is semantic descriptors, a new textual representation of segmentation masks where each image patch is mapped to its corresponding text label. This unified representation allows seamless integration into the auto-regressive training pipeline of MLLMs for easier optimization. We demonstrate that representing an image with 16times16 semantic descriptors yields competitive segmentation performance. To enhance efficiency, we introduce the Row-wise Run-Length Encoding (R-RLE), which compresses redundant text sequences, reducing the length of semantic descriptors by 74% and accelerating inference by 3times, without compromising performance. Extensive experiments across various vision tasks, such as referring expression segmentation and comprehension, show that Text4Seg achieves state-of-the-art performance on multiple datasets by fine-tuning different MLLM backbones. Our approach provides an efficient, scalable solution for vision-centric tasks within the MLLM framework.

F-LMM: Grounding Frozen Large Multimodal Models

Endowing Large Multimodal Models (LMMs) with visual grounding capability can significantly enhance AIs' understanding of the visual world and their interaction with humans. However, existing methods typically fine-tune the parameters of LMMs to learn additional segmentation tokens and overfit grounding and segmentation datasets. Such a design would inevitably cause a catastrophic diminution in the indispensable conversational capability of general AI assistants. In this paper, we comprehensively evaluate state-of-the-art grounding LMMs across a suite of multimodal question-answering benchmarks, observing pronounced performance drops that indicate vanishing general knowledge comprehension and weakened instruction following ability. To address this issue, we present F-LMM -- grounding frozen off-the-shelf LMMs in human-AI conversations -- a straightforward yet effective design based on the fact that word-pixel correspondences conducive to visual grounding inherently exist in the attention weights of well-trained LMMs. Using only a few trainable CNN layers, we can translate word-pixel attention weights to mask logits, which a SAM-based mask refiner can further optimise. Our F-LMM neither learns special segmentation tokens nor utilises high-quality grounded instruction-tuning data, but achieves competitive performance on referring expression segmentation and panoptic narrative grounding benchmarks while completely preserving LMMs' original conversational ability. Additionally, with instruction-following ability preserved and grounding ability obtained, our F-LMM can perform visual chain-of-thought reasoning and better resist object hallucinations.

RemoteSAM: Towards Segment Anything for Earth Observation

We aim to develop a robust yet flexible visual foundation model for Earth observation. It should possess strong capabilities in recognizing and localizing diverse visual targets while providing compatibility with various input-output interfaces required across different task scenarios. Current systems cannot meet these requirements, as they typically utilize task-specific architecture trained on narrow data domains with limited semantic coverage. Our study addresses these limitations from two aspects: data and modeling. We first introduce an automatic data engine that enjoys significantly better scalability compared to previous human annotation or rule-based approaches. It has enabled us to create the largest dataset of its kind to date, comprising 270K image-text-mask triplets covering an unprecedented range of diverse semantic categories and attribute specifications. Based on this data foundation, we further propose a task unification paradigm that centers around referring expression segmentation. It effectively handles a wide range of vision-centric perception tasks, including classification, detection, segmentation, grounding, etc, using a single model without any task-specific heads. Combining these innovations on data and modeling, we present RemoteSAM, a foundation model that establishes new SoTA on several earth observation perception benchmarks, outperforming other foundation models such as Falcon, GeoChat, and LHRS-Bot with significantly higher efficiency. Models and data are publicly available at https://github.com/1e12Leon/RemoteSAM.

GLaMM: Pixel Grounding Large Multimodal Model

Large Multimodal Models (LMMs) extend Large Language Models to the vision domain. Initial efforts towards LMMs used holistic images and text prompts to generate ungrounded textual responses. Very recently, region-level LMMs have been used to generate visually grounded responses. However, they are limited to only referring a single object category at a time, require users to specify the regions in inputs, or cannot offer dense pixel-wise object grounding. In this work, we present Grounding LMM (GLaMM), the first model that can generate natural language responses seamlessly intertwined with corresponding object segmentation masks. GLaMM not only grounds objects appearing in the conversations but is flexible enough to accept both textual and optional visual prompts (region of interest) as input. This empowers users to interact with the model at various levels of granularity, both in textual and visual domains. Due to the lack of standard benchmarks for the novel setting of generating visually grounded detailed conversations, we introduce a comprehensive evaluation protocol with our curated grounded conversations. Our proposed Grounded Conversation Generation (GCG) task requires densely grounded concepts in natural scenes at a large-scale. To this end, we propose a densely annotated Grounding-anything Dataset (GranD) using our proposed automated annotation pipeline that encompasses 7.5M unique concepts grounded in a total of 810M regions available with segmentation masks. Besides GCG, GLaMM also performs effectively on several downstream tasks e.g., referring expression segmentation, image and region-level captioning and vision-language conversations. Project Page: https://mbzuai-oryx.github.io/groundingLMM.

Progressive Language-guided Visual Learning for Multi-Task Visual Grounding

Multi-task visual grounding (MTVG) includes two sub-tasks, i.e., Referring Expression Comprehension (REC) and Referring Expression Segmentation (RES). The existing representative approaches generally follow the research pipeline which mainly consists of three core procedures, including independent feature extraction for visual and linguistic modalities, respectively, cross-modal interaction module, and independent prediction heads for different sub-tasks. Albeit achieving remarkable performance, this research line has two limitations: 1) The linguistic content has not been fully injected into the entire visual backbone for boosting more effective visual feature extraction and it needs an extra cross-modal interaction module; 2) The relationship between REC and RES tasks is not effectively exploited to help the collaborative prediction for more accurate output. To deal with these problems, in this paper, we propose a Progressive Language-guided Visual Learning framework for multi-task visual grounding, called PLVL, which not only finely mine the inherent feature expression of the visual modality itself but also progressively inject the language information to help learn linguistic-related visual features. In this manner, our PLVL does not need additional cross-modal fusion module while fully introducing the language guidance. Furthermore, we analyze that the localization center for REC would help identify the to-be-segmented object region for RES to some extent. Inspired by this investigation, we design a multi-task head to accomplish collaborative predictions for these two sub-tasks. Extensive experiments conducted on several benchmark datasets comprehensively substantiate that our PLVL obviously outperforms the representative methods in both REC and RES tasks. https://github.com/jcwang0602/PLVL

MDETR -- Modulated Detection for End-to-End Multi-Modal Understanding

Multi-modal reasoning systems rely on a pre-trained object detector to extract regions of interest from the image. However, this crucial module is typically used as a black box, trained independently of the downstream task and on a fixed vocabulary of objects and attributes. This makes it challenging for such systems to capture the long tail of visual concepts expressed in free form text. In this paper we propose MDETR, an end-to-end modulated detector that detects objects in an image conditioned on a raw text query, like a caption or a question. We use a transformer-based architecture to reason jointly over text and image by fusing the two modalities at an early stage of the model. We pre-train the network on 1.3M text-image pairs, mined from pre-existing multi-modal datasets having explicit alignment between phrases in text and objects in the image. We then fine-tune on several downstream tasks such as phrase grounding, referring expression comprehension and segmentation, achieving state-of-the-art results on popular benchmarks. We also investigate the utility of our model as an object detector on a given label set when fine-tuned in a few-shot setting. We show that our pre-training approach provides a way to handle the long tail of object categories which have very few labelled instances. Our approach can be easily extended for visual question answering, achieving competitive performance on GQA and CLEVR. The code and models are available at https://github.com/ashkamath/mdetr.

LGD: Leveraging Generative Descriptions for Zero-Shot Referring Image Segmentation

Zero-shot referring image segmentation aims to locate and segment the target region based on a referring expression, with the primary challenge of aligning and matching semantics across visual and textual modalities without training. Previous works address this challenge by utilizing Vision-Language Models and mask proposal networks for region-text matching. However, this paradigm may lead to incorrect target localization due to the inherent ambiguity and diversity of free-form referring expressions. To alleviate this issue, we present LGD (Leveraging Generative Descriptions), a framework that utilizes the advanced language generation capabilities of Multi-Modal Large Language Models to enhance region-text matching performance in Vision-Language Models. Specifically, we first design two kinds of prompts, the attribute prompt and the surrounding prompt, to guide the Multi-Modal Large Language Models in generating descriptions related to the crucial attributes of the referent object and the details of surrounding objects, referred to as attribute description and surrounding description, respectively. Secondly, three visual-text matching scores are introduced to evaluate the similarity between instance-level visual features and textual features, which determines the mask most associated with the referring expression. The proposed method achieves new state-of-the-art performance on three public datasets RefCOCO, RefCOCO+ and RefCOCOg, with maximum improvements of 9.97% in oIoU and 11.29% in mIoU compared to previous methods.

OneRef: Unified One-tower Expression Grounding and Segmentation with Mask Referring Modeling

Constrained by the separate encoding of vision and language, existing grounding and referring segmentation works heavily rely on bulky Transformer-based fusion en-/decoders and a variety of early-stage interaction technologies. Simultaneously, the current mask visual language modeling (MVLM) fails to capture the nuanced referential relationship between image-text in referring tasks. In this paper, we propose OneRef, a minimalist referring framework built on the modality-shared one-tower transformer that unifies the visual and linguistic feature spaces. To modeling the referential relationship, we introduce a novel MVLM paradigm called Mask Referring Modeling (MRefM), which encompasses both referring-aware mask image modeling and referring-aware mask language modeling. Both modules not only reconstruct modality-related content but also cross-modal referring content. Within MRefM, we propose a referring-aware dynamic image masking strategy that is aware of the referred region rather than relying on fixed ratios or generic random masking schemes. By leveraging the unified visual language feature space and incorporating MRefM's ability to model the referential relations, our approach enables direct regression of the referring results without resorting to various complex techniques. Our method consistently surpasses existing approaches and achieves SoTA performance on both grounding and segmentation tasks, providing valuable insights for future research. Our code and models are available at https://github.com/linhuixiao/OneRef.

EPCFormer: Expression Prompt Collaboration Transformer for Universal Referring Video Object Segmentation

Audio-guided Video Object Segmentation (A-VOS) and Referring Video Object Segmentation (R-VOS) are two highly-related tasks, which both aim to segment specific objects from video sequences according to user-provided expression prompts. However, due to the challenges in modeling representations for different modalities, contemporary methods struggle to strike a balance between interaction flexibility and high-precision localization and segmentation. In this paper, we address this problem from two perspectives: the alignment representation of audio and text and the deep interaction among audio, text, and visual features. First, we propose a universal architecture, the Expression Prompt Collaboration Transformer, herein EPCFormer. Next, we propose an Expression Alignment (EA) mechanism for audio and text expressions. By introducing contrastive learning for audio and text expressions, the proposed EPCFormer realizes comprehension of the semantic equivalence between audio and text expressions denoting the same objects. Then, to facilitate deep interactions among audio, text, and video features, we introduce an Expression-Visual Attention (EVA) mechanism. The knowledge of video object segmentation in terms of the expression prompts can seamlessly transfer between the two tasks by deeply exploring complementary cues between text and audio. Experiments on well-recognized benchmarks demonstrate that our universal EPCFormer attains state-of-the-art results on both tasks. The source code of EPCFormer will be made publicly available at https://github.com/lab206/EPCFormer.

Language as Queries for Referring Video Object Segmentation

Referring video object segmentation (R-VOS) is an emerging cross-modal task that aims to segment the target object referred by a language expression in all video frames. In this work, we propose a simple and unified framework built upon Transformer, termed ReferFormer. It views the language as queries and directly attends to the most relevant regions in the video frames. Concretely, we introduce a small set of object queries conditioned on the language as the input to the Transformer. In this manner, all the queries are obligated to find the referred objects only. They are eventually transformed into dynamic kernels which capture the crucial object-level information, and play the role of convolution filters to generate the segmentation masks from feature maps. The object tracking is achieved naturally by linking the corresponding queries across frames. This mechanism greatly simplifies the pipeline and the end-to-end framework is significantly different from the previous methods. Extensive experiments on Ref-Youtube-VOS, Ref-DAVIS17, A2D-Sentences and JHMDB-Sentences show the effectiveness of ReferFormer. On Ref-Youtube-VOS, Refer-Former achieves 55.6J&F with a ResNet-50 backbone without bells and whistles, which exceeds the previous state-of-the-art performance by 8.4 points. In addition, with the strong Swin-Large backbone, ReferFormer achieves the best J&F of 64.2 among all existing methods. Moreover, we show the impressive results of 55.0 mAP and 43.7 mAP on A2D-Sentences andJHMDB-Sentences respectively, which significantly outperforms the previous methods by a large margin. Code is publicly available at https://github.com/wjn922/ReferFormer.

InterRVOS: Interaction-aware Referring Video Object Segmentation

Referring video object segmentation aims to segment the object in a video corresponding to a given natural language expression. While prior works have explored various referring scenarios, including motion-centric or multi-instance expressions, most approaches still focus on localizing a single target object in isolation. However, in comprehensive video understanding, an object's role is often defined by its interactions with other entities, which are largely overlooked in existing datasets and models. In this work, we introduce Interaction-aware referring video object sgementation (InterRVOS), a new task that requires segmenting both actor and target entities involved in an interaction. Each interactoin is described through a pair of complementary expressions from different semantic perspectives, enabling fine-grained modeling of inter-object relationships. To tackle this task, we propose InterRVOS-8K, the large-scale and automatically constructed dataset containing diverse interaction-aware expressions with corresponding masks, including challenging cases such as motion-only multi-instance expressions. We also present a baseline architecture, ReVIOSa, designed to handle actor-target segmentation from a single expression, achieving strong performance in both standard and interaction-focused settings. Furthermore, we introduce an actor-target-aware evalaution setting that enables a more targeted assessment of interaction understanding. Experimental results demonstrate that our approach outperforms prior methods in modeling complex object interactions for referring video object segmentation task, establishing a strong foundation for future research in interaction-centric video understanding. Our project page is available at https://cvlab-kaist.github.io/InterRVOS.

Hybrid Global-Local Representation with Augmented Spatial Guidance for Zero-Shot Referring Image Segmentation

Recent advances in zero-shot referring image segmentation (RIS), driven by models such as the Segment Anything Model (SAM) and CLIP, have made substantial progress in aligning visual and textual information. Despite these successes, the extraction of precise and high-quality mask region representations remains a critical challenge, limiting the full potential of RIS tasks. In this paper, we introduce a training-free, hybrid global-local feature extraction approach that integrates detailed mask-specific features with contextual information from the surrounding area, enhancing mask region representation. To further strengthen alignment between mask regions and referring expressions, we propose a spatial guidance augmentation strategy that improves spatial coherence, which is essential for accurately localizing described areas. By incorporating multiple spatial cues, this approach facilitates more robust and precise referring segmentation. Extensive experiments on standard RIS benchmarks demonstrate that our method significantly outperforms existing zero-shot RIS models, achieving substantial performance gains. We believe our approach advances RIS tasks and establishes a versatile framework for region-text alignment, offering broader implications for cross-modal understanding and interaction. Code is available at https://github.com/fhgyuanshen/HybridGL .

Referring Image Segmentation Using Text Supervision

Existing Referring Image Segmentation (RIS) methods typically require expensive pixel-level or box-level annotations for supervision. In this paper, we observe that the referring texts used in RIS already provide sufficient information to localize the target object. Hence, we propose a novel weakly-supervised RIS framework to formulate the target localization problem as a classification process to differentiate between positive and negative text expressions. While the referring text expressions for an image are used as positive expressions, the referring text expressions from other images can be used as negative expressions for this image. Our framework has three main novelties. First, we propose a bilateral prompt method to facilitate the classification process, by harmonizing the domain discrepancy between visual and linguistic features. Second, we propose a calibration method to reduce noisy background information and improve the correctness of the response maps for target object localization. Third, we propose a positive response map selection strategy to generate high-quality pseudo-labels from the enhanced response maps, for training a segmentation network for RIS inference. For evaluation, we propose a new metric to measure localization accuracy. Experiments on four benchmarks show that our framework achieves promising performances to existing fully-supervised RIS methods while outperforming state-of-the-art weakly-supervised methods adapted from related areas. Code is available at https://github.com/fawnliu/TRIS.

Beyond One-to-One: Rethinking the Referring Image Segmentation

Referring image segmentation aims to segment the target object referred by a natural language expression. However, previous methods rely on the strong assumption that one sentence must describe one target in the image, which is often not the case in real-world applications. As a result, such methods fail when the expressions refer to either no objects or multiple objects. In this paper, we address this issue from two perspectives. First, we propose a Dual Multi-Modal Interaction (DMMI) Network, which contains two decoder branches and enables information flow in two directions. In the text-to-image decoder, text embedding is utilized to query the visual feature and localize the corresponding target. Meanwhile, the image-to-text decoder is implemented to reconstruct the erased entity-phrase conditioned on the visual feature. In this way, visual features are encouraged to contain the critical semantic information about target entity, which supports the accurate segmentation in the text-to-image decoder in turn. Secondly, we collect a new challenging but realistic dataset called Ref-ZOM, which includes image-text pairs under different settings. Extensive experiments demonstrate our method achieves state-of-the-art performance on different datasets, and the Ref-ZOM-trained model performs well on various types of text inputs. Codes and datasets are available at https://github.com/toggle1995/RIS-DMMI.

MeViS: A Large-scale Benchmark for Video Segmentation with Motion Expressions

This paper strives for motion expressions guided video segmentation, which focuses on segmenting objects in video content based on a sentence describing the motion of the objects. Existing referring video object datasets typically focus on salient objects and use language expressions that contain excessive static attributes that could potentially enable the target object to be identified in a single frame. These datasets downplay the importance of motion in video content for language-guided video object segmentation. To investigate the feasibility of using motion expressions to ground and segment objects in videos, we propose a large-scale dataset called MeViS, which contains numerous motion expressions to indicate target objects in complex environments. We benchmarked 5 existing referring video object segmentation (RVOS) methods and conducted a comprehensive comparison on the MeViS dataset. The results show that current RVOS methods cannot effectively address motion expression-guided video segmentation. We further analyze the challenges and propose a baseline approach for the proposed MeViS dataset. The goal of our benchmark is to provide a platform that enables the development of effective language-guided video segmentation algorithms that leverage motion expressions as a primary cue for object segmentation in complex video scenes. The proposed MeViS dataset has been released at https://henghuiding.github.io/MeViS.

SAMWISE: Infusing wisdom in SAM2 for Text-Driven Video Segmentation

Referring Video Object Segmentation (RVOS) relies on natural language expressions to segment an object in a video clip. Existing methods restrict reasoning either to independent short clips, losing global context, or process the entire video offline, impairing their application in a streaming fashion. In this work, we aim to surpass these limitations and design an RVOS method capable of effectively operating in streaming-like scenarios while retaining contextual information from past frames. We build upon the Segment-Anything 2 (SAM2) model, that provides robust segmentation and tracking capabilities and is naturally suited for streaming processing. We make SAM2 wiser, by empowering it with natural language understanding and explicit temporal modeling at the feature extraction stage, without fine-tuning its weights, and without outsourcing modality interaction to external models. To this end, we introduce a novel adapter module that injects temporal information and multi-modal cues in the feature extraction process. We further reveal the phenomenon of tracking bias in SAM2 and propose a learnable module to adjust its tracking focus when the current frame features suggest a new object more aligned with the caption. Our proposed method, SAMWISE, achieves state-of-the-art across various benchmarks, by adding a negligible overhead of just 4.2 M parameters. The code is available at https://github.com/ClaudiaCuttano/SAMWISE

DeRIS: Decoupling Perception and Cognition for Enhanced Referring Image Segmentation through Loopback Synergy

Referring Image Segmentation (RIS) is a challenging task that aims to segment objects in an image based on natural language expressions. While prior studies have predominantly concentrated on improving vision-language interactions and achieving fine-grained localization, a systematic analysis of the fundamental bottlenecks in existing RIS frameworks remains underexplored. To bridge this gap, we propose DeRIS, a novel framework that decomposes RIS into two key components: perception and cognition. This modular decomposition facilitates a systematic analysis of the primary bottlenecks impeding RIS performance. Our findings reveal that the predominant limitation lies not in perceptual deficiencies, but in the insufficient multi-modal cognitive capacity of current models. To mitigate this, we propose a Loopback Synergy mechanism, which enhances the synergy between the perception and cognition modules, thereby enabling precise segmentation while simultaneously improving robust image-text comprehension. Additionally, we analyze and introduce a simple non-referent sample conversion data augmentation to address the long-tail distribution issue related to target existence judgement in general scenarios. Notably, DeRIS demonstrates inherent adaptability to both non- and multi-referents scenarios without requiring specialized architectural modifications, enhancing its general applicability. The codes and models are available at https://github.com/Dmmm1997/DeRIS.

LSMS: Language-guided Scale-aware MedSegmentor for Medical Image Referring Segmentation

Conventional medical image segmentation methods have been found inadequate in facilitating physicians with the identification of specific lesions for diagnosis and treatment. Given the utility of text as an instructional format, we introduce a novel task termed Medical Image Referring Segmentation (MIRS), which requires segmenting specified lesions in images based on the given language expressions. Due to the varying object scales in medical images, MIRS demands robust vision-language modeling and comprehensive multi-scale interaction for precise localization and segmentation under linguistic guidance. However, existing medical image segmentation methods fall short in meeting these demands, resulting in insufficient segmentation accuracy. In response, we propose an approach named Language-guided Scale-aware MedSegmentor (LSMS), incorporating two appealing designs: (1)~a Scale-aware Vision-Language Attention module that leverages diverse convolutional kernels to acquire rich visual knowledge and interact closely with linguistic features, thereby enhancing lesion localization capability; (2)~a Full-Scale Decoder that globally models multi-modal features across various scales, capturing complementary information between scales to accurately outline lesion boundaries. Addressing the lack of suitable datasets for MIRS, we constructed a vision-language medical dataset called Reference Hepatic Lesion Segmentation (RefHL-Seg). This dataset comprises 2,283 abdominal CT slices from 231 cases, with corresponding textual annotations and segmentation masks for various liver lesions in images. We validated the performance of LSMS for MIRS and conventional medical image segmentation tasks across various datasets. Our LSMS consistently outperforms on all datasets with lower computational costs. The code and datasets will be released.