Daily Papers

The recent Segment Anything Model (SAM) 2 has demonstrated remarkable foundational competence in semantic segmentation, with its memory mechanism and mask decoder further addressing challenges in video tracking and object occlusion, thereby achieving superior results in interactive segmentation for both images and videos. Building upon our previous empirical studies, we further explore the zero-shot segmentation performance of SAM 2 in robot-assisted surgery based on prompts, alongside its robustness against real-world corruption. For static images, we employ two forms of prompts: 1-point and bounding box, while for video sequences, the 1-point prompt is applied to the initial frame. Through extensive experimentation on the MICCAI EndoVis 2017 and EndoVis 2018 benchmarks, SAM 2, when utilizing bounding box prompts, outperforms state-of-the-art (SOTA) methods in comparative evaluations. The results with point prompts also exhibit a substantial enhancement over SAM's capabilities, nearing or even surpassing existing unprompted SOTA methodologies. Besides, SAM 2 demonstrates improved inference speed and less performance degradation against various image corruption. Although slightly unsatisfactory results remain in specific edges or regions, SAM 2's robust adaptability to 1-point prompts underscores its potential for downstream surgical tasks with limited prompt requirements.

Surgical video segmentation is a critical task in computer-assisted surgery and is vital for enhancing surgical quality and patient outcomes. Recently, the Segment Anything Model 2 (SAM2) framework has shown superior advancements in image and video segmentation. However, SAM2 struggles with efficiency due to the high computational demands of processing high-resolution images and complex and long-range temporal dynamics in surgical videos. To address these challenges, we introduce Surgical SAM 2 (SurgSAM-2), an advanced model to utilize SAM2 with an Efficient Frame Pruning (EFP) mechanism, to facilitate real-time surgical video segmentation. The EFP mechanism dynamically manages the memory bank by selectively retaining only the most informative frames, reducing memory usage and computational cost while maintaining high segmentation accuracy. Our extensive experiments demonstrate that SurgSAM-2 significantly improves both efficiency and segmentation accuracy compared to the vanilla SAM2. Remarkably, SurgSAM-2 achieves a 3times FPS compared with SAM2, while also delivering state-of-the-art performance after fine-tuning with lower-resolution data. These advancements establish SurgSAM-2 as a leading model for surgical video analysis, making real-time surgical video segmentation in resource-constrained environments a feasible reality.

The Segment Anything Model 2 (SAM 2) is the latest generation foundation model for image and video segmentation. Trained on the expansive Segment Anything Video (SA-V) dataset, which comprises 35.5 million masks across 50.9K videos, SAM 2 advances its predecessor's capabilities by supporting zero-shot segmentation through various prompts (e.g., points, boxes, and masks). Its robust zero-shot performance and efficient memory usage make SAM 2 particularly appealing for surgical tool segmentation in videos, especially given the scarcity of labeled data and the diversity of surgical procedures. In this study, we evaluate the zero-shot video segmentation performance of the SAM 2 model across different types of surgeries, including endoscopy and microscopy. We also assess its performance on videos featuring single and multiple tools of varying lengths to demonstrate SAM 2's applicability and effectiveness in the surgical domain. We found that: 1) SAM 2 demonstrates a strong capability for segmenting various surgical videos; 2) When new tools enter the scene, additional prompts are necessary to maintain segmentation accuracy; and 3) Specific challenges inherent to surgical videos can impact the robustness of SAM 2.

Medical video generation has transformative potential for enhancing surgical understanding and pathology insights through precise and controllable visual representations. However, current models face limitations in controllability and authenticity. To bridge this gap, we propose SurgSora, a motion-controllable surgical video generation framework that uses a single input frame and user-controllable motion cues. SurgSora consists of three key modules: the Dual Semantic Injector (DSI), which extracts object-relevant RGB and depth features from the input frame and integrates them with segmentation cues to capture detailed spatial features of complex anatomical structures; the Decoupled Flow Mapper (DFM), which fuses optical flow with semantic-RGB-D features at multiple scales to enhance temporal understanding and object spatial dynamics; and the Trajectory Controller (TC), which allows users to specify motion directions and estimates sparse optical flow, guiding the video generation process. The fused features are used as conditions for a frozen Stable Diffusion model to produce realistic, temporally coherent surgical videos. Extensive evaluations demonstrate that SurgSora outperforms state-of-the-art methods in controllability and authenticity, showing its potential to advance surgical video generation for medical education, training, and research.

In recent years, the landscape of computer-assisted interventions and post-operative surgical video analysis has been dramatically reshaped by deep-learning techniques, resulting in significant advancements in surgeons' skills, operation room management, and overall surgical outcomes. However, the progression of deep-learning-powered surgical technologies is profoundly reliant on large-scale datasets and annotations. Particularly, surgical scene understanding and phase recognition stand as pivotal pillars within the realm of computer-assisted surgery and post-operative assessment of cataract surgery videos. In this context, we present the largest cataract surgery video dataset that addresses diverse requisites for constructing computerized surgical workflow analysis and detecting post-operative irregularities in cataract surgery. We validate the quality of annotations by benchmarking the performance of several state-of-the-art neural network architectures for phase recognition and surgical scene segmentation. Besides, we initiate the research on domain adaptation for instrument segmentation in cataract surgery by evaluating cross-domain instrument segmentation performance in cataract surgery videos. The dataset and annotations will be publicly available upon acceptance of the paper.

Segmentation of surgical instruments is crucial for enhancing surgeon performance and ensuring patient safety. Conventional techniques such as binary, semantic, and instance segmentation share a common drawback: they do not accommodate the parts of instruments obscured by tissues or other instruments. Precisely predicting the full extent of these occluded instruments can significantly improve laparoscopic surgeries by providing critical guidance during operations and assisting in the analysis of potential surgical errors, as well as serving educational purposes. In this paper, we introduce Amodal Segmentation to the realm of surgical instruments in the medical field. This technique identifies both the visible and occluded parts of an object. To achieve this, we introduce a new Amoal Instruments Segmentation (AIS) dataset, which was developed by reannotating each instrument with its complete mask, utilizing the 2017 MICCAI EndoVis Robotic Instrument Segmentation Challenge dataset. Additionally, we evaluate several leading amodal segmentation methods to establish a benchmark for this new dataset.

Foundation models have revolutionized computer vision by achieving vastly superior performance across diverse tasks through large-scale pretraining on extensive datasets. However, their application in surgical computer vision has been limited. This study addresses this gap by introducing SurgeNetXL, a novel surgical foundation model that sets a new benchmark in surgical computer vision. Trained on the largest reported surgical dataset to date, comprising over 4.7 million video frames, SurgeNetXL achieves consistent top-tier performance across six datasets spanning four surgical procedures and three tasks, including semantic segmentation, phase recognition, and critical view of safety (CVS) classification. Compared with the best-performing surgical foundation models, SurgeNetXL shows mean improvements of 2.4, 9.0, and 12.6 percent for semantic segmentation, phase recognition, and CVS classification, respectively. Additionally, SurgeNetXL outperforms the best-performing ImageNet-based variants by 14.4, 4.0, and 1.6 percent in the respective tasks. In addition to advancing model performance, this study provides key insights into scaling pretraining datasets, extending training durations, and optimizing model architectures specifically for surgical computer vision. These findings pave the way for improved generalizability and robustness in data-scarce scenarios, offering a comprehensive framework for future research in this domain. All models and a subset of the SurgeNetXL dataset, including over 2 million video frames, are publicly available at: https://github.com/TimJaspers0801/SurgeNet.

Surgical scene perception via videos are critical for advancing robotic surgery, telesurgery, and AI-assisted surgery, particularly in ophthalmology. However, the scarcity of diverse and richly annotated video datasets has hindered the development of intelligent systems for surgical workflow analysis. Existing datasets for surgical workflow analysis, which typically face challenges such as small scale, a lack of diversity in surgery and phase categories, and the absence of time-localized annotations, limit the requirements for action understanding and model generalization validation in complex and diverse real-world surgical scenarios. To address this gap, we introduce OphNet, a large-scale, expert-annotated video benchmark for ophthalmic surgical workflow understanding. OphNet features: 1) A diverse collection of 2,278 surgical videos spanning 66 types of cataract, glaucoma, and corneal surgeries, with detailed annotations for 102 unique surgical phases and 150 granular operations; 2) It offers sequential and hierarchical annotations for each surgery, phase, and operation, enabling comprehensive understanding and improved interpretability; 3) Moreover, OphNet provides time-localized annotations, facilitating temporal localization and prediction tasks within surgical workflows. With approximately 205 hours of surgical videos, OphNet is about 20 times larger than the largest existing surgical workflow analysis benchmark. Our dataset and code have been made available at: https://github.com/minghu0830/OphNet-benchmark.

In recent years, the Segmentation Anything Model (SAM) has attracted considerable attention as a foundational model well-known for its robust generalization capabilities across various downstream tasks. However, SAM does not exhibit satisfactory performance in the realm of medical image analysis. In this study, we introduce the first study on adapting SAM on video segmentation, called MediViSTA-SAM, a novel approach designed for medical video segmentation. Given video data, MediViSTA, spatio-temporal adapter captures long and short range temporal attention with cross-frame attention mechanism effectively constraining it to consider the immediately preceding video frame as a reference, while also considering spatial information effectively. Additionally, it incorporates multi-scale fusion by employing a U-shaped encoder and a modified mask decoder to handle objects of varying sizes. To evaluate our approach, extensive experiments were conducted using state-of-the-art (SOTA) methods, assessing its generalization abilities on multi-vendor in-house echocardiography datasets. The results highlight the accuracy and effectiveness of our network in medical video segmentation.

Traditional convolutional neural networks have a limited receptive field while transformer-based networks are mediocre in constructing long-term dependency from the perspective of computational complexity. Such the bottleneck poses a significant challenge when processing long video sequences in video analysis tasks. Very recently, the state space models (SSMs) with efficient hardware-aware designs, famous by Mamba, have exhibited impressive achievements in long sequence modeling, which facilitates the development of deep neural networks on many vision tasks. To better capture available cues in video frames, this paper presents a generic Video Vision Mamba-based framework for medical video object segmentation tasks, named Vivim. Our Vivim can effectively compress the long-term spatiotemporal representation into sequences at varying scales by our designed Temporal Mamba Block. Compared to existing video-level Transformer-based methods, our model maintains excellent segmentation results with better speed performance. Extensive experiments on the breast US dataset demonstrate the effectiveness and efficiency of our Vivim. The code for Vivim is available at: https://github.com/scott-yjyang/Vivim.

Intra-operative recognition of surgical phases holds significant potential for enhancing real-time contextual awareness in the operating room. However, we argue that online recognition, while beneficial, primarily lends itself to post-operative video analysis due to its limited direct impact on the actual surgical decisions and actions during ongoing procedures. In contrast, we contend that the prediction and anticipation of surgical phases are inherently more valuable for intra-operative assistance, as they can meaningfully influence a surgeon's immediate and long-term planning by providing foresight into future steps. To address this gap, we propose a dual approach that simultaneously recognises the current surgical phase and predicts upcoming ones, thus offering comprehensive intra-operative assistance and guidance on the expected remaining workflow. Our novel method, Surgical Phase Recognition and Anticipation (SuPRA), leverages past and current information for accurate intra-operative phase recognition while using future segments for phase prediction. This unified approach challenges conventional frameworks that treat these objectives separately. We have validated SuPRA on two reputed datasets, Cholec80 and AutoLaparo21, where it demonstrated state-of-the-art performance with recognition accuracies of 91.8% and 79.3%, respectively. Additionally, we introduce and evaluate our model using new segment-level evaluation metrics, namely Edit and F1 Overlap scores, for a more temporal assessment of segment classification. In conclusion, SuPRA presents a new multi-task approach that paves the way for improved intra-operative assistance through surgical phase recognition and prediction of future events.

In this paper, we propose a novel text promptable surgical instrument segmentation approach to overcome challenges associated with diversity and differentiation of surgical instruments in minimally invasive surgeries. We redefine the task as text promptable, thereby enabling a more nuanced comprehension of surgical instruments and adaptability to new instrument types. Inspired by recent advancements in vision-language models, we leverage pretrained image and text encoders as our model backbone and design a text promptable mask decoder consisting of attention- and convolution-based prompting schemes for surgical instrument segmentation prediction. Our model leverages multiple text prompts for each surgical instrument through a new mixture of prompts mechanism, resulting in enhanced segmentation performance. Additionally, we introduce a hard instrument area reinforcement module to improve image feature comprehension and segmentation precision. Extensive experiments on EndoVis2017 and EndoVis2018 datasets demonstrate our model's superior performance and promising generalization capability. To our knowledge, this is the first implementation of a promptable approach to surgical instrument segmentation, offering significant potential for practical application in the field of robotic-assisted surgery.

Recent advances in segmentation foundation models have enabled accurate and efficient segmentation across a wide range of natural images and videos, but their utility to medical data remains unclear. In this work, we first present a comprehensive benchmarking of the Segment Anything Model 2 (SAM2) across 11 medical image modalities and videos and point out its strengths and weaknesses by comparing it to SAM1 and MedSAM. Then, we develop a transfer learning pipeline and demonstrate SAM2 can be quickly adapted to medical domain by fine-tuning. Furthermore, we implement SAM2 as a 3D slicer plugin and Gradio API for efficient 3D image and video segmentation. The code has been made publicly available at https://github.com/bowang-lab/MedSAM.

Surgical workflow recognition has numerous potential medical applications, such as the automatic indexing of surgical video databases and the optimization of real-time operating room scheduling, among others. As a result, phase recognition has been studied in the context of several kinds of surgeries, such as cataract, neurological, and laparoscopic surgeries. In the literature, two types of features are typically used to perform this task: visual features and tool usage signals. However, the visual features used are mostly handcrafted. Furthermore, the tool usage signals are usually collected via a manual annotation process or by using additional equipment. In this paper, we propose a novel method for phase recognition that uses a convolutional neural network (CNN) to automatically learn features from cholecystectomy videos and that relies uniquely on visual information. In previous studies, it has been shown that the tool signals can provide valuable information in performing the phase recognition task. Thus, we present a novel CNN architecture, called EndoNet, that is designed to carry out the phase recognition and tool presence detection tasks in a multi-task manner. To the best of our knowledge, this is the first work proposing to use a CNN for multiple recognition tasks on laparoscopic videos. Extensive experimental comparisons to other methods show that EndoNet yields state-of-the-art results for both tasks.

Medical image segmentation aims to delineate the anatomical or pathological structures of interest, playing a crucial role in clinical diagnosis. A substantial amount of high-quality annotated data is crucial for constructing high-precision deep segmentation models. However, medical annotation is highly cumbersome and time-consuming, especially for medical videos or 3D volumes, due to the huge labeling space and poor inter-frame consistency. Recently, a fundamental task named Moving Object Segmentation (MOS) has made significant advancements in natural images. Its objective is to delineate moving objects from the background within image sequences, requiring only minimal annotations. In this paper, we propose the first foundation model, named iMOS, for MOS in medical images. Extensive experiments on a large multi-modal medical dataset validate the effectiveness of the proposed iMOS. Specifically, with the annotation of only a small number of images in the sequence, iMOS can achieve satisfactory tracking and segmentation performance of moving objects throughout the entire sequence in bi-directions. We hope that the proposed iMOS can help accelerate the annotation speed of experts, and boost the development of medical foundation models.

Annotating videos with object segmentation masks typically involves a two stage procedure of drawing polygons per object instance for all the frames and then linking them through time. While simple, this is a very tedious, time consuming and expensive process, making the creation of accurate annotations at scale only possible for well-funded labs. What if we were able to segment an object in the full video with only a single click? This will enable video segmentation at scale with a very low budget opening the door to many applications. Towards this goal, in this paper we propose a bottom up approach where given a single click for each object in a video, we obtain the segmentation masks of these objects in the full video. In particular, we construct a correlation volume that assigns each pixel in a target frame to either one of the objects in the reference frame or the background. We then refine this correlation volume via a recurrent attention module and decode the final segmentation. To evaluate the performance, we label the popular and challenging Cityscapes dataset with video object segmentations. Results on this new CityscapesVideo dataset show that our approach outperforms all the baselines in this challenging setting.

In this paper, we introduce Medical SAM 2 (MedSAM-2), an advanced segmentation model that utilizes the SAM 2 framework to address both 2D and 3D medical image segmentation tasks. By adopting the philosophy of taking medical images as videos, MedSAM-2 not only applies to 3D medical images but also unlocks new One-prompt Segmentation capability. That allows users to provide a prompt for just one or a specific image targeting an object, after which the model can autonomously segment the same type of object in all subsequent images, regardless of temporal relationships between the images. We evaluated MedSAM-2 across a variety of medical imaging modalities, including abdominal organs, optic discs, brain tumors, thyroid nodules, and skin lesions, comparing it against state-of-the-art models in both traditional and interactive segmentation settings. Our findings show that MedSAM-2 not only surpasses existing models in performance but also exhibits superior generalization across a range of medical image segmentation tasks. Our code will be released at: https://github.com/MedicineToken/Medical-SAM2

Data diversity and volume are crucial to the success of training deep learning models, while in the medical imaging field, the difficulty and cost of data collection and annotation are especially huge. Specifically in robotic surgery, data scarcity and imbalance have heavily affected the model accuracy and limited the design and deployment of deep learning-based surgical applications such as surgical instrument segmentation. Considering this, we rethink the surgical instrument segmentation task and propose a one-to-many data generation solution that gets rid of the complicated and expensive process of data collection and annotation from robotic surgery. In our method, we only utilize a single surgical background tissue image and a few open-source instrument images as the seed images and apply multiple augmentations and blending techniques to synthesize amounts of image variations. In addition, we also introduce the chained augmentation mixing during training to further enhance the data diversities. The proposed approach is evaluated on the real datasets of the EndoVis-2018 and EndoVis-2017 surgical scene segmentation. Our empirical analysis suggests that without the high cost of data collection and annotation, we can achieve decent surgical instrument segmentation performance. Moreover, we also observe that our method can deal with novel instrument prediction in the deployment domain. We hope our inspiring results will encourage researchers to emphasize data-centric methods to overcome demanding deep learning limitations besides data shortage, such as class imbalance, domain adaptation, and incremental learning. Our code is available at https://github.com/lofrienger/Single_SurgicalScene_For_Segmentation.

We present the Decoupled VIdeo Segmentation (DVIS) framework, a novel approach for the challenging task of universal video segmentation, including video instance segmentation (VIS), video semantic segmentation (VSS), and video panoptic segmentation (VPS). Unlike previous methods that model video segmentation in an end-to-end manner, our approach decouples video segmentation into three cascaded sub-tasks: segmentation, tracking, and refinement. This decoupling design allows for simpler and more effective modeling of the spatio-temporal representations of objects, especially in complex scenes and long videos. Accordingly, we introduce two novel components: the referring tracker and the temporal refiner. These components track objects frame by frame and model spatio-temporal representations based on pre-aligned features. To improve the tracking capability of DVIS, we propose a denoising training strategy and introduce contrastive learning, resulting in a more robust framework named DVIS++. Furthermore, we evaluate DVIS++ in various settings, including open vocabulary and using a frozen pre-trained backbone. By integrating CLIP with DVIS++, we present OV-DVIS++, the first open-vocabulary universal video segmentation framework. We conduct extensive experiments on six mainstream benchmarks, including the VIS, VSS, and VPS datasets. Using a unified architecture, DVIS++ significantly outperforms state-of-the-art specialized methods on these benchmarks in both close- and open-vocabulary settings. Code:~https://github.com/zhang-tao-whu/DVIS_Plus.

In this work, we take aim towards increasing the effectiveness of surgical assistant robots. We intended to make assistant robots safer by making them aware about the actions of surgeon, so it can take appropriate assisting actions. In other words, we aim to solve the problem of surgeon action detection in endoscopic videos. To this, we introduce a challenging dataset for surgeon action detection in real-world endoscopic videos. Action classes are picked based on the feedback of surgeons and annotated by medical professional. Given a video frame, we draw bounding box around surgical tool which is performing action and label it with action label. Finally, we presenta frame-level action detection baseline model based on recent advances in ob-ject detection. Results on our new dataset show that our presented dataset provides enough interesting challenges for future method and it can serveas strong benchmark corresponding research in surgeon action detection in endoscopic videos.

Existing approaches to unsupervised video instance segmentation typically rely on motion estimates and experience difficulties tracking small or divergent motions. We present VideoCutLER, a simple method for unsupervised multi-instance video segmentation without using motion-based learning signals like optical flow or training on natural videos. Our key insight is that using high-quality pseudo masks and a simple video synthesis method for model training is surprisingly sufficient to enable the resulting video model to effectively segment and track multiple instances across video frames. We show the first competitive unsupervised learning results on the challenging YouTubeVIS-2019 benchmark, achieving 50.7% APvideo^50 , surpassing the previous state-of-the-art by a large margin. VideoCutLER can also serve as a strong pretrained model for supervised video instance segmentation tasks, exceeding DINO by 15.9% on YouTubeVIS-2019 in terms of APvideo.

The ability to automatically detect and track surgical instruments in endoscopic videos can enable transformational interventions. Assessing surgical performance and efficiency, identifying skilled tool use and choreography, and planning operational and logistical aspects of OR resources are just a few of the applications that could benefit. Unfortunately, obtaining the annotations needed to train machine learning models to identify and localize surgical tools is a difficult task. Annotating bounding boxes frame-by-frame is tedious and time-consuming, yet large amounts of data with a wide variety of surgical tools and surgeries must be captured for robust training. Moreover, ongoing annotator training is needed to stay up to date with surgical instrument innovation. In robotic-assisted surgery, however, potentially informative data like timestamps of instrument installation and removal can be programmatically harvested. The ability to rely on tool installation data alone would significantly reduce the workload to train robust tool-tracking models. With this motivation in mind we invited the surgical data science community to participate in the challenge, SurgToolLoc 2022. The goal was to leverage tool presence data as weak labels for machine learning models trained to detect tools and localize them in video frames with bounding boxes. We present the results of this challenge along with many of the team's efforts. We conclude by discussing these results in the broader context of machine learning and surgical data science. The training data used for this challenge consisting of 24,695 video clips with tool presence labels is also being released publicly and can be accessed at https://console.cloud.google.com/storage/browser/isi-surgtoolloc-2022.

Purpose: Surgical video is an important data stream for gesture recognition. Thus, robust visual encoders for those data-streams is similarly important. Methods: Leveraging the Bridge-Prompt framework, we fine-tune a pre-trained vision-text model (CLIP) for gesture recognition in surgical videos. This can utilize extensive outside video data such as text, but also make use of label meta-data and weakly supervised contrastive losses. Results: Our experiments show that prompt-based video encoder outperforms standard encoders in surgical gesture recognition tasks. Notably, it displays strong performance in zero-shot scenarios, where gestures/tasks that were not provided during the encoder training phase are included in the prediction phase. Additionally, we measure the benefit of inclusion text descriptions in the feature extractor training schema. Conclusion: Bridge-Prompt and similar pre-trained+fine-tuned video encoder models present significant visual representation for surgical robotics, especially in gesture recognition tasks. Given the diverse range of surgical tasks (gestures), the ability of these models to zero-shot transfer without the need for any task (gesture) specific retraining makes them invaluable.

Image segmentation plays an essential role in medicine for both diagnostic and interventional tasks. Segmentation approaches are either manual, semi-automated or fully-automated. Manual segmentation offers full control over the quality of the results, but is tedious, time consuming and prone to operator bias. Fully automated methods require no human effort, but often deliver sub-optimal results without providing users with the means to make corrections. Semi-automated approaches keep users in control of the results by providing means for interaction, but the main challenge is to offer a good trade-off between precision and required interaction. In this paper we present a deep learning (DL) based semi-automated segmentation approach that aims to be a "smart" interactive tool for region of interest delineation in medical images. We demonstrate its use for segmenting multiple organs on computed tomography (CT) of the abdomen. Our approach solves some of the most pressing clinical challenges: (i) it requires only one to a few user clicks to deliver excellent 2D segmentations in a fast and reliable fashion; (ii) it can generalize to previously unseen structures and "corner cases"; (iii) it delivers results that can be corrected quickly in a smart and intuitive way up to an arbitrary degree of precision chosen by the user and (iv) ensures high accuracy. We present our approach and compare it to other techniques and previous work to show the advantages brought by our method.

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.

The task of assigning semantic classes and track identities to every pixel in a video is called video panoptic segmentation. Our work is the first that targets this task in a real-world setting requiring dense interpretation in both spatial and temporal domains. As the ground-truth for this task is difficult and expensive to obtain, existing datasets are either constructed synthetically or only sparsely annotated within short video clips. To overcome this, we introduce a new benchmark encompassing two datasets, KITTI-STEP, and MOTChallenge-STEP. The datasets contain long video sequences, providing challenging examples and a test-bed for studying long-term pixel-precise segmentation and tracking under real-world conditions. We further propose a novel evaluation metric Segmentation and Tracking Quality (STQ) that fairly balances semantic and tracking aspects of this task and is more appropriate for evaluating sequences of arbitrary length. Finally, we provide several baselines to evaluate the status of existing methods on this new challenging dataset. We have made our datasets, metric, benchmark servers, and baselines publicly available, and hope this will inspire future research.

Referring video object segmentation (RVOS) is a task that aims to segment the target object in all video frames based on a sentence describing the object. Previous RVOS methods have achieved significant performance with densely-annotated datasets, whose construction is expensive and time-consuming. To relieve the burden of data annotation while maintaining sufficient supervision for segmentation, we propose a new annotation scheme, in which we label the frame where the object first appears with a mask and use bounding boxes for the subsequent frames. Based on this scheme, we propose a method to learn from this weak annotation. Specifically, we design a cross frame segmentation method, which uses the language-guided dynamic filters to thoroughly leverage the valuable mask annotation and bounding boxes. We further develop a bi-level contrastive learning method to encourage the model to learn discriminative representation at the pixel level. Extensive experiments and ablative analyses show that our method is able to achieve competitive performance without the demand of dense mask annotation. The code will be available at https://github.com/wangbo-zhao/WRVOS/.

The objective of this paper is motion segmentation -- discovering and segmenting the moving objects in a video. This is a much studied area with numerous careful,and sometimes complex, approaches and training schemes including: self-supervised learning, learning from synthetic datasets, object-centric representations, amodal representations, and many more. Our interest in this paper is to determine if the Segment Anything model (SAM) can contribute to this task. We investigate two models for combining SAM with optical flow that harness the segmentation power of SAM with the ability of flow to discover and group moving objects. In the first model, we adapt SAM to take optical flow, rather than RGB, as an input. In the second, SAM takes RGB as an input, and flow is used as a segmentation prompt. These surprisingly simple methods, without any further modifications, outperform all previous approaches by a considerable margin in both single and multi-object benchmarks. We also extend these frame-level segmentations to sequence-level segmentations that maintain object identity. Again, this simple model outperforms previous methods on multiple video object segmentation benchmarks.

Medical image segmentation and video object segmentation are essential for diagnosing and analyzing diseases by identifying and measuring biological structures. Recent advances in natural domain have been driven by foundation models like the Segment Anything Model 2 (SAM 2). To explore the performance of SAM 2 in biomedical applications, we designed two evaluation pipelines for single-frame image segmentation and multi-frame video segmentation with varied prompt designs, revealing SAM 2's limitations in medical contexts. Consequently, we developed BioSAM 2, an enhanced foundation model optimized for biomedical data based on SAM 2. Our experiments show that BioSAM 2 not only surpasses the performance of existing state-of-the-art foundation models but also matches or even exceeds specialist models, demonstrating its efficacy and potential in the medical domain.

This technical report provides a detailed overview of Endoscapes, a dataset of laparoscopic cholecystectomy (LC) videos with highly intricate annotations targeted at automated assessment of the Critical View of Safety (CVS). Endoscapes comprises 201 LC videos with frames annotated sparsely but regularly with segmentation masks, bounding boxes, and CVS assessment by three different clinical experts. Altogether, there are 11090 frames annotated with CVS and 1933 frames annotated with tool and anatomy bounding boxes from the 201 videos, as well as an additional 422 frames from 50 of the 201 videos annotated with tool and anatomy segmentation masks. In this report, we provide detailed dataset statistics (size, class distribution, dataset splits, etc.) and a comprehensive performance benchmark for instance segmentation, object detection, and CVS prediction. The dataset and model checkpoints are publically available at https://github.com/CAMMA-public/Endoscapes.

The general domain of video segmentation is currently fragmented into different tasks spanning multiple benchmarks. Despite rapid progress in the state-of-the-art, current methods are overwhelmingly task-specific and cannot conceptually generalize to other tasks. Inspired by recent approaches with multi-task capability, we propose TarViS: a novel, unified network architecture that can be applied to any task that requires segmenting a set of arbitrarily defined 'targets' in video. Our approach is flexible with respect to how tasks define these targets, since it models the latter as abstract 'queries' which are then used to predict pixel-precise target masks. A single TarViS model can be trained jointly on a collection of datasets spanning different tasks, and can hot-swap between tasks during inference without any task-specific retraining. To demonstrate its effectiveness, we apply TarViS to four different tasks, namely Video Instance Segmentation (VIS), Video Panoptic Segmentation (VPS), Video Object Segmentation (VOS) and Point Exemplar-guided Tracking (PET). Our unified, jointly trained model achieves state-of-the-art performance on 5/7 benchmarks spanning these four tasks, and competitive performance on the remaining two. Code and model weights are available at: https://github.com/Ali2500/TarViS

Recent state-of-the-art semi-supervised Video Object Segmentation (VOS) methods have shown significant improvements in target object segmentation accuracy when information from preceding frames is used in segmenting the current frame. In particular, such memory-based approaches can help a model to more effectively handle appearance changes (representation drift) or occlusions. Ideally, for maximum performance, Online VOS methods would need all or most of the preceding frames (or their extracted information) to be stored in memory and be used for online learning in later frames. Such a solution is not feasible for long videos, as the required memory size grows without bound, and such methods can fail when memory is limited and a target object experiences repeated representation drifts throughout a video. We propose two novel techniques to reduce the memory requirement of Online VOS methods while improving modeling accuracy and generalization on long videos. Motivated by the success of continual learning techniques in preserving previously-learned knowledge, here we propose Gated-Regularizer Continual Learning (GRCL), which improves the performance of any Online VOS subject to limited memory, and a Reconstruction-based Memory Selection Continual Learning (RMSCL), which empowers Online VOS methods to efficiently benefit from stored information in memory. We also analyze the performance of a hybrid combination of the two proposed methods. Experimental results show that the proposed methods are able to improve the performance of Online VOS models by more than 8%, with improved robustness on long-video datasets while maintaining comparable performance on short-video datasets such as DAVIS16, DAVIS17, and YouTube-VOS18.

Computer-assisted surgery has been developed to enhance surgery correctness and safety. However, researchers and engineers suffer from limited annotated data to develop and train better algorithms. Consequently, the development of fundamental algorithms such as Simultaneous Localization and Mapping (SLAM) is limited. This article elaborates on the efforts of preparing the dataset for semantic segmentation, which is the foundation of many computer-assisted surgery mechanisms. Based on the Cholec80 dataset [3], we extracted 8,080 laparoscopic cholecystectomy image frames from 17 video clips in Cholec80 and annotated the images. The dataset is named CholecSeg8K and its total size is 3GB. Each of these images is annotated at pixel-level for thirteen classes, which are commonly founded in laparoscopic cholecystectomy surgery. CholecSeg8k is released under the license CC BY- NC-SA 4.0.

Video instance segmentation (VIS) is the task that requires simultaneously classifying, segmenting and tracking object instances of interest in video. Recent methods typically develop sophisticated pipelines to tackle this task. Here, we propose a new video instance segmentation framework built upon Transformers, termed VisTR, which views the VIS task as a direct end-to-end parallel sequence decoding/prediction problem. Given a video clip consisting of multiple image frames as input, VisTR outputs the sequence of masks for each instance in the video in order directly. At the core is a new, effective instance sequence matching and segmentation strategy, which supervises and segments instances at the sequence level as a whole. VisTR frames the instance segmentation and tracking in the same perspective of similarity learning, thus considerably simplifying the overall pipeline and is significantly different from existing approaches. Without bells and whistles, VisTR achieves the highest speed among all existing VIS models, and achieves the best result among methods using single model on the YouTube-VIS dataset. For the first time, we demonstrate a much simpler and faster video instance segmentation framework built upon Transformers, achieving competitive accuracy. We hope that VisTR can motivate future research for more video understanding tasks.

We present Segment Anything Model 2 (SAM 2), a foundation model towards solving promptable visual segmentation in images and videos. We build a data engine, which improves model and data via user interaction, to collect the largest video segmentation dataset to date. Our model is a simple transformer architecture with streaming memory for real-time video processing. SAM 2 trained on our data provides strong performance across a wide range of tasks. In video segmentation, we observe better accuracy, using 3x fewer interactions than prior approaches. In image segmentation, our model is more accurate and 6x faster than the Segment Anything Model (SAM). We believe that our data, model, and insights will serve as a significant milestone for video segmentation and related perception tasks. We are releasing a version of our model, the dataset and an interactive demo.

Following recent advancements in computer-aided detection and diagnosis systems for colonoscopy, the automated reporting of colonoscopy procedures is set to further revolutionize clinical practice. A crucial yet underexplored aspect in the development of these systems is the creation of computer vision models capable of autonomously segmenting full-procedure colonoscopy videos into anatomical sections and procedural phases. In this work, we aim to create the first open-access dataset for this task and propose a state-of-the-art approach, benchmarked against competitive models. We annotated the publicly available REAL-Colon dataset, consisting of 2.7 million frames from 60 complete colonoscopy videos, with frame-level labels for anatomical locations and colonoscopy phases across nine categories. We then present ColonTCN, a learning-based architecture that employs custom temporal convolutional blocks designed to efficiently capture long temporal dependencies for the temporal segmentation of colonoscopy videos. We also propose a dual k-fold cross-validation evaluation protocol for this benchmark, which includes model assessment on unseen, multi-center data.ColonTCN achieves state-of-the-art performance in classification accuracy while maintaining a low parameter count when evaluated using the two proposed k-fold cross-validation settings, outperforming competitive models. We report ablation studies to provide insights into the challenges of this task and highlight the benefits of the custom temporal convolutional blocks, which enhance learning and improve model efficiency. We believe that the proposed open-access benchmark and the ColonTCN approach represent a significant advancement in the temporal segmentation of colonoscopy procedures, fostering further open-access research to address this clinical need.

The recently introduced Segment Anything Model (SAM) combines a clever architecture and large quantities of training data to obtain remarkable image segmentation capabilities. However, it fails to reproduce such results for Out-Of-Distribution (OOD) domains such as medical images. Moreover, while SAM is conditioned on either a mask or a set of points, it may be desirable to have a fully automatic solution. In this work, we replace SAM's conditioning with an encoder that operates on the same input image. By adding this encoder and without further fine-tuning SAM, we obtain state-of-the-art results on multiple medical images and video benchmarks. This new encoder is trained via gradients provided by a frozen SAM. For inspecting the knowledge within it, and providing a lightweight segmentation solution, we also learn to decode it into a mask by a shallow deconvolution network.

Segment Anything Model 2 (SAM 2) has emerged as a powerful tool for video object segmentation and tracking anything. Key components of SAM 2 that drive the impressive video object segmentation performance include a large multistage image encoder for frame feature extraction and a memory mechanism that stores memory contexts from past frames to help current frame segmentation. The high computation complexity of multistage image encoder and memory module has limited its applications in real-world tasks, e.g., video object segmentation on mobile devices. To address this limitation, we propose EfficientTAMs, lightweight track anything models that produce high-quality results with low latency and model size. Our idea is based on revisiting the plain, nonhierarchical Vision Transformer (ViT) as an image encoder for video object segmentation, and introducing an efficient memory module, which reduces the complexity for both frame feature extraction and memory computation for current frame segmentation. We take vanilla lightweight ViTs and efficient memory module to build EfficientTAMs, and train the models on SA-1B and SA-V datasets for video object segmentation and track anything tasks. We evaluate on multiple video segmentation benchmarks including semi-supervised VOS and promptable video segmentation, and find that our proposed EfficientTAM with vanilla ViT perform comparably to SAM 2 model (HieraB+SAM 2) with ~2x speedup on A100 and ~2.4x parameter reduction. On segment anything image tasks, our EfficientTAMs also perform favorably over original SAM with ~20x speedup on A100 and ~20x parameter reduction. On mobile devices such as iPhone 15 Pro Max, our EfficientTAMs can run at ~10 FPS for performing video object segmentation with reasonable quality, highlighting the capability of small models for on-device video object segmentation applications.

Recently, transformer-based methods have achieved impressive results on Video Instance Segmentation (VIS). However, most of these top-performing methods run in an offline manner by processing the entire video clip at once to predict instance mask volumes. This makes them incapable of handling the long videos that appear in challenging new video instance segmentation datasets like UVO and OVIS. We propose a fully online transformer-based video instance segmentation model that performs comparably to top offline methods on the YouTube-VIS 2019 benchmark and considerably outperforms them on UVO and OVIS. This method, called Robust Online Video Segmentation (ROVIS), augments the Mask2Former image instance segmentation model with track queries, a lightweight mechanism for carrying track information from frame to frame, originally introduced by the TrackFormer method for multi-object tracking. We show that, when combined with a strong enough image segmentation architecture, track queries can exhibit impressive accuracy while not being constrained to short videos.

Video Instance Segmentation (VIS) aims at segmenting and categorizing objects in videos from a closed set of training categories, lacking the generalization ability to handle novel categories in real-world videos. To address this limitation, we make the following three contributions. First, we introduce the novel task of Open-Vocabulary Video Instance Segmentation, which aims to simultaneously segment, track, and classify objects in videos from open-set categories, including novel categories unseen during training. Second, to benchmark Open-Vocabulary VIS, we collect a Large-Vocabulary Video Instance Segmentation dataset (LV-VIS), that contains well-annotated objects from 1,196 diverse categories, significantly surpassing the category size of existing datasets by more than one order of magnitude. Third, we propose an efficient Memory-Induced Transformer architecture, OV2Seg, to first achieve Open-Vocabulary VIS in an end-to-end manner with near real-time inference speed. Extensive experiments on LV-VIS and four existing VIS datasets demonstrate the strong zero-shot generalization ability of OV2Seg on novel categories. The dataset and code are released here https://github.com/haochenheheda/LVVIS.

The field of computer vision applied to videos of minimally invasive surgery is ever-growing. Workflow recognition pertains to the automated recognition of various aspects of a surgery: including which surgical steps are performed; and which surgical instruments are used. This information can later be used to assist clinicians when learning the surgery; during live surgery; and when writing operation notes. The Pituitary Vision (PitVis) 2023 Challenge tasks the community to step and instrument recognition in videos of endoscopic pituitary surgery. This is a unique task when compared to other minimally invasive surgeries due to the smaller working space, which limits and distorts vision; and higher frequency of instrument and step switching, which requires more precise model predictions. Participants were provided with 25-videos, with results presented at the MICCAI-2023 conference as part of the Endoscopic Vision 2023 Challenge in Vancouver, Canada, on 08-Oct-2023. There were 18-submissions from 9-teams across 6-countries, using a variety of deep learning models. A commonality between the top performing models was incorporating spatio-temporal and multi-task methods, with greater than 50% and 10% macro-F1-score improvement over purely spacial single-task models in step and instrument recognition respectively. The PitVis-2023 Challenge therefore demonstrates state-of-the-art computer vision models in minimally invasive surgery are transferable to a new dataset, with surgery specific techniques used to enhance performance, progressing the field further. Benchmark results are provided in the paper, and the dataset is publicly available at: https://doi.org/10.5522/04/26531686.

The Segment Anything Model 2 (SAM 2) has emerged as a powerful foundation model for object segmentation in both images and videos, paving the way for various downstream video applications. The crucial design of SAM 2 for video segmentation is its memory module, which prompts object-aware memories from previous frames for current frame prediction. However, its greedy-selection memory design suffers from the "error accumulation" problem, where an errored or missed mask will cascade and influence the segmentation of the subsequent frames, which limits the performance of SAM 2 toward complex long-term videos. To this end, we introduce SAM2Long, an improved training-free video object segmentation strategy, which considers the segmentation uncertainty within each frame and chooses the video-level optimal results from multiple segmentation pathways in a constrained tree search manner. In practice, we maintain a fixed number of segmentation pathways throughout the video. For each frame, multiple masks are proposed based on the existing pathways, creating various candidate branches. We then select the same fixed number of branches with higher cumulative scores as the new pathways for the next frame. After processing the final frame, the pathway with the highest cumulative score is chosen as the final segmentation result. Benefiting from its heuristic search design, SAM2Long is robust toward occlusions and object reappearances, and can effectively segment and track objects for complex long-term videos. Notably, SAM2Long achieves an average improvement of 3.0 points across all 24 head-to-head comparisons, with gains of up to 5.3 points in J&F on long-term video object segmentation benchmarks such as SA-V and LVOS. The code is released at https://github.com/Mark12Ding/SAM2Long.

Previous works on video object segmentation (VOS) are trained on densely annotated videos. Nevertheless, acquiring annotations in pixel level is expensive and time-consuming. In this work, we demonstrate the feasibility of training a satisfactory VOS model on sparsely annotated videos-we merely require two labeled frames per training video while the performance is sustained. We term this novel training paradigm as two-shot video object segmentation, or two-shot VOS for short. The underlying idea is to generate pseudo labels for unlabeled frames during training and to optimize the model on the combination of labeled and pseudo-labeled data. Our approach is extremely simple and can be applied to a majority of existing frameworks. We first pre-train a VOS model on sparsely annotated videos in a semi-supervised manner, with the first frame always being a labeled one. Then, we adopt the pre-trained VOS model to generate pseudo labels for all unlabeled frames, which are subsequently stored in a pseudo-label bank. Finally, we retrain a VOS model on both labeled and pseudo-labeled data without any restrictions on the first frame. For the first time, we present a general way to train VOS models on two-shot VOS datasets. By using 7.3% and 2.9% labeled data of YouTube-VOS and DAVIS benchmarks, our approach achieves comparable results in contrast to the counterparts trained on fully labeled set. Code and models are available at https://github.com/yk-pku/Two-shot-Video-Object-Segmentation.

Video object segmentation (VOS) aims at segmenting a particular object throughout the entire video clip sequence. The state-of-the-art VOS methods have achieved excellent performance (e.g., 90+% J&F) on existing datasets. However, since the target objects in these existing datasets are usually relatively salient, dominant, and isolated, VOS under complex scenes has rarely been studied. To revisit VOS and make it more applicable in the real world, we collect a new VOS dataset called coMplex video Object SEgmentation (MOSE) to study the tracking and segmenting objects in complex environments. MOSE contains 2,149 video clips and 5,200 objects from 36 categories, with 431,725 high-quality object segmentation masks. The most notable feature of MOSE dataset is complex scenes with crowded and occluded objects. The target objects in the videos are commonly occluded by others and disappear in some frames. To analyze the proposed MOSE dataset, we benchmark 18 existing VOS methods under 4 different settings on the proposed MOSE dataset and conduct comprehensive comparisons. The experiments show that current VOS algorithms cannot well perceive objects in complex scenes. For example, under the semi-supervised VOS setting, the highest J&F by existing state-of-the-art VOS methods is only 59.4% on MOSE, much lower than their ~90% J&F performance on DAVIS. The results reveal that although excellent performance has been achieved on existing benchmarks, there are unresolved challenges under complex scenes and more efforts are desired to explore these challenges in the future. The proposed MOSE dataset has been released at https://henghuiding.github.io/MOSE.

Panoramic videos contain richer spatial information and have attracted tremendous amounts of attention due to their exceptional experience in some fields such as autonomous driving and virtual reality. However, existing datasets for video segmentation only focus on conventional planar images. To address the challenge, in this paper, we present a panoramic video dataset, PanoVOS. The dataset provides 150 videos with high video resolutions and diverse motions. To quantify the domain gap between 2D planar videos and panoramic videos, we evaluate 15 off-the-shelf video object segmentation (VOS) models on PanoVOS. Through error analysis, we found that all of them fail to tackle pixel-level content discontinues of panoramic videos. Thus, we present a Panoramic Space Consistency Transformer (PSCFormer), which can effectively utilize the semantic boundary information of the previous frame for pixel-level matching with the current frame. Extensive experiments demonstrate that compared with the previous SOTA models, our PSCFormer network exhibits a great advantage in terms of segmentation results under the panoramic setting. Our dataset poses new challenges in panoramic VOS and we hope that our PanoVOS can advance the development of panoramic segmentation/tracking.

Over the past decade, computer vision applications in minimally invasive surgery have rapidly increased. Despite this growth, the impact of surgical computer vision remains limited compared to other medical fields like pathology and radiology, primarily due to the scarcity of representative annotated data. Whereas transfer learning from large annotated datasets such as ImageNet has been conventionally the norm to achieve high-performing models, recent advancements in self-supervised learning (SSL) have demonstrated superior performance. In medical image analysis, in-domain SSL pretraining has already been shown to outperform ImageNet-based initialization. Although unlabeled data in the field of surgical computer vision is abundant, the diversity within this data is limited. This study investigates the role of dataset diversity in SSL for surgical computer vision, comparing procedure-specific datasets against a more heterogeneous general surgical dataset across three different downstream surgical applications. The obtained results show that using solely procedure-specific data can lead to substantial improvements of 13.8%, 9.5%, and 36.8% compared to ImageNet pretraining. However, extending this data with more heterogeneous surgical data further increases performance by an additional 5.0%, 5.2%, and 2.5%, suggesting that increasing diversity within SSL data is beneficial for model performance. The code and pretrained model weights are made publicly available at https://github.com/TimJaspers0801/SurgeNet.

Few-Shot Video Object Segmentation (FSVOS) aims to segment objects in a query video with the same category defined by a few annotated support images. However, this task was seldom explored. In this work, based on IPMT, a state-of-the-art few-shot image segmentation method that combines external support guidance information with adaptive query guidance cues, we propose to leverage multi-grained temporal guidance information for handling the temporal correlation nature of video data. We decompose the query video information into a clip prototype and a memory prototype for capturing local and long-term internal temporal guidance, respectively. Frame prototypes are further used for each frame independently to handle fine-grained adaptive guidance and enable bidirectional clip-frame prototype communication. To reduce the influence of noisy memory, we propose to leverage the structural similarity relation among different predicted regions and the support for selecting reliable memory frames. Furthermore, a new segmentation loss is also proposed to enhance the category discriminability of the learned prototypes. Experimental results demonstrate that our proposed video IPMT model significantly outperforms previous models on two benchmark datasets. Code is available at https://github.com/nankepan/VIPMT.

We introduce VideoLISA, a video-based multimodal large language model designed to tackle the problem of language-instructed reasoning segmentation in videos. Leveraging the reasoning capabilities and world knowledge of large language models, and augmented by the Segment Anything Model, VideoLISA generates temporally consistent segmentation masks in videos based on language instructions. Existing image-based methods, such as LISA, struggle with video tasks due to the additional temporal dimension, which requires temporal dynamic understanding and consistent segmentation across frames. VideoLISA addresses these challenges by integrating a Sparse Dense Sampling strategy into the video-LLM, which balances temporal context and spatial detail within computational constraints. Additionally, we propose a One-Token-Seg-All approach using a specially designed <TRK> token, enabling the model to segment and track objects across multiple frames. Extensive evaluations on diverse benchmarks, including our newly introduced ReasonVOS benchmark, demonstrate VideoLISA's superior performance in video object segmentation tasks involving complex reasoning, temporal understanding, and object tracking. While optimized for videos, VideoLISA also shows promising generalization to image segmentation, revealing its potential as a unified foundation model for language-instructed object segmentation. Code and model will be available at: https://github.com/showlab/VideoLISA.

Video instance segmentation requires classifying, segmenting, and tracking every object across video frames. Unlike existing approaches that rely on masks, boxes, or category labels, we propose UVIS, a novel Unsupervised Video Instance Segmentation (UVIS) framework that can perform video instance segmentation without any video annotations or dense label-based pretraining. Our key insight comes from leveraging the dense shape prior from the self-supervised vision foundation model DINO and the openset recognition ability from the image-caption supervised vision-language model CLIP. Our UVIS framework consists of three essential steps: frame-level pseudo-label generation, transformer-based VIS model training, and query-based tracking. To improve the quality of VIS predictions in the unsupervised setup, we introduce a dual-memory design. This design includes a semantic memory bank for generating accurate pseudo-labels and a tracking memory bank for maintaining temporal consistency in object tracks. We evaluate our approach on three standard VIS benchmarks, namely YoutubeVIS-2019, YoutubeVIS-2021, and Occluded VIS. Our UVIS achieves 21.1 AP on YoutubeVIS-2019 without any video annotations or dense pretraining, demonstrating the potential of our unsupervised VIS framework.

Audio-visual video segmentation~(AVVS) aims to generate pixel-level maps of sound-producing objects within image frames and ensure the maps faithfully adhere to the given audio, such as identifying and segmenting a singing person in a video. However, existing methods exhibit two limitations: 1) they address video temporal features and audio-visual interactive features separately, disregarding the inherent spatial-temporal dependence of combined audio and video, and 2) they inadequately introduce audio constraints and object-level information during the decoding stage, resulting in segmentation outcomes that fail to comply with audio directives. To tackle these issues, we propose a decoupled audio-video transformer that combines audio and video features from their respective temporal and spatial dimensions, capturing their combined dependence. To optimize memory consumption, we design a block, which, when stacked, enables capturing audio-visual fine-grained combinatorial-dependence in a memory-efficient manner. Additionally, we introduce audio-constrained queries during the decoding phase. These queries contain rich object-level information, ensuring the decoded mask adheres to the sounds. Experimental results confirm our approach's effectiveness, with our framework achieving a new SOTA performance on all three datasets using two backbones. The code is available at https://github.com/aspirinone/CATR.github.io

Existing video object segmentation (VOS) benchmarks focus on short-term videos which just last about 3-5 seconds and where objects are visible most of the time. These videos are poorly representative of practical applications, and the absence of long-term datasets restricts further investigation of VOS on the application in realistic scenarios. So, in this paper, we present a new benchmark dataset named LVOS, which consists of 220 videos with a total duration of 421 minutes. To the best of our knowledge, LVOS is the first densely annotated long-term VOS dataset. The videos in our LVOS last 1.59 minutes on average, which is 20 times longer than videos in existing VOS datasets. Each video includes various attributes, especially challenges deriving from the wild, such as long-term reappearing and cross-temporal similar objeccts.Based on LVOS, we assess existing video object segmentation algorithms and propose a Diverse Dynamic Memory network (DDMemory) that consists of three complementary memory banks to exploit temporal information adequately. The experimental results demonstrate the strength and weaknesses of prior methods, pointing promising directions for further study. Data and code are available at https://lingyihongfd.github.io/lvos.github.io/.

Training data for video segmentation are expensive to annotate. This impedes extensions of end-to-end algorithms to new video segmentation tasks, especially in large-vocabulary settings. To 'track anything' without training on video data for every individual task, we develop a decoupled video segmentation approach (DEVA), composed of task-specific image-level segmentation and class/task-agnostic bi-directional temporal propagation. Due to this design, we only need an image-level model for the target task (which is cheaper to train) and a universal temporal propagation model which is trained once and generalizes across tasks. To effectively combine these two modules, we use bi-directional propagation for (semi-)online fusion of segmentation hypotheses from different frames to generate a coherent segmentation. We show that this decoupled formulation compares favorably to end-to-end approaches in several data-scarce tasks including large-vocabulary video panoptic segmentation, open-world video segmentation, referring video segmentation, and unsupervised video object segmentation. Code is available at: https://hkchengrex.github.io/Tracking-Anything-with-DEVA

Rapid advancements in medical image segmentation performance have been significantly driven by the development of Convolutional Neural Networks (CNNs) and Vision Transformers (ViTs). These models follow the discriminative pixel-wise classification learning paradigm and often have limited ability to generalize across diverse medical imaging datasets. In this manuscript, we introduce Generative Medical Segmentation (GMS), a novel approach leveraging a generative model to perform image segmentation. Concretely, GMS employs a robust pre-trained vision foundation model to extract latent representations for images and corresponding ground truth masks, followed by a model that learns a mapping function from the image to the mask in the latent space. Once trained, the model generates an estimated segmentation mask using the pre-trained vision foundation model to decode the predicted latent representation back into the image space. The design of GMS leads to fewer trainable parameters in the model which reduces the risk of overfitting and enhances its generalization capability. Our experimental analysis across five public datasets in different medical imaging domains demonstrates GMS outperforms existing discriminative and generative segmentation models. Furthermore, GMS is able to generalize well across datasets from different centers within the same imaging modality. Our experiments suggest GMS offers a scalable and effective solution for medical image segmentation. GMS implementation and trained model weights are available at https://github.com/King-HAW/GMS.

Existing methods for Video Reasoning Segmentation rely heavily on a single special token to represent the object in the keyframe or the entire video, inadequately capturing spatial complexity and inter-frame motion. To overcome these challenges, we propose VRS-HQ, an end-to-end video reasoning segmentation approach that leverages Multimodal Large Language Models (MLLMs) to inject rich spatiotemporal features into hierarchical tokens.Our key innovations include a Temporal Dynamic Aggregation (TDA) and a Token-driven Keyframe Selection (TKS). Specifically, we design frame-level <SEG> and temporal-level <TAK> tokens that utilize MLLM's autoregressive learning to effectively capture both local and global information. Subsequently, we apply a similarity-based weighted fusion and frame selection strategy, then utilize SAM2 to perform keyframe segmentation and propagation. To enhance keyframe localization accuracy, the TKS filters keyframes based on SAM2's occlusion scores during inference. VRS-HQ achieves state-of-the-art performance on ReVOS, surpassing VISA by 5.9%/12.5%/9.1% in J&F scores across the three subsets. These results highlight the strong temporal reasoning and segmentation capabilities of our method. Code and model weights will be released at VRS-HQ.

Modern video segmentation methods adopt object queries to perform inter-frame association and demonstrate satisfactory performance in tracking continuously appearing objects despite large-scale motion and transient occlusion. However, they all underperform on newly emerging and disappearing objects that are common in the real world because they attempt to model object emergence and disappearance through feature transitions between background and foreground queries that have significant feature gaps. We introduce Dynamic Anchor Queries (DAQ) to shorten the transition gap between the anchor and target queries by dynamically generating anchor queries based on the features of potential candidates. Furthermore, we introduce a query-level object Emergence and Disappearance Simulation (EDS) strategy, which unleashes DAQ's potential without any additional cost. Finally, we combine our proposed DAQ and EDS with DVIS to obtain DVIS-DAQ. Extensive experiments demonstrate that DVIS-DAQ achieves a new state-of-the-art (SOTA) performance on five mainstream video segmentation benchmarks. Code and models are available at https://github.com/SkyworkAI/DAQ-VS.

In this paper, we propose a simple yet effective approach for self-supervised video object segmentation (VOS). Our key insight is that the inherent structural dependencies present in DINO-pretrained Transformers can be leveraged to establish robust spatio-temporal correspondences in videos. Furthermore, simple clustering on this correspondence cue is sufficient to yield competitive segmentation results. Previous self-supervised VOS techniques majorly resort to auxiliary modalities or utilize iterative slot attention to assist in object discovery, which restricts their general applicability and imposes higher computational requirements. To deal with these challenges, we develop a simplified architecture that capitalizes on the emerging objectness from DINO-pretrained Transformers, bypassing the need for additional modalities or slot attention. Specifically, we first introduce a single spatio-temporal Transformer block to process the frame-wise DINO features and establish spatio-temporal dependencies in the form of self-attention. Subsequently, utilizing these attention maps, we implement hierarchical clustering to generate object segmentation masks. To train the spatio-temporal block in a fully self-supervised manner, we employ semantic and dynamic motion consistency coupled with entropy normalization. Our method demonstrates state-of-the-art performance across multiple unsupervised VOS benchmarks and particularly excels in complex real-world multi-object video segmentation tasks such as DAVIS-17-Unsupervised and YouTube-VIS-19. The code and model checkpoints will be released at https://github.com/shvdiwnkozbw/SSL-UVOS.

In recent years, significant progress has been made in video instance segmentation (VIS), with many offline and online methods achieving state-of-the-art performance. While offline methods have the advantage of producing temporally consistent predictions, they are not suitable for real-time scenarios. Conversely, online methods are more practical, but maintaining temporal consistency remains a challenging task. In this paper, we propose a novel online method for video instance segmentation, called TCOVIS, which fully exploits the temporal information in a video clip. The core of our method consists of a global instance assignment strategy and a spatio-temporal enhancement module, which improve the temporal consistency of the features from two aspects. Specifically, we perform global optimal matching between the predictions and ground truth across the whole video clip, and supervise the model with the global optimal objective. We also capture the spatial feature and aggregate it with the semantic feature between frames, thus realizing the spatio-temporal enhancement. We evaluate our method on four widely adopted VIS benchmarks, namely YouTube-VIS 2019/2021/2022 and OVIS, and achieve state-of-the-art performance on all benchmarks without bells-and-whistles. For instance, on YouTube-VIS 2021, TCOVIS achieves 49.5 AP and 61.3 AP with ResNet-50 and Swin-L backbones, respectively. Code is available at https://github.com/jun-long-li/TCOVIS.

Most benchmarks for studying surgical interventions focus on a specific challenge instead of leveraging the intrinsic complementarity among different tasks. In this work, we present a new experimental framework towards holistic surgical scene understanding. First, we introduce the Phase, Step, Instrument, and Atomic Visual Action recognition (PSI-AVA) Dataset. PSI-AVA includes annotations for both long-term (Phase and Step recognition) and short-term reasoning (Instrument detection and novel Atomic Action recognition) in robot-assisted radical prostatectomy videos. Second, we present Transformers for Action, Phase, Instrument, and steps Recognition (TAPIR) as a strong baseline for surgical scene understanding. TAPIR leverages our dataset's multi-level annotations as it benefits from the learned representation on the instrument detection task to improve its classification capacity. Our experimental results in both PSI-AVA and other publicly available databases demonstrate the adequacy of our framework to spur future research on holistic surgical scene understanding.

Referring video object segmentation (RVOS), as a supervised learning task, relies on sufficient annotated data for a given scene. However, in more realistic scenarios, only minimal annotations are available for a new scene, which poses significant challenges to existing RVOS methods. With this in mind, we propose a simple yet effective model with a newly designed cross-modal affinity (CMA) module based on a Transformer architecture. The CMA module builds multimodal affinity with a few samples, thus quickly learning new semantic information, and enabling the model to adapt to different scenarios. Since the proposed method targets limited samples for new scenes, we generalize the problem as - few-shot referring video object segmentation (FS-RVOS). To foster research in this direction, we build up a new FS-RVOS benchmark based on currently available datasets. The benchmark covers a wide range and includes multiple situations, which can maximally simulate real-world scenarios. Extensive experiments show that our model adapts well to different scenarios with only a few samples, reaching state-of-the-art performance on the benchmark. On Mini-Ref-YouTube-VOS, our model achieves an average performance of 53.1 J and 54.8 F, which are 10% better than the baselines. Furthermore, we show impressive results of 77.7 J and 74.8 F on Mini-Ref-SAIL-VOS, which are significantly better than the baselines. Code is publicly available at https://github.com/hengliusky/Few_shot_RVOS.

Current prevailing Video Object Segmentation (VOS) methods usually perform dense matching between the current and reference frames after extracting their features. One on hand, the decoupled modeling restricts the targets information propagation only at high-level feature space. On the other hand, the pixel-wise matching leads to a lack of holistic understanding of the targets. To overcome these issues, we propose a unified VOS framework, coined as JointFormer, for joint modeling the three elements of feature, correspondence, and a compressed memory. The core design is the Joint Block, utilizing the flexibility of attention to simultaneously extract feature and propagate the targets information to the current tokens and the compressed memory token. This scheme allows to perform extensive information propagation and discriminative feature learning. To incorporate the long-term temporal targets information, we also devise a customized online updating mechanism for the compressed memory token, which can prompt the information flow along the temporal dimension and thus improve the global modeling capability. Under the design, our method achieves a new state-of-art performance on DAVIS 2017 val/test-dev (89.7% and 87.6%) and YouTube-VOS 2018/2019 val (87.0% and 87.0%) benchmarks, outperforming existing works by a large margin.

In this paper, we address the challenge of performing open-vocabulary video instance segmentation (OV-VIS) in real-time. We analyze the computational bottlenecks of state-of-the-art foundation models that performs OV-VIS, and propose a new method, TROY-VIS, that significantly improves processing speed while maintaining high accuracy. We introduce three key techniques: (1) Decoupled Attention Feature Enhancer to speed up information interaction between different modalities and scales; (2) Flash Embedding Memory for obtaining fast text embeddings of object categories; and, (3) Kernel Interpolation for exploiting the temporal continuity in videos. Our experiments demonstrate that TROY-VIS achieves the best trade-off between accuracy and speed on two large-scale OV-VIS benchmarks, BURST and LV-VIS, running 20x faster than GLEE-Lite (25 FPS v.s. 1.25 FPS) with comparable or even better accuracy. These results demonstrate TROY-VIS's potential for real-time applications in dynamic environments such as mobile robotics and augmented reality. Code and model will be released at https://github.com/google-research/troyvis.

When developing deep neural networks for segmenting intraoperative ultrasound images, several practical issues are encountered frequently, such as the presence of ultrasound frames that do not contain regions of interest and the high variance in ground-truth labels. In this study, we evaluate the utility of a pre-screening classification network prior to the segmentation network. Experimental results demonstrate that such a classifier, minimising frame classification errors, was able to directly impact the number of false positive and false negative frames. Importantly, the segmentation accuracy on the classifier-selected frames, that would be segmented, remains comparable to or better than those from standalone segmentation networks. Interestingly, the efficacy of the pre-screening classifier was affected by the sampling methods for training labels from multiple observers, a seemingly independent problem. We show experimentally that a previously proposed approach, combining random sampling and consensus labels, may need to be adapted to perform well in our application. Furthermore, this work aims to share practical experience in developing a machine learning application that assists highly variable interventional imaging for prostate cancer patients, to present robust and reproducible open-source implementations, and to report a set of comprehensive results and analysis comparing these practical, yet important, options in a real-world clinical application.

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.

We find Mask2Former also achieves state-of-the-art performance on video instance segmentation without modifying the architecture, the loss or even the training pipeline. In this report, we show universal image segmentation architectures trivially generalize to video segmentation by directly predicting 3D segmentation volumes. Specifically, Mask2Former sets a new state-of-the-art of 60.4 AP on YouTubeVIS-2019 and 52.6 AP on YouTubeVIS-2021. We believe Mask2Former is also capable of handling video semantic and panoptic segmentation, given its versatility in image segmentation. We hope this will make state-of-the-art video segmentation research more accessible and bring more attention to designing universal image and video segmentation architectures.

The Segment Anything Model (SAM) represents a state-of-the-art research advancement in natural image segmentation, achieving impressive results with input prompts such as points and bounding boxes. However, our evaluation and recent research indicate that directly applying the pretrained SAM to medical image segmentation does not yield satisfactory performance. This limitation primarily arises from significant domain gap between natural images and medical images. To bridge this gap, we introduce SAM-Med2D, the most comprehensive studies on applying SAM to medical 2D images. Specifically, we first collect and curate approximately 4.6M images and 19.7M masks from public and private datasets, constructing a large-scale medical image segmentation dataset encompassing various modalities and objects. Then, we comprehensively fine-tune SAM on this dataset and turn it into SAM-Med2D. Unlike previous methods that only adopt bounding box or point prompts as interactive segmentation approach, we adapt SAM to medical image segmentation through more comprehensive prompts involving bounding boxes, points, and masks. We additionally fine-tune the encoder and decoder of the original SAM to obtain a well-performed SAM-Med2D, leading to the most comprehensive fine-tuning strategies to date. Finally, we conducted a comprehensive evaluation and analysis to investigate the performance of SAM-Med2D in medical image segmentation across various modalities, anatomical structures, and organs. Concurrently, we validated the generalization capability of SAM-Med2D on 9 datasets from MICCAI 2023 challenge. Overall, our approach demonstrated significantly superior performance and generalization capability compared to SAM.

Interactive video object segmentation is a crucial video task, having various applications from video editing to data annotating. However, current approaches struggle to accurately segment objects across diverse domains. Recently, Segment Anything Model (SAM) introduces interactive visual prompts and demonstrates impressive performance across different domains. In this paper, we propose a training-free prompt tracking framework for interactive video object segmentation (I-PT), leveraging the powerful generalization of SAM. Although point tracking efficiently captures the pixel-wise information of objects in a video, points tend to be unstable when tracked over a long period, resulting in incorrect segmentation. Towards fast and robust interaction, we jointly adopt sparse points and boxes tracking, filtering out unstable points and capturing object-wise information. To better integrate reference information from multiple interactions, we introduce a cross-round space-time module (CRSTM), which adaptively aggregates mask features from previous rounds and frames, enhancing the segmentation stability. Our framework has demonstrated robust zero-shot video segmentation results on popular VOS datasets with interaction types, including DAVIS 2017, YouTube-VOS 2018, and MOSE 2023, maintaining a good tradeoff between performance and interaction time.

Echocardiogram video segmentation plays an important role in cardiac disease diagnosis. This paper studies the unsupervised domain adaption (UDA) for echocardiogram video segmentation, where the goal is to generalize the model trained on the source domain to other unlabelled target domains. Existing UDA segmentation methods are not suitable for this task because they do not model local information and the cyclical consistency of heartbeat. In this paper, we introduce a newly collected CardiacUDA dataset and a novel GraphEcho method for cardiac structure segmentation. Our GraphEcho comprises two innovative modules, the Spatial-wise Cross-domain Graph Matching (SCGM) and the Temporal Cycle Consistency (TCC) module, which utilize prior knowledge of echocardiogram videos, i.e., consistent cardiac structure across patients and centers and the heartbeat cyclical consistency, respectively. These two modules can better align global and local features from source and target domains, improving UDA segmentation results. Experimental results showed that our GraphEcho outperforms existing state-of-the-art UDA segmentation methods. Our collected dataset and code will be publicly released upon acceptance. This work will lay a new and solid cornerstone for cardiac structure segmentation from echocardiogram videos. Code and dataset are available at: https://github.com/xmed-lab/GraphEcho

Referring video object segmentation (RVOS) aims at segmenting an object in a video following human instruction. Current state-of-the-art methods fall into an offline pattern, in which each clip independently interacts with text embedding for cross-modal understanding. They usually present that the offline pattern is necessary for RVOS, yet model limited temporal association within each clip. In this work, we break up the previous offline belief and propose a simple yet effective online model using explicit query propagation, named OnlineRefer. Specifically, our approach leverages target cues that gather semantic information and position prior to improve the accuracy and ease of referring predictions for the current frame. Furthermore, we generalize our online model into a semi-online framework to be compatible with video-based backbones. To show the effectiveness of our method, we evaluate it on four benchmarks, \ie, Refer-Youtube-VOS, Refer-DAVIS17, A2D-Sentences, and JHMDB-Sentences. Without bells and whistles, our OnlineRefer with a Swin-L backbone achieves 63.5 J&F and 64.8 J&F on Refer-Youtube-VOS and Refer-DAVIS17, outperforming all other offline methods.

The Segment Anything Model (SAM) has recently gained popularity in the field of image segmentation due to its impressive capabilities in various segmentation tasks and its prompt-based interface. However, recent studies and individual experiments have shown that SAM underperforms in medical image segmentation, since the lack of the medical specific knowledge. This raises the question of how to enhance SAM's segmentation capability for medical images. In this paper, instead of fine-tuning the SAM model, we propose the Medical SAM Adapter (Med-SA), which incorporates domain-specific medical knowledge into the segmentation model using a light yet effective adaptation technique. In Med-SA, we propose Space-Depth Transpose (SD-Trans) to adapt 2D SAM to 3D medical images and Hyper-Prompting Adapter (HyP-Adpt) to achieve prompt-conditioned adaptation. We conduct comprehensive evaluation experiments on 17 medical image segmentation tasks across various image modalities. Med-SA outperforms several state-of-the-art (SOTA) medical image segmentation methods, while updating only 2\% of the parameters. Our code is released at https://github.com/KidsWithTokens/Medical-SAM-Adapter.

In the diverse field of medical imaging, automatic segmentation has numerous applications and must handle a wide variety of input domains, such as different types of Computed Tomography (CT) scans and Magnetic Resonance (MR) images. This heterogeneity challenges automatic segmentation algorithms to maintain consistent performance across different modalities due to the requirement for spatially aligned and paired images. Typically, segmentation models are trained using a single modality, which limits their ability to generalize to other types of input data without employing transfer learning techniques. Additionally, leveraging complementary information from different modalities to enhance segmentation precision often necessitates substantial modifications to popular encoder-decoder designs, such as introducing multiple branched encoding or decoding paths for each modality. In this work, we propose a simple Multi-Modal Segmentation (MulModSeg) strategy to enhance medical image segmentation across multiple modalities, specifically CT and MR. It incorporates two key designs: a modality-conditioned text embedding framework via a frozen text encoder that adds modality awareness to existing segmentation frameworks without significant structural modifications or computational overhead, and an alternating training procedure that facilitates the integration of essential features from unpaired CT and MR inputs. Through extensive experiments with both Fully Convolutional Network and Transformer-based backbones, MulModSeg consistently outperforms previous methods in segmenting abdominal multi-organ and cardiac substructures for both CT and MR modalities. The code is available in this {https://github.com/ChengyinLee/MulModSeg_2024{link}}.

In 2015 we began a sub-challenge at the EndoVis workshop at MICCAI in Munich using endoscope images of ex-vivo tissue with automatically generated annotations from robot forward kinematics and instrument CAD models. However, the limited background variation and simple motion rendered the dataset uninformative in learning about which techniques would be suitable for segmentation in real surgery. In 2017, at the same workshop in Quebec we introduced the robotic instrument segmentation dataset with 10 teams participating in the challenge to perform binary, articulating parts and type segmentation of da Vinci instruments. This challenge included realistic instrument motion and more complex porcine tissue as background and was widely addressed with modifications on U-Nets and other popular CNN architectures. In 2018 we added to the complexity by introducing a set of anatomical objects and medical devices to the segmented classes. To avoid over-complicating the challenge, we continued with porcine data which is dramatically simpler than human tissue due to the lack of fatty tissue occluding many organs.

With the development of Deep Neural Networks (DNNs), many efforts have been made to handle medical image segmentation. Traditional methods such as nnUNet train specific segmentation models on the individual datasets. Plenty of recent methods have been proposed to adapt the foundational Segment Anything Model (SAM) to medical image segmentation. However, they still focus on discrete representations to generate pixel-wise predictions, which are spatially inflexible and scale poorly to higher resolution. In contrast, implicit methods learn continuous representations for segmentation, which is crucial for medical image segmentation. In this paper, we propose I-MedSAM, which leverages the benefits of both continuous representations and SAM, to obtain better cross-domain ability and accurate boundary delineation. Since medical image segmentation needs to predict detailed segmentation boundaries, we designed a novel adapter to enhance the SAM features with high-frequency information during Parameter-Efficient Fine-Tuning (PEFT). To convert the SAM features and coordinates into continuous segmentation output, we utilize Implicit Neural Representation (INR) to learn an implicit segmentation decoder. We also propose an uncertainty-guided sampling strategy for efficient learning of INR. Extensive evaluations on 2D medical image segmentation tasks have shown that our proposed method with only 1.6M trainable parameters outperforms existing methods including discrete and implicit methods. The code will be available at: https://github.com/ucwxb/I-MedSAM.

The Segment Anything Model (SAM) has achieved remarkable successes in the realm of natural image segmentation, but its deployment in the medical imaging sphere has encountered challenges. Specifically, the model struggles with medical images that feature low contrast, faint boundaries, intricate morphologies, and small-sized objects. To address these challenges and enhance SAM's performance in the medical domain, we introduce a comprehensive modification. Firstly, we incorporate a frozen Convolutional Neural Network (CNN) branch as an image encoder, which synergizes with SAM's original Vision Transformer (ViT) encoder through a novel variational attention fusion module. This integration bolsters the model's capability to capture local spatial information, which is often paramount in medical imagery. Moreover, to further optimize SAM for medical imaging, we introduce feature and position adapters within the ViT branch, refining the encoder's representations. We see that compared to current prompting strategies to fine-tune SAM for ultrasound medical segmentation, the use of text descriptions that serve as text prompts for SAM helps significantly improve the performance. Leveraging ChatGPT's natural language understanding capabilities, we generate prompts that offer contextual information and guidance to SAM, enabling it to better understand the nuances of ultrasound medical images and improve its segmentation accuracy. Our method, in its entirety, represents a significant stride towards making universal image segmentation models more adaptable and efficient in the medical domain.

Despite advancements in user-guided video segmentation, extracting complex objects consistently for highly complex scenes is still a labor-intensive task, especially for production. It is not uncommon that a majority of frames need to be annotated. We introduce a novel semi-supervised video object segmentation (SSVOS) model, XMem++, that improves existing memory-based models, with a permanent memory module. Most existing methods focus on single frame annotations, while our approach can effectively handle multiple user-selected frames with varying appearances of the same object or region. Our method can extract highly consistent results while keeping the required number of frame annotations low. We further introduce an iterative and attention-based frame suggestion mechanism, which computes the next best frame for annotation. Our method is real-time and does not require retraining after each user input. We also introduce a new dataset, PUMaVOS, which covers new challenging use cases not found in previous benchmarks. We demonstrate SOTA performance on challenging (partial and multi-class) segmentation scenarios as well as long videos, while ensuring significantly fewer frame annotations than any existing method. Project page: https://max810.github.io/xmem2-project-page/

Existing Video Object Segmentation (VOS) relies on explicit user instructions, such as categories, masks, or short phrases, restricting their ability to perform complex video segmentation requiring reasoning with world knowledge. In this paper, we introduce a new task, Reasoning Video Object Segmentation (ReasonVOS). This task aims to generate a sequence of segmentation masks in response to implicit text queries that require complex reasoning abilities based on world knowledge and video contexts, which is crucial for structured environment understanding and object-centric interactions, pivotal in the development of embodied AI. To tackle ReasonVOS, we introduce VISA (Video-based large language Instructed Segmentation Assistant), to leverage the world knowledge reasoning capabilities of multi-modal LLMs while possessing the ability to segment and track objects in videos with a mask decoder. Moreover, we establish a comprehensive benchmark consisting of 35,074 instruction-mask sequence pairs from 1,042 diverse videos, which incorporates complex world knowledge reasoning into segmentation tasks for instruction-tuning and evaluation purposes of ReasonVOS models. Experiments conducted on 8 datasets demonstrate the effectiveness of VISA in tackling complex reasoning segmentation and vanilla referring segmentation in both video and image domains. The code and dataset are available at https://github.com/cilinyan/VISA.

The Segment Anything Model (SAM) has established itself as a powerful zero-shot image segmentation model, employing interactive prompts such as points to generate masks. This paper presents SAM-PT, a method extending SAM's capability to tracking and segmenting anything in dynamic videos. SAM-PT leverages robust and sparse point selection and propagation techniques for mask generation, demonstrating that a SAM-based segmentation tracker can yield strong zero-shot performance across popular video object segmentation benchmarks, including DAVIS, YouTube-VOS, and MOSE. Compared to traditional object-centric mask propagation strategies, we uniquely use point propagation to exploit local structure information that is agnostic to object semantics. We highlight the merits of point-based tracking through direct evaluation on the zero-shot open-world Unidentified Video Objects (UVO) benchmark. To further enhance our approach, we utilize K-Medoids clustering for point initialization and track both positive and negative points to clearly distinguish the target object. We also employ multiple mask decoding passes for mask refinement and devise a point re-initialization strategy to improve tracking accuracy. Our code integrates different point trackers and video segmentation benchmarks and will be released at https://github.com/SysCV/sam-pt.

Segment Anything Model (SAM) has demonstrated impressive performance on a wide range of natural image segmentation tasks. However, its performance significantly deteriorates when directly applied to medical domain, due to the remarkable differences between natural images and medical images. Some researchers have attempted to train SAM on large scale medical datasets. However, poor zero-shot performance is observed from the experimental results. In this context, inspired by the superior performance of U-Net-like models in medical image segmentation, we propose SAMUNet, a new foundation model which incorporates U-Net to the original SAM, to fully leverage the powerful contextual modeling ability of convolutions. To be specific, we parallel a convolutional branch in the image encoder, which is trained independently with the vision Transformer branch frozen. Additionally, we employ multi-scale fusion in the mask decoder, to facilitate accurate segmentation of objects with different scales. We train SAM-UNet on SA-Med2D-16M, the largest 2-dimensional medical image segmentation dataset to date, yielding a universal pretrained model for medical images. Extensive experiments are conducted to evaluate the performance of the model, and state-of-the-art result is achieved, with a dice similarity coefficient score of 0.883 on SA-Med2D-16M dataset. Specifically, in zero-shot segmentation experiments, our model not only significantly outperforms previous large medical SAM models across all modalities, but also substantially mitigates the performance degradation seen on unseen modalities. It should be highlighted that SAM-UNet is an efficient and extensible foundation model, which can be further fine-tuned for other downstream tasks in medical community. The code is available at https://github.com/Hhankyangg/sam-unet.

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

In this work, we address various segmentation tasks, each traditionally tackled by distinct or partially unified models. We propose OMG-Seg, One Model that is Good enough to efficiently and effectively handle all the segmentation tasks, including image semantic, instance, and panoptic segmentation, as well as their video counterparts, open vocabulary settings, prompt-driven, interactive segmentation like SAM, and video object segmentation. To our knowledge, this is the first model to handle all these tasks in one model and achieve satisfactory performance. We show that OMG-Seg, a transformer-based encoder-decoder architecture with task-specific queries and outputs, can support over ten distinct segmentation tasks and yet significantly reduce computational and parameter overhead across various tasks and datasets. We rigorously evaluate the inter-task influences and correlations during co-training. Code and models are available at https://github.com/lxtGH/OMG-Seg.

Current referring video object segmentation (R-VOS) techniques extract conditional kernels from encoded (low-resolution) vision-language features to segment the decoded high-resolution features. We discovered that this causes significant feature drift, which the segmentation kernels struggle to perceive during the forward computation. This negatively affects the ability of segmentation kernels. To address the drift problem, we propose a Spectrum-guided Multi-granularity (SgMg) approach, which performs direct segmentation on the encoded features and employs visual details to further optimize the masks. In addition, we propose Spectrum-guided Cross-modal Fusion (SCF) to perform intra-frame global interactions in the spectral domain for effective multimodal representation. Finally, we extend SgMg to perform multi-object R-VOS, a new paradigm that enables simultaneous segmentation of multiple referred objects in a video. This not only makes R-VOS faster, but also more practical. Extensive experiments show that SgMg achieves state-of-the-art performance on four video benchmark datasets, outperforming the nearest competitor by 2.8% points on Ref-YouTube-VOS. Our extended SgMg enables multi-object R-VOS, runs about 3 times faster while maintaining satisfactory performance. Code is available at https://github.com/bo-miao/SgMg.

Referring video object segmentation aims to segment a referent throughout a video sequence according to a natural language expression. It requires aligning the natural language expression with the objects' motions and their dynamic associations at the global video level but segmenting objects at the frame level. To achieve this goal, we propose to simultaneously maintain a global referent token and a sequence of object queries, where the former is responsible for capturing video-level referent according to the language expression, while the latter serves to better locate and segment objects with each frame. Furthermore, to explicitly capture object motions and spatial-temporal cross-modal reasoning over objects, we propose a novel temporal collection-distribution mechanism for interacting between the global referent token and object queries. Specifically, the temporal collection mechanism collects global information for the referent token from object queries to the temporal motions to the language expression. In turn, the temporal distribution first distributes the referent token to the referent sequence across all frames and then performs efficient cross-frame reasoning between the referent sequence and object queries in every frame. Experimental results show that our method outperforms state-of-the-art methods on all benchmarks consistently and significantly.

This paper studies referring video object segmentation (RVOS) by boosting video-level visual-linguistic alignment. Recent approaches model the RVOS task as a sequence prediction problem and perform multi-modal interaction as well as segmentation for each frame separately. However, the lack of a global view of video content leads to difficulties in effectively utilizing inter-frame relationships and understanding textual descriptions of object temporal variations. To address this issue, we propose Semantic-assisted Object Cluster (SOC), which aggregates video content and textual guidance for unified temporal modeling and cross-modal alignment. By associating a group of frame-level object embeddings with language tokens, SOC facilitates joint space learning across modalities and time steps. Moreover, we present multi-modal contrastive supervision to help construct well-aligned joint space at the video level. We conduct extensive experiments on popular RVOS benchmarks, and our method outperforms state-of-the-art competitors on all benchmarks by a remarkable margin. Besides, the emphasis on temporal coherence enhances the segmentation stability and adaptability of our method in processing text expressions with temporal variations. Code will be available.

The retroperitoneum hosts a variety of tumors, including rare benign and malignant types, which pose diagnostic and treatment challenges due to their infrequency and proximity to vital structures. Estimating tumor volume is difficult due to their irregular shapes, and manual segmentation is time-consuming. Automatic segmentation using U-Net and its variants, incorporating Vision Transformer (ViT) elements, has shown promising results but struggles with high computational demands. To address this, architectures like the Mamba State Space Model (SSM) and Extended Long-Short Term Memory (xLSTM) offer efficient solutions by handling long-range dependencies with lower resource consumption. This study evaluates U-Net enhancements, including CNN, ViT, Mamba, and xLSTM, on a new in-house CT dataset and a public organ segmentation dataset. The proposed ViLU-Net model integrates Vi-blocks for improved segmentation. Results highlight xLSTM's efficiency in the U-Net framework. The code is publicly accessible on GitHub.

Medical image segmentation is an important analysis task in clinical practice and research. Deep learning has massively advanced the field, but current approaches are mostly based on models trained for a specific task. Training such models or adapting them to a new condition is costly due to the need for (manually) labeled data. The emergence of vision foundation models, especially Segment Anything, offers a path to universal segmentation for medical images, overcoming these issues. Here, we study how to improve Segment Anything for medical images by comparing different finetuning strategies on a large and diverse dataset. We evaluate the finetuned models on a wide range of interactive and (automatic) semantic segmentation tasks. We find that the performance can be clearly improved for interactive segmentation. However, semantic segmentation does not benefit from pretraining on medical images. Our best model, MedicoSAM, is publicly available at https://github.com/computational-cell-analytics/medico-sam. We show that it is compatible with existing tools for data annotation and believe that it will be of great practical value.

Segment Anything Model (SAM) has gained significant attention because of its ability to segment a variety of objects in images given a prompt. The recently developed SAM 2 has extended this ability to video inputs. This opens an opportunity to apply SAM to 3D images, one of the fundamental tasks in the medical imaging field. In this paper, we provide an extensive evaluation of SAM 2's ability to segment both 2D and 3D medical images. We collect 18 medical imaging datasets, including common 3D modalities such as computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) as well as 2D modalities such as X-ray and ultrasound. We consider two evaluation pipelines of SAM 2: (1) multi-frame 3D segmentation, where prompts are provided to one or multiple slice(s) selected from the volume, and (2) single-frame 2D segmentation, where prompts are provided to each slice. The former is only applicable to 3D modalities, while the latter applies to both 2D and 3D modalities. We learn that SAM 2 exhibits similar performance as SAM under single-frame 2D segmentation, and has variable performance under multi-frame 3D segmentation depending on the choices of slices to annotate, the direction of the propagation, the predictions utilized during the propagation, etc.

Recent leading zero-shot video object segmentation (ZVOS) works devote to integrating appearance and motion information by elaborately designing feature fusion modules and identically applying them in multiple feature stages. Our preliminary experiments show that with the strong long-range dependency modeling capacity of Transformer, simply concatenating the two modality features and feeding them to vanilla Transformers for feature fusion can distinctly benefit the performance but at a cost of heavy computation. Through further empirical analysis, we find that attention dependencies learned in Transformer in different stages exhibit completely different properties: global query-independent dependency in the low-level stages and semantic-specific dependency in the high-level stages. Motivated by the observations, we propose two Transformer variants: i) Context-Sharing Transformer (CST) that learns the global-shared contextual information within image frames with a lightweight computation. ii) Semantic Gathering-Scattering Transformer (SGST) that models the semantic correlation separately for the foreground and background and reduces the computation cost with a soft token merging mechanism. We apply CST and SGST for low-level and high-level feature fusions, respectively, formulating a level-isomerous Transformer framework for ZVOS task. Compared with the baseline that uses vanilla Transformers for multi-stage fusion, ours significantly increase the speed by 13 times and achieves new state-of-the-art ZVOS performance. Code is available at https://github.com/DLUT-yyc/Isomer.

Rotoscoping, the detailed delineation of scene elements through a video shot, is a painstaking task of tremendous importance in professional post-production pipelines. While pixel-wise segmentation techniques can help for this task, professional rotoscoping tools rely on parametric curves that offer the artists a much better interactive control on the definition, editing and manipulation of the segments of interest. Sticking to this prevalent rotoscoping paradigm, we propose a novel framework to capture and track the visual aspect of an arbitrary object in a scene, given a first closed outline of this object. This model combines a collection of local foreground/background appearance models spread along the outline, a global appearance model of the enclosed object and a set of distinctive foreground landmarks. The structure of this rich appearance model allows simple initialization, efficient iterative optimization with exact minimization at each step, and on-line adaptation in videos. We demonstrate qualitatively and quantitatively the merit of this framework through comparisons with tools based on either dynamic segmentation with a closed curve or pixel-wise binary labelling.

Video instance segmentation (VIS) is a critical task with diverse applications, including autonomous driving and video editing. Existing methods often underperform on complex and long videos in real world, primarily due to two factors. Firstly, offline methods are limited by the tightly-coupled modeling paradigm, which treats all frames equally and disregards the interdependencies between adjacent frames. Consequently, this leads to the introduction of excessive noise during long-term temporal alignment. Secondly, online methods suffer from inadequate utilization of temporal information. To tackle these challenges, we propose a decoupling strategy for VIS by dividing it into three independent sub-tasks: segmentation, tracking, and refinement. The efficacy of the decoupling strategy relies on two crucial elements: 1) attaining precise long-term alignment outcomes via frame-by-frame association during tracking, and 2) the effective utilization of temporal information predicated on the aforementioned accurate alignment outcomes during refinement. We introduce a novel referring tracker and temporal refiner to construct the Decoupled VIS framework (DVIS). DVIS achieves new SOTA performance in both VIS and VPS, surpassing the current SOTA methods by 7.3 AP and 9.6 VPQ on the OVIS and VIPSeg datasets, which are the most challenging and realistic benchmarks. Moreover, thanks to the decoupling strategy, the referring tracker and temporal refiner are super light-weight (only 1.69\% of the segmenter FLOPs), allowing for efficient training and inference on a single GPU with 11G memory. The code is available at https://github.com/zhang-tao-whu/DVIS{https://github.com/zhang-tao-whu/DVIS}.

During surgical training, real-time feedback from trainers to trainees is important for preventing errors and enhancing long-term skill acquisition. Accurately predicting the effectiveness of this feedback, specifically whether it leads to a change in trainee behavior, is crucial for developing methods for improving surgical training and education. However, relying on human annotations to assess feedback effectiveness is laborious and prone to biases, underscoring the need for an automated, scalable, and objective method. Creating such an automated system poses challenges, as it requires an understanding of both the verbal feedback delivered by the trainer and the visual context of the real-time surgical scene. To address this, we propose a method that integrates information from transcribed verbal feedback and corresponding surgical video to predict feedback effectiveness. Our findings show that both transcribed feedback and surgical video are individually predictive of trainee behavior changes, and their combination achieves an AUROC of 0.70+/-0.02, improving prediction accuracy by up to 6.6%. Additionally, we introduce self-supervised fine-tuning as a strategy for enhancing surgical video representation learning, which is scalable and further enhances prediction performance. Our results demonstrate the potential of multi-modal learning to advance the automated assessment of surgical feedback.

Large Language Models (LLMs), known for their versatility in textual data, are increasingly being explored for their potential to enhance medical image segmentation, a crucial task for accurate diagnostic imaging. This study explores enhancing Vision Transformers (ViTs) for medical image segmentation by integrating pre-trained LLM transformer blocks. Our approach, which incorporates a frozen LLM transformer block into the encoder of a ViT-based model, leads to substantial improvements in segmentation performance across various medical imaging modalities. We propose a Hybrid Attention Mechanism that combines global and local feature learning with a Multi-Scale Fusion Block for aggregating features across different scales. The enhanced model shows significant performance gains, including an average Dice score increase from 0.74 to 0.79 and improvements in accuracy, precision, and the Jaccard Index. These results demonstrate the effectiveness of LLM-based transformers in refining medical image segmentation, highlighting their potential to significantly boost model accuracy and robustness. The source code and our implementation are available at: https://bit.ly/3zf2CVs

This article introduces Lester, a novel method to automatically synthetise retro-style 2D animations from videos. The method approaches the challenge mainly as an object segmentation and tracking problem. Video frames are processed with the Segment Anything Model (SAM) and the resulting masks are tracked through subsequent frames with DeAOT, a method of hierarchical propagation for semi-supervised video object segmentation. The geometry of the masks' contours is simplified with the Douglas-Peucker algorithm. Finally, facial traits, pixelation and a basic shadow effect can be optionally added. The results show that the method exhibits an excellent temporal consistency and can correctly process videos with different poses and appearances, dynamic shots, partial shots and diverse backgrounds. The proposed method provides a more simple and deterministic approach than diffusion models based video-to-video translation pipelines, which suffer from temporal consistency problems and do not cope well with pixelated and schematic outputs. The method is also much most practical than techniques based on 3D human pose estimation, which require custom handcrafted 3D models and are very limited with respect to the type of scenes they can process.

We consider the problem of segmenting objects in videos based on their motion and no other forms of supervision. Prior work has often approached this problem by using the principle of common fate, namely the fact that the motion of points that belong to the same object is strongly correlated. However, most authors have only considered instantaneous motion from optical flow. In this work, we present a way to train a segmentation network using long-term point trajectories as a supervisory signal to complement optical flow. The key difficulty is that long-term motion, unlike instantaneous motion, is difficult to model -- any parametric approximation is unlikely to capture complex motion patterns over long periods of time. We instead draw inspiration from subspace clustering approaches, proposing a loss function that seeks to group the trajectories into low-rank matrices where the motion of object points can be approximately explained as a linear combination of other point tracks. Our method outperforms the prior art on motion-based segmentation, which shows the utility of long-term motion and the effectiveness of our formulation.

Medical image segmentation has immense clinical applicability but remains a challenge despite advancements in deep learning. The Segment Anything Model (SAM) exhibits potential in this field, yet the requirement for expertise intervention and the domain gap between natural and medical images poses significant obstacles. This paper introduces a novel training-free evidential prompt generation method named EviPrompt to overcome these issues. The proposed method, built on the inherent similarities within medical images, requires only a single reference image-annotation pair, making it a training-free solution that significantly reduces the need for extensive labeling and computational resources. First, to automatically generate prompts for SAM in medical images, we introduce an evidential method based on uncertainty estimation without the interaction of clinical experts. Then, we incorporate the human prior into the prompts, which is vital for alleviating the domain gap between natural and medical images and enhancing the applicability and usefulness of SAM in medical scenarios. EviPrompt represents an efficient and robust approach to medical image segmentation, with evaluations across a broad range of tasks and modalities confirming its efficacy.

In this paper, we present UNet++, a new, more powerful architecture for medical image segmentation. Our architecture is essentially a deeply-supervised encoder-decoder network where the encoder and decoder sub-networks are connected through a series of nested, dense skip pathways. The re-designed skip pathways aim at reducing the semantic gap between the feature maps of the encoder and decoder sub-networks. We argue that the optimizer would deal with an easier learning task when the feature maps from the decoder and encoder networks are semantically similar. We have evaluated UNet++ in comparison with U-Net and wide U-Net architectures across multiple medical image segmentation tasks: nodule segmentation in the low-dose CT scans of chest, nuclei segmentation in the microscopy images, liver segmentation in abdominal CT scans, and polyp segmentation in colonoscopy videos. Our experiments demonstrate that UNet++ with deep supervision achieves an average IoU gain of 3.9 and 3.4 points over U-Net and wide U-Net, respectively.

Real-world medical image segmentation has tremendous long-tailed complexity of objects, among which tail conditions correlate with relatively rare diseases and are clinically significant. A trustworthy medical AI algorithm should demonstrate its effectiveness on tail conditions to avoid clinically dangerous damage in these out-of-distribution (OOD) cases. In this paper, we adopt the concept of object queries in Mask Transformers to formulate semantic segmentation as a soft cluster assignment. The queries fit the feature-level cluster centers of inliers during training. Therefore, when performing inference on a medical image in real-world scenarios, the similarity between pixels and the queries detects and localizes OOD regions. We term this OOD localization as MaxQuery. Furthermore, the foregrounds of real-world medical images, whether OOD objects or inliers, are lesions. The difference between them is less than that between the foreground and background, possibly misleading the object queries to focus redundantly on the background. Thus, we propose a query-distribution (QD) loss to enforce clear boundaries between segmentation targets and other regions at the query level, improving the inlier segmentation and OOD indication. Our proposed framework is tested on two real-world segmentation tasks, i.e., segmentation of pancreatic and liver tumors, outperforming previous state-of-the-art algorithms by an average of 7.39% on AUROC, 14.69% on AUPR, and 13.79% on FPR95 for OOD localization. On the other hand, our framework improves the performance of inlier segmentation by an average of 5.27% DSC when compared with the leading baseline nnUNet.

Surgical tool detection is a fundamental task for understanding egocentric open surgery videos. However, detecting surgical tools presents significant challenges due to their highly imbalanced class distribution, similar shapes and similar textures, and heavy occlusion. The lack of a comprehensive large-scale dataset compounds these challenges. In this paper, we introduce EgoSurgery-Tool, an extension of the existing EgoSurgery-Phase dataset, which contains real open surgery videos captured using an egocentric camera attached to the surgeon's head, along with phase annotations. EgoSurgery-Tool has been densely annotated with surgical tools and comprises over 49K surgical tool bounding boxes across 15 categories, constituting a large-scale surgical tool detection dataset. EgoSurgery-Tool also provides annotations for hand detection with over 46K hand-bounding boxes, capturing hand-object interactions that are crucial for understanding activities in egocentric open surgery. EgoSurgery-Tool is superior to existing datasets due to its larger scale, greater variety of surgical tools, more annotations, and denser scenes. We conduct a comprehensive analysis of EgoSurgery-Tool using nine popular object detectors to assess their effectiveness in both surgical tool and hand detection. The dataset will be released at https://github.com/Fujiry0/EgoSurgery.

The Segment Anything Model (SAM) has demonstrated outstanding adaptation to medical image segmentation but still faces three major challenges. Firstly, the huge computational costs of SAM limit its real-world applicability. Secondly, SAM depends on manual annotations (e.g., points, boxes) as prompts, which are laborious and impractical in clinical scenarios. Thirdly, SAM handles all segmentation targets equally, which is suboptimal for diverse medical modalities with inherent heterogeneity. To address these issues, we propose an Efficient Self-Prompting SAM for universal medical image segmentation, named ESP-MedSAM. We devise a Multi-Modal Decoupled Knowledge Distillation (MMDKD) strategy to distil common image knowledge and domain-specific medical knowledge from the foundation model to train a lightweight image encoder and a modality controller. Further, they combine with the additionally introduced Self-Patch Prompt Generator (SPPG) and Query-Decoupled Modality Decoder (QDMD) to construct ESP-MedSAM. Specifically, SPPG aims to generate a set of patch prompts automatically and QDMD leverages a one-to-one strategy to provide an independent decoding channel for every modality. Extensive experiments indicate that ESP-MedSAM outperforms state-of-the-arts in diverse medical imaging segmentation takes, displaying superior zero-shot learning and modality transfer ability. Especially, our framework uses only 31.4% parameters compared to SAM-Base.

Computer-aided medical image segmentation has been applied widely in diagnosis and treatment to obtain clinically useful information of shapes and volumes of target organs and tissues. In the past several years, convolutional neural network (CNN) based methods (e.g., U-Net) have dominated this area, but still suffered from inadequate long-range information capturing. Hence, recent work presented computer vision Transformer variants for medical image segmentation tasks and obtained promising performances. Such Transformers model long-range dependency by computing pair-wise patch relations. However, they incur prohibitive computational costs, especially on 3D medical images (e.g., CT and MRI). In this paper, we propose a new method called Dilated Transformer, which conducts self-attention for pair-wise patch relations captured alternately in local and global scopes. Inspired by dilated convolution kernels, we conduct the global self-attention in a dilated manner, enlarging receptive fields without increasing the patches involved and thus reducing computational costs. Based on this design of Dilated Transformer, we construct a U-shaped encoder-decoder hierarchical architecture called D-Former for 3D medical image segmentation. Experiments on the Synapse and ACDC datasets show that our D-Former model, trained from scratch, outperforms various competitive CNN-based or Transformer-based segmentation models at a low computational cost without time-consuming per-training process.

Efficiently quantifying renal structures can provide distinct spatial context and facilitate biomarker discovery for kidney morphology. However, the development and evaluation of the transformer model to segment the renal cortex, medulla, and collecting system remains challenging due to data inefficiency. Inspired by the hierarchical structures in vision transformer, we propose a novel method using a 3D block aggregation transformer for segmenting kidney components on contrast-enhanced CT scans. We construct the first cohort of renal substructures segmentation dataset with 116 subjects under institutional review board (IRB) approval. Our method yields the state-of-the-art performance (Dice of 0.8467) against the baseline approach of 0.8308 with the data-efficient design. The Pearson R achieves 0.9891 between the proposed method and manual standards and indicates the strong correlation and reproducibility for volumetric analysis. We extend the proposed method to the public KiTS dataset, the method leads to improved accuracy compared to transformer-based approaches. We show that the 3D block aggregation transformer can achieve local communication between sequence representations without modifying self-attention, and it can serve as an accurate and efficient quantification tool for characterizing renal structures.

We present REM, a framework for segmenting a wide range of concepts in video that can be described through natural language. Our method capitalizes on visual-language representations learned by video diffusion models on Internet-scale datasets. A key insight of our approach is preserving as much of the generative model's original representation as possible, while fine-tuning it on narrow-domain Referral Object Segmentation datasets. As a result, our framework can accurately segment and track rare and unseen objects, despite being trained on object masks from a limited set of categories. Additionally, it can generalize to non-object dynamic concepts, such as waves crashing in the ocean, as demonstrated in our newly introduced benchmark for Referral Video Process Segmentation (Ref-VPS). Our experiments show that REM performs on par with state-of-the-art approaches on in-domain datasets, like Ref-DAVIS, while outperforming them by up to twelve points in terms of region similarity on out-of-domain data, leveraging the power of Internet-scale pre-training.

The referring video object segmentation task (RVOS) involves segmentation of a text-referred object instance in the frames of a given video. Due to the complex nature of this multimodal task, which combines text reasoning, video understanding, instance segmentation and tracking, existing approaches typically rely on sophisticated pipelines in order to tackle it. In this paper, we propose a simple Transformer-based approach to RVOS. Our framework, termed Multimodal Tracking Transformer (MTTR), models the RVOS task as a sequence prediction problem. Following recent advancements in computer vision and natural language processing, MTTR is based on the realization that video and text can be processed together effectively and elegantly by a single multimodal Transformer model. MTTR is end-to-end trainable, free of text-related inductive bias components and requires no additional mask-refinement post-processing steps. As such, it simplifies the RVOS pipeline considerably compared to existing methods. Evaluation on standard benchmarks reveals that MTTR significantly outperforms previous art across multiple metrics. In particular, MTTR shows impressive +5.7 and +5.0 mAP gains on the A2D-Sentences and JHMDB-Sentences datasets respectively, while processing 76 frames per second. In addition, we report strong results on the public validation set of Refer-YouTube-VOS, a more challenging RVOS dataset that has yet to receive the attention of researchers. The code to reproduce our experiments is available at https://github.com/mttr2021/MTTR

Even though convolutional neural networks (CNNs) are driving progress in medical image segmentation, standard models still have some drawbacks. First, the use of multi-scale approaches, i.e., encoder-decoder architectures, leads to a redundant use of information, where similar low-level features are extracted multiple times at multiple scales. Second, long-range feature dependencies are not efficiently modeled, resulting in non-optimal discriminative feature representations associated with each semantic class. In this paper we attempt to overcome these limitations with the proposed architecture, by capturing richer contextual dependencies based on the use of guided self-attention mechanisms. This approach is able to integrate local features with their corresponding global dependencies, as well as highlight interdependent channel maps in an adaptive manner. Further, the additional loss between different modules guides the attention mechanisms to neglect irrelevant information and focus on more discriminant regions of the image by emphasizing relevant feature associations. We evaluate the proposed model in the context of semantic segmentation on three different datasets: abdominal organs, cardiovascular structures and brain tumors. A series of ablation experiments support the importance of these attention modules in the proposed architecture. In addition, compared to other state-of-the-art segmentation networks our model yields better segmentation performance, increasing the accuracy of the predictions while reducing the standard deviation. This demonstrates the efficiency of our approach to generate precise and reliable automatic segmentations of medical images. Our code is made publicly available at https://github.com/sinAshish/Multi-Scale-Attention

Recent advancements in pre-trained vision-language models, such as CLIP, have enabled the segmentation of arbitrary concepts solely from textual inputs, a process commonly referred to as open-vocabulary semantic segmentation (OVS). However, existing OVS techniques confront a fundamental challenge: the trained classifier tends to overfit on the base classes observed during training, resulting in suboptimal generalization performance to unseen classes. To mitigate this issue, recent studies have proposed the use of an additional frozen pre-trained CLIP for classification. Nonetheless, this approach incurs heavy computational overheads as the CLIP vision encoder must be repeatedly forward-passed for each mask, rendering it impractical for real-world applications. To address this challenge, our objective is to develop a fast OVS model that can perform comparably or better without the extra computational burden of the CLIP image encoder during inference. To this end, we propose a core idea of preserving the generalizable representation when fine-tuning on known classes. Specifically, we introduce a text diversification strategy that generates a set of synonyms for each training category, which prevents the learned representation from collapsing onto specific known category names. Additionally, we employ a text-guided knowledge distillation method to preserve the generalizable knowledge of CLIP. Extensive experiments demonstrate that our proposed model achieves robust generalization performance across various datasets. Furthermore, we perform a preliminary exploration of open-vocabulary video segmentation and present a benchmark that can facilitate future open-vocabulary research in the video domain.

Amodal object segmentation is a challenging task that involves segmenting both visible and occluded parts of an object. In this paper, we propose a novel approach, called Coarse-to-Fine Segmentation (C2F-Seg), that addresses this problem by progressively modeling the amodal segmentation. C2F-Seg initially reduces the learning space from the pixel-level image space to the vector-quantized latent space. This enables us to better handle long-range dependencies and learn a coarse-grained amodal segment from visual features and visible segments. However, this latent space lacks detailed information about the object, which makes it difficult to provide a precise segmentation directly. To address this issue, we propose a convolution refine module to inject fine-grained information and provide a more precise amodal object segmentation based on visual features and coarse-predicted segmentation. To help the studies of amodal object segmentation, we create a synthetic amodal dataset, named as MOViD-Amodal (MOViD-A), which can be used for both image and video amodal object segmentation. We extensively evaluate our model on two benchmark datasets: KINS and COCO-A. Our empirical results demonstrate the superiority of C2F-Seg. Moreover, we exhibit the potential of our approach for video amodal object segmentation tasks on FISHBOWL and our proposed MOViD-A. Project page at: http://jianxgao.github.io/C2F-Seg.

Unsupervised video object segmentation (VOS) is a task that aims to detect the most salient object in a video without external guidance about the object. To leverage the property that salient objects usually have distinctive movements compared to the background, recent methods collaboratively use motion cues extracted from optical flow maps with appearance cues extracted from RGB images. However, as optical flow maps are usually very relevant to segmentation masks, the network is easy to be learned overly dependent on the motion cues during network training. As a result, such two-stream approaches are vulnerable to confusing motion cues, making their prediction unstable. To relieve this issue, we design a novel motion-as-option network by treating motion cues as optional. During network training, RGB images are randomly provided to the motion encoder instead of optical flow maps, to implicitly reduce motion dependency of the network. As the learned motion encoder can deal with both RGB images and optical flow maps, two different predictions can be generated depending on which source information is used as motion input. In order to fully exploit this property, we also propose an adaptive output selection algorithm to adopt optimal prediction result at test time. Our proposed approach affords state-of-the-art performance on all public benchmark datasets, even maintaining real-time inference speed.

Current state-of-the-art object detection and segmentation methods work well under the closed-world assumption. This closed-world setting assumes that the list of object categories is available during training and deployment. However, many real-world applications require detecting or segmenting novel objects, i.e., object categories never seen during training. In this paper, we present, UVO (Unidentified Video Objects), a new benchmark for open-world class-agnostic object segmentation in videos. Besides shifting the problem focus to the open-world setup, UVO is significantly larger, providing approximately 8 times more videos compared with DAVIS, and 7 times more mask (instance) annotations per video compared with YouTube-VOS and YouTube-VIS. UVO is also more challenging as it includes many videos with crowded scenes and complex background motions. We demonstrated that UVO can be used for other applications, such as object tracking and super-voxel segmentation, besides open-world object segmentation. We believe that UVo is a versatile testbed for researchers to develop novel approaches for open-world class-agnostic object segmentation, and inspires new research directions towards a more comprehensive video understanding beyond classification and detection.

Segment anything model (SAM) has revolutionized natural image segmentation, but its performance on medical images is limited. This work presents MedSAM, the first attempt at extending the success of SAM to medical images, with the goal of creating a universal tool for the segmentation of various medical targets. Specifically, we first curate a large-scale medical image dataset, encompassing over 200,000 masks across 11 different modalities. Then, we develop a simple fine-tuning method to adapt SAM to general medical image segmentation. Comprehensive experiments on 21 3D segmentation tasks and 9 2D segmentation tasks demonstrate that MedSAM outperforms the default SAM model with an average Dice Similarity Coefficient (DSC) of 22.5% and 17.6% on 3D and 2D segmentation tasks, respectively. The code and trained model are publicly available at https://github.com/bowang-lab/MedSAM.

Despite that the segment anything model (SAM) achieved impressive results on general-purpose semantic segmentation with strong generalization ability on daily images, its demonstrated performance on medical image segmentation is less precise and not stable, especially when dealing with tumor segmentation tasks that involve objects of small sizes, irregular shapes, and low contrast. Notably, the original SAM architecture is designed for 2D natural images, therefore would not be able to extract the 3D spatial information from volumetric medical data effectively. In this paper, we propose a novel adaptation method for transferring SAM from 2D to 3D for promptable medical image segmentation. Through a holistically designed scheme for architecture modification, we transfer the SAM to support volumetric inputs while retaining the majority of its pre-trained parameters for reuse. The fine-tuning process is conducted in a parameter-efficient manner, wherein most of the pre-trained parameters remain frozen, and only a few lightweight spatial adapters are introduced and tuned. Regardless of the domain gap between natural and medical data and the disparity in the spatial arrangement between 2D and 3D, the transformer trained on natural images can effectively capture the spatial patterns present in volumetric medical images with only lightweight adaptations. We conduct experiments on four open-source tumor segmentation datasets, and with a single click prompt, our model can outperform domain state-of-the-art medical image segmentation models on 3 out of 4 tasks, specifically by 8.25%, 29.87%, and 10.11% for kidney tumor, pancreas tumor, colon cancer segmentation, and achieve similar performance for liver tumor segmentation. We also compare our adaptation method with existing popular adapters, and observed significant performance improvement on most datasets.

The recent advancement in Video Instance Segmentation (VIS) has largely been driven by the use of deeper and increasingly data-hungry transformer-based models. However, video masks are tedious and expensive to annotate, limiting the scale and diversity of existing VIS datasets. In this work, we aim to remove the mask-annotation requirement. We propose MaskFreeVIS, achieving highly competitive VIS performance, while only using bounding box annotations for the object state. We leverage the rich temporal mask consistency constraints in videos by introducing the Temporal KNN-patch Loss (TK-Loss), providing strong mask supervision without any labels. Our TK-Loss finds one-to-many matches across frames, through an efficient patch-matching step followed by a K-nearest neighbor selection. A consistency loss is then enforced on the found matches. Our mask-free objective is simple to implement, has no trainable parameters, is computationally efficient, yet outperforms baselines employing, e.g., state-of-the-art optical flow to enforce temporal mask consistency. We validate MaskFreeVIS on the YouTube-VIS 2019/2021, OVIS and BDD100K MOTS benchmarks. The results clearly demonstrate the efficacy of our method by drastically narrowing the gap between fully and weakly-supervised VIS performance. Our code and trained models are available at https://github.com/SysCV/MaskFreeVis.

This study explores the potential of open-source video conditional generation models as encoders for downstream tasks, focusing on instance segmentation using the BAIR Robot Pushing Dataset. The researchers propose using video prediction models as general visual encoders, leveraging their ability to capture critical spatial and temporal information which is essential for tasks such as instance segmentation. Inspired by human vision studies, particularly Gestalts principle of common fate, the approach aims to develop a latent space representative of motion from images to effectively discern foreground from background information. The researchers utilize a 3D Vector-Quantized Variational Autoencoder 3D VQVAE video generative encoder model conditioned on an input frame, coupled with downstream segmentation tasks. Experiments involve adapting pre-trained video generative models, analyzing their latent spaces, and training custom decoders for foreground-background segmentation. The findings demonstrate promising results in leveraging generative pretext learning for downstream tasks, working towards enhanced scene analysis and segmentation in computer vision applications.

Video foreground segmentation (VFS) is an important computer vision task wherein one aims to segment the objects under motion from the background. Most of the current methods are image-based, i.e., rely only on spatial cues while ignoring motion cues. Therefore, they tend to overfit the training data and don't generalize well to out-of-domain (OOD) distribution. To solve the above problem, prior works exploited several cues such as optical flow, background subtraction mask, etc. However, having a video data with annotations like optical flow is a challenging task. In this paper, we utilize the temporal information and the spatial cues from the video data to improve OOD performance. However, the challenge lies in how we model the temporal information given the video data in an interpretable way creates a very noticeable difference. We therefore devise a strategy that integrates the temporal context of the video in the development of VFS. Our approach give rise to deep learning architectures, namely MUSTAN1 and MUSTAN2 and they are based on the idea of multi-scale temporal context as an attention, i.e., aids our models to learn better representations that are beneficial for VFS. Further, we introduce a new video dataset, namely Indoor Surveillance Dataset (ISD) for VFS. It has multiple annotations on a frame level such as foreground binary mask, depth map, and instance semantic annotations. Therefore, ISD can benefit other computer vision tasks. We validate the efficacy of our architectures and compare the performance with baselines. We demonstrate that proposed methods significantly outperform the benchmark methods on OOD. In addition, the performance of MUSTAN2 is significantly improved on certain video categories on OOD data due to ISD.

The convolutional neural network-based methods have become more and more popular for medical image segmentation due to their outstanding performance. However, they struggle with capturing long-range dependencies, which are essential for accurately modeling global contextual correlations. Thanks to the ability to model long-range dependencies by expanding the receptive field, the transformer-based methods have gained prominence. Inspired by this, we propose an advanced 2D feature extraction method by combining the convolutional neural network and Transformer architectures. More specifically, we introduce a parallelized encoder structure, where one branch uses ResNet to extract local information from images, while the other branch uses Transformer to extract global information. Furthermore, we integrate pyramid structures into the Transformer to extract global information at varying resolutions, especially in intensive prediction tasks. To efficiently utilize the different information in the parallelized encoder at the decoder stage, we use a channel attention module to merge the features of the encoder and propagate them through skip connections and bottlenecks. Intensive numerical experiments are performed on both aortic vessel tree, cardiac, and multi-organ datasets. By comparing with state-of-the-art medical image segmentation methods, our method is shown with better segmentation accuracy, especially on small organs. The code is publicly available on https://github.com/HongkunSun/ParaTransCNN.

Open-Vocabulary Video Instance Segmentation (VIS) is attracting increasing attention due to its ability to segment and track arbitrary objects. However, the recent Open-Vocabulary VIS attempts obtained unsatisfactory results, especially in terms of generalization ability of novel categories. We discover that the domain gap between the VLM features (e.g., CLIP) and the instance queries and the underutilization of temporal consistency are two central causes. To mitigate these issues, we design and train a novel Open-Vocabulary VIS baseline called OVFormer. OVFormer utilizes a lightweight module for unified embedding alignment between query embeddings and CLIP image embeddings to remedy the domain gap. Unlike previous image-based training methods, we conduct video-based model training and deploy a semi-online inference scheme to fully mine the temporal consistency in the video. Without bells and whistles, OVFormer achieves 21.9 mAP with a ResNet-50 backbone on LV-VIS, exceeding the previous state-of-the-art performance by 7.7. Extensive experiments on some Close-Vocabulary VIS datasets also demonstrate the strong zero-shot generalization ability of OVFormer (+ 7.6 mAP on YouTube-VIS 2019, + 3.9 mAP on OVIS). Code is available at https://github.com/fanghaook/OVFormer.

Medical imaging plays a crucial role in modern healthcare by providing non-invasive visualisation of internal structures and abnormalities, enabling early disease detection, accurate diagnosis, and treatment planning. This study aims to explore the application of deep learning models, particularly focusing on the UNet architecture and its variants, in medical image segmentation. We seek to evaluate the performance of these models across various challenging medical image segmentation tasks, addressing issues such as image normalization, resizing, architecture choices, loss function design, and hyperparameter tuning. The findings reveal that the standard UNet, when extended with a deep network layer, is a proficient medical image segmentation model, while the Res-UNet and Attention Res-UNet architectures demonstrate smoother convergence and superior performance, particularly when handling fine image details. The study also addresses the challenge of high class imbalance through careful preprocessing and loss function definitions. We anticipate that the results of this study will provide useful insights for researchers seeking to apply these models to new medical imaging problems and offer guidance and best practices for their implementation.

Anatomical segmentation is a fundamental task in medical image computing, generally tackled with fully convolutional neural networks which produce dense segmentation masks. These models are often trained with loss functions such as cross-entropy or Dice, which assume pixels to be independent of each other, thus ignoring topological errors and anatomical inconsistencies. We address this limitation by moving from pixel-level to graph representations, which allow to naturally incorporate anatomical constraints by construction. To this end, we introduce HybridGNet, an encoder-decoder neural architecture that leverages standard convolutions for image feature encoding and graph convolutional neural networks (GCNNs) to decode plausible representations of anatomical structures. We also propose a novel image-to-graph skip connection layer which allows localized features to flow from standard convolutional blocks to GCNN blocks, and show that it improves segmentation accuracy. The proposed architecture is extensively evaluated in a variety of domain shift and image occlusion scenarios, and audited considering different types of demographic domain shift. Our comprehensive experimental setup compares HybridGNet with other landmark and pixel-based models for anatomical segmentation in chest x-ray images, and shows that it produces anatomically plausible results in challenging scenarios where other models tend to fail.

We propose a new problem called audio-visual segmentation (AVS), in which the goal is to output a pixel-level map of the object(s) that produce sound at the time of the image frame. To facilitate this research, we construct the first audio-visual segmentation benchmark, i.e., AVSBench, providing pixel-wise annotations for sounding objects in audible videos. It contains three subsets: AVSBench-object (Single-source subset, Multi-sources subset) and AVSBench-semantic (Semantic-labels subset). Accordingly, three settings are studied: 1) semi-supervised audio-visual segmentation with a single sound source; 2) fully-supervised audio-visual segmentation with multiple sound sources, and 3) fully-supervised audio-visual semantic segmentation. The first two settings need to generate binary masks of sounding objects indicating pixels corresponding to the audio, while the third setting further requires generating semantic maps indicating the object category. To deal with these problems, we propose a new baseline method that uses a temporal pixel-wise audio-visual interaction module to inject audio semantics as guidance for the visual segmentation process. We also design a regularization loss to encourage audio-visual mapping during training. Quantitative and qualitative experiments on AVSBench compare our approach to several existing methods for related tasks, demonstrating that the proposed method is promising for building a bridge between the audio and pixel-wise visual semantics. Code is available at https://github.com/OpenNLPLab/AVSBench. Online benchmark is available at http://www.avlbench.opennlplab.cn.

Video amodal segmentation is a particularly challenging task in computer vision, which requires to deduce the full shape of an object from the visible parts of it. Recently, some studies have achieved promising performance by using motion flow to integrate information across frames under a self-supervised setting. However, motion flow has a clear limitation by the two factors of moving cameras and object deformation. This paper presents a rethinking to previous works. We particularly leverage the supervised signals with object-centric representation in real-world scenarios. The underlying idea is the supervision signal of the specific object and the features from different views can mutually benefit the deduction of the full mask in any specific frame. We thus propose an Efficient object-centric Representation amodal Segmentation (EoRaS). Specially, beyond solely relying on supervision signals, we design a translation module to project image features into the Bird's-Eye View (BEV), which introduces 3D information to improve current feature quality. Furthermore, we propose a multi-view fusion layer based temporal module which is equipped with a set of object slots and interacts with features from different views by attention mechanism to fulfill sufficient object representation completion. As a result, the full mask of the object can be decoded from image features updated by object slots. Extensive experiments on both real-world and synthetic benchmarks demonstrate the superiority of our proposed method, achieving state-of-the-art performance. Our code will be released at https://github.com/kfan21/EoRaS.

This paper reports Deep LOGISMOS approach to 3D tumor segmentation by incorporating boundary information derived from deep contextual learning to LOGISMOS - layered optimal graph image segmentation of multiple objects and surfaces. Accurate and reliable tumor segmentation is essential to tumor growth analysis and treatment selection. A fully convolutional network (FCN), UNet, is first trained using three adjacent 2D patches centered at the tumor, providing contextual UNet segmentation and probability map for each 2D patch. The UNet segmentation is then refined by Gaussian Mixture Model (GMM) and morphological operations. The refined UNet segmentation is used to provide the initial shape boundary to build a segmentation graph. The cost for each node of the graph is determined by the UNet probability maps. Finally, a max-flow algorithm is employed to find the globally optimal solution thus obtaining the final segmentation. For evaluation, we applied the method to pancreatic tumor segmentation on a dataset of 51 CT scans, among which 30 scans were used for training and 21 for testing. With Deep LOGISMOS, DICE Similarity Coefficient (DSC) and Relative Volume Difference (RVD) reached 83.2+-7.8% and 18.6+-17.4% respectively, both are significantly improved (p<0.05) compared with contextual UNet and/or LOGISMOS alone.

Interactive Medical Image Segmentation (IMIS) has long been constrained by the limited availability of large-scale, diverse, and densely annotated datasets, which hinders model generalization and consistent evaluation across different models. In this paper, we introduce the IMed-361M benchmark dataset, a significant advancement in general IMIS research. First, we collect and standardize over 6.4 million medical images and their corresponding ground truth masks from multiple data sources. Then, leveraging the strong object recognition capabilities of a vision foundational model, we automatically generated dense interactive masks for each image and ensured their quality through rigorous quality control and granularity management. Unlike previous datasets, which are limited by specific modalities or sparse annotations, IMed-361M spans 14 modalities and 204 segmentation targets, totaling 361 million masks-an average of 56 masks per image. Finally, we developed an IMIS baseline network on this dataset that supports high-quality mask generation through interactive inputs, including clicks, bounding boxes, text prompts, and their combinations. We evaluate its performance on medical image segmentation tasks from multiple perspectives, demonstrating superior accuracy and scalability compared to existing interactive segmentation models. To facilitate research on foundational models in medical computer vision, we release the IMed-361M and model at https://github.com/uni-medical/IMIS-Bench.

Video summarization is a technique to create a short skim of the original video while preserving the main stories/content. There exists a substantial interest in automatizing this process due to the rapid growth of the available material. The recent progress has been facilitated by public benchmark datasets, which enable easy and fair comparison of methods. Currently the established evaluation protocol is to compare the generated summary with respect to a set of reference summaries provided by the dataset. In this paper, we will provide in-depth assessment of this pipeline using two popular benchmark datasets. Surprisingly, we observe that randomly generated summaries achieve comparable or better performance to the state-of-the-art. In some cases, the random summaries outperform even the human generated summaries in leave-one-out experiments. Moreover, it turns out that the video segmentation, which is often considered as a fixed pre-processing method, has the most significant impact on the performance measure. Based on our observations, we propose alternative approaches for assessing the importance scores as well as an intuitive visualization of correlation between the estimated scoring and human annotations.

Convolutional Neural Networks (CNNs) and Transformers have been the most popular architectures for biomedical image segmentation, but both of them have limited ability to handle long-range dependencies because of inherent locality or computational complexity. To address this challenge, we introduce U-Mamba, a general-purpose network for biomedical image segmentation. Inspired by the State Space Sequence Models (SSMs), a new family of deep sequence models known for their strong capability in handling long sequences, we design a hybrid CNN-SSM block that integrates the local feature extraction power of convolutional layers with the abilities of SSMs for capturing the long-range dependency. Moreover, U-Mamba enjoys a self-configuring mechanism, allowing it to automatically adapt to various datasets without manual intervention. We conduct extensive experiments on four diverse tasks, including the 3D abdominal organ segmentation in CT and MR images, instrument segmentation in endoscopy images, and cell segmentation in microscopy images. The results reveal that U-Mamba outperforms state-of-the-art CNN-based and Transformer-based segmentation networks across all tasks. This opens new avenues for efficient long-range dependency modeling in biomedical image analysis. The code, models, and data are publicly available at https://wanglab.ai/u-mamba.html.

The reference-based object segmentation tasks, namely referring image segmentation (RIS), few-shot image segmentation (FSS), referring video object segmentation (RVOS), and video object segmentation (VOS), aim to segment a specific object by utilizing either language or annotated masks as references. Despite significant progress in each respective field, current methods are task-specifically designed and developed in different directions, which hinders the activation of multi-task capabilities for these tasks. In this work, we end the current fragmented situation and propose UniRef++ to unify the four reference-based object segmentation tasks with a single architecture. At the heart of our approach is the proposed UniFusion module which performs multiway-fusion for handling different tasks with respect to their specified references. And a unified Transformer architecture is then adopted for achieving instance-level segmentation. With the unified designs, UniRef++ can be jointly trained on a broad range of benchmarks and can flexibly complete multiple tasks at run-time by specifying the corresponding references. We evaluate our unified models on various benchmarks. Extensive experimental results indicate that our proposed UniRef++ achieves state-of-the-art performance on RIS and RVOS, and performs competitively on FSS and VOS with a parameter-shared network. Moreover, we showcase that the proposed UniFusion module could be easily incorporated into the current advanced foundation model SAM and obtain satisfactory results with parameter-efficient finetuning. Codes and models are available at https://github.com/FoundationVision/UniRef.

Automatic organ segmentation is an important yet challenging problem for medical image analysis. The pancreas is an abdominal organ with very high anatomical variability. This inhibits previous segmentation methods from achieving high accuracies, especially compared to other organs such as the liver, heart or kidneys. In this paper, we present a probabilistic bottom-up approach for pancreas segmentation in abdominal computed tomography (CT) scans, using multi-level deep convolutional networks (ConvNets). We propose and evaluate several variations of deep ConvNets in the context of hierarchical, coarse-to-fine classification on image patches and regions, i.e. superpixels. We first present a dense labeling of local image patches via P{-}ConvNet and nearest neighbor fusion. Then we describe a regional ConvNet (R_1{-}ConvNet) that samples a set of bounding boxes around each image superpixel at different scales of contexts in a "zoom-out" fashion. Our ConvNets learn to assign class probabilities for each superpixel region of being pancreas. Last, we study a stacked R_2{-}ConvNet leveraging the joint space of CT intensities and the P{-}ConvNet dense probability maps. Both 3D Gaussian smoothing and 2D conditional random fields are exploited as structured predictions for post-processing. We evaluate on CT images of 82 patients in 4-fold cross-validation. We achieve a Dice Similarity Coefficient of 83.6pm6.3% in training and 71.8pm10.7% in testing.

Accurate analysis and modeling of renal functions require a precise segmentation of the renal blood vessels. Micro-CT scans provide image data at higher resolutions, making more small vessels near the renal cortex visible. Although deep-learning-based methods have shown state-of-the-art performance in automatic blood vessel segmentations, they require a large amount of labeled training data. However, voxel-wise labeling in micro-CT scans is extremely time-consuming given the huge volume sizes. To mitigate the problem, we simulate synthetic renal vascular trees physiologically while generating corresponding scans of the simulated trees by training a generative model on unlabeled scans. This enables the generative model to learn the mapping implicitly without the need for explicit functions to emulate the image acquisition process. We further propose an additional segmentation branch over the generative model trained on the generated scans. We demonstrate that the model can directly segment blood vessels on real scans and validate our method on both 3D micro-CT scans of rat kidneys and a proof-of-concept experiment on 2D retinal images. Code and 3D results are available at https://github.com/miccai2023anony/RenalVesselSeg

In the domain of medical imaging, many supervised learning based methods for segmentation face several challenges such as high variability in annotations from multiple experts, paucity of labelled data and class imbalanced datasets. These issues may result in segmentations that lack the requisite precision for clinical analysis and can be misleadingly overconfident without associated uncertainty quantification. We propose the PULASki for biomedical image segmentation that accurately captures variability in expert annotations, even in small datasets. Our approach makes use of an improved loss function based on statistical distances in a conditional variational autoencoder structure (Probabilistic UNet), which improves learning of the conditional decoder compared to the standard cross-entropy particularly in class imbalanced problems. We analyse our method for two structurally different segmentation tasks (intracranial vessel and multiple sclerosis (MS) lesion) and compare our results to four well-established baselines in terms of quantitative metrics and qualitative output. Empirical results demonstrate the PULASKi method outperforms all baselines at the 5\% significance level. The generated segmentations are shown to be much more anatomically plausible than in the 2D case, particularly for the vessel task. Our method can also be applied to a wide range of multi-label segmentation tasks and and is useful for downstream tasks such as hemodynamic modelling (computational fluid dynamics and data assimilation), clinical decision making, and treatment planning.

In recent years, online Video Instance Segmentation (VIS) methods have shown remarkable advancement with their powerful query-based detectors. Utilizing the output queries of the detector at the frame-level, these methods achieve high accuracy on challenging benchmarks. However, our observations demonstrate that these methods heavily rely on location information, which often causes incorrect associations between objects. This paper presents that a key axis of object matching in trackers is appearance information, which becomes greatly instructive under conditions where positional cues are insufficient for distinguishing their identities. Therefore, we suggest a simple yet powerful extension to object decoders that explicitly extract embeddings from backbone features and drive queries to capture the appearances of objects, which greatly enhances instance association accuracy. Furthermore, recognizing the limitations of existing benchmarks in fully evaluating appearance awareness, we have constructed a synthetic dataset to rigorously validate our method. By effectively resolving the over-reliance on location information, we achieve state-of-the-art results on YouTube-VIS 2019/2021 and Occluded VIS (OVIS). Code is available at https://github.com/KimHanjung/VISAGE.

Segmenting long videos into chapters enables users to quickly navigate to the information of their interest. This important topic has been understudied due to the lack of publicly released datasets. To address this issue, we present VidChapters-7M, a dataset of 817K user-chaptered videos including 7M chapters in total. VidChapters-7M is automatically created from videos online in a scalable manner by scraping user-annotated chapters and hence without any additional manual annotation. We introduce the following three tasks based on this data. First, the video chapter generation task consists of temporally segmenting the video and generating a chapter title for each segment. To further dissect the problem, we also define two variants of this task: video chapter generation given ground-truth boundaries, which requires generating a chapter title given an annotated video segment, and video chapter grounding, which requires temporally localizing a chapter given its annotated title. We benchmark both simple baselines and state-of-the-art video-language models for these three tasks. We also show that pretraining on VidChapters-7M transfers well to dense video captioning tasks in both zero-shot and finetuning settings, largely improving the state of the art on the YouCook2 and ViTT benchmarks. Finally, our experiments reveal that downstream performance scales well with the size of the pretraining dataset. Our dataset, code, and models are publicly available at https://antoyang.github.io/vidchapters.html.

Recent accelerations in multi-modal applications have been made possible with the plethora of image and text data available online. However, the scarcity of analogous data in the medical field, specifically in histopathology, has halted comparable progress. To enable similar representation learning for histopathology, we turn to YouTube, an untapped resource of videos, offering 1,087 hours of valuable educational histopathology videos from expert clinicians. From YouTube, we curate Quilt: a large-scale vision-language dataset consisting of 768,826 image and text pairs. Quilt was automatically curated using a mixture of models, including large language models, handcrafted algorithms, human knowledge databases, and automatic speech recognition. In comparison, the most comprehensive datasets curated for histopathology amass only around 200K samples. We combine Quilt with datasets from other sources, including Twitter, research papers, and the internet in general, to create an even larger dataset: Quilt-1M, with 1M paired image-text samples, marking it as the largest vision-language histopathology dataset to date. We demonstrate the value of Quilt-1M by fine-tuning a pre-trained CLIP model. Our model outperforms state-of-the-art models on both zero-shot and linear probing tasks for classifying new histopathology images across 13 diverse patch-level datasets of 8 different sub-pathologies and cross-modal retrieval tasks.

Depth-aware video panoptic segmentation is a promising approach to camera based scene understanding. However, the current state-of-the-art methods require costly video annotations and use a complex training pipeline compared to their image-based equivalents. In this paper, we present a new approach titled Unified Perception that achieves state-of-the-art performance without requiring video-based training. Our method employs a simple two-stage cascaded tracking algorithm that (re)uses object embeddings computed in an image-based network. Experimental results on the Cityscapes-DVPS dataset demonstrate that our method achieves an overall DVPQ of 57.1, surpassing state-of-the-art methods. Furthermore, we show that our tracking strategies are effective for long-term object association on KITTI-STEP, achieving an STQ of 59.1 which exceeded the performance of state-of-the-art methods that employ the same backbone network. Code is available at: https://tue-mps.github.io/unipercept

We present XMem, a video object segmentation architecture for long videos with unified feature memory stores inspired by the Atkinson-Shiffrin memory model. Prior work on video object segmentation typically only uses one type of feature memory. For videos longer than a minute, a single feature memory model tightly links memory consumption and accuracy. In contrast, following the Atkinson-Shiffrin model, we develop an architecture that incorporates multiple independent yet deeply-connected feature memory stores: a rapidly updated sensory memory, a high-resolution working memory, and a compact thus sustained long-term memory. Crucially, we develop a memory potentiation algorithm that routinely consolidates actively used working memory elements into the long-term memory, which avoids memory explosion and minimizes performance decay for long-term prediction. Combined with a new memory reading mechanism, XMem greatly exceeds state-of-the-art performance on long-video datasets while being on par with state-of-the-art methods (that do not work on long videos) on short-video datasets. Code is available at https://hkchengrex.github.io/XMem

Segmenting an object in a video presents significant challenges. Each pixel must be accurately labelled, and these labels must remain consistent across frames. The difficulty increases when the segmentation is with arbitrary granularity, meaning the number of segments can vary arbitrarily, and masks are defined based on only one or a few sample images. In this paper, we address this issue by employing a pre-trained text to image diffusion model supplemented with an additional tracking mechanism. We demonstrate that our approach can effectively manage various segmentation scenarios and outperforms state-of-the-art alternatives.

Image segmentation remains a pivotal component in medical image analysis, aiding in the extraction of critical information for precise diagnostic practices. With the advent of deep learning, automated image segmentation methods have risen to prominence, showcasing exceptional proficiency in processing medical imagery. Motivated by the Segment Anything Model (SAM)-a foundational model renowned for its remarkable precision and robust generalization capabilities in segmenting 2D natural images-we introduce SAM3D, an innovative adaptation tailored for 3D volumetric medical image analysis. Unlike current SAM-based methods that segment volumetric data by converting the volume into separate 2D slices for individual analysis, our SAM3D model processes the entire 3D volume image in a unified approach. Extensive experiments are conducted on multiple medical image datasets to demonstrate that our network attains competitive results compared with other state-of-the-art methods in 3D medical segmentation tasks while being significantly efficient in terms of parameters. Code and checkpoints are available at https://github.com/UARK-AICV/SAM3D.

Despite significant breakthroughs in video analysis driven by the rapid development of large multimodal models (LMMs), there remains a lack of a versatile evaluation benchmark to comprehensively assess these models' performance in video understanding and reasoning. To address this, we present VideoVista, a video QA benchmark that integrates challenges across diverse content categories, durations, and abilities. Specifically, VideoVista comprises 25,000 questions derived from 3,400 videos spanning 14 categories (e.g., Howto, Film, and Entertainment) with durations ranging from a few seconds to over 10 minutes. Besides, it encompasses 19 types of understanding tasks (e.g., anomaly detection, interaction understanding) and 8 reasoning tasks (e.g., logical reasoning, causal reasoning). To achieve this, we present an automatic data construction framework, leveraging powerful GPT-4o alongside advanced analysis tools (e.g., video splitting, object segmenting, and tracking). We also utilize this framework to construct training data to enhance the capabilities of video-related LMMs (Video-LMMs). Through a comprehensive and quantitative evaluation of cutting-edge models, we reveal that: 1) Video-LMMs face difficulties in fine-grained video tasks involving temporal location, object tracking, and anomaly detection; 2) Video-LMMs present inferior logical and relation reasoning abilities; 3) Open-source Video-LMMs' performance is significantly lower than GPT-4o and Gemini-1.5, lagging by 20 points. This highlights the crucial role VideoVista will play in advancing LMMs that can accurately understand videos and perform precise reasoning.

Recent advances in Vision Transformers (ViTs) have significantly enhanced medical image segmentation by facilitating the learning of global relationships. However, these methods face a notable challenge in capturing diverse local and global long-range sequential feature representations, particularly evident in whole-body CT (WBCT) scans. To overcome this limitation, we introduce Swin Soft Mixture Transformer (Swin SMT), a novel architecture based on Swin UNETR. This model incorporates a Soft Mixture-of-Experts (Soft MoE) to effectively handle complex and diverse long-range dependencies. The use of Soft MoE allows for scaling up model parameters maintaining a balance between computational complexity and segmentation performance in both training and inference modes. We evaluate Swin SMT on the publicly available TotalSegmentator-V2 dataset, which includes 117 major anatomical structures in WBCT images. Comprehensive experimental results demonstrate that Swin SMT outperforms several state-of-the-art methods in 3D anatomical structure segmentation, achieving an average Dice Similarity Coefficient of 85.09%. The code and pre-trained weights of Swin SMT are publicly available at https://github.com/MI2DataLab/SwinSMT.

Precise image segmentation provides clinical study with meaningful and well-structured information. Despite the remarkable progress achieved in medical image segmentation, there is still an absence of foundation segmentation model that can segment a wide range of anatomical categories with easy user interaction. In this paper, we propose a universal and interactive volumetric medical image segmentation model, named SegVol. By training on 90k unlabeled Computed Tomography (CT) volumes and 6k labeled CTs, this foundation model supports the segmentation of over 200 anatomical categories using semantic and spatial prompts. Extensive experiments verify that SegVol outperforms the state of the art by a large margin on multiple segmentation benchmarks. Notably, on three challenging lesion datasets, our method achieves around 20% higher Dice score than nnU-Net. The model and data are publicly available at: https://github.com/BAAI-DCAI/SegVol.

An increasing number of public datasets have shown a marked impact on automated organ segmentation and tumor detection. However, due to the small size and partially labeled problem of each dataset, as well as a limited investigation of diverse types of tumors, the resulting models are often limited to segmenting specific organs/tumors and ignore the semantics of anatomical structures, nor can they be extended to novel domains. To address these issues, we propose the CLIP-Driven Universal Model, which incorporates text embedding learned from Contrastive Language-Image Pre-training (CLIP) to segmentation models. This CLIP-based label encoding captures anatomical relationships, enabling the model to learn a structured feature embedding and segment 25 organs and 6 types of tumors. The proposed model is developed from an assembly of 14 datasets, using a total of 3,410 CT scans for training and then evaluated on 6,162 external CT scans from 3 additional datasets. We rank first on the Medical Segmentation Decathlon (MSD) public leaderboard and achieve state-of-the-art results on Beyond The Cranial Vault (BTCV). Additionally, the Universal Model is computationally more efficient (6x faster) compared with dataset-specific models, generalized better to CT scans from varying sites, and shows stronger transfer learning performance on novel tasks.