Tuning Vision Foundation Model via Test-Time Prompt-Guided Training for VFSS Segmentations

Vision foundation models have demonstrated exceptional generalization capabilities in segmentation tasks for both generic and specialized images. However, a performance gap persists between foundation models and task-specific, specialized models. Fine-tuning foundation models on downstream datasets is often necessary to bridge this gap. Unfortunately, obtaining fully annotated ground truth for downstream datasets is both challenging and costly. To address this limitation, we propose a novel test-time training paradigm that enhances the performance of foundation models on downstream datasets without requiring full annotations. Specifically, our method employs simple point prompts to guide a test-time semi-self-supervised training task. The model learns by resolving the ambiguity of the point prompt through various augmentations. This approach directly tackles challenges in the medical imaging field, where acquiring annotations is both time-intensive and expensive. We conducted extensive experiments on our new Videofluoroscopy dataset (VFSS-5k) for the instance segmentation task, achieving an average Dice coefficient of 0.868 across 12 anatomies with a single model.

Video-SwinUNet: Spatio-temporal Deep Learning Framework for VFSS Instance Segmentation

This paper presents a deep learning framework for medical video segmentation. Convolution neural network (CNN) and transformer-based methods have achieved great milestones in medical image segmentation tasks due to their incredible semantic feature encoding and global information comprehension abilities. However, most existing approaches ignore a salient aspect of medical video data - the temporal dimension. Our proposed framework explicitly extracts features from neighbouring frames across the temporal dimension and incorporates them with a temporal feature blender, which then tokenises the high-level spatio-temporal feature to form a strong global feature encoded via a Swin Transformer. The final segmentation results are produced via a UNet-like encoder-decoder architecture. Our model outperforms other approaches by a significant margin and improves the segmentation benchmarks on the VFSS2022 dataset, achieving a dice coefficient of 0.8986 and 0.8186 for the two datasets tested. Our studies also show the efficacy of the temporal feature blending scheme and cross-dataset transferability of learned capabilities. Code and models are fully available at https://github.com/SimonZeng7108/Video-SwinUNet.