Medical SAM3: A Foundation Model for Universal Prompt-Driven Medical Image Segmentation

Promptable segmentation foundation models such as SAM3 have demonstrated strong generalization capabilities through interactive and concept-based prompting. However, their direct applicability to medical image segmentation remains limited by severe domain shifts, the absence of privileged spatial prompts, and the need to reason over complex anatomical and volumetric structures. Here we present Medical SAM3, a foundation model for universal prompt-driven medical image segmentation, obtained by fully fine-tuning SAM3 on large-scale, heterogeneous 2D and 3D medical imaging datasets with paired segmentation masks and text prompts. Through a systematic analysis of vanilla SAM3, we observe that its performance degrades substantially on medical data, with its apparent competitiveness largely relying on strong geometric priors such as ground-truth-derived bounding boxes. These findings motivate full model adaptation beyond prompt engineering alone. By fine-tuning SAM3's model parameters on 33 datasets spanning 10 medical imaging modalities, Medical SAM3 acquires robust domain-specific representations while preserving prompt-driven flexibility. Extensive experiments across organs, imaging modalities, and dimensionalities demonstrate consistent and significant performance gains, particularly in challenging scenarios characterized by semantic ambiguity, complex morphology, and long-range 3D context. Our results establish Medical SAM3 as a universal, text-guided segmentation foundation model for medical imaging and highlight the importance of holistic model adaptation for achieving robust prompt-driven segmentation under severe domain shift. Code and model will be made available at https://github.com/AIM-Research-Lab/Medical-SAM3.

Score-based Self-supervised MRI Denoising

Magnetic resonance imaging (MRI) is a powerful noninvasive diagnostic imaging tool that provides unparalleled soft tissue contrast and anatomical detail. Noise contamination, especially in accelerated and/or low-field acquisitions, can significantly degrade image quality and diagnostic accuracy. Supervised learning based denoising approaches have achieved impressive performance but require high signal-to-noise ratio (SNR) labels, which are often unavailable. Self-supervised learning holds promise to address the label scarcity issue, but existing self-supervised denoising methods tend to oversmooth fine spatial features and often yield inferior performance than supervised methods. We introduce Corruption2Self (C2S), a novel score-based self-supervised framework for MRI denoising. At the core of C2S is a generalized denoising score matching (GDSM) loss, which extends denoising score matching to work directly with noisy observations by modeling the conditional expectation of higher-SNR images given further corrupted observations. This allows the model to effectively learn denoising across multiple noise levels directly from noisy data. Additionally, we incorporate a reparameterization of noise levels to stabilize training and enhance convergence, and introduce a detail refinement extension to balance noise reduction with the preservation of fine spatial features. Moreover, C2S can be extended to multi-contrast denoising by leveraging complementary information across different MRI contrasts. We demonstrate that our method achieves state-of-the-art performance among self-supervised methods and competitive results compared to supervised counterparts across varying noise conditions and MRI contrasts on the M4Raw and fastMRI dataset.

The Tenth NTIRE 2025 Image Denoising Challenge Report

This paper presents an overview of the NTIRE 2025 Image Denoising Challenge ({\sigma} = 50), highlighting the proposed methodologies and corresponding results. The primary objective is to develop a network architecture capable of achieving high-quality denoising performance, quantitatively evaluated using PSNR, without constraints on computational complexity or model size. The task assumes independent additive white Gaussian noise (AWGN) with a fixed noise level of 50. A total of 290 participants registered for the challenge, with 20 teams successfully submitting valid results, providing insights into the current state-of-the-art in image denoising.

Analysis and classification of main risk factors causing stroke in Shanxi Province

In China, stroke is the first leading cause of death in recent years. It is a major cause of long-term physical and cognitive impairment, which bring great pressure on the National Public Health System. Evaluation of the risk of getting stroke is important for the prevention and treatment of stroke in China. A data set with 2000 hospitalized stroke patients in 2018 and 27583 residents during the year 2017 to 2020 is analyzed in this study. Due to data incompleteness, inconsistency, and non-structured formats, missing values in the raw data are filled with -1 as an abnormal class. With the cleaned features, three models on risk levels of getting stroke are built by using machine learning methods. The importance of "8+2" factors from China National Stroke Prevention Project (CSPP) is evaluated via decision tree and random forest models. Except for "8+2" factors the importance of features and SHAP1 values for lifestyle information, demographic information, and medical measurement are evaluated and ranked via a random forest model. Furthermore, a logistic regression model is applied to evaluate the probability of getting stroke for different risk levels. Based on the census data in both communities and hospitals from Shanxi Province, we investigate different risk factors of getting stroke and their ranking with interpretable machine learning models. The results show that Hypertension (Systolic blood pressure, Diastolic blood pressure), Physical Inactivity (Lack of sports), and Overweight (BMI) are ranked as the top three high-risk factors of getting stroke in Shanxi province. The probability of getting stroke for a person can also be predicted via our machine learning model.