SAM2-UNet: Segment Anything 2 Makes Strong Encoder for Natural and Medical Image Segmentation

Image segmentation plays an important role in vision understanding. Recently, the emerging vision foundation models continuously achieved superior performance on various tasks. Following such success, in this paper, we prove that the Segment Anything Model 2 (SAM2) can be a strong encoder for U-shaped segmentation models. We propose a simple but effective framework, termed SAM2-UNet, for versatile image segmentation. Specifically, SAM2-UNet adopts the Hiera backbone of SAM2 as the encoder, while the decoder uses the classic U-shaped design. Additionally, adapters are inserted into the encoder to allow parameter-efficient fine-tuning. Preliminary experiments on various downstream tasks, such as camouflaged object detection, salient object detection, marine animal segmentation, mirror detection, and polyp segmentation, demonstrate that our SAM2-UNet can simply beat existing specialized state-of-the-art methods without bells and whistles. Project page: \url{https://github.com/WZH0120/SAM2-UNet}.

TP-DRSeg: Improving Diabetic Retinopathy Lesion Segmentation with Explicit Text-Prompts Assisted SAM

Recent advances in large foundation models, such as the Segment Anything Model (SAM), have demonstrated considerable promise across various tasks. Despite their progress, these models still encounter challenges in specialized medical image analysis, especially in recognizing subtle inter-class differences in Diabetic Retinopathy (DR) lesion segmentation. In this paper, we propose a novel framework that customizes SAM for text-prompted DR lesion segmentation, termed TP-DRSeg. Our core idea involves exploiting language cues to inject medical prior knowledge into the vision-only segmentation network, thereby combining the advantages of different foundation models and enhancing the credibility of segmentation. Specifically, to unleash the potential of vision-language models in the recognition of medical concepts, we propose an explicit prior encoder that transfers implicit medical concepts into explicit prior knowledge, providing explainable clues to excavate low-level features associated with lesions. Furthermore, we design a prior-aligned injector to inject explicit priors into the segmentation process, which can facilitate knowledge sharing across multi-modality features and allow our framework to be trained in a parameter-efficient fashion. Experimental results demonstrate the superiority of our framework over other traditional models and foundation model variants.

Diffusion Model Driven Test-Time Image Adaptation for Robust Skin Lesion Classification

Deep learning-based diagnostic systems have demonstrated potential in skin disease diagnosis. However, their performance can easily degrade on test domains due to distribution shifts caused by input-level corruptions, such as imaging equipment variability, brightness changes, and image blur. This will reduce the reliability of model deployment in real-world scenarios. Most existing solutions focus on adapting the source model through retraining on different target domains. Although effective, this retraining process is sensitive to the amount of data and the hyperparameter configuration for optimization. In this paper, we propose a test-time image adaptation method to enhance the accuracy of the model on test data by simultaneously updating and predicting test images. We modify the target test images by projecting them back to the source domain using a diffusion model. Specifically, we design a structure guidance module that adds refinement operations through low-pass filtering during reverse sampling, regularizing the diffusion to preserve structural information. Additionally, we introduce a self-ensembling scheme automatically adjusts the reliance on adapted and unadapted inputs, enhancing adaptation robustness by rejecting inappropriate generative modeling results. To facilitate this study, we constructed the ISIC2019-C and Dermnet-C corruption robustness evaluation benchmarks. Extensive experiments on the proposed benchmarks demonstrate that our method makes the classifier more robust across various corruptions, architectures, and data regimes. Our datasets and code will be available at \url{https://github.com/minghu0830/Skin-TTA_Diffusion}.

Semi- and Weakly-Supervised Learning for Mammogram Mass Segmentation with Limited Annotations

Accurate identification of breast masses is crucial in diagnosing breast cancer; however, it can be challenging due to their small size and being camouflaged in surrounding normal glands. Worse still, it is also expensive in clinical practice to obtain adequate pixel-wise annotations for training deep neural networks. To overcome these two difficulties with one stone, we propose a semi- and weakly-supervised learning framework for mass segmentation that utilizes limited strongly-labeled samples and sufficient weakly-labeled samples to achieve satisfactory performance. The framework consists of an auxiliary branch to exclude lesion-irrelevant background areas, a segmentation branch for final prediction, and a spatial prompting module to integrate the complementary information of the two branches. We further disentangle encoded obscure features into lesion-related and others to boost performance. Experiments on CBIS-DDSM and INbreast datasets demonstrate the effectiveness of our method.