PropSAM: A Propagation-Based Model for Segmenting Any 3D Objects in Multi-Modal Medical Images

Volumetric segmentation is crucial for medical imaging but is often constrained by labor-intensive manual annotations and the need for scenario-specific model training. Furthermore, existing general segmentation models are inefficient due to their design and inferential approaches. Addressing this clinical demand, we introduce PropSAM, a propagation-based segmentation model that optimizes the use of 3D medical structure information. PropSAM integrates a CNN-based UNet for intra-slice processing with a Transformer-based module for inter-slice propagation, focusing on structural and semantic continuities to enhance segmentation across various modalities. Distinctively, PropSAM operates on a one-view prompt, such as a 2D bounding box or sketch mask, unlike conventional models that require two-view prompts. It has demonstrated superior performance, significantly improving the Dice Similarity Coefficient (DSC) across 44 medical datasets and various imaging modalities, outperforming models like MedSAM and SegVol with an average DSC improvement of 18.1%. PropSAM also maintains stable predictions despite prompt deviations and varying propagation configurations, confirmed by one-way ANOVA tests with P>0.5985 and P>0.6131, respectively. Moreover, PropSAM's efficient architecture enables faster inference speeds (Wilcoxon rank-sum test, P<0.001) and reduces user interaction time by 37.8% compared to two-view prompt models. Its ability to handle irregular and complex objects with robust performance further demonstrates its potential in clinical settings, facilitating more automated and reliable medical imaging analyses with minimal retraining.

propnet: Propagating 2D Annotation to 3D Segmentation for Gastric Tumors on CT Scans

**Background:** Accurate 3D CT scan segmentation of gastric tumors is pivotal for diagnosis and treatment. The challenges lie in the irregular shapes, blurred boundaries of tumors, and the inefficiency of existing methods. **Purpose:** We conducted a study to introduce a model, utilizing human-guided knowledge and unique modules, to address the challenges of 3D tumor segmentation. **Methods:** We developed the PropNet framework, propagating radiologists' knowledge from 2D annotations to the entire 3D space. This model consists of a proposing stage for coarse segmentation and a refining stage for improved segmentation, using two-way branches for enhanced performance and an up-down strategy for efficiency. **Results:** With 98 patient scans for training and 30 for validation, our method achieves a significant agreement with manual annotation (Dice of 0.803) and improves efficiency. The performance is comparable in different scenarios and with various radiologists' annotations (Dice between 0.785 and 0.803). Moreover, the model shows improved prognostic prediction performance (C-index of 0.620 vs. 0.576) on an independent validation set of 42 patients with advanced gastric cancer. **Conclusions:** Our model generates accurate tumor segmentation efficiently and stably, improving prognostic performance and reducing high-throughput image reading workload. This model can accelerate the quantitative analysis of gastric tumors and enhance downstream task performance.

Learning to Check Contract Inconsistencies

Contract consistency is important in ensuring the legal validity of the contract. In many scenarios, a contract is written by filling the blanks in a precompiled form. Due to carelessness, two blanks that should be filled with the same (or different)content may be incorrectly filled with different (or same) content. This will result in the issue of contract inconsistencies, which may severely impair the legal validity of the contract. Traditional methods to address this issue mainly rely on manual contract review, which is labor-intensive and costly. In this work, we formulate a novel Contract Inconsistency Checking (CIC) problem, and design an end-to-end framework, called Pair-wise Blank Resolution (PBR), to solve the CIC problem with high accuracy. Our PBR model contains a novel BlankCoder to address the challenge of modeling meaningless blanks. BlankCoder adopts a two-stage attention mechanism that adequately associates a meaningless blank with its relevant descriptions while avoiding the incorporation of irrelevant context words. Experiments conducted on real-world datasets show the promising performance of our method with a balanced accuracy of 94.05% and an F1 score of 90.90% in the CIC problem.