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Existing works of reasoning segmentation often fall short in complex cases, particularly when addressing complicated queries and out-of-domain images. Inspired by the chain-of-thought reasoning, where harder problems require longer thinking…

Computer Vision and Pattern Recognition · Computer Science 2026-01-27 Shiu-hong Kao , Chak Ho Huang , Huaiqian Liu , Yu-Wing Tai , Chi-Keung Tang

Medical image segmentation is crucial for clinical diagnosis, yet existing models are limited by their reliance on explicit human instructions and lack the active reasoning capabilities to understand complex clinical questions. While recent…

Computer Vision and Pattern Recognition · Computer Science 2025-06-13 Yu Huang , Zelin Peng , Yichen Zhao , Piao Yang , Xiaokang Yang , Wei Shen

Accurate brain lesion segmentation in MRI is vital for effective clinical diagnosis and treatment planning. Due to high annotation costs and strict data privacy regulations, universal models require employing Continual Learning (CL) to…

Computer Vision and Pattern Recognition · Computer Science 2026-04-29 Qianqian Chen , Anglin Liu , Jingyang Zhang , Yudong Zhang

Understanding human instructions to identify the target objects is vital for perception systems. In recent years, the advancements of Large Language Models (LLMs) have introduced new possibilities for image segmentation. In this work, we…

Computer Vision and Pattern Recognition · Computer Science 2024-04-16 Junchi Wang , Lei Ke

Medical image segmentation is challenging due to overlapping anatomies with ambiguous boundaries and a severe imbalance between the foreground and background classes, which particularly affects the delineation of small lesions. Existing…

Computer Vision and Pattern Recognition · Computer Science 2025-06-24 Hao Shao , Qibin Hou

Text-prompted image segmentation enables fine-grained visual understanding and is critical for applications such as human-computer interaction and robotics. However, existing supervised fine-tuning methods typically ignore explicit…

Computer Vision and Pattern Recognition · Computer Science 2025-11-19 Lianghui Zhu , Bin Ouyang , Yuxuan Zhang , Tianheng Cheng , Rui Hu , Haocheng Shen , Longjin Ran , Xiaoxin Chen , Li Yu , Wenyu Liu , Xinggang Wang

We present Seg-R1, a preliminary exploration of using reinforcement learning (RL) to enhance the pixel-level understanding and reasoning capabilities of large multimodal models (LMMs). Starting with foreground segmentation tasks,…

Computer Vision and Pattern Recognition · Computer Science 2025-07-01 Zuyao You , Zuxuan Wu

In clinical practice, segmenting specific lesions based on the needs of physicians can significantly enhance diagnostic accuracy and treatment efficiency. However, conventional lesion segmentation models lack the flexibility to distinguish…

Computer Vision and Pattern Recognition · Computer Science 2025-04-22 Shuyi Ouyang , Jinyang Zhang , Xiangye Lin , Xilai Wang , Qingqing Chen , Yen-Wei Chen , Lanfen Lin

Leveraging multimodal large models for image segmentation has become a prominent research direction. However, existing approaches typically rely heavily on manually annotated datasets that include explicit reasoning processes, which are…

Computer Vision and Pattern Recognition · Computer Science 2026-03-17 Jiaqi Huang , Zunnan Xu , Jun Zhou , Ting Liu , Yicheng Xiao , Mingwen Ou , Bowen Ji , Xiu Li , Kehong Yuan

The segmentation of substantial brain lesions is a significant and challenging task in the field of medical image segmentation. Substantial brain lesions in brain imaging exhibit high heterogeneity, with indistinct boundaries between lesion…

Computer Vision and Pattern Recognition · Computer Science 2025-08-07 Hongming Wang , Yifeng Wu , Huimin Huang , Hongtao Wu , Jia-Xuan Jiang , Xiaodong Zhang , Hao Zheng , Xian Wu , Yefeng Zheng , Jinping Xu , Jing Cheng

Reasoning segmentation seeks pixel-accurate masks for targets referenced by complex, often implicit instructions, requiring context-dependent reasoning over the scene. Recent multimodal language models have advanced instruction following…

Computer Vision and Pattern Recognition · Computer Science 2025-11-25 Prantik Howlader , Hoang Nguyen-Canh , Srijan Das , Jingyi Xu , Hieu Le , Dimitris Samaras

Cortical lesions (CLs) have emerged as valuable biomarkers in multiple sclerosis (MS), offering high diagnostic specificity and prognostic relevance. However, their routine clinical integration remains limited due to subtle magnetic…

Despite recent progress in text-prompt-based medical image segmentation, these methods are limited to single-round dialogues and fail to support multi-round reasoning, which is important for medical education scenarios. In this work, we…

Computer Vision and Pattern Recognition · Computer Science 2026-03-12 Qinyue Tong , Ziqian Lu , Jun Liu , Rui Zuo , Zheming Lu , Yueming Jin

Recent progress in promptable segmentation has shifted visual perception from object-level localization toward concept-level understanding. However, the notion of a concept remains under-specified, making it unclear whether current methods…

Computer Vision and Pattern Recognition · Computer Science 2026-05-21 Yuan Zhao , Youwei Pang , Jiaming Zuo , Wei Ji , Kailai Zhou , Bin Fan , Yunkang Cao , Lihe Zhang , Xiaofeng Liu , Huchuan Lu , Weisi Lin , Dacheng Tao , Xiaoqi Zhao

Traditional methods for reasoning segmentation rely on supervised fine-tuning with categorical labels and simple descriptions, limiting its out-of-domain generalization and lacking explicit reasoning processes. To address these limitations,…

Computer Vision and Pattern Recognition · Computer Science 2025-07-01 Yuqi Liu , Bohao Peng , Zhisheng Zhong , Zihao Yue , Fanbin Lu , Bei Yu , Jiaya Jia

Building a unified model with a single set of parameters to efficiently handle diverse types of medical lesion segmentation has become a crucial objective for AI-assisted diagnosis. Existing unified segmentation approaches typically rely on…

Computer Vision and Pattern Recognition · Computer Science 2026-04-02 Jiawei Xu , Qiangqiang Zhou , Dandan Zhu , Yong Chen , Yugen Yi , Xiaoqi Zhao

Bridging clinical diagnostic reasoning with AI remains a central challenge in medical imaging. We introduce MedCLM, an automated pipeline that converts detection datasets into large-scale medical visual question answering (VQA) data with…

Computer Vision and Pattern Recognition · Computer Science 2025-10-07 Soo Yong Kim , Suin Cho , Vincent-Daniel Yun , Gyeongyeon Hwang

We present a method for skin lesion segmentation for the ISIC 2017 Skin Lesion Segmentation Challenge. Our approach is based on a Fully Convolutional Network architecture which is trained end to end, from scratch, on a limited dataset. Our…

Computer Vision and Pattern Recognition · Computer Science 2017-03-16 Dhanesh Ramachandram , Terrance DeVries

Language-guided segmentation transcends the scope limitations of traditional semantic segmentation, enabling models to segment arbitrary target regions based on natural language instructions. Existing approaches typically adopt a two-stage…

Computer Vision and Pattern Recognition · Computer Science 2026-05-14 Chao Hao , Jun Xu , Ji Du , Shuo Ye , Ziyue Qiao , Xiaodong Cun , Guangcong Wang , Xubin Zheng , Zitong Yu

Accurately grounding regions of interest (ROIs) is critical for diagnosis and treatment planning in medical imaging. While multimodal large language models (MLLMs) combine visual perception with natural language, current medical-grounding…

Computer Vision and Pattern Recognition · Computer Science 2026-02-19 Zhonghao Yan , Muxi Diao , Yuxuan Yang , Ruoyan Jing , Jiayuan Xu , Kaizhou Zhang , Lele Yang , Yanxi Liu , Kongming Liang , Zhanyu Ma
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