A Comprehensive Survey of Medical Image Segmentation: Challenges, Benchmarks, and Beyond

Medical image segmentation plays a critical role in clinical diagnostics, treatment planning, disease monitoring, and neurological disorder identification. This article presents a comprehensive review of its systematic development, covering widely used public datasets, representative methods built on the U-Net, Transformer, and SAM architectures, and key evaluation metrics with their differences, followed by an analysis of major challenges from multiple perspectives. Unlike surveys that focus on a single model family or a specific clinical application, this review organizes U-Net-, Transformer-, and SAM-based methods within a unified analytical framework, with a particular focus on their effectiveness in improving segmentation accuracy and efficiency. This work aims to guide future research and support clinical translation of medical image segmentation, with all related resources publicly available in our GitHub repository: https://github.com/andrew-pengyu/Awsome_MedSeg/tree/main.

Enhancing, Refining, and Fusing: Towards Robust Multi-Scale and Dense Ship Detection

Synthetic aperture radar (SAR) imaging, celebrated for its high resolution, all-weather capability, and day-night operability, is indispensable for maritime applications. However, ship detection in SAR imagery faces significant challenges, including complex backgrounds, densely arranged targets, and large scale variations. To address these issues, we propose a novel framework, Center-Aware SAR Ship Detector (CASS-Det), designed for robust multi-scale and densely packed ship detection. CASS-Det integrates three key innovations: (1) a center enhancement module (CEM) that employs rotational convolution to emphasize ship centers, improving localization while suppressing background interference; (2) a neighbor attention module (NAM) that leverages cross-layer dependencies to refine ship boundaries in densely populated scenes; and (3) a cross-connected feature pyramid network (CC-FPN) that enhances multi-scale feature fusion by integrating shallow and deep features. Extensive experiments on the SSDD, HRSID, and LS-SSDD-v1.0 datasets demonstrate the state-of-the-art performance of CASS-Det, excelling at detecting multi-scale and densely arranged ships.