GLACIA: Instance-Aware Positional Reasoning for Glacial Lake Segmentation via Multimodal Large Language Model

Glacial lake monitoring bears great significance in mitigating the anticipated risk of Glacial Lake Outburst Floods. However, existing segmentation methods based on convolutional neural networks (CNNs) and Vision Transformers (ViTs), remain constrained to pixel-level predictions, lacking high-level global scene semantics and human-interpretable reasoning. To address this, we introduce GLACIA (\textbf{G}lacial \textbf{LA}ke segmentation with \textbf{C}ontextual \textbf{I}nstance \textbf{A}wareness), the first framework that integrates large language models with segmentation capabilities to produce both accurate segmentation masks and corresponding spatial reasoning outputs. We construct the Glacial Lake Position Reasoning (GLake-Pos) dataset pipeline, which provides diverse, spatially grounded question-answer pairs designed to overcome the lack of instance-aware positional reasoning data in remote sensing. Comparative evaluation demonstrate that GLACIA (mIoU: 87.30) surpasses state-of-the-art method based on CNNs (mIoU: 78.55 - 79.01), ViTs (mIoU: 69.27 - 81.75), Geo-foundation models (mIoU: 76.37 - 87.10), and reasoning based segmentation methods (mIoU: 60.12 - 75.66). Our approach enables intuitive disaster preparedness and informed policy-making in the context of rapidly changing glacial environments by facilitating natural language interaction, thereby supporting more efficient and interpretable decision-making. The code is released on https://github.com/lalitmaurya47/GLACIA

MACMD: Multi-dilated Contextual Attention and Channel Mixer Decoding for Medical Image Segmentation

Medical image segmentation faces challenges due to variations in anatomical structures. While convolutional neural networks (CNNs) effectively capture local features, they struggle with modeling long-range dependencies. Transformers mitigate this issue with self-attention mechanisms but lack the ability to preserve local contextual information. State-of-the-art models primarily follow an encoder-decoder architecture, achieving notable success. However, two key limitations remain: (1) Shallow layers, which are closer to the input, capture fine-grained details but suffer from information loss as data propagates through deeper layers. (2) Inefficient integration of local details and global context between the encoder and decoder stages. To address these challenges, we propose the MACMD-based decoder, which enhances attention mechanisms and facilitates channel mixing between encoder and decoder stages via skip connections. This design leverages hierarchical dilated convolutions, attention-driven modulation, and a cross channel-mixing module to capture long-range dependencies while preserving local contextual details, essential for precise medical image segmentation. We evaluated our approach using multiple transformer encoders on both binary and multi-organ segmentation tasks. The results demonstrate that our method outperforms state-of-the-art approaches in terms of Dice score and computational efficiency, highlighting its effectiveness in achieving accurate and robust segmentation performance. The code available at https://github.com/lalitmaurya47/MACMD

TCSA-UDA: Text-Driven Cross-Semantic Alignment for Unsupervised Domain Adaptation in Medical Image Segmentation

Unsupervised domain adaptation for medical image segmentation remains a significant challenge due to substantial domain shifts across imaging modalities, such as CT and MRI. While recent vision-language representation learning methods have shown promise, their potential in UDA segmentation tasks remains underexplored. To address this gap, we propose TCSA-UDA, a Text-driven Cross-Semantic Alignment framework that leverages domain-invariant textual class descriptions to guide visual representation learning. Our approach introduces a vision-language covariance cosine loss to directly align image encoder features with inter-class textual semantic relations, encouraging semantically meaningful and modality-invariant feature representations. Additionally, we incorporate a prototype alignment module that aligns class-wise pixel-level feature distributions across domains using high-level semantic prototypes. This mitigates residual category-level discrepancies and enhances cross-modal consistency. Extensive experiments on challenging cross-modality cardiac, abdominal, and brain tumor segmentation benchmarks demonstrate that our TCSA-UDA framework significantly reduces domain shift and consistently outperforms state-of-the-art UDA methods, establishing a new paradigm for integrating language-driven semantics into domain-adaptive medical image analysis.