Unleashing the Power of Intermediate Domains for Mixed Domain Semi-Supervised Medical Image Segmentation

Both limited annotation and domain shift are prevalent challenges in medical image segmentation. Traditional semi-supervised segmentation and unsupervised domain adaptation methods address one of these issues separately. However, the coexistence of limited annotation and domain shift is quite common, which motivates us to introduce a novel and challenging scenario: Mixed Domain Semi-supervised medical image Segmentation (MiDSS), where limited labeled data from a single domain and a large amount of unlabeled data from multiple domains. To tackle this issue, we propose the UST-RUN framework, which fully leverages intermediate domain information to facilitate knowledge transfer. We employ Unified Copy-paste (UCP) to construct intermediate domains, and propose a Symmetric GuiDance training strategy (SymGD) to supervise unlabeled data by merging pseudo-labels from intermediate samples. Subsequently, we introduce a Training Process aware Random Amplitude MixUp (TP-RAM) to progressively incorporate style-transition components into intermediate samples. To generate more diverse intermediate samples, we further select reliable samples with high-quality pseudo-labels, which are then mixed with other unlabeled data. Additionally, we generate sophisticated intermediate samples with high-quality pseudo-labels for unreliable samples, ensuring effective knowledge transfer for them. Extensive experiments on four public datasets demonstrate the superiority of UST-RUN. Notably, UST-RUN achieves a 12.94% improvement in Dice score on the Prostate dataset. Our code is available at https://github.com/MQinghe/UST-RUN

SuperAD: A Training-free Anomaly Classification and Segmentation Method for CVPR 2025 VAND 3.0 Workshop Challenge Track 1: Adapt & Detect

In this technical report, we present our solution to the CVPR 2025 Visual Anomaly and Novelty Detection (VAND) 3.0 Workshop Challenge Track 1: Adapt & Detect: Robust Anomaly Detection in Real-World Applications. In real-world industrial anomaly detection, it is crucial to accurately identify anomalies with physical complexity, such as transparent or reflective surfaces, occlusions, and low-contrast contaminations. The recently proposed MVTec AD 2 dataset significantly narrows the gap between publicly available benchmarks and anomalies found in real-world industrial environments. To address the challenges posed by this dataset--such as complex and varying lighting conditions and real anomalies with large scale differences--we propose a fully training-free anomaly detection and segmentation method based on feature extraction using the DINOv2 model named SuperAD. Our method carefully selects a small number of normal reference images and constructs a memory bank by leveraging the strong representational power of DINOv2. Anomalies are then segmented by performing nearest neighbor matching between test image features and the memory bank. Our method achieves competitive results on both test sets of the MVTec AD 2 dataset.

Mamba-Sea: A Mamba-based Framework with Global-to-Local Sequence Augmentation for Generalizable Medical Image Segmentation

To segment medical images with distribution shifts, domain generalization (DG) has emerged as a promising setting to train models on source domains that can generalize to unseen target domains. Existing DG methods are mainly based on CNN or ViT architectures. Recently, advanced state space models, represented by Mamba, have shown promising results in various supervised medical image segmentation. The success of Mamba is primarily owing to its ability to capture long-range dependencies while keeping linear complexity with input sequence length, making it a promising alternative to CNNs and ViTs. Inspired by the success, in the paper, we explore the potential of the Mamba architecture to address distribution shifts in DG for medical image segmentation. Specifically, we propose a novel Mamba-based framework, Mamba-Sea, incorporating global-to-local sequence augmentation to improve the model's generalizability under domain shift issues. Our Mamba-Sea introduces a global augmentation mechanism designed to simulate potential variations in appearance across different sites, aiming to suppress the model's learning of domain-specific information. At the local level, we propose a sequence-wise augmentation along input sequences, which perturbs the style of tokens within random continuous sub-sequences by modeling and resampling style statistics associated with domain shifts. To our best knowledge, Mamba-Sea is the first work to explore the generalization of Mamba for medical image segmentation, providing an advanced and promising Mamba-based architecture with strong robustness to domain shifts. Remarkably, our proposed method is the first to surpass a Dice coefficient of 90% on the Prostate dataset, which exceeds previous SOTA of 88.61%. The code is available at https://github.com/orange-czh/Mamba-Sea.

Balancing Multi-Target Semi-Supervised Medical Image Segmentation with Collaborative Generalist and Specialists

Despite the promising performance achieved by current semi-supervised models in segmenting individual medical targets, many of these models suffer a notable decrease in performance when tasked with the simultaneous segmentation of multiple targets. A vital factor could be attributed to the imbalanced scales among different targets: during simultaneously segmenting multiple targets, large targets dominate the loss, leading to small targets being misclassified as larger ones. To this end, we propose a novel method, which consists of a Collaborative Generalist and several Specialists, termed CGS. It is centered around the idea of employing a specialist for each target class, thus avoiding the dominance of larger targets. The generalist performs conventional multi-target segmentation, while each specialist is dedicated to distinguishing a specific target class from the remaining target classes and the background. Based on a theoretical insight, we demonstrate that CGS can achieve a more balanced training. Moreover, we develop cross-consistency losses to foster collaborative learning between the generalist and the specialists. Lastly, regarding their intrinsic relation that the target class of any specialized head should belong to the remaining classes of the other heads, we introduce an inter-head error detection module to further enhance the quality of pseudo-labels. Experimental results on three popular benchmarks showcase its superior performance compared to state-of-the-art methods.

WeakMedSAM: Weakly-Supervised Medical Image Segmentation via SAM with Sub-Class Exploration and Prompt Affinity Mining

We have witnessed remarkable progress in foundation models in vision tasks. Currently, several recent works have utilized the segmenting anything model (SAM) to boost the segmentation performance in medical images, where most of them focus on training an adaptor for fine-tuning a large amount of pixel-wise annotated medical images following a fully supervised manner. In this paper, to reduce the labeling cost, we investigate a novel weakly-supervised SAM-based segmentation model, namely WeakMedSAM. Specifically, our proposed WeakMedSAM contains two modules: 1) to mitigate severe co-occurrence in medical images, a sub-class exploration module is introduced to learn accurate feature representations. 2) to improve the quality of the class activation maps, our prompt affinity mining module utilizes the prompt capability of SAM to obtain an affinity map for random-walk refinement. Our method can be applied to any SAM-like backbone, and we conduct experiments with SAMUS and EfficientSAM. The experimental results on three popularly-used benchmark datasets, i.e., BraTS 2019, AbdomenCT-1K, and MSD Cardiac dataset, show the promising results of our proposed WeakMedSAM. Our code is available at https://github.com/wanghr64/WeakMedSAM.

CILP-FGDI: Exploiting Vision-Language Model for Generalizable Person Re-Identification

The Visual Language Model, known for its robust cross-modal capabilities, has been extensively applied in various computer vision tasks. In this paper, we explore the use of CLIP (Contrastive Language-Image Pretraining), a vision-language model pretrained on large-scale image-text pairs to align visual and textual features, for acquiring fine-grained and domain-invariant representations in generalizable person re-identification. The adaptation of CLIP to the task presents two primary challenges: learning more fine-grained features to enhance discriminative ability, and learning more domain-invariant features to improve the model's generalization capabilities. To mitigate the first challenge thereby enhance the ability to learn fine-grained features, a three-stage strategy is proposed to boost the accuracy of text descriptions. Initially, the image encoder is trained to effectively adapt to person re-identification tasks. In the second stage, the features extracted by the image encoder are used to generate textual descriptions (i.e., prompts) for each image. Finally, the text encoder with the learned prompts is employed to guide the training of the final image encoder. To enhance the model's generalization capabilities to unseen domains, a bidirectional guiding method is introduced to learn domain-invariant image features. Specifically, domain-invariant and domain-relevant prompts are generated, and both positive (pulling together image features and domain-invariant prompts) and negative (pushing apart image features and domain-relevant prompts) views are used to train the image encoder. Collectively, these strategies contribute to the development of an innovative CLIP-based framework for learning fine-grained generalized features in person re-identification.

KAnoCLIP: Zero-Shot Anomaly Detection through Knowledge-Driven Prompt Learning and Enhanced Cross-Modal Integration

Zero-shot anomaly detection (ZSAD) identifies anomalies without needing training samples from the target dataset, essential for scenarios with privacy concerns or limited data. Vision-language models like CLIP show potential in ZSAD but have limitations: relying on manually crafted fixed textual descriptions or anomaly prompts is time-consuming and prone to semantic ambiguity, and CLIP struggles with pixel-level anomaly segmentation, focusing more on global semantics than local details. To address these limitations, We introduce KAnoCLIP, a novel ZSAD framework that leverages vision-language models. KAnoCLIP combines general knowledge from a Large Language Model (GPT-3.5) and fine-grained, image-specific knowledge from a Visual Question Answering system (Llama3) via Knowledge-Driven Prompt Learning (KnPL). KnPL uses a knowledge-driven (KD) loss function to create learnable anomaly prompts, removing the need for fixed text prompts and enhancing generalization. KAnoCLIP includes the CLIP visual encoder with V-V attention (CLIP-VV), Bi-Directional Cross-Attention for Multi-Level Cross-Modal Interaction (Bi-CMCI), and Conv-Adapter. These components preserve local visual semantics, improve local cross-modal fusion, and align global visual features with textual information, enhancing pixel-level anomaly detection. KAnoCLIP achieves state-of-the-art performance in ZSAD across 12 industrial and medical datasets, demonstrating superior generalization compared to existing methods.

BatStyler: Advancing Multi-category Style Generation for Source-free Domain Generalization

Source-Free Domain Generalization (SFDG) aims to develop a model that performs on unseen domains without relying on any source domains. However, the implementation remains constrained due to the unavailability of training data. Research on SFDG focus on knowledge transfer of multi-modal models and style synthesis based on joint space of multiple modalities, thus eliminating the dependency on source domain images. However, existing works primarily work for multi-domain and less-category configuration, but performance on multi-domain and multi-category configuration is relatively poor. In addition, the efficiency of style synthesis also deteriorates in multi-category scenarios. How to efficiently synthesize sufficiently diverse data and apply it to multi-category configuration is a direction with greater practical value. In this paper, we propose a method called BatStyler, which is utilized to improve the capability of style synthesis in multi-category scenarios. BatStyler consists of two modules: Coarse Semantic Generation and Uniform Style Generation modules. The Coarse Semantic Generation module extracts coarse-grained semantics to prevent the compression of space for style diversity learning in multi-category configuration, while the Uniform Style Generation module provides a template of styles that are uniformly distributed in space and implements parallel training. Extensive experiments demonstrate that our method exhibits comparable performance on less-category datasets, while surpassing state-of-the-art methods on multi-category datasets.

Text and Image Are Mutually Beneficial: Enhancing Training-Free Few-Shot Classification with CLIP

Contrastive Language-Image Pretraining (CLIP) has been widely used in vision tasks. Notably, CLIP has demonstrated promising performance in few-shot learning (FSL). However, existing CLIP-based methods in training-free FSL (i.e., without the requirement of additional training) mainly learn different modalities independently, leading to two essential issues: 1) severe anomalous match in image modality; 2) varying quality of generated text prompts. To address these issues, we build a mutual guidance mechanism, that introduces an Image-Guided-Text (IGT) component to rectify varying quality of text prompts through image representations, and a Text-Guided-Image (TGI) component to mitigate the anomalous match of image modality through text representations. By integrating IGT and TGI, we adopt a perspective of Text-Image Mutual guidance Optimization, proposing TIMO. Extensive experiments show that TIMO significantly outperforms the state-of-the-art (SOTA) training-free method. Additionally, by exploring the extent of mutual guidance, we propose an enhanced variant, TIMO-S, which even surpasses the best training-required methods by 0.33% with approximately 100 times less time cost. Our code is available at https://github.com/lyymuwu/TIMO.

START: A Generalized State Space Model with Saliency-Driven Token-Aware Transformation

Domain Generalization (DG) aims to enable models to generalize to unseen target domains by learning from multiple source domains. Existing DG methods primarily rely on convolutional neural networks (CNNs), which inherently learn texture biases due to their limited receptive fields, making them prone to overfitting source domains. While some works have introduced transformer-based methods (ViTs) for DG to leverage the global receptive field, these methods incur high computational costs due to the quadratic complexity of self-attention. Recently, advanced state space models (SSMs), represented by Mamba, have shown promising results in supervised learning tasks by achieving linear complexity in sequence length during training and fast RNN-like computation during inference. Inspired by this, we investigate the generalization ability of the Mamba model under domain shifts and find that input-dependent matrices within SSMs could accumulate and amplify domain-specific features, thus hindering model generalization. To address this issue, we propose a novel SSM-based architecture with saliency-based token-aware transformation (namely START), which achieves state-of-the-art (SOTA) performances and offers a competitive alternative to CNNs and ViTs. Our START can selectively perturb and suppress domain-specific features in salient tokens within the input-dependent matrices of SSMs, thus effectively reducing the discrepancy between different domains. Extensive experiments on five benchmarks demonstrate that START outperforms existing SOTA DG methods with efficient linear complexity. Our code is available at https://github.com/lingeringlight/START.