Tarot-SAM3: Training-free SAM3 for Any Referring Expression Segmentation

Referring Expression Segmentation (RES) aims to segment image regions described by natural-language expressions, serving as a bridge between vision and language understanding. Existing RES methods, however, rely heavily on large annotated datasets and are limited to either explicit or implicit expressions, hindering their ability to generalize to any referring expression. Recently, the Segment Anything Model 3 (SAM3) has shown impressive robustness in Promptable Concept Segmentation. Nonetheless, applying it to RES remains challenging: (1) SAM3 struggles with longer or implicit expressions; (2) naive coupling of SAM3 with a multimodal large language model (MLLM) makes the final results overly dependent on the MLLM's reasoning capability, without enabling refinement of SAM3's segmentation outputs. To this end, we present Tarot-SAM3, a novel training-free framework that can accurately segment from any referring expression. Specifically, Tarot-SAM3 consists of two key phases. First, the Expression Reasoning Interpreter (ERI) phase introduces reasoning-assisted prompt options to support structured expression parsing and evaluation-aware rephrasing. This transforms arbitrary queries into robust heterogeneous prompts for generating reliable masks with SAM3. Second, the Mask Self-Refining (MSR) phase selects the best mask across prompt types and performs self-refinement by leveraging rich feature relationships from DINOv3 to compare discriminative regions among ERI outputs. It then infers region affiliation to the target, thereby correcting over- and under-segmentation. Extensive experiments demonstrate that Tarot-SAM3 achieves strong performance on both explicit and implicit RES benchmarks, as well as open-world scenarios. Ablation studies further validate the effectiveness of each phase.

MedGNN: Capturing the Links Between Urban Characteristics and Medical Prescriptions

Understanding how urban socio-demographic and environmental factors relate with health is essential for public health and urban planning. However, traditional statistical methods struggle with nonlinear effects, while machine learning models often fail to capture geographical (nearby areas being more similar) and topological (unequal connectivity between places) effects in an interpretable way. To address this, we propose MedGNN, a spatio-topologically explicit framework that constructs a 2-hop spatial graph, integrating positional and locational node embeddings with urban characteristics in a graph neural network. Applied to MEDSAT, a comprehensive dataset covering over 150 environmental and socio-demographic factors and six prescription outcomes (depression, anxiety, diabetes, hypertension, asthma, and opioids) across 4,835 Greater London neighborhoods, MedGNN improved predictions by over 25% on average compared to baseline methods. Using depression prescriptions as a case study, we analyzed graph embeddings via geographical principal component analysis, identifying findings that: align with prior research (e.g., higher antidepressant prescriptions among older and White populations), contribute to ongoing debates (e.g., greenery linked to higher and NO2 to lower prescriptions), and warrant further study (e.g., canopy evaporation correlated with fewer prescriptions). These results demonstrate MedGNN's potential, and more broadly, of carefully applied machine learning, to advance transdisciplinary public health research.