AdaLoRA-QAT: Adaptive Low-Rank and Quantization-Aware Segmentation

Chest X-ray (CXR) segmentation is an important step in computer-aided diagnosis, yet deploying large foundation models in clinical settings remains challenging due to computational constraints. We propose AdaLoRA-QAT, a two-stage fine-tuning framework that combines adaptive low-rank encoder adaptation with full quantization-aware training. Adaptive rank allocation improves parameter efficiency, while selective mixed-precision INT8 quantization preserves structural fidelity crucial for clinical reliability. Evaluated across large-scale CXR datasets, AdaLoRA-QAT achieves 95.6% Dice, matching full-precision SAM decoder fine-tuning while reducing trainable parameters by 16.6\times and yielding 2.24\times model compression. A Wilcoxon signed-rank test confirms that quantization does not significantly degrade segmentation accuracy. These results demonstrate that AdaLoRA-QAT effectively balances accuracy, efficiency, and structural trust-worthiness, enabling compact and deployable foundation models for medical image segmentation. Code and pretrained models are available at: https://prantik-pdeb.github.io/adaloraqat.github.io/

BeSt-LeS: Benchmarking Stroke Lesion Segmentation using Deep Supervision

Brain stroke has become a significant burden on global health and thus we need remedies and prevention strategies to overcome this challenge. For this, the immediate identification of stroke and risk stratification is the primary task for clinicians. To aid expert clinicians, automated segmentation models are crucial. In this work, we consider the publicly available dataset ATLAS $v2.0$ to benchmark various end-to-end supervised U-Net style models. Specifically, we have benchmarked models on both 2D and 3D brain images and evaluated them using standard metrics. We have achieved the highest Dice score of 0.583 on the 2D transformer-based model and 0.504 on the 3D residual U-Net respectively. We have conducted the Wilcoxon test for 3D models to correlate the relationship between predicted and actual stroke volume. For reproducibility, the code and model weights are made publicly available: https://github.com/prantik-pdeb/BeSt-LeS.