Anatomically Consistent TMJ Disc Segmentation via Semantic Anchoring and Clinical Priors

Segmenting the temporomandibular joint (TMJ) disc from MRI is essential for accurate diagnosis of internal derangement, yet it remains unreliable in practice due to its small size, low contrast, and morphological variability. Existing methods, primarily adapted from general segmentation architectures, often produce fragmented or anatomically inconsistent masks, leading to unstable measurements of disc position and shape for downstream diagnosis. To address these challenges, we propose TISC, a TMJ disc segmentation framework that integrates semantic anchoring with clinical metadata-guided boundary refinement. The framework first establishes robust disc localization in the foundation model feature space via a Prototypical Semantic Anchoring (PSA) module that aggregates adjacent-slice MedDINOv3 features and derives a prototype-driven similarity map. It then performs targeted boundary refinement through a Clinical-Metadata Point Refinement (C-MPR) module, with point-wise predictions modulated by Mouth Open Limitation (MOL), a clinical indicator associated with disc displacement without reduction. On a large-scale cohort of 2,488 PD MRI volumes from 1,300 patients, our method achieves up to a 4.96 Dice improvement over strong baselines across diverse architectures, delivering more anatomically coherent and clinically reliable TMJ disc segmentation.

Deformation-Aware Segmentation Network Robust to Motion Artifacts for Brain Tissue Segmentation using Disentanglement Learning

Motion artifacts caused by prolonged acquisition time are a significant challenge in Magnetic Resonance Imaging (MRI), hindering accurate tissue segmentation. These artifacts appear as blurred images that mimic tissue-like appearances, making segmentation difficult. This study proposes a novel deep learning framework that demonstrates superior performance in both motion correction and robust brain tissue segmentation in the presence of artifacts. The core concept lies in a complementary process: a disentanglement learning network progressively removes artifacts, leading to cleaner images and consequently, more accurate segmentation by a jointly trained motion estimation and segmentation network. This network generates three outputs: a motioncorrected image, a motion deformation map that identifies artifact-affected regions, and a brain tissue segmentation mask. This deformation serves as a guidance mechanism for the disentanglement process, aiding the model in recovering lost information or removing artificial structures introduced by the artifacts. Extensive in-vivo experiments on pediatric motion data demonstrate that our proposed framework outperforms state-of-the-art methods in segmenting motion-corrupted MRI scans.