RUFNet: Query-Guided Support Mask Refinement and Uncertainty Fusion based on Hybrid Mamba for Few-Shot Brain Tumor Segmentation

Few-shot brain tumor segmentation remains challenging due to noisy support masks, inter-patient variations between support and query images, and the lack of pixel-wise confidence estimation. This study proposes RUFNet, a Hybrid Mamba-based few-shot framework that combines support mask refinement with uncertainty-aware posterior fusion. To preserve support-query dependencies with manageable cost, RUFNet adopts a Hybrid Mamba interaction backbone with linear complexity. To reduce support-mask noise, an Attention-Guided Mask Refinement module (AGMR) uses query features to recalibrate support masks and improve prototype consistency. To handle ambiguous predictions, an Uncertainty-Aware Posterior Fusion module (UAPF) estimates pixel-wise variance and adaptively balances few-shot predictions with query-aligned priors. On the Brain Tumor Segmentation Challenge (BraTS) 2020 dataset, RUFNet achieves Dice coefficients of 84.3% and 86.1% in the 1-way 1-shot and 1-way 5-shot settings, respectively, outperforming the compared state-of-the-art methods. These results suggest that Hybrid Mamba interaction, mask refinement and uncertainty modelling can improve the robustness of few-shot medical image segmentation. The official implementation code is available at https://github.com/hdy6438/RUFNet.

CFSPMNet: Cross-subject Fourier-guided Spatial-Patch Mamba Network for EEG Motor Imagery Decoding in Stroke Patients

Motor imagery electroencephalography (MI-EEG) decoding offers a non-invasive route for post-stroke rehabilitation, but cross-patient use remains difficult because pathological neural reorganization changes task-related EEG dynamics, aperiodic activity, local excitability, cross-regional coordination, and trial-level brain-state context. This makes source-learned MI representations unreliable for unseen patients. To address this problem, we propose CFSPMNet, a cross-patient adaptation framework that models post-stroke MI-EEG as latent neural-state organization. CFSPMNet combines a Fourier-Reorganized State Mamba Network (FRSM) with Shared-Private Prototype Matching (SPPM). FRSM represents each trial as a latent physiological token sequence, reorganizes token states in the Fourier domain, and uses Fourier-derived trial context to guide Mamba state-space propagation. SPPM improves target pseudo-label updating by combining semantic confidence with shared-private physiological consistency, filtering confident but physiologically inconsistent target predictions. Leave-one-subject-out experiments on two stroke MI-EEG datasets show that CFSPMNet outperforms representative CNN-, Transformer-, Mamba-, and adaptation-based baselines, achieving average accuracies of 68.23% on XW-Stroke and 73.33% on 2019-Stroke, with gains of 5.63 and 8.25 percentage points over the strongest competitors. Ablation, sensitivity, feature-alignment, pseudo-label selection, and neurophysiological visualization analyses further support the roles of Fourier-domain token-state reorganization and calibrated pseudo-label updating. These results suggest that latent neural-state modeling can improve rehabilitation-oriented cross-patient BCI decoding. Code is available at https://github.com/wxk1224/CFSPMNet.