Text as Illumination: Spatial Contrastive Retinex Learning for Language-guided Medical Image Segmentation

Language-guided Medical Image Segmentation (LMIS) has shown great potential to improve the delineation of anatomical structures and lesions by integrating clinical textual information. Existing methods generally rely on either implicit interaction between textual and visual features or auxiliary coarse-grained supervision for cross-modal alignment. However, these methods lack explicit and fine-grained constraints to ensure semantic consistency, causing a mismatch between language and the segmentation outputs. To address this issue, we propose Text-as-Illumination Retinex Network (TIRNet), a novel Retinex-inspired framework that treats text embeddings as semantic illumination for feature modulation, thereby improving semantic consistency in LMIS. TIRNet introduces two key blocks integrated at each decoder stage: (1) the Retinex-inspired Text Modulation Block (RTMB), which employs positive and negative illumination maps to enhance text-relevant foreground features and suppress background interference; and (2) the Consistent Detail Compensation Block (CDCB), which selectively recovers high-frequency details via a consistency-gated mechanism conditioned on illumination reliability. Furthermore, we propose a Multi-Scale Illumination Supervision Loss (MSIS-Loss), comprising a Region-Grounded Contrastive Loss (RGC-Loss) that enforces cross-modal similarity to be concentrated in text-relevant foreground regions and suppressed in background regions, and a Background Suppression Loss (BS-Loss) that provides pixel-level supervision for negative illumination maps, jointly ensuring a precise cross-modal alignment at each decoder stage. Extensive experiments on the MosMedData+ and QaTa-COV19 datasets demonstrate that TIRNet achieves state-of-the-art performance in LMIS. The code is available at: https://github.com/anaanaa/TIRNet.

HFP-SAM: Hierarchical Frequency Prompted SAM for Efficient Marine Animal Segmentation

Marine Animal Segmentation (MAS) aims at identifying and segmenting marine animals from complex marine environments. Most of previous deep learning-based MAS methods struggle with the long-distance modeling issue. Recently, Segment Anything Model (SAM) has gained popularity in general image segmentation. However, it lacks of perceiving fine-grained details and frequency information. To this end, we propose a novel learning framework, named Hierarchical Frequency Prompted SAM (HFP-SAM) for high-performance MAS. First, we design a Frequency Guided Adapter (FGA) to efficiently inject marine scene information into the frozen SAM backbone through frequency domain prior masks. Additionally, we introduce a Frequency-aware Point Selection (FPS) to generate highlighted regions through frequency analysis. These regions are combined with the coarse predictions of SAM to generate point prompts and integrate into SAM's decoder for fine predictions. Finally, to obtain comprehensive segmentation masks, we introduce a Full-View Mamba (FVM) to efficiently extract spatial and channel contextual information with linear computational complexity. Extensive experiments on four public datasets demonstrate the superior performance of our approach. The source code is publicly available at https://github.com/Drchip61/TIP-HFP-SAM.