SAMba-UNet: Synergizing SAM2 and Mamba in UNet with Heterogeneous Aggregation for Cardiac MRI Segmentation

To address the challenge of complex pathological feature extraction in automated cardiac MRI segmentation, this study proposes an innovative dual-encoder architecture named SAMba-UNet. The framework achieves cross-modal feature collaborative learning by integrating the vision foundation model SAM2, the state-space model Mamba, and the classical UNet. To mitigate domain discrepancies between medical and natural images, a Dynamic Feature Fusion Refiner is designed, which enhances small lesion feature extraction through multi-scale pooling and a dual-path calibration mechanism across channel and spatial dimensions. Furthermore, a Heterogeneous Omni-Attention Convergence Module (HOACM) is introduced, combining global contextual attention with branch-selective emphasis mechanisms to effectively fuse SAM2's local positional semantics and Mamba's long-range dependency modeling capabilities. Experiments on the ACDC cardiac MRI dataset demonstrate that the proposed model achieves a Dice coefficient of 0.9103 and an HD95 boundary error of 1.0859 mm, significantly outperforming existing methods, particularly in boundary localization for complex pathological structures such as right ventricular anomalies. This work provides an efficient and reliable solution for automated cardiac disease diagnosis, and the code will be open-sourced.

HWA-UNETR: Hierarchical Window Aggregate UNETR for 3D Multimodal Gastric Lesion Segmentation

Multimodal medical image segmentation faces significant challenges in the context of gastric cancer lesion analysis. This clinical context is defined by the scarcity of independent multimodal datasets and the imperative to amalgamate inherently misaligned modalities. As a result, algorithms are constrained to train on approximate data and depend on application migration, leading to substantial resource expenditure and a potential decline in analysis accuracy. To address those challenges, we have made two major contributions: First, we publicly disseminate the GCM 2025 dataset, which serves as the first large-scale, open-source collection of gastric cancer multimodal MRI scans, featuring professionally annotated FS-T2W, CE-T1W, and ADC images from 500 patients. Second, we introduce HWA-UNETR, a novel 3D segmentation framework that employs an original HWA block with learnable window aggregation layers to establish dynamic feature correspondences between different modalities' anatomical structures, and leverages the innovative tri-orientated fusion mamba mechanism for context modeling and capturing long-range spatial dependencies. Extensive experiments on our GCM 2025 dataset and the publicly BraTS 2021 dataset validate the performance of our framework, demonstrating that the new approach surpasses existing methods by up to 1.68\% in the Dice score while maintaining solid robustness. The dataset and code are public via https://github.com/JeMing-creater/HWA-UNETR.

BrainSegDMlF: A Dynamic Fusion-enhanced SAM for Brain Lesion Segmentation

The segmentation of substantial brain lesions is a significant and challenging task in the field of medical image segmentation. Substantial brain lesions in brain imaging exhibit high heterogeneity, with indistinct boundaries between lesion regions and normal brain tissue. Small lesions in single slices are difficult to identify, making the accurate and reproducible segmentation of abnormal regions, as well as their feature description, highly complex. Existing methods have the following limitations: 1) They rely solely on single-modal information for learning, neglecting the multi-modal information commonly used in diagnosis. This hampers the ability to comprehensively acquire brain lesion information from multiple perspectives and prevents the effective integration and utilization of multi-modal data inputs, thereby limiting a holistic understanding of lesions. 2) They are constrained by the amount of data available, leading to low sensitivity to small lesions and difficulty in detecting subtle pathological changes. 3) Current SAM-based models rely on external prompts, which cannot achieve automatic segmentation and, to some extent, affect diagnostic efficiency.To address these issues, we have developed a large-scale fully automated segmentation model specifically designed for brain lesion segmentation, named BrainSegDMLF. This model has the following features: 1) Dynamic Modal Interactive Fusion (DMIF) module that processes and integrates multi-modal data during the encoding process, providing the SAM encoder with more comprehensive modal information. 2) Layer-by-Layer Upsampling Decoder, enabling the model to extract rich low-level and high-level features even with limited data, thereby detecting the presence of small lesions. 3) Automatic segmentation masks, allowing the model to generate lesion masks automatically without requiring manual prompts.

GaMNet: A Hybrid Network with Gabor Fusion and NMamba for Efficient 3D Glioma Segmentation

Gliomas are aggressive brain tumors that pose serious health risks. Deep learning aids in lesion segmentation, but CNN and Transformer-based models often lack context modeling or demand heavy computation, limiting real-time use on mobile medical devices. We propose GaMNet, integrating the NMamba module for global modeling and a multi-scale CNN for efficient local feature extraction. To improve interpretability and mimic the human visual system, we apply Gabor filters at multiple scales. Our method achieves high segmentation accuracy with fewer parameters and faster computation. Extensive experiments show GaMNet outperforms existing methods, notably reducing false positives and negatives, which enhances the reliability of clinical diagnosis.

ADNP-15: An Open-Source Histopathological Dataset for Neuritic Plaque Segmentation in Human Brain Whole Slide Images with Frequency Domain Image Enhancement for Stain Normalization

Alzheimer's Disease (AD) is a neurodegenerative disorder characterized by amyloid-beta plaques and tau neurofibrillary tangles, which serve as key histopathological features. The identification and segmentation of these lesions are crucial for understanding AD progression but remain challenging due to the lack of large-scale annotated datasets and the impact of staining variations on automated image analysis. Deep learning has emerged as a powerful tool for pathology image segmentation; however, model performance is significantly influenced by variations in staining characteristics, necessitating effective stain normalization and enhancement techniques. In this study, we address these challenges by introducing an open-source dataset (ADNP-15) of neuritic plaques (i.e., amyloid deposits combined with a crown of dystrophic tau-positive neurites) in human brain whole slide images. We establish a comprehensive benchmark by evaluating five widely adopted deep learning models across four stain normalization techniques, providing deeper insights into their influence on neuritic plaque segmentation. Additionally, we propose a novel image enhancement method that improves segmentation accuracy, particularly in complex tissue structures, by enhancing structural details and mitigating staining inconsistencies. Our experimental results demonstrate that this enhancement strategy significantly boosts model generalization and segmentation accuracy. All datasets and code are open-source, ensuring transparency and reproducibility while enabling further advancements in the field.

Lesion-Aware Generative Artificial Intelligence for Virtual Contrast-Enhanced Mammography in Breast Cancer

Contrast-Enhanced Spectral Mammography (CESM) is a dual-energy mammographic technique that improves lesion visibility through the administration of an iodinated contrast agent. It acquires both a low-energy image, comparable to standard mammography, and a high-energy image, which are then combined to produce a dual-energy subtracted image highlighting lesion contrast enhancement. While CESM offers superior diagnostic accuracy compared to standard mammography, its use entails higher radiation exposure and potential side effects associated with the contrast medium. To address these limitations, we propose Seg-CycleGAN, a generative deep learning framework for Virtual Contrast Enhancement in CESM. The model synthesizes high-fidelity dual-energy subtracted images from low-energy images, leveraging lesion segmentation maps to guide the generative process and improve lesion reconstruction. Building upon the standard CycleGAN architecture, Seg-CycleGAN introduces localized loss terms focused on lesion areas, enhancing the synthesis of diagnostically relevant regions. Experiments on the CESM@UCBM dataset demonstrate that Seg-CycleGAN outperforms the baseline in terms of PSNR and SSIM, while maintaining competitive MSE and VIF. Qualitative evaluations further confirm improved lesion fidelity in the generated images. These results suggest that segmentation-aware generative models offer a viable pathway toward contrast-free CESM alternatives.

A Dual-Task Synergy-Driven Generalization Framework for Pancreatic Cancer Segmentation in CT Scans

Pancreatic cancer, characterized by its notable prevalence and mortality rates, demands accurate lesion delineation for effective diagnosis and therapeutic interventions. The generalizability of extant methods is frequently compromised due to the pronounced variability in imaging and the heterogeneous characteristics of pancreatic lesions, which may mimic normal tissues and exhibit significant inter-patient variability. Thus, we propose a generalization framework that synergizes pixel-level classification and regression tasks, to accurately delineate lesions and improve model stability. This framework not only seeks to align segmentation contours with actual lesions but also uses regression to elucidate spatial relationships between diseased and normal tissues, thereby improving tumor localization and morphological characterization. Enhanced by the reciprocal transformation of task outputs, our approach integrates additional regression supervision within the segmentation context, bolstering the model's generalization ability from a dual-task perspective. Besides, dual self-supervised learning in feature spaces and output spaces augments the model's representational capability and stability across different imaging views. Experiments on 594 samples composed of three datasets with significant imaging differences demonstrate that our generalized pancreas segmentation results comparable to mainstream in-domain validation performance (Dice: 84.07%). More importantly, it successfully improves the results of the highly challenging cross-lesion generalized pancreatic cancer segmentation task by 9.51%. Thus, our model constitutes a resilient and efficient foundational technological support for pancreatic disease management and wider medical applications. The codes will be released at https://github.com/SJTUBME-QianLab/Dual-Task-Seg.

Reinforced Correlation Between Vision and Language for Precise Medical AI Assistant

Medical AI assistants support doctors in disease diagnosis, medical image analysis, and report generation. However, they still face significant challenges in clinical use, including limited accuracy with multimodal content and insufficient validation in real-world settings. We propose RCMed, a full-stack AI assistant that improves multimodal alignment in both input and output, enabling precise anatomical delineation, accurate localization, and reliable diagnosis through hierarchical vision-language grounding. A self-reinforcing correlation mechanism allows visual features to inform language context, while language semantics guide pixel-wise attention, forming a closed loop that refines both modalities. This correlation is enhanced by a color region description strategy, translating anatomical structures into semantically rich text to learn shape-location-text relationships across scales. Trained on 20 million image-mask-description triplets, RCMed achieves state-of-the-art precision in contextualizing irregular lesions and subtle anatomical boundaries, excelling in 165 clinical tasks across 9 modalities. It achieved a 23.5% relative improvement in cell segmentation from microscopy images over prior methods. RCMed's strong vision-language alignment enables exceptional generalization, with state-of-the-art performance in external validation across 20 clinically significant cancer types, including novel tasks. This work demonstrates how integrated multimodal models capture fine-grained patterns, enabling human-level interpretation in complex scenarios and advancing human-centric AI healthcare.

LymphAtlas- A Unified Multimodal Lymphoma Imaging Repository Delivering AI-Enhanced Diagnostic Insight

This study integrates PET metabolic information with CT anatomical structures to establish a 3D multimodal segmentation dataset for lymphoma based on whole-body FDG PET/CT examinations, which bridges the gap of the lack of standardised multimodal segmentation datasets in the field of haematological malignancies. We retrospectively collected 483 examination datasets acquired between March 2011 and May 2024, involving 220 patients (106 non-Hodgkin lymphoma, 42 Hodgkin lymphoma); all data underwent ethical review and were rigorously de-identified. Complete 3D structural information was preserved during data acquisition, preprocessing and annotation, and a high-quality dataset was constructed based on the nnUNet format. By systematic technical validation and evaluation of the preprocessing process, annotation quality and automatic segmentation algorithm, the deep learning model trained based on this dataset is verified to achieve accurate segmentation of lymphoma lesions in PET/CT images with high accuracy, good robustness and reproducibility, which proves the applicability and stability of this dataset in accurate segmentation and quantitative analysis. The deep fusion of PET/CT images achieved with this dataset not only significantly improves the accurate portrayal of the morphology, location and metabolic features of tumour lesions, but also provides solid data support for early diagnosis, clinical staging and personalized treatment, and promotes the development of automated image segmentation and precision medicine based on deep learning. The dataset and related resources are available at https://github.com/SuperD0122/LymphAtlas-.

Advanced Segmentation of Diabetic Retinopathy Lesions Using DeepLabv3+

To improve the segmentation of diabetic retinopathy lesions (microaneurysms, hemorrhages, exudates, and soft exudates), we implemented a binary segmentation method specific to each type of lesion. As post-segmentation, we combined the individual model outputs into a single image to better analyze the lesion types. This approach facilitated parameter optimization and improved accuracy, effectively overcoming challenges related to dataset limitations and annotation complexity. Specific preprocessing steps included cropping and applying contrast-limited adaptive histogram equalization to the L channel of the LAB image. Additionally, we employed targeted data augmentation techniques to further refine the model's efficacy. Our methodology utilized the DeepLabv3+ model, achieving a segmentation accuracy of 99%. These findings highlight the efficacy of innovative strategies in advancing medical image analysis, particularly in the precise segmentation of diabetic retinopathy lesions. The IDRID dataset was utilized to validate and demonstrate the robustness of our approach.