Accurate and temporally consistent segmentation of the left ventricle from echocardiography videos is essential for estimating the ejection fraction and assessing cardiac function. However, modeling spatiotemporal dynamics remains difficult due to severe speckle noise and rapid non-rigid deformations. Existing linear recurrent models offer efficient in-context associative recall for temporal tracking, but rely on unconstrained state updates, which cause progressive singular value decay in the state matrix, a phenomenon known as rank collapse, resulting in anatomical details being overwhelmed by noise. To address this, we propose OSA, a framework that constrains the state evolution on the Stiefel manifold. We introduce the Orthogonalized State Update (OSU) mechanism, which formulates the memory evolution as Euclidean projected gradient descent on the Stiefel manifold to prevent rank collapse and maintain stable temporal transitions. Furthermore, an Anatomical Prior-aware Feature Enhancement module explicitly separates anatomical structures from speckle noise through a physics-driven process, providing the temporal tracker with noise-resilient structural cues. Comprehensive experiments on the CAMUS and EchoNet-Dynamic datasets show that OSA achieves state-of-the-art segmentation accuracy and temporal stability, while maintaining real-time inference efficiency for clinical deployment. Codes are available at https://github.com/wangrui2025/OSA.
Vision Foundation Models (VFMs) pre-trained at scale enable a single frozen encoder to serve multiple downstream tasks simultaneously. Recent VFM-based encoder-only models for image and video segmentation, such as EoMT and VidEoMT, achieve competitive accuracy with remarkably low latency, yet they require finetuning the encoder, sacrificing the multi-task encoder sharing that makes VFMs practically attractive for large-scale deployment. To reconcile encoder-only simplicity and speed with frozen VFM features, we propose the Plain Mask Decoder (PMD), a fast Transformer-based segmentation decoder that operates on top of frozen VFM features. The resulting model, the Plain Mask Transformer (PMT), preserves the architectural simplicity and low latency of encoder-only designs while keeping the encoder representation unchanged and shareable. The design seamlessly applies to both image and video segmentation, inheriting the generality of the encoder-only framework. On standard image segmentation benchmarks, PMT matches the frozen-encoder state of the art while running up to ~3x faster. For video segmentation, it even performs on par with fully finetuned methods, while being up to 8x faster than state-of-the-art frozen-encoder models. Code: https://github.com/tue-mps/pmt.
Early screening via colonoscopy is critical for colon cancer prevention, yet developing robust AI systems for this domain is hindered by the lack of densely annotated, long-sequence video datasets. Existing datasets predominantly focus on single-class polyp detection and lack the rich spatial, temporal, and linguistic annotations required to evaluate modern Multimodal Large Language Models (MLLMs). To address this critical gap, we introduce Colon-Bench, generated via a novel multi-stage agentic workflow. Our pipeline seamlessly integrates temporal proposals, bounding-box tracking, AI-driven visual confirmation, and human-in-the-loop review to scalably annotate full-procedure videos. The resulting verified benchmark is unprecedented in scope, encompassing 528 videos, 14 distinct lesion categories (including polyps, ulcers, and bleeding), over 300,000 bounding boxes, 213,000 segmentation masks, and 133,000 words of clinical descriptions. We utilize Colon-Bench to rigorously evaluate state-of-the-art MLLMs across lesion classification, Open-Vocabulary Video Object Segmentation (OV-VOS), and video Visual Question Answering (VQA). The MLLM results demonstrate surprisingly high localization performance in medical domains compared to SAM-3. Finally, we analyze common VQA errors from MLLMs to introduce a novel "colon-skill" prompting strategy, improving zero-shot MLLM performance by up to 9.7% across most MLLMs. The dataset and the code are available at https://abdullahamdi.com/colon-bench .
Recently, state space models have demonstrated efficient video segmentation through linear-complexity state space compression. However, Video Semantic Segmentation (VSS) requires pixel-level spatiotemporal modeling capabilities to maintain temporal consistency in segmentation of semantic objects. While state space models can preserve common semantic information during state space compression, the fixed-size state space inevitably forgets specific information, which limits the models' capability for pixel-level segmentation. To tackle the above issue, we proposed a Refining Specifics State Space Model approach (RS-SSM) for video semantic segmentation, which performs complementary refining of forgotten spatiotemporal specifics. Specifically, a Channel-wise Amplitude Perceptron (CwAP) is designed to extract and align the distribution characteristics of specific information in the state space. Besides, a Forgetting Gate Information Refiner (FGIR) is proposed to adaptively invert and refine the forgetting gate matrix in the state space model based on the specific information distribution. Consequently, our RS-SSM leverages the inverted forgetting gate to complementarily refine the specific information forgotten during state space compression, thereby enhancing the model's capability for spatiotemporal pixel-level segmentation. Extensive experiments on four VSS benchmarks demonstrate that our RS-SSM achieves state-of-the-art performance while maintaining high computational efficiency. The code is available at https://github.com/zhoujiahuan1991/CVPR2026-RS-SSM.
Underwater Video Object Segmentation (VOS) is essential for marine exploration, yet open-air methods suffer significant degradation due to color distortion, low contrast, and prevalent camouflage. A primary hurdle is the lack of high-quality training data. To bridge this gap, we introduce $\textbf{UW-VOS}$, the first large-scale underwater VOS benchmark comprising 1,431 video sequences across 409 categories with 309,295 mask annotations, constructed via a semi-automatic data engine with rigorous human verification. We further propose $\textbf{SAM-U}$, a parameter-efficient framework that adapts SAM2 to the underwater domain. By inserting lightweight adapters into the image encoder, SAM-U achieves state-of-the-art performance with only $\sim$2$\%$ trainable parameters. Extensive experiments reveal that existing methods experience an average 13-point $\mathcal{J}\&\mathcal{F}$ drop on UW-VOS, while SAM-U effectively bridges this domain gap. Detailed attribute-based analysis further identifies small targets, camouflage, and exit-re-entry as critical bottlenecks, providing a roadmap for future research in robust underwater perception.
Retrieving partially relevant segments from untrimmed videos remains difficult due to two persistent challenges: the mismatch in information density between text and video segments, and limited attention mechanisms that overlook semantic focus and event correlations. We present KDC-Net, a Knowledge-Refined Dual Context-Aware Network that tackles these issues from both textual and visual perspectives. On the text side, a Hierarchical Semantic Aggregation module captures and adaptively fuses multi-scale phrase cues to enrich query semantics. On the video side, a Dynamic Temporal Attention mechanism employs relative positional encoding and adaptive temporal windows to highlight key events with local temporal coherence. Additionally, a dynamic CLIP-based distillation strategy, enhanced with temporal-continuity-aware refinement, ensures segment-aware and objective-aligned knowledge transfer. Experiments on PRVR benchmarks show that KDC-Net consistently outperforms state-of-the-art methods, especially under low moment-to-video ratios.
Vision-Language Models (VLMs) are powerful open-set reasoners, yet their direct use as anomaly detectors in video surveillance is fragile: without calibrated anomaly priors, they alternate between missed detections and hallucinated false alarms. We argue the problem is not the VLM itself but how it is used. VLMs should function as anomaly proposers, generating open-set candidate descriptions that are then grounded and tracked by purpose-built spatial and temporal modules. We instantiate this propose-ground-propagate principle in GridVAD, a training-free pipeline that produces pixel-level anomaly masks without any domain-specific training. A VLM reasons over stratified grid representations of video clips to generate natural-language anomaly proposals. Self-Consistency Consolidation (SCC) filters hallucinations by retaining only proposals that recur across multiple independent samplings. Grounding DINO anchors each surviving proposal to a bounding box, and SAM2 propagates it as a dense mask through the anomaly interval. The per-clip VLM budget is fixed at M+1 calls regardless of video length, where M can be set according to the proposals needed. On UCSD Ped2, GridVAD achieves the highest Pixel-AUROC (77.59) among all compared methods, surpassing even the partially fine-tuned TAO (75.11) and outperforms other zero-shot approaches on object-level RBDC by over 5x. Ablations reveal that SCC provides a controllable precision-recall tradeoff: filtering improves all pixel level metrics at a modest cost in object-level recall. Efficiency experiments show GridVAD is 2.7x more call-efficient than uniform per-frame VLM querying while additionally producing dense segmentation masks.Code and qualitative video results are available at https://gridvad.github.io.
We present THFM, a unified video foundation model for human-centric perception that jointly addresses dense tasks (depth, normals, segmentation, dense pose) and sparse tasks (2d/3d keypoint estimation) within a single architecture. THFM is derived from a pretrained text-to-video diffusion model, repurposed as a single-forward-pass perception model and augmented with learnable tokens for sparse predictions. Modulated by the text prompt, our single unified model is capable of performing various perception tasks. Crucially, our model is on-par or surpassing state-of-the-art specialized models on a variety of benchmarks despite being trained exclusively on synthetic data (i.e.~without training on real-world or benchmark specific data). We further highlight intriguing emergent properties of our model, which we attribute to the underlying diffusion-based video representation. For example, our model trained on videos with a single human in the scene generalizes to multiple humans and other object classes such as anthropomorphic characters and animals -- a capability that hasn't been demonstrated in the past.
Referring Video Object Segmentation (RVOS) aims to segment a target object throughout a video given a natural language query. Training-free methods for this task follow a common pipeline: a MLLM selects keyframes, grounds the referred object within those frames, and a video segmentation model propagates the results. While intuitive, this design asks the MLLM to make temporal decisions before any object-level evidence is available, limiting both reasoning quality and spatio-temporal coverage. To overcome this, we propose AgentRVOS, a training-free agentic pipeline built on the complementary strengths of SAM3 and a MLLM. Given a concept derived from the query, SAM3 provides reliable perception over the full spatio-temporal extent through generated mask tracks. The MLLM then identifies the target through query-grounded reasoning over this object-level evidence, iteratively pruning guided by SAM3's temporal existence information. Extensive experiments show that AgentRVOS achieves state-of-the-art performance among training-free methods across multiple benchmarks, with consistent results across diverse MLLM backbones. Our project page is available at: https://cvlab-kaist.github.io/AgentRVOS/.
Most vision-language systems are static observers: they describe pixels, do not act, and cannot safely improve under shift. This passivity limits generalizable, physically grounded visual intelligence. Learning through action, not static description, is essential beyond curated data. We present Pixelis, a pixel-space agent that operates directly on images and videos via a compact set of executable operations (zoom/crop, segment, track, OCR, temporal localization) and learns from its consequences. Pixelis trains in three phases: (1) Supervised Fine-Tuning learns a pixel-tool grammar from Chain-of-Thought-Action traces with a masked imitation loss that upweights operation/argument tokens and auxiliary heads to stabilize pixel-grounded arguments; (2) Curiosity-Coherence Reward Fine-Tuning optimizes a dual-drive objective marrying prediction-error curiosity with adjacent-step coherence and a mild efficiency prior under a KL anchor, yielding short, valid, structured toolchains; (3) Pixel Test-Time RL performs label-free adaptation by retrieving neighbors, voting over complete trajectories rather than answers, and updating toward short, high-fidelity exemplars while constraining drift with a KL-to-EMA safety control. Across six public image and video benchmarks, Pixelis yields consistent improvements: the average relative gain is +4.08% over the same 8B baseline (peaking at +6.03% on VSI-Bench), computed as (ours-baseline)/baseline, while producing shorter, auditable toolchains and maintaining in-corridor KL during test-time learning. Acting within pixels, rather than abstract tokens, grounds multimodal perception in the physical world, linking visual reasoning with actionable outcomes, and enables embodied adaptation without external feedback.