A Concept-Guided Segmentation Model is proposed that integrates LLM-generated and clinically reviewed concepts into the segmentation process, and a Concept-Visual Alignment Module (CVAM) is designed to activate relevant tokens within the concepts that align with visual features, enhancing the interaction between textual and visual information.
Abstract
Accurate segmentation of pulmonary lesions is essential for effective clinical diagnosis and treatment strategies. Existing segmentation approaches often lack task-specific semantic guidance, as text-based annotations typically offer coarse localization of lesions, leading to inadequate delineation of lesion boundaries and poor performance on small-scale lesions. To address this, we propose CGSM, a Concept-Guided Segmentation Model that integrates LLM-generated and clinically reviewed concepts into the segmentation process. Specifically, we design a Concept-Visual Alignment Module (CVAM) to activate relevant tokens within the concepts that align with visual features, enhancing the interaction between textual and visual information. In addition, we introduce a Concept Modulated Decoder (CM-Decoder), which uses concepts from CVAM as modulation signals to facilitate the adaptive fusion of image and text features, improving the segmentation accuracy. Extensive experiments on two public datasets show that CGSM achieves state-of-the-art performance, with results of 91.59% Dice and 84.49% mIoU on the QaTa-COV19 dataset, demonstrating its effectiveness in pulmonary lesion segmentation.
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This work quantifies the "Semantic Gain" of structured textual priors as a proof-of-concept, providing a controlled benchmark for the potential of structured text guidance and providing a robust foundation for integrated radiogenomic analysis and computer-aided diagnosis research.
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The review of visual foundation models represented by CLIP and SAM shows that these models significantly improve data efficiency and cross-domain generalization capabilities, but still need further exploration in medical specificity adaptation and fine-grained segmentation.
Jing-Yi Yu· Proceedings of the 4th Inter...· 0 citations
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