Advancing Generalizable Tumor Segmentation with Anomaly-Aware Open-Vocabulary Attention Maps and Frozen Foundation Diffusion Models

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Main Authors: Jiang, Yankai, Zhang, Peng, Yang, Donglin, Tian, Yuan, Lin, Hai, Wang, Xiaosong
Format: Preprint
Published: 2025
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author Jiang, Yankai
Zhang, Peng
Yang, Donglin
Tian, Yuan
Lin, Hai
Wang, Xiaosong
author_facet Jiang, Yankai
Zhang, Peng
Yang, Donglin
Tian, Yuan
Lin, Hai
Wang, Xiaosong
contents We explore Generalizable Tumor Segmentation, aiming to train a single model for zero-shot tumor segmentation across diverse anatomical regions. Existing methods face limitations related to segmentation quality, scalability, and the range of applicable imaging modalities. In this paper, we uncover the potential of the internal representations within frozen medical foundation diffusion models as highly efficient zero-shot learners for tumor segmentation by introducing a novel framework named DiffuGTS. DiffuGTS creates anomaly-aware open-vocabulary attention maps based on text prompts to enable generalizable anomaly segmentation without being restricted by a predefined training category list. To further improve and refine anomaly segmentation masks, DiffuGTS leverages the diffusion model, transforming pathological regions into high-quality pseudo-healthy counterparts through latent space inpainting, and applies a novel pixel-level and feature-level residual learning approach, resulting in segmentation masks with significantly enhanced quality and generalization. Comprehensive experiments on four datasets and seven tumor categories demonstrate the superior performance of our method, surpassing current state-of-the-art models across multiple zero-shot settings. Codes are available at https://github.com/Yankai96/DiffuGTS.
format Preprint
id arxiv_https___arxiv_org_abs_2505_02753
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Advancing Generalizable Tumor Segmentation with Anomaly-Aware Open-Vocabulary Attention Maps and Frozen Foundation Diffusion Models
Jiang, Yankai
Zhang, Peng
Yang, Donglin
Tian, Yuan
Lin, Hai
Wang, Xiaosong
Computer Vision and Pattern Recognition
We explore Generalizable Tumor Segmentation, aiming to train a single model for zero-shot tumor segmentation across diverse anatomical regions. Existing methods face limitations related to segmentation quality, scalability, and the range of applicable imaging modalities. In this paper, we uncover the potential of the internal representations within frozen medical foundation diffusion models as highly efficient zero-shot learners for tumor segmentation by introducing a novel framework named DiffuGTS. DiffuGTS creates anomaly-aware open-vocabulary attention maps based on text prompts to enable generalizable anomaly segmentation without being restricted by a predefined training category list. To further improve and refine anomaly segmentation masks, DiffuGTS leverages the diffusion model, transforming pathological regions into high-quality pseudo-healthy counterparts through latent space inpainting, and applies a novel pixel-level and feature-level residual learning approach, resulting in segmentation masks with significantly enhanced quality and generalization. Comprehensive experiments on four datasets and seven tumor categories demonstrate the superior performance of our method, surpassing current state-of-the-art models across multiple zero-shot settings. Codes are available at https://github.com/Yankai96/DiffuGTS.
title Advancing Generalizable Tumor Segmentation with Anomaly-Aware Open-Vocabulary Attention Maps and Frozen Foundation Diffusion Models
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2505.02753