Prompt-Guided Patch UNet-VAE with Adversarial Supervision for Adrenal Gland Segmentation in Computed Tomography Medical Images

Fuente: arXiv
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Autores principales: Ghouse, Hania, Behzad, Muzammil
Formato: Preprint
Publicado: 2025
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author Ghouse, Hania
Behzad, Muzammil
author_facet Ghouse, Hania
Behzad, Muzammil
contents Segmentation of small and irregularly shaped abdominal organs, such as the adrenal glands in CT imaging, remains a persistent challenge due to severe class imbalance, poor spatial context, and limited annotated data. In this work, we propose a unified framework that combines variational reconstruction, supervised segmentation, and adversarial patch-based feedback to address these limitations in a principled and scalable manner. Our architecture is built upon a VAE-UNet backbone that jointly reconstructs input patches and generates voxel-level segmentation masks, allowing the model to learn disentangled representations of anatomical structure and appearance. We introduce a patch-based training pipeline that selectively injects synthetic patches generated from the learned latent space, and systematically study the effects of varying synthetic-to-real patch ratios during training. To further enhance output fidelity, the framework incorporates perceptual reconstruction loss using VGG features, as well as a PatchGAN-style discriminator for adversarial supervision over spatial realism. Comprehensive experiments on the BTCV dataset demonstrate that our approach improves segmentation accuracy, particularly in boundary-sensitive regions, while maintaining strong reconstruction quality. Our findings highlight the effectiveness of hybrid generative-discriminative training regimes for small-organ segmentation and provide new insights into balancing realism, diversity, and anatomical consistency in data-scarce scenarios.
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publishDate 2025
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spellingShingle Prompt-Guided Patch UNet-VAE with Adversarial Supervision for Adrenal Gland Segmentation in Computed Tomography Medical Images
Ghouse, Hania
Behzad, Muzammil
Image and Video Processing
Computer Vision and Pattern Recognition
Segmentation of small and irregularly shaped abdominal organs, such as the adrenal glands in CT imaging, remains a persistent challenge due to severe class imbalance, poor spatial context, and limited annotated data. In this work, we propose a unified framework that combines variational reconstruction, supervised segmentation, and adversarial patch-based feedback to address these limitations in a principled and scalable manner. Our architecture is built upon a VAE-UNet backbone that jointly reconstructs input patches and generates voxel-level segmentation masks, allowing the model to learn disentangled representations of anatomical structure and appearance. We introduce a patch-based training pipeline that selectively injects synthetic patches generated from the learned latent space, and systematically study the effects of varying synthetic-to-real patch ratios during training. To further enhance output fidelity, the framework incorporates perceptual reconstruction loss using VGG features, as well as a PatchGAN-style discriminator for adversarial supervision over spatial realism. Comprehensive experiments on the BTCV dataset demonstrate that our approach improves segmentation accuracy, particularly in boundary-sensitive regions, while maintaining strong reconstruction quality. Our findings highlight the effectiveness of hybrid generative-discriminative training regimes for small-organ segmentation and provide new insights into balancing realism, diversity, and anatomical consistency in data-scarce scenarios.
title Prompt-Guided Patch UNet-VAE with Adversarial Supervision for Adrenal Gland Segmentation in Computed Tomography Medical Images
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2509.03188