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Main Authors: Yu, Wenjun, Zhou, Yinchen, Jiang, Jia-Xuan, Zeng, Shubin, Li, Yuee, Wang, Zhong
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2509.08570
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author Yu, Wenjun
Zhou, Yinchen
Jiang, Jia-Xuan
Zeng, Shubin
Li, Yuee
Wang, Zhong
author_facet Yu, Wenjun
Zhou, Yinchen
Jiang, Jia-Xuan
Zeng, Shubin
Li, Yuee
Wang, Zhong
contents Multimodal models have achieved remarkable success in natural image segmentation, yet they often underperform when applied to the medical domain. Through extensive study, we attribute this performance gap to the challenges of multimodal fusion, primarily the significant semantic gap between abstract textual prompts and fine-grained medical visual features, as well as the resulting feature dispersion. To address these issues, we revisit the problem from the perspective of semantic aggregation. Specifically, we propose an Expectation-Maximization (EM) Aggregation mechanism and a Text-Guided Pixel Decoder. The former mitigates feature dispersion by dynamically clustering features into compact semantic centers to enhance cross-modal correspondence. The latter is designed to bridge the semantic gap by leveraging domain-invariant textual knowledge to effectively guide deep visual representations. The synergy between these two mechanisms significantly improves the model's generalization ability. Extensive experiments on public cardiac and fundus datasets demonstrate that our method consistently outperforms existing SOTA approaches across multiple domain generalization benchmarks.
format Preprint
id arxiv_https___arxiv_org_abs_2509_08570
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Vision-Language Semantic Aggregation Leveraging Foundation Model for Generalizable Medical Image Segmentation
Yu, Wenjun
Zhou, Yinchen
Jiang, Jia-Xuan
Zeng, Shubin
Li, Yuee
Wang, Zhong
Computer Vision and Pattern Recognition
Multimodal models have achieved remarkable success in natural image segmentation, yet they often underperform when applied to the medical domain. Through extensive study, we attribute this performance gap to the challenges of multimodal fusion, primarily the significant semantic gap between abstract textual prompts and fine-grained medical visual features, as well as the resulting feature dispersion. To address these issues, we revisit the problem from the perspective of semantic aggregation. Specifically, we propose an Expectation-Maximization (EM) Aggregation mechanism and a Text-Guided Pixel Decoder. The former mitigates feature dispersion by dynamically clustering features into compact semantic centers to enhance cross-modal correspondence. The latter is designed to bridge the semantic gap by leveraging domain-invariant textual knowledge to effectively guide deep visual representations. The synergy between these two mechanisms significantly improves the model's generalization ability. Extensive experiments on public cardiac and fundus datasets demonstrate that our method consistently outperforms existing SOTA approaches across multiple domain generalization benchmarks.
title Vision-Language Semantic Aggregation Leveraging Foundation Model for Generalizable Medical Image Segmentation
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2509.08570