Encoding Structural Constraints into Segment Anything Models via Probabilistic Graphical Models

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Hauptverfasser: Li, Yu, Chang, Da, Xiao, Xi
Format: Preprint
Veröffentlicht: 2025
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author Li, Yu
Chang, Da
Xiao, Xi
author_facet Li, Yu
Chang, Da
Xiao, Xi
contents While the Segment Anything Model (SAM) has achieved remarkable success in image segmentation, its direct application to medical imaging remains hindered by fundamental challenges, including ambiguous boundaries, insufficient modeling of anatomical relationships, and the absence of uncertainty quantification. To address these limitations, we introduce KG-SAM, a knowledge-guided framework that synergistically integrates anatomical priors with boundary refinement and uncertainty estimation. Specifically, KG-SAM incorporates (i) a medical knowledge graph to encode fine-grained anatomical relationships, (ii) an energy-based Conditional Random Field (CRF) to enforce anatomically consistent predictions, and (iii) an uncertainty-aware fusion module to enhance reliability in high-stakes clinical scenarios. Extensive experiments across multi-center medical datasets demonstrate the effectiveness of our approach: KG-SAM achieves an average Dice score of 82.69% on prostate segmentation and delivers substantial gains in abdominal segmentation, reaching 78.05% on MRI and 79.68% on CT. These results establish KG-SAM as a robust and generalizable framework for advancing medical image segmentation.
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id arxiv_https___arxiv_org_abs_2509_21750
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Encoding Structural Constraints into Segment Anything Models via Probabilistic Graphical Models
Li, Yu
Chang, Da
Xiao, Xi
Computer Vision and Pattern Recognition
While the Segment Anything Model (SAM) has achieved remarkable success in image segmentation, its direct application to medical imaging remains hindered by fundamental challenges, including ambiguous boundaries, insufficient modeling of anatomical relationships, and the absence of uncertainty quantification. To address these limitations, we introduce KG-SAM, a knowledge-guided framework that synergistically integrates anatomical priors with boundary refinement and uncertainty estimation. Specifically, KG-SAM incorporates (i) a medical knowledge graph to encode fine-grained anatomical relationships, (ii) an energy-based Conditional Random Field (CRF) to enforce anatomically consistent predictions, and (iii) an uncertainty-aware fusion module to enhance reliability in high-stakes clinical scenarios. Extensive experiments across multi-center medical datasets demonstrate the effectiveness of our approach: KG-SAM achieves an average Dice score of 82.69% on prostate segmentation and delivers substantial gains in abdominal segmentation, reaching 78.05% on MRI and 79.68% on CT. These results establish KG-SAM as a robust and generalizable framework for advancing medical image segmentation.
title Encoding Structural Constraints into Segment Anything Models via Probabilistic Graphical Models
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2509.21750