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Main Authors: Liu, Jiaming, Fan, Dingwei, Zhao, Junyong, Li, Chunlin, Si, Haipeng, Sun, Liang
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2511.00095
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author Liu, Jiaming
Fan, Dingwei
Zhao, Junyong
Li, Chunlin
Si, Haipeng
Sun, Liang
author_facet Liu, Jiaming
Fan, Dingwei
Zhao, Junyong
Li, Chunlin
Si, Haipeng
Sun, Liang
contents The anatomical structure segmentation of the spine and adjacent structures from computed tomography (CT) images is a key step for spinal disease diagnosis and treatment. However, the segmentation of CT images is impeded by low contrast and complex vertebral boundaries. Although advanced models such as the Segment Anything Model (SAM) have shown promise in various segmentation tasks, their performance in spinal CT imaging is limited by high annotation requirements and poor domain adaptability. To address these limitations, we propose SpinalSAM-R1, a multimodal vision-language interactive system that integrates a fine-tuned SAM with DeepSeek-R1, for spine CT image segmentation. Specifically, our SpinalSAM-R1 introduces an anatomy-guided attention mechanism to improve spine segmentation performance, and a semantics-driven interaction protocol powered by DeepSeek-R1, enabling natural language-guided refinement. The SpinalSAM-R1 is fine-tuned using Low-Rank Adaptation (LoRA) for efficient adaptation. We validate our SpinalSAM-R1 on the spine anatomical structure with CT images. Experimental results suggest that our method achieves superior segmentation performance. Meanwhile, we develop a PyQt5-based interactive software, which supports point, box, and text-based prompts. The system supports 11 clinical operations with 94.3\% parsing accuracy and sub-800 ms response times. The software is released on https://github.com/6jm233333/spinalsam-r1.
format Preprint
id arxiv_https___arxiv_org_abs_2511_00095
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle SpinalSAM-R1: A Vision-Language Multimodal Interactive System for Spine CT Segmentation
Liu, Jiaming
Fan, Dingwei
Zhao, Junyong
Li, Chunlin
Si, Haipeng
Sun, Liang
Computer Vision and Pattern Recognition
Artificial Intelligence
92C55
I.2.10
The anatomical structure segmentation of the spine and adjacent structures from computed tomography (CT) images is a key step for spinal disease diagnosis and treatment. However, the segmentation of CT images is impeded by low contrast and complex vertebral boundaries. Although advanced models such as the Segment Anything Model (SAM) have shown promise in various segmentation tasks, their performance in spinal CT imaging is limited by high annotation requirements and poor domain adaptability. To address these limitations, we propose SpinalSAM-R1, a multimodal vision-language interactive system that integrates a fine-tuned SAM with DeepSeek-R1, for spine CT image segmentation. Specifically, our SpinalSAM-R1 introduces an anatomy-guided attention mechanism to improve spine segmentation performance, and a semantics-driven interaction protocol powered by DeepSeek-R1, enabling natural language-guided refinement. The SpinalSAM-R1 is fine-tuned using Low-Rank Adaptation (LoRA) for efficient adaptation. We validate our SpinalSAM-R1 on the spine anatomical structure with CT images. Experimental results suggest that our method achieves superior segmentation performance. Meanwhile, we develop a PyQt5-based interactive software, which supports point, box, and text-based prompts. The system supports 11 clinical operations with 94.3\% parsing accuracy and sub-800 ms response times. The software is released on https://github.com/6jm233333/spinalsam-r1.
title SpinalSAM-R1: A Vision-Language Multimodal Interactive System for Spine CT Segmentation
topic Computer Vision and Pattern Recognition
Artificial Intelligence
92C55
I.2.10
url https://arxiv.org/abs/2511.00095