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Main Authors: Xu, Qing, Wang, Yanqian, Hea, Xiangjian, Li, Yue, Zhang, Yixuan, Qu, Rong, Duan, Wenting, Chen, Zhen
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2512.04875
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author Xu, Qing
Wang, Yanqian
Hea, Xiangjian
Li, Yue
Zhang, Yixuan
Qu, Rong
Duan, Wenting
Chen, Zhen
author_facet Xu, Qing
Wang, Yanqian
Hea, Xiangjian
Li, Yue
Zhang, Yixuan
Qu, Rong
Duan, Wenting
Chen, Zhen
contents Automated lesion detection in chest X-rays has demonstrated significant potential for improving clinical diagnosis by precisely localizing pathological abnormalities. While recent promptable detection frameworks have achieved remarkable accuracy in target localization, existing methods typically rely on manual annotations as prompts, which are labor-intensive and impractical for clinical applications. To address this limitation, we propose SP-Det, a novel self-prompted detection framework that automatically generates rich textual context to guide multi-label lesion detection without requiring expert annotations. Specifically, we introduce an expert-free dual-text prompt generator (DTPG) that leverages two complementary textual modalities: semantic context prompts that capture global pathological patterns and disease beacon prompts that focus on disease-specific manifestations. Moreover, we devise a bidirectional feature enhancer (BFE) that synergistically integrates comprehensive diagnostic context with disease-specific embeddings to significantly improve feature representation and detection accuracy. Extensive experiments on two chest X-ray datasets with diverse thoracic disease categories demonstrate that our SP-Det framework outperforms state-of-the-art detection methods while completely eliminating the dependency on expert-annotated prompts compared to existing promptable architectures.
format Preprint
id arxiv_https___arxiv_org_abs_2512_04875
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle SP-Det: Self-Prompted Dual-Text Fusion for Generalized Multi-Label Lesion Detection
Xu, Qing
Wang, Yanqian
Hea, Xiangjian
Li, Yue
Zhang, Yixuan
Qu, Rong
Duan, Wenting
Chen, Zhen
Computer Vision and Pattern Recognition
Automated lesion detection in chest X-rays has demonstrated significant potential for improving clinical diagnosis by precisely localizing pathological abnormalities. While recent promptable detection frameworks have achieved remarkable accuracy in target localization, existing methods typically rely on manual annotations as prompts, which are labor-intensive and impractical for clinical applications. To address this limitation, we propose SP-Det, a novel self-prompted detection framework that automatically generates rich textual context to guide multi-label lesion detection without requiring expert annotations. Specifically, we introduce an expert-free dual-text prompt generator (DTPG) that leverages two complementary textual modalities: semantic context prompts that capture global pathological patterns and disease beacon prompts that focus on disease-specific manifestations. Moreover, we devise a bidirectional feature enhancer (BFE) that synergistically integrates comprehensive diagnostic context with disease-specific embeddings to significantly improve feature representation and detection accuracy. Extensive experiments on two chest X-ray datasets with diverse thoracic disease categories demonstrate that our SP-Det framework outperforms state-of-the-art detection methods while completely eliminating the dependency on expert-annotated prompts compared to existing promptable architectures.
title SP-Det: Self-Prompted Dual-Text Fusion for Generalized Multi-Label Lesion Detection
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2512.04875