Hierarchical Text-Guided Brain Tumor Segmentation via Sub-Region-Aware Prompts

Fuente: arXiv
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Autori principali: Mohammadi, Bahram, Huy, Ta Duc, Sheikholeslami, Afrouz, Chen, Qi, Phan, Vu Minh Hieu, White, Sam, To, Minh-Son, Zhang, Xuyun, Beheshti, Amin, Zhou, Luping, Qi, Yuankai
Natura: Preprint
Pubblicazione: 2026
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author Mohammadi, Bahram
Huy, Ta Duc
Sheikholeslami, Afrouz
Chen, Qi
Phan, Vu Minh Hieu
White, Sam
To, Minh-Son
Zhang, Xuyun
Beheshti, Amin
Zhou, Luping
Qi, Yuankai
author_facet Mohammadi, Bahram
Huy, Ta Duc
Sheikholeslami, Afrouz
Chen, Qi
Phan, Vu Minh Hieu
White, Sam
To, Minh-Son
Zhang, Xuyun
Beheshti, Amin
Zhou, Luping
Qi, Yuankai
contents Brain tumor segmentation remains challenging because the three standard sub-regions, i.e., whole tumor (WT), tumor core (TC), and enhancing tumor (ET), often exhibit ambiguous visual boundaries. Integrating radiological description texts with imaging has shown promise. However, most multimodal approaches typically compress a report into a single global text embedding shared across all sub-regions, overlooking their distinct clinical characteristics. We propose TextCSP (text-modulated soft cascade architecture), a hierarchical text-guided framework that builds on the TextBraTS baseline with three novel components: (1) a text-modulated soft cascade decoder that predicts WT->TC->ET in a coarse-to-fine manner consistent with their anatomical containment hierarchy. (2) sub-region-aware prompt tuning, which uses learnable soft prompts with a LoRA-adapted BioBERT encoder to generate specialized text representations tailored for each sub-region; (3) text-semantic channel modulators that convert the aforementioned representations into channel-wise refinement signals, enabling the decoder to emphasize features aligned with clinically described patterns. Experiments on the TextBraTS dataset demonstrate consistent improvements across all sub-regions against state-of-the-art methods by 1.7% and 6% on the main metrics Dice and HD95.
format Preprint
id arxiv_https___arxiv_org_abs_2603_21083
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Hierarchical Text-Guided Brain Tumor Segmentation via Sub-Region-Aware Prompts
Mohammadi, Bahram
Huy, Ta Duc
Sheikholeslami, Afrouz
Chen, Qi
Phan, Vu Minh Hieu
White, Sam
To, Minh-Son
Zhang, Xuyun
Beheshti, Amin
Zhou, Luping
Qi, Yuankai
Computer Vision and Pattern Recognition
Brain tumor segmentation remains challenging because the three standard sub-regions, i.e., whole tumor (WT), tumor core (TC), and enhancing tumor (ET), often exhibit ambiguous visual boundaries. Integrating radiological description texts with imaging has shown promise. However, most multimodal approaches typically compress a report into a single global text embedding shared across all sub-regions, overlooking their distinct clinical characteristics. We propose TextCSP (text-modulated soft cascade architecture), a hierarchical text-guided framework that builds on the TextBraTS baseline with three novel components: (1) a text-modulated soft cascade decoder that predicts WT->TC->ET in a coarse-to-fine manner consistent with their anatomical containment hierarchy. (2) sub-region-aware prompt tuning, which uses learnable soft prompts with a LoRA-adapted BioBERT encoder to generate specialized text representations tailored for each sub-region; (3) text-semantic channel modulators that convert the aforementioned representations into channel-wise refinement signals, enabling the decoder to emphasize features aligned with clinically described patterns. Experiments on the TextBraTS dataset demonstrate consistent improvements across all sub-regions against state-of-the-art methods by 1.7% and 6% on the main metrics Dice and HD95.
title Hierarchical Text-Guided Brain Tumor Segmentation via Sub-Region-Aware Prompts
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2603.21083