GLeVE: Graph-Guided Lesion Grounding with Proposal Verification in 3D CT

Fuente: arXiv
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Main Authors: Jiang, Shuo, Hong, Yuhao, Jiang, Chunbo, Chen, Weihong, Chen, Huangwei, Zhu, Shenghao, Wu, Beining, Liu, Mingxuan, Zhu, Zhu, Qin, Feiwei, Tan, Min, Chen, Yifei
Format: Preprint
Published: 2026
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author Jiang, Shuo
Hong, Yuhao
Jiang, Chunbo
Chen, Weihong
Chen, Huangwei
Zhu, Shenghao
Wu, Beining
Liu, Mingxuan
Zhu, Zhu
Qin, Feiwei
Tan, Min
Chen, Yifei
author_facet Jiang, Shuo
Hong, Yuhao
Jiang, Chunbo
Chen, Weihong
Chen, Huangwei
Zhu, Shenghao
Wu, Beining
Liu, Mingxuan
Zhu, Zhu
Qin, Feiwei
Tan, Min
Chen, Yifei
contents Grounding radiology report descriptions to 3D CT volumes is essential for verifiable clinical interpretation, yet remains challenging due to the semantic-spatial gap between free-text narratives and volumetric anatomy. Existing report-assisted and vision-language grounding methods typically rely on phrase-level alignment or dense pixel supervision, resulting in limited lesion-wise correspondence and suboptimal localization accuracy. We propose GLeVE, a graph-guided lesion grounding framework with anatomical prior verification and octree-based autoregressive refinement. GLeVE treats each lesion description as an atomic semantic unit and encodes organ attribution, attributes, and inter-lesion relations through relation-aware graph reasoning to produce discriminative lesion-wise queries. Anatomy-aware proposal generation with region-level verification enforces one-to-one text-lesion alignment, while hierarchical octree refinement progressively improves boundary delineation. Experiments on AbdomenAtlas 3.0 demonstrate consistent gains over classical multimodal foundation models and report-supervised baselines in both segmentation accuracy and lesion-level localization.
format Preprint
id arxiv_https___arxiv_org_abs_2605_22619
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle GLeVE: Graph-Guided Lesion Grounding with Proposal Verification in 3D CT
Jiang, Shuo
Hong, Yuhao
Jiang, Chunbo
Chen, Weihong
Chen, Huangwei
Zhu, Shenghao
Wu, Beining
Liu, Mingxuan
Zhu, Zhu
Qin, Feiwei
Tan, Min
Chen, Yifei
Computer Vision and Pattern Recognition
Grounding radiology report descriptions to 3D CT volumes is essential for verifiable clinical interpretation, yet remains challenging due to the semantic-spatial gap between free-text narratives and volumetric anatomy. Existing report-assisted and vision-language grounding methods typically rely on phrase-level alignment or dense pixel supervision, resulting in limited lesion-wise correspondence and suboptimal localization accuracy. We propose GLeVE, a graph-guided lesion grounding framework with anatomical prior verification and octree-based autoregressive refinement. GLeVE treats each lesion description as an atomic semantic unit and encodes organ attribution, attributes, and inter-lesion relations through relation-aware graph reasoning to produce discriminative lesion-wise queries. Anatomy-aware proposal generation with region-level verification enforces one-to-one text-lesion alignment, while hierarchical octree refinement progressively improves boundary delineation. Experiments on AbdomenAtlas 3.0 demonstrate consistent gains over classical multimodal foundation models and report-supervised baselines in both segmentation accuracy and lesion-level localization.
title GLeVE: Graph-Guided Lesion Grounding with Proposal Verification in 3D CT
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2605.22619