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CGSM: Concept-Guided Segmentation Model for Precise Pulmonary Lesion Delineation

arxiv.org/abs/2609.07004

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Updated 2 h ago · first seen 11 Sept 2026

paper_01M294H3TFJNDFJQH9CBXX0DM1

Published
11 Sept 2026
T1 · 2 h ago
arXiv
2609.07004
T1 · 2 h ago
Category
cs.CV
T1 · 2 h ago

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Accurate segmentation of pulmonary lesions is essential for effective clinical diagnosis and treatment strategies. Existing segmentation approaches often lack task-specific semantic guidance, as text-based annotations typically offer coarse localization of lesions, leading to inadequate delineation of lesion boundaries and poor performance on small-scale lesions. To address this, we propose CGSM, a Concept-Guided Segmentation Model that integrates LLM-generated and clinically reviewed concepts into the segmentation process. Specifically, we design a Concept-Visual Alignment Module (CVAM) to activate relevant tokens within the concepts that align with visual features, enhancing the interaction between textual and visual information. In addition, we introduce a Concept Modulated Decoder (CM-Decoder), which uses concepts from CVAM as modulation signals to facilitate the adaptive fusion of image and text features, improving the segmentation accuracy. Extensive experiments on two public datasets show that CGSM achieves state-of-the-art performance, with results of 91.59% Dice and 84.49% mIoU on the QaTa-COV19 dataset, demonstrating its effectiveness in pulmonary lesion segmentation.currentcurrentarXiv (Atom API + RSS)T1highdeterministic

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