Characterizing Text Branch Sensitivity in Medical Vision-Language Segmentation via Evidence Decoupling
Updated 4 h ago · first seen 11 Sept 2026
paper_01M294GKN7JE0FYM2FGQ0NA9J9
- Published
- 11 Sept 2026
- T1 · 4 h ago
- arXiv
- 2609.02663
- T1 · 4 h ago
- Category
- cs.CV
- T1 · 4 h ago
Abstract
Pretrained vision-language models (VLMs) have shown promising performance in medical image segmentation by incorporating clinical text. However, it remains unclear how much textual information actually contributes to pixel-level predictions. In this work, we systematically investigate the role of text in multimodal medical image segmentation. We first analyze several commonly used fusion strategies and find that segmentation performance is largely insensitive to the choice of fusion module. To further understand modality interactions, we propose an Evidence Decoupling Decoder (EDD) based on evidential deep learning and deep supervision. EDD serves as an internal representation analysis tool that decomposes image evidence and text-modulated evidence throughout the decoding process while maintaining competitive segmentation performance. Experimental results show that the sensitivity to text perturbation varies substantially across datasets. On BUSI and BTMRI, removing text causes catastrophic performance drops, indicating strong model reliance on textual input. On ISIC and Kvasir-SEG, text exerts relatively marginal influence. We further find that text affects predictions mainly through global semantic modulation rather than independent spatial localization, and that the specific semantic components driving text sensitivity differ across datasets. These findings provide a deeper understanding of modality interaction in multimodal medical image segmentation and offer practical insights for future model design.
Authors 3
Ziquan Liu, Zhewei Zhu, Xuyang Shi
Specification
- Official page
Source:arXiv (Atom API + RSS)T1observed 4 h agohigh
- Arxiv announce type
- cross
Source:arXiv (Atom API + RSS)T1observed 4 h agohigh
- arXiv id
- 2609.02663
Source:arXiv (Atom API + RSS)T1observed 4 h agohigh
- Categories
- cs.CV, cs.AI
Source:arXiv (Atom API + RSS)T1observed 4 h agohigh
Source:arXiv (Atom API + RSS)T1observed 4 h agohigh
- Primary category
- cs.CV
Source:arXiv (Atom API + RSS)T1observed 4 h agohigh
- Published
- 11 Sept 2026
Source:arXiv (Atom API + RSS)T1observed 4 h agohigh
Each value shows its source, tier and observation time. Conflicting claims are kept side by side and flagged — never averaged. How AI Atlas records facts →
Provenance
Attributed facts
9
Source tiers
T19
Freshest observation
4 h ago
Conflicts
None
No models linked to this paper yet.
- Authors
- Ziquan Liu, Zhewei Zhu, Xuyang Shi
As of
Rewind the record: see this entity's attributes exactly as AI Atlas knew them on a given day.
Claim history
Official pageofficial_url1
| Value | Valid from → to | Status | Source | Confidence | Extractor |
|---|---|---|---|---|---|
| https://arxiv.org/abs/2609.02663 | → current | current | arXiv (Atom API + RSS)T1 | high | deterministic |
Abstractabstract1
| Value | Valid from → to | Status | Source | Confidence | Extractor |
|---|---|---|---|---|---|
| Pretrained vision-language models (VLMs) have shown promising performance in medical image segmentation by incorporating clinical text. However, it remains unclear how much textual information actually contributes to pixel-level predictions. In this work, we systematically investigate the role of text in multimodal medical image segmentation. We first analyze several commonly used fusion strategies and find that segmentation performance is largely insensitive to the choice of fusion module. To further understand modality interactions, we propose an Evidence Decoupling Decoder (EDD) based on evidential deep learning and deep supervision. EDD serves as an internal representation analysis tool that decomposes image evidence and text-modulated evidence throughout the decoding process while maintaining competitive segmentation performance. Experimental results show that the sensitivity to text perturbation varies substantially across datasets. On BUSI and BTMRI, removing text causes catastrophic performance drops, indicating strong model reliance on textual input. On ISIC and Kvasir-SEG, text exerts relatively marginal influence. We further find that text affects predictions mainly through global semantic modulation rather than independent spatial localization, and that the specific semantic components driving text sensitivity differ across datasets. These findings provide a deeper understanding of modality interaction in multimodal medical image segmentation and offer practical insights for future model design. | → current | current | arXiv (Atom API + RSS)T1 | high | deterministic |
Arxiv announce typearxiv_announce_type1
| Value | Valid from → to | Status | Source | Confidence | Extractor |
|---|---|---|---|---|---|
| cross | → current | current | arXiv (Atom API + RSS)T1 | high | deterministic |
arXiv idarxiv_id1
| Value | Valid from → to | Status | Source | Confidence | Extractor |
|---|---|---|---|---|---|
| 2609.02663 | → current | current | arXiv (Atom API + RSS)T1 | high | deterministic |
Categoriescategories1
| Value | Valid from → to | Status | Source | Confidence | Extractor |
|---|---|---|---|---|---|
| cs.CV, cs.AI | → current | current | arXiv (Atom API + RSS)T1 | high | deterministic |
PDFpdf_url1
| Value | Valid from → to | Status | Source | Confidence | Extractor |
|---|---|---|---|---|---|
| https://arxiv.org/pdf/2609.02663 | → current | current | arXiv (Atom API + RSS)T1 | high | deterministic |
Primary categoryprimary_category1
| Value | Valid from → to | Status | Source | Confidence | Extractor |
|---|---|---|---|---|---|
| cs.CV | → current | current | arXiv (Atom API + RSS)T1 | high | deterministic |
Publishedpublished_at1
| Value | Valid from → to | Status | Source | Confidence | Extractor |
|---|---|---|---|---|---|
| 11 Sept 2026 | → current | current | arXiv (Atom API + RSS)T1 | high | deterministic |
Claims are temporal and append-only: a new observation closes the previous claim (valid_to) instead of overwriting it. Conflicting claims from different sources are kept side by side and flagged — never averaged. Methodology →
- New paperPaperCharacterizing Text Branch Sensitivity in Medical Vision-Language Segmentation via Evidence Decoupling
New paper: Characterizing Text Branch Sensitivity in Medical Vision-Language Segmentation via Evidence Decoupling
arxiv
| Source | Document | Type | Tier | Last observed | Snapshots |
|---|---|---|---|---|---|
| arXiv (Atom API + RSS) | rss.arxiv.org/rss/cs.AI | feed | T1· Official | 4 h ago | 1 |
Tier 1 = official/primary, 2 = quality secondary, 3 = community, 4 = unverified. Every snapshot is archived; see all sources and the methodology.