Recent studies reveal the vulnerability of the image segmentation foundation model SAM to adversarial examples. Its successor, SAM2, has attracted significant attention due to its strong generalization capability in video segmentation. However, its robustness remains unexplored, and it is unclear whether existing attacks on SAM can be directly transferred to SAM2. In this paper, we first analyze the performance gap of existing attacks between SAM and SAM2 and highlight two key challenges arising from their architectural differences: directional guidance from the prompt and semantic entanglement across consecutive frames. To address these issues, we propose UAP-SAM2, the first cross-prompt universal adversarial attack against SAM2 driven by dual semantic deviation. For cross-prompt transferability, we begin by designing a target-scanning strategy that divides each frame into k regions, each randomly assigned a prompt, to reduce prompt dependency during optimization.

Visual In-Context Learning (VICL) has emerged as a prominent approach for adapting visual foundation models to novel tasks, by effectively exploiting contextual information embedded in in-context examples, which can be formulated as a global ranking problem of potential candidates. Current VICL methods, such as Partial2Global and VPR, are grounded in the similarity-priority assumption that images more visually similar to a query image serve as better in-context examples. This foundational assumption, while intuitive, lacks sufficient justification for its efficacy in selecting optimal in-context examples. Furthermore, Partial2Global constructs its global ranking from a series of randomly sampled pairwise preference predictions. Such a reliance on random sampling can lead to incomplete coverage and redundant samplings of comparisons, thus further adversely impacting the final global ranking. To address these issues, this paper introduces an enhanced variant of Partial2Global designed for reliable and holistic selection of in-context examples in VICL. Our proposed method, dubbed RH-Partial2Global, leverages a jackknife conformal prediction-guided strategy to construct reliable alternative sets and a covering design-based sampling approach to ensure comprehensive and uniform coverage of pairwise preferences. Extensive experiments demonstrate that RH-Partial2Global achieves excellent performance and outperforms Partial2Global across diverse visual tasks.

This comparative summary underscores the breadth, depth, and clinical relevance of PanTS relative to existing public datasets. While a number of prior datasets were incorporated into our training partition, our team made substantial and transformative contributions. Specifically, 23 board-certified radiologists independently annotated and rigorously validated previously unlabeled pancreatic tumors as well as over 25 additional abdominal and thoracic anatomical structures, many of which were not comprehensively labeled in the source datasets. This effort significantly elevates the clinical utility and completeness of the dataset. Scale: With 36,390 CT scans, PanTS is over 8.5 larger than the most extensive existing dataset dedicated to pancreatic tumor detection, setting a new benchmark for scale in abdominal imaging datasets.

Random splitting of datasets in image segmentation often leads to unrepresentative test sets, resulting in biased evaluations and poor model generalization. While stratified sampling has proven effective for addressing label distribution imbalance in classification tasks, extending these ideas to segmentation remains challenging due to the multi-label structure and class imbalance typically present in such data. Building on existing stratification concepts, we introduce Iterative Pixel Stratification (IPS), a straightforward, label-aware sampling method tailored for segmentation tasks. Additionally, we present Wasserstein-Driven Evolutionary Stratification (WDES), a novel genetic algorithm designed to minimize the Wasserstein distance, thereby optimizing the similarity of label distributions across dataset splits. We prove that WDES is globally optimal given enough generations. Using newly proposed statistical heterogeneity metrics, we evaluate both methods against random sampling and find that WDES consistently produces more representative splits. Applying WDES across diverse segmentation tasks, including street scenes, medical imaging, and satellite imagery, leads to lower performance variance and improved model evaluation. Our results also highlight the particular value of WDES in handling small, imbalanced, and low-diversity datasets, where conventional splitting strategies are most prone to bias.

Semantic, instance, and panoptic segmentations have been addressed using different and specialized frameworks despite their underlying connections. This paper presents a unified, simple, and effective framework for these essentially similar tasks. The framework, named K-Net, segments both instances and semantic categories consistently by a group of learnable kernels, where each kernel is responsible for generating a mask for either a potential instance or a stuff class. To remedy the difficulties of distinguishing various instances, we propose a kernel update strategy that enables each kernel dynamic and conditional on its meaningful group in the input image. K-Net can be trained in an end-to-end manner with bipartite matching, and its training and inference are naturally NMS-free and box-free. Without bells and whistles, K-Net surpasses all previous published stateof-the-art single-model results of panoptic segmentation on MSCOCO test-dev split and semantic segmentation on ADE20K val split with 55.2% PQ and 54.3% mIoU, respectively. Its instance segmentation performance is also on par with Cascade Mask R-CNN on MSCOCO with 60%-90% faster inference speeds. Code and models will be released at https://github.com/ZwwWayne/K-Net/.

Accurately restoring topology is both challenging and crucial in tubular structure extraction tasks, such as blood vessel segmentation and road network extraction. Diverging from traditional approaches based on pixel-level classification, our proposed method, named GraphMorph, focuses on branch-level features of tubular structures to achieve more topologically accurate predictions. GraphMorph comprises two main components: a Graph Decoder and a Morph Module. Utilizing multi-scale features extracted from an image patch by the segmentation network, the Graph Decoder facilitates the learning of branch-level features and generates a graph that accurately represents the tubular structure in this patch. The Morph Module processes two primary inputs: the graph and the centerline probability map, provided by the Graph Decoder and the segmentation network, respectively. Employing a novel SkeletonDijkstra algorithm, the Morph Module produces a centerline mask that aligns with the predicted graph. Furthermore, we observe that employing centerline masks predicted by GraphMorph significantly reduces false positives in the segmentation task, which is achieved by a simple yet effective post-processing strategy. The efficacy of our method in the centerline extraction and segmentation tasks has been substantiated through experimental evaluations across various datasets. Source code will be released soon.

Many real-world vision problems suffer from inherent ambiguities. In clinical applications for example, it might not be clear from a CT scan alone which particular region is cancer tissue. Therefore a group of graders typically produces a set of diverse but plausible segmentations. We consider the task of learning a distribution over segmentations given an input. To this end we propose a generative segmentation model based on a combination of a U-Net with a conditional variational autoencoder that is capable of efficiently producing an unlimited number of plausible hypotheses. We show on a lung abnormalities segmentation task and on a Cityscapes segmentation task that our model reproduces the possible segmentation variants as well as the frequencies with which they occur, doing so significantly better than published approaches. These models could have a high impact in real-world applications, such as being used as clinical decision-making algorithms accounting for multiple plausible semantic segmentation hypotheses to provide possible diagnoses and recommend further actions to resolve the present ambiguities.

Precise image segmentation provides clinical study with instructive information.