Daily Papers

In this paper, we propose a novel text promptable surgical instrument segmentation approach to overcome challenges associated with diversity and differentiation of surgical instruments in minimally invasive surgeries. We redefine the task as text promptable, thereby enabling a more nuanced comprehension of surgical instruments and adaptability to new instrument types. Inspired by recent advancements in vision-language models, we leverage pretrained image and text encoders as our model backbone and design a text promptable mask decoder consisting of attention- and convolution-based prompting schemes for surgical instrument segmentation prediction. Our model leverages multiple text prompts for each surgical instrument through a new mixture of prompts mechanism, resulting in enhanced segmentation performance. Additionally, we introduce a hard instrument area reinforcement module to improve image feature comprehension and segmentation precision. Extensive experiments on EndoVis2017 and EndoVis2018 datasets demonstrate our model's superior performance and promising generalization capability. To our knowledge, this is the first implementation of a promptable approach to surgical instrument segmentation, offering significant potential for practical application in the field of robotic-assisted surgery.

We introduce VoxTell, a vision-language model for text-prompted volumetric medical image segmentation. It maps free-form descriptions, from single words to full clinical sentences, to 3D masks. Trained on 62K+ CT, MRI, and PET volumes spanning over 1K anatomical and pathological classes, VoxTell uses multi-stage vision-language fusion across decoder layers to align textual and visual features at multiple scales. It achieves state-of-the-art zero-shot performance across modalities on unseen datasets, excelling on familiar concepts while generalizing to related unseen classes. Extensive experiments further demonstrate strong cross-modality transfer, robustness to linguistic variations and clinical language, as well as accurate instance-specific segmentation from real-world text. Code is available at: https://www.github.com/MIC-DKFZ/VoxTell

Medical image segmentation is fundamental for biomedical discovery. Existing methods lack generalizability and demand extensive, time-consuming manual annotation for new clinical application. Here, we propose MedSAM-3, a text promptable medical segmentation model for medical image and video segmentation. By fine-tuning the Segment Anything Model (SAM) 3 architecture on medical images paired with semantic conceptual labels, our MedSAM-3 enables medical Promptable Concept Segmentation (PCS), allowing precise targeting of anatomical structures via open-vocabulary text descriptions rather than solely geometric prompts. We further introduce the MedSAM-3 Agent, a framework that integrates Multimodal Large Language Models (MLLMs) to perform complex reasoning and iterative refinement in an agent-in-the-loop workflow. Comprehensive experiments across diverse medical imaging modalities, including X-ray, MRI, Ultrasound, CT, and video, demonstrate that our approach significantly outperforms existing specialist and foundation models. We will release our code and model at https://github.com/Joey-S-Liu/MedSAM3.

Multimodal foundation models, such as GPT-4o, have recently made remarkable progress, but it is not clear where exactly these models stand in terms of understanding vision. In this paper, we benchmark the performance of popular multimodal foundation models (GPT-4o, o4-mini, Gemini 1.5 Pro and Gemini 2.0 Flash, Claude 3.5 Sonnet, Qwen2-VL, Llama 3.2) on standard computer vision tasks (semantic segmentation, object detection, image classification, depth and surface normal prediction) using established datasets (e.g., COCO, ImageNet and its variants, etc). The main challenges to performing this are: 1) most models are trained to output text and cannot natively express versatile domains, such as segments or 3D geometry, and 2) many leading models are proprietary and accessible only at an API level, i.e., there is no weight access to adapt them. We address these challenges by translating standard vision tasks into equivalent text-promptable and API-compatible tasks via prompt chaining to create a standardized benchmarking framework. We observe that 1) the models are not close to the state-of-the-art specialist models at any task. However, 2) they are respectable generalists; this is remarkable as they are presumably trained on primarily image-text-based tasks. 3) They perform semantic tasks notably better than geometric ones. 4) While the prompt-chaining techniques affect performance, better models exhibit less sensitivity to prompt variations. 5) GPT-4o performs the best among non-reasoning models, securing the top position in 4 out of 6 tasks, 6) reasoning models, e.g. o3, show improvements in geometric tasks, and 7) a preliminary analysis of models with native image generation, like the latest GPT-4o, shows they exhibit quirks like hallucinations and spatial misalignments.

We present WorldCanvas, a framework for promptable world events that enables rich, user-directed simulation by combining text, trajectories, and reference images. Unlike text-only approaches and existing trajectory-controlled image-to-video methods, our multimodal approach combines trajectories -- encoding motion, timing, and visibility -- with natural language for semantic intent and reference images for visual grounding of object identity, enabling the generation of coherent, controllable events that include multi-agent interactions, object entry/exit, reference-guided appearance and counterintuitive events. The resulting videos demonstrate not only temporal coherence but also emergent consistency, preserving object identity and scene despite temporary disappearance. By supporting expressive world events generation, WorldCanvas advances world models from passive predictors to interactive, user-shaped simulators. Our project page is available at: https://worldcanvas.github.io/.

Language promptable X-ray image segmentation would enable greater flexibility for human-in-the-loop workflows in diagnostic and interventional precision medicine. Prior efforts have contributed task-specific models capable of solving problems within a narrow scope, but expanding to broader use requires additional data, annotations, and training time. Recently, language-aligned foundation models (LFMs) -- machine learning models trained on large amounts of highly variable image and text data thus enabling broad applicability -- have emerged as promising tools for automated image analysis. Existing foundation models for medical image analysis focus on scenarios and modalities where large, richly annotated datasets are available. However, the X-ray imaging modality features highly variable image appearance and applications, from diagnostic chest X-rays to interventional fluoroscopy, with varying availability of data. To pave the way toward an LFM for comprehensive and language-aligned analysis of arbitrary medical X-ray images, we introduce FluoroSAM, a language-promptable variant of the Segment Anything Model, trained from scratch on 3M synthetic X-ray images from a wide variety of human anatomies, imaging geometries, and viewing angles. These include pseudo-ground truth masks for 128 organ types and 464 tools with associated text descriptions. FluoroSAM is capable of segmenting myriad anatomical structures and tools based on natural language prompts, thanks to the novel incorporation of vector quantization (VQ) of text embeddings in the training process. We demonstrate FluoroSAM's performance quantitatively on real X-ray images and showcase on several applications how FluoroSAM is a key enabler for rich human-machine interaction in the X-ray image acquisition and analysis context. Code is available at https://github.com/arcadelab/fluorosam.

This paper explores promptable NeRF generation (e.g., text prompt or single image prompt) for direct conditioning and fast generation of NeRF parameters for the underlying 3D scenes, thus undoing complex intermediate steps while providing full 3D generation with conditional control. Unlike previous diffusion-CLIP-based pipelines that involve tedious per-prompt optimizations, Prompt2NeRF-PIL is capable of generating a variety of 3D objects with a single forward pass, leveraging a pre-trained implicit latent space of NeRF parameters. Furthermore, in zero-shot tasks, our experiments demonstrate that the NeRFs produced by our method serve as semantically informative initializations, significantly accelerating the inference process of existing prompt-to-NeRF methods. Specifically, we will show that our approach speeds up the text-to-NeRF model DreamFusion and the 3D reconstruction speed of the image-to-NeRF method Zero-1-to-3 by 3 to 5 times.

Contrastive Language-Image Pre-training (CLIP) has been a celebrated method for training vision encoders to generate image/text representations facilitating various applications. Recently, CLIP has been widely adopted as the vision backbone of multimodal large language models (MLLMs) to connect image inputs for language interactions. The success of CLIP as a vision-language foundation model relies on aligning web-crawled noisy text annotations at image levels. Nevertheless, such criteria may become insufficient for downstream tasks in need of fine-grained vision representations, especially when region-level understanding is demanding for MLLMs. In this paper, we improve the localization capability of CLIP with several advances. We propose a pre-training method called Contrastive Localized Language-Image Pre-training (CLOC) by complementing CLIP with region-text contrastive loss and modules. We formulate a new concept, promptable embeddings, of which the encoder produces image embeddings easy to transform into region representations given spatial hints. To support large-scale pre-training, we design a visually-enriched and spatially-localized captioning framework to effectively generate region-text pseudo-labels at scale. By scaling up to billions of annotated images, CLOC enables high-quality regional embeddings for image region recognition and retrieval tasks, and can be a drop-in replacement of CLIP to enhance MLLMs, especially on referring and grounding tasks.