搜索医学 AI 论文与资源

ICLR 2026 Poster accepted paper at ICLR 2026. Subsampling significantly reduces the number of measurements, thereby streamlining data processing and transfer overhead, and shortening acquisition time across diverse real-world applications. The recently introduced Active Deep Probabilistic Subsampling (A-DPS) approach jointly optimizes both the subsampling pattern and the downstream task model, enabling instance- and subject-specific sampling trajectories and effective adaptation to new data at inference time. However, this approach does not fully leverage valuable dataset priors and relies on top-1 sampling, which can impede the optimization process. Herein, we enhance A-DPS by integrating a deterministic (fixed) prior-informed sampling pattern derived from the training dataset, along with group-based sampling via top-k sampling, to achieve more robust optimization—method we call Prior-aware and context-guided Group-based Active DPS (PGA-DPS).

ICLR 2026 Poster accepted paper at ICLR 2026. Accurate cell instance segmentation is foundational for digital pathology analysis. Existing methods based on contour detection and distance mapping still face significant challenges in processing complex and dense cellular regions. Graph coloring-based methods provide a new paradigm for this task, yet the effectiveness of this paradigm in real-world scenarios with dense overlaps and complex topologies has not been verified. Addressing this issue, we release a large-scale dataset GBC-FS 2025, which contains highly complex and dense sub-cellular nuclear arrangements. We conduct the first systematic analysis of the chromatic properties of cell adjacency graphs across four diverse datasets and reveal an important discovery: most real-world cell graphs are non-bipartite, with a high prevalence of odd-length cycles (predominantly triangles).

ICLR 2026 Poster accepted paper at ICLR 2026. Brain tumor segmentation in multi-modal MRIs poses significant challenges when one or more modalities are missing. Recent approaches commonly employ parallel fusion strategies; however, these methods often risk losing crucial shared information across modalities, which can degrade segmentation performance. In this paper, we advocate leveraging sequential information bottleneck fusion to effectively preserve shared information across modalities. From an information-theoretic perspective, sequential fusion not only produces more robust fused representations in missing-data scenarios but also achieves a tighter generalization upper bound compared to parallel fusion approaches.

ICLR 2026 Poster accepted paper at ICLR 2026. Adapters have become a widely adopted strategy for efficient fine-tuning of foundation models, particularly in resource-constrained settings. However, their performance under extreme data scarcity—common in medical imaging due to high annotation costs, privacy regulations, and fragmented datasets—remains underexplored. In this work, we present the first comprehensive study of adapter-based fine-tuning for vision foundation models in low-data medical imaging scenarios. We find that, contrary to their promise, conventional Adapters can degrade performance under severe data constraints, performing even worse than simple linear probing when trained on less than 1\% of the corresponding training data.

ICLR 2026 Poster accepted paper at ICLR 2026. Lightweight 3D medical image segmentation remains constrained by a fundamental "efficiency / robustness conflict", particularly when processing complex anatomical structures and heterogeneous modalities. In this paper, we study how to redesign the framework based on the characteristics of high-dimensional 3D images, and explore data synergy to overcome the fragile representation of lightweight methods. Our approach, VeloxSeg, begins with a deployable and extensible dual-stream CNN-Transformer architecture composed of Paired Window Attention (PWA) and Johnson-Lindenstrauss lemma-guided convolution (JLC). For each 3D image, we invoke a "glance-and-focus" principle, where PWA rapidly retrieves multi-scale information, and JLC ensures robust local feature extraction with minimal parameters, significantly enhancing the model's ability to operate with low computational budget. Code/project link: https://github.com/JinPLu/VeloxSeg

ICLR 2026 Poster accepted paper at ICLR 2026. Deep neural networks for medical image segmentation often produce overconfident predictions, posing clinical risks due to miscalibrated uncertainty estimates. In this work, we rethink model calibration from a frequency-domain perspective and identify two critical factors causing miscalibration: spectral bias, where models overemphasize low-frequency components, and confidence saturation, which suppresses overall power spectral density in confidence maps. To address these challenges, we propose a novel frequency-aware calibration framework integrating spectral entropy regularization and power spectral smoothing. The spectral entropy term promotes a balanced frequency spectrum and enhances overall spectral power, enabling better modeling of high-frequency boundary and low-frequency structural uncertainty.

ICLR 2026 Poster accepted paper at ICLR 2026. In clinical applications, the utility of segmentation models is often based on the accuracy of derived downstream metrics such as organ size, rather than by the pixel-level accuracy of the segmentation masks themselves. Thus, uncertainty quantification for such metrics is crucial for decision-making. Conformal prediction (CP) is a popular framework to derive such principled uncertainty guarantees, but applying CP naively to the final scalar metric is inefficient because it treats the complex, non-linear segmentation-to-metric pipeline as a black box. We introduce COMPASS, a practical framework that generates efficient, metric-based CP intervals for image segmentation models by leveraging the inductive biases of their underlying deep neural networks.

ICLR 2026 Poster accepted paper at ICLR 2026. Automatic polyp segmentation from colonoscopy videos is a crucial technique that assists clinicians in improving the accuracy and efficiency of diagnosis, preventing polyps from developing into cancer. However, video polyp segmentation (VPS) is a challenging task due to (1) the significant inter-frame divergence in videos, (2) the high camouflage of polyps in normal colon structures and (3) the clinical requirement of real-time performance. In this paper, we propose a novel segmentation network, WavePolyp, which consists of two innovative components: a hierarchical wavelet-based feature aggregation (HWFA) module and inter-frame divergence perception (IDP) blocks. Specifically, HWFA excavates and amplifies discriminative information from high-frequency and low-frequency features decomposed by wavelet transform, hierarchically aggregating them into refined spatial representations within each frame. Code/project link: https://github.com/FishballZhang/WavePolyp

ICLR 2026 Poster accepted paper at ICLR 2026. Vision-language models for medical image segmentation often produce masks that conflict with the accompanying text, especially under multi-site/multi-lesion descriptions. We trace this failure to two factors: (i) highly templated and repetitive clinical language causes one-to-one hard contrastive learning to yield numerous false negatives, weakening cross-modal alignment; and (ii) predominantly vision-driven, one-way cross-attention lacks a language-dominant, spatially aware pathway, hindering effective injection of textual semantics into the spatial visual domain. To this end, we propose Consistency-enhanced Two-stage Segmentation (C2Seg). In the pretraining stage, Cluster-aware Contrastive Learning uses a frozen strong baseline to construct an intra-batch text similarity matrix as soft labels, thereby alleviating false negative conflicts and producing more discriminative visual representations.

ICLR 2026 Poster accepted paper at ICLR 2026. Segmentation in pathology image requires handling out-of-domain tissue morphologies and new pathologies beyond training distributions, where traditional closed-set segmentation approaches fail to generalize. Reasoning segmentation enables zero-shot generalization via prompting with text queries. However, existing reasoning segmentation models face three barriers when applied to pathology: (1) the vision encoder lack pathology-specific knowledge and robustness to staining variations, (2) the large language model (LLM) backbone for reasoning fails to identify whether it has gathered sufficient semantic context to trigger the segmentation output, and (3) no reasoning segmentation benchmarks and datasets exist for pathology analysis. Consequently, we introduce PathChat-SegR1, a reasoning segmentation model built upon pathology-specific vision encoders trained with a novel stain-invariant self-distillation for robust pathology image representations.

ICLR 2026 Poster accepted paper at ICLR 2026. Interactive segmentation uses real-time user inputs, such as mouse clicks, to iteratively refine model predictions. Although not originally designed to address distribution shifts, this paradigm naturally lends itself to such challenges. In medical imaging, where distribution shifts are common, interactive methods can use user inputs to guide models towards improved predictions. Moreover, once a model is deployed, user corrections can be used to adapt the network parameters to the new data distribution, mitigating distribution shift. Based on these insights, we aim to develop a practical, effective method for improving the adaptive capabilities of interactive segmentation models to new data distributions in medical imaging. Code/project link: https://github.com/WenTXuL/OAIMS

ICLR 2026 Poster accepted paper at ICLR 2026. Diffusion models have recently demonstrated significant robustness in medical image segmentation, effectively accommodating variations across different imaging styles. However, their applications remain limited due to: (i) current successes being primarily confined to 2D segmentation tasks—we observe that diffusion models tend to collapse at the early stage when applied to 3D medical tasks; and (ii) the inherently isolated iteration along timesteps during training and inference. To tackle these limitations, we propose a novel framework named Cross-Timestep, which incorporates two key innovations: an Adaptive Priori Decoding Strategy (APDS) and a trans-temporal memory LSTM (tLSTM) mechanism. (i) The APDS provides prior guidance during the diffusion process by employing a Priori Decoder(PD) that focuses solely on the conditional branch, successfully stabilizing the reverse diffusion process.

ICLR 2026 Poster accepted paper at ICLR 2026. Self-supervised pre-training has emerged as a critical paradigm for learning transferable representations from unlabeled medical volumetric data. Masked autoencoder based methods have garnered significant attention, yet their application to volumetric medical image faces fundamental limitations from the discrete voxel-level reconstruction objective, which neglects comprehensive anatomical structure continuity. To address this challenge, We propose MedGMAE, a novel framework that replaces traditional voxel reconstruction with 3D Gaussian primitives reconstruction as new perspectives on representation learning. Our approach learns to predict complete sets of 3D Gaussian parameters as semantic abstractions to represent the entire 3D volume, from sparse visible image patches. Code/project link: https://github.com/windrise/MedGMAE; https://anonymous.4open.science/r/MedGMAE-EC8F/

ICLR 2026 Poster accepted paper at ICLR 2026. Automatic video polyp segmentation (VPS) is crucial for preventing and treating colorectal cancer by ensuring accurate identification of polyps in colonoscopy examinations. However, its clinical application is hampered by two key challenges: shape collapse, which compromises structural integrity, and episodic amnesia, which causes instability in challenging video sequences. To address these challenges, we present a novel video segmentation network, \emph{HFSTI-Net}, which integrates global perception with spatiotemporal consistency in spatial, temporal, and frequency domains. Specifically, to address shape collapse under low contrast or visual ambiguity, we design a Hierarchical Frequency-spatial Interaction (HFSI) module that fuses spatial and frequency cues for fine-grained boundary localization. Code/project link: https://github.com/Yuanqin-He/HFSTI-Net

ICLR 2026 Poster accepted paper at ICLR 2026. Pan-cancer screening in large-scale CT scans remains challenging for existing AI methods, primarily due to the difficulty of localizing diverse types of tiny lesions in large CT volumes. The extreme foreground-background imbalance significantly hinders models from focusing on diseased regions, while redundant focus on healthy regions not only decreases the efficiency but also increases false positives. Inspired by radiologists' glance and focus diagnostic strategy, we introduce GF-Screen, a Glance and Focus reinforcement learning framework for pan-cancer screening. GF-Screen employs a Glance model to localize the diseased regions and a Focus model to precisely segment the lesions, where segmentation results of the Focus model are leveraged to reward the Glance model via Reinforcement Learning (RL). Code/project link: https://github.com/Luffy03/GF-Screen

ICLR 2026 Poster accepted paper at ICLR 2026. Medical image segmentation is fundamental to clinical decision-making, yet existing models remain fragmented. They are usually trained on single knowledge sources and specific to individual tasks, modalities, or organs. This fragmentation contrasts sharply with clinical practice, where experts seamlessly integrate diverse knowledge: anatomical priors from training, exemplar-based reasoning from reference cases, and iterative refinement through real-time interaction. We present $\textbf{K-Prism}$, a unified segmentation framework that mirrors this clinical flexibility by systematically integrating three knowledge paradigms: (i) $\textit{semantic priors}$ learned from annotated datasets, (ii) $\textit{in-context knowledge}$ from few-shot reference examples, and (iii) $\textit{interactive feedback}$ from user inputs like clicks or scribbles. Code/project link: https://github.com/bangwayne/K-Prism

ICLR 2026 Poster accepted paper at ICLR 2026. Large visual language models (VLMs) have shown strong multi-modal medical reasoning ability, but most operate as end-to-end black boxes, diverging from clinicians’ evidence-based, staged workflows and hindering clinical accountability. Complementarily, expert visual grounding models can accurately localize regions of interest (ROIs), providing explicit, reliable evidence that improves both reasoning accuracy and trust. In this paper, we introduce **CARE**, advancing **C**linical **A**ccountability in multi-modal medical **R**easoning with an **E**vidence-grounded agentic framework. Unlike existing approaches that couple grounding and reasoning within a single generalist model, CARE decomposes the task into coordinated sub-modules to reduce shortcut learning and hallucination: a compact VLM proposes relevant medical entities; an expert entity-referring segmentation model produces pixel-level ROI evidence; and a grounded VLM reasons over the full image augmented by ROI hints.

ICLR 2026 Poster accepted paper at ICLR 2026. Accurate detection of all pathological findings in 3D medical images remains a significant challenge, as supervised models are limited to detecting only the few pathology classes annotated in existing datasets. To address this, we frame pathology detection as an unsupervised visual anomaly segmentation (UVAS) problem, leveraging the inherent rarity of pathological patterns compared to healthy ones. We enhance the existing density-based UVAS framework with two key innovations: (1) dense self-supervised learning for feature extraction, eliminating the need for supervised pretraining, and (2) learned, masking-invariant dense features as conditioning variables, replacing hand-crafted positional encodings. Trained on over 30,000 unlabeled 3D CT volumes, our fully self-supervised model, Screener, outperforms existing UVAS methods on four large-scale test datasets comprising 1,820 scans with diverse pathologies. Code/project link: https://github.com/mishgon/screener; https://anonymous.4open.science/r/screener-35EE/

MedSAM adapts the Segment Anything paradigm to medical image segmentation and reports broad evaluation across imaging modalities.