mlsanityData to 14 Oct 2026

MOSMOS: Multi-organ segmentation facilitated by medical report supervision

arXiv 2409.02418 ↗First posted 4 Sep 2024cs.CVcited by 1

On the map: Multimodal LLMs / vision-language models → Medical vision-language models

Abstract (arXiv)

Owing to a large amount of multi-modal data in modern medical systems, such as medical images and reports, Medical Vision-Language Pre-training (Med-VLP) has demonstrated incredible achievements in coarse-grained downstream tasks (i.e., medical classification, retrieval, and visual question answering). However, the problem of transferring knowledge learned from Med-VLP to fine-grained multi-organ segmentation tasks has barely been investigated. Multi-organ segmentation is challenging mainly due to the lack of large-scale fully annotated datasets and the wide variation in the shape and size of the same organ between individuals with different diseases. In this paper, we propose a novel pre-training & fine-tuning framework for Multi-Organ Segmentation by harnessing Medical repOrt Supervision (MOSMOS). Specifically, we first introduce global contrastive learning to maximally align the medical image-report pairs in the pre-training stage. To remedy the granularity discrepancy, we further leverage multi-label recognition to implicitly learn the semantic correspondence between image pixels and organ tags. More importantly, our pre-trained models can be transferred to any segmentation model by introducing the pixel-tag attention maps. Different network settings, i.e., 2D U-Net and 3D UNETR, are utilized to validate the generalization. We have extensively evaluated our approach using different diseases and modalities on BTCV, AMOS, MMWHS, and BRATS datasets. Experimental results in various settings demonstrate the effectiveness of our framework. This framework can serve as the foundation to facilitate future research on automatic annotation tasks under the supervision of medical reports.

Key facts. Cited by 1 paper in the map (data through 14 Oct 2026). Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models. Builds on 47 of its 65 references that are in the map. First posted on arXiv 4 Sep 2024.

Builds on

47 of 65 references.

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35 more
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Citing papers per year: 2026: 1.

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  1. 2021MS-KD: Multi-Organ Segmentation with Multiple Binary-Labeled Datasets
  2. 2026MedPlex: Deep Vision-Language Co-Adaptation for Clinically Grounded Medical Segmentation
  3. 2026ReportMedSAM: Guiding Segmentation Through Radiology Reports
  4. 2026SegBanana: Steering Unified Multimodal Models into Medical Segmenters
  5. 2025Anatomy-VLM: A Fine-grained Vision-Language Model for Medical Interpretation
  6. 2023Generative Text-Guided 3D Vision-Language Pretraining for Unified Medical Image Segmentation
  7. 2023Exploring Transfer Learning in Medical Image Segmentation using Vision-Language Models
  8. 2026SAM Meets VLM: Parameter-Decoupled Full-Parameter Training for Unified Medical Reasoning and Segmentation