# Co-Seg: Mutual Prompt-Guided Collaborative Learning for Tissue and Nuclei Segmentation

arXiv: https://arxiv.org/abs/2509.06740 · HTML: https://mlsanity.com/paper/2509.06740/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 23 of its 36 references that are in the map.
- First posted on arXiv 8 Sep 2025.

## Builds on (most cited first, 23 of 23)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Parameter-Efficient Transfer Learning for NLP](https://mlsanity.com/paper/1902.00751/) (2019)
- [SAM 2: Segment Anything in Images and Videos](https://mlsanity.com/paper/2408.00714/) (2024)
- [HoVer-Net: Simultaneous Segmentation and Classification of Nuclei in Multi-Tissue Histology Images](https://mlsanity.com/paper/1812.06499/) (2018)
- [Hiera: A Hierarchical Vision Transformer without the Bells-and-Whistles](https://mlsanity.com/paper/2306.00989/) (2023)
- [SegMamba: Long-range Sequential Modeling Mamba For 3D Medical Image Segmentation](https://mlsanity.com/paper/2401.13560/) (2024)
- [UNeXt: MLP-based Rapid Medical Image Segmentation Network](https://mlsanity.com/paper/2203.04967/) (2022)
- [Swin-UMamba: Mamba-based UNet with ImageNet-based pretraining](https://mlsanity.com/paper/2402.03302/) (2024)
- [BiomedParse: a biomedical foundation model for image parsing of everything everywhere all at once](https://mlsanity.com/paper/2405.12971/) (2024)
- [CellViT: Vision Transformers for Precise Cell Segmentation and Classification](https://mlsanity.com/paper/2306.15350/) (2023)
- [EMCAD: Efficient Multi-scale Convolutional Attention Decoding for Medical Image Segmentation](https://mlsanity.com/paper/2405.06880/) (2024)
- [Unleashing the Potential of SAM for Medical Adaptation via Hierarchical Decoding](https://mlsanity.com/paper/2403.18271/) (2024)
- [DCSAU-Net: A Deeper and More Compact Split-Attention U-Net for Medical Image Segmentation](https://mlsanity.com/paper/2202.00972/) (2022)
- [CPP-Net: Context-aware Polygon Proposal Network for Nucleus Segmentation](https://mlsanity.com/paper/2102.06867/) (2021)
- [ACC-UNet: A Completely Convolutional UNet model for the 2020s](https://mlsanity.com/paper/2308.13680/) (2023)
- [Modality-agnostic Domain Generalizable Medical Image Segmentation by Multi-Frequency in Multi-Scale Attention](https://mlsanity.com/paper/2405.06284/) (2024)
- [Segment Any Cell: A SAM-based Auto-prompting Fine-tuning Framework for Nuclei Segmentation](https://mlsanity.com/paper/2401.13220/) (2024)
- [Unleashing the Power of Prompt-driven Nucleus Instance Segmentation](https://mlsanity.com/paper/2311.15939/) (2023)
- [ASI-Seg: Audio-Driven Surgical Instrument Segmentation with Surgeon Intention Understanding](https://mlsanity.com/paper/2407.19435/) (2024)
- [NuSegDG: Integration of Heterogeneous Space and Gaussian Kernel for Domain-Generalized Nuclei Segmentation](https://mlsanity.com/paper/2408.11787/) (2024)
- [Complementary Network with Adaptive Receptive Fields for Melanoma Segmentation](https://mlsanity.com/paper/2001.03893/) (2020)

## Built on by (most cited first, 3 of 3)

- [UniUltra: Interactive Parameter-Efficient SAM2 for Universal Ultrasound Segmentation](https://mlsanity.com/paper/2511.15771/) (2025)
- [BackSplit: The Importance of Sub-dividing the Background in Biomedical Lesion Segmentation](https://mlsanity.com/paper/2511.19394/) (2025)
- [Rethinking the Adaptation of Vision Foundation Models for Efficient Cell Segmentation](https://mlsanity.com/paper/2606.21913/) (2026)

## Abstract (arXiv)

Histopathology image analysis is critical yet challenged by the demand of segmenting tissue regions and nuclei instances for tumor microenvironment and cellular morphology analysis. Existing studies focused on tissue semantic segmentation or nuclei instance segmentation separately, but ignored the inherent relationship between these two tasks, resulting in insufficient histopathology understanding. To address this issue, we propose a Co-Seg framework for collaborative tissue and nuclei segmentation. Specifically, we introduce a novel co-segmentation paradigm, allowing tissue and nuclei segmentation tasks to mutually enhance each other. To this end, we first devise a region-aware prompt encoder (RP-Encoder) to provide high-quality semantic and instance region prompts as prior constraints. Moreover, we design a mutual prompt mask decoder (MP-Decoder) that leverages cross-guidance to strengthen the contextual consistency of both tasks, collaboratively computing semantic and instance segmentation masks. Extensive experiments on the PUMA dataset demonstrate that the proposed Co-Seg surpasses state-of-the-arts in the semantic, instance and panoptic segmentation of tumor tissues and nuclei instances. The source code is available at https://github.com/xq141839/Co-Seg.