# A Real-time Scale-robust Network for Glottis Segmentation in Nasal Transnasal Intubation

arXiv: https://arxiv.org/abs/2604.27383 · HTML: https://mlsanity.com/paper/2604.27383/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 32 of its 48 references that are in the map.
- First posted on arXiv 30 Apr 2026.

## Builds on (most cited first, 30 of 32)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Microsoft COCO: Common Objects in Context](https://mlsanity.com/paper/1405.0312/) (2014)
- [Faster R-CNN: Towards Real-Time Object Detection with Region Proposal Networks](https://mlsanity.com/paper/1506.01497/) (2015)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [End-to-End Object Detection with Transformers](https://mlsanity.com/paper/2005.12872/) (2020)
- [Mask R-CNN](https://mlsanity.com/paper/1703.06870/) (2017)
- [Deformable DETR: Deformable Transformers for End-to-End Object Detection](https://mlsanity.com/paper/2010.04159/) (2020)
- [Masked-attention Mask Transformer for Universal Image Segmentation](https://mlsanity.com/paper/2112.01527/) (2021)
- [UNet++: A Nested U-Net Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1807.10165/) (2018)
- [MMDetection: Open MMLab Detection Toolbox and Benchmark](https://mlsanity.com/paper/1906.07155/) (2019)
- [DAB-DETR: Dynamic Anchor Boxes are Better Queries for DETR](https://mlsanity.com/paper/2201.12329/) (2022)
- [Bridging the Gap Between Anchor-based and Anchor-free Detection via Adaptive Training Sample Selection](https://mlsanity.com/paper/1912.02424/) (2019)
- [YOLOv10: Real-Time End-to-End Object Detection](https://mlsanity.com/paper/2405.14458/) (2024)
- [Medical SAM Adapter: Adapting Segment Anything Model for Medical Image Segmentation](https://mlsanity.com/paper/2304.12620/) (2023)
- [YOLACT: Real-time Instance Segmentation](https://mlsanity.com/paper/1904.02689/) (2019)
- [PointRend: Image Segmentation as Rendering](https://mlsanity.com/paper/1912.08193/) (2019)
- [Cascade R-CNN: High Quality Object Detection and Instance Segmentation](https://mlsanity.com/paper/1906.09756/) (2019)
- [YOLOv9: Learning What You Want to Learn Using Programmable Gradient Information](https://mlsanity.com/paper/2402.13616/) (2024)
- [Conditional DETR for Fast Training Convergence](https://mlsanity.com/paper/2108.06152/) (2021)
- [Generalized Focal Loss: Learning Qualified and Distributed Bounding Boxes for Dense Object Detection](https://mlsanity.com/paper/2006.04388/) (2020)
- [UNet 3+: A Full-Scale Connected UNet for Medical Image Segmentation](https://mlsanity.com/paper/2004.08790/) (2020)
- [Conditional Convolutions for Instance Segmentation](https://mlsanity.com/paper/2003.05664/) (2020)
- [Fast Segment Anything](https://mlsanity.com/paper/2306.12156/) (2023)
- [Mask Scoring R-CNN](https://mlsanity.com/paper/1903.00241/) (2019)
- [RTMDet: An Empirical Study of Designing Real-Time Object Detectors](https://mlsanity.com/paper/2212.07784/) (2022)
- [RSPrompter: Learning to Prompt for Remote Sensing Instance Segmentation based on Visual Foundation Model](https://mlsanity.com/paper/2306.16269/) (2023)
- [Understanding Convolution for Semantic Segmentation](https://mlsanity.com/paper/1702.08502/) (2017)
- [Instances as Queries](https://mlsanity.com/paper/2105.01928/) (2021)
- [Medical SAM 2: Segment medical images as video via Segment Anything Model 2](https://mlsanity.com/paper/2408.00874/) (2024)
- [BoxInst: High-Performance Instance Segmentation with Box Annotations](https://mlsanity.com/paper/2012.02310/) (2020)

## Abstract (arXiv)

Nasotracheal intubation (NTI) is a critical clinical procedure for establishing and maintaining patient airway patency. Machine-assisted NTI has emerged as a pivotal approach for optimizing procedural efficiency and minimizing manual intervention. However, visual detection algorithms employed for NTI navigation encounter significant challenges, including complex anatomical environments and suboptimal illumination conditions surrounding the glottis. Additionally, the glottis presents considerable scale variability throughout the procedure, initially appearing as a small, difficult-to-capture structure before expanding to occupy nearly the entire field of view. Moreover, traditional visual detection methods often have high computational costs, making real-time, high-precision detection on portable devices challenging. To enhance NTI efficacy and address these challenges, this paper proposes a novel glottis segmentation framework optimized for vision-assisted NTI applications. First, we designed a lightweight, multi-receptive field feature extraction module to reduce intra-class differences, achieving robustness to scale variations of the glottis. This module was then stacked to form the backbone and neck of our network. Subsequently, we developed an advanced label assignment method and redefined the number of samples to further reduce intra-class differences and enhance accuracy in the complex NTI environment. Experiments on three distinct datasets demonstrate that our network surpasses state-of-the-art algorithms, achieving a segmentation mDice of 92.9% with a compact model size of 19 MB and an inference speed exceeding 170 frames per second. % Our code and datasets will be open-sourced on GitHub after the manuscript is accepted. Our code and datasets are available at https://github.com/HBUT-CV/GlottisNet.