# SegDINO: Introducing Multi-Scale Structure into DINO for Efficient Medical Image Segmentation

arXiv: https://arxiv.org/abs/2606.17972 · HTML: https://mlsanity.com/paper/2606.17972/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 30 of its 36 references that are in the map.
- First posted on arXiv 16 Jun 2026.

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

- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [DINOv2: Learning Robust Visual Features without Supervision](https://mlsanity.com/paper/2304.07193/) (2023)
- [Emerging Properties in Self-Supervised Vision Transformers](https://mlsanity.com/paper/2104.14294/) (2021)
- [Feature Pyramid Networks for Object Detection](https://mlsanity.com/paper/1612.03144/) (2016)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [SegNet: A Deep Convolutional Encoder-Decoder Architecture for Image Segmentation](https://mlsanity.com/paper/1511.00561/) (2015)
- [Attention U-Net: Learning Where to Look for the Pancreas](https://mlsanity.com/paper/1804.03999/) (2018)
- [DINOv3](https://mlsanity.com/paper/2508.10104/) (2025)
- [Kvasir-SEG: A Segmented Polyp Dataset](https://mlsanity.com/paper/1911.07069/) (2019)
- [Skin Lesion Analysis Toward Melanoma Detection: A Challenge at the 2017 International Symposium on Biomedical Imaging (ISBI), Hosted by the International Skin Imaging Collaboration (ISIC)](https://mlsanity.com/paper/1710.05006/) (2017)
- [Medical Image Segmentation Review: The success of U-Net](https://mlsanity.com/paper/2211.14830/) (2022)
- [UNeXt: MLP-based Rapid Medical Image Segmentation Network](https://mlsanity.com/paper/2203.04967/) (2022)
- [Recurrent Residual Convolutional Neural Network based on U-Net (R2U-Net) for Medical Image Segmentation](https://mlsanity.com/paper/1802.06955/) (2018)
- [Swin-UMamba: Mamba-based UNet with ImageNet-based pretraining](https://mlsanity.com/paper/2402.03302/) (2024)
- [U-KAN Makes Strong Backbone for Medical Image Segmentation and Generation](https://mlsanity.com/paper/2406.02918/) (2024)
- [Transformer-Based Visual Segmentation: A Survey](https://mlsanity.com/paper/2304.09854/) (2023)
- [SAM2-UNet: Segment Anything 2 Makes Strong Encoder for Natural and Medical Image Segmentation](https://mlsanity.com/paper/2408.08870/) (2024)
- [UniMatch V2: Pushing the Limit of Semi-Supervised Semantic Segmentation](https://mlsanity.com/paper/2410.10777/) (2024)
- [AnomalyDINO: Boosting Patch-based Few-shot Anomaly Detection with DINOv2](https://mlsanity.com/paper/2405.14529/) (2024)
- [Image Segmentation in Foundation Model Era: A Survey](https://mlsanity.com/paper/2408.12957/) (2024)
- [Dual-Reference Source-Free Active Domain Adaptation for Nasopharyngeal Carcinoma Tumor Segmentation across Multiple Hospitals](https://mlsanity.com/paper/2309.13401/) (2023)
- [MedDINOv3: How to adapt vision foundation models for medical image segmentation?](https://mlsanity.com/paper/2509.02379/) (2025)
- [Serp-Mamba: Advancing High-Resolution Retinal Vessel Segmentation with Selective State-Space Model](https://mlsanity.com/paper/2409.04356/) (2024)
- [Dino U-Net: Exploiting High-Fidelity Dense Features from Foundation Models for Medical Image Segmentation](https://mlsanity.com/paper/2508.20909/) (2025)
- [DINOv2 based Self Supervised Learning For Few Shot Medical Image Segmentation](https://mlsanity.com/paper/2403.03273/) (2024)
- [DINOv3 with Test-Time Training for Medical Image Registration](https://mlsanity.com/paper/2508.14809/) (2025)
- [VAEVQ: Enhancing Discrete Visual Tokenization through Variational Modeling](https://mlsanity.com/paper/2511.06863/) (2025)
- [VQ-Seg: Vector-Quantized Token Perturbation for Semi-Supervised Medical Image Segmentation](https://mlsanity.com/paper/2601.10124/) (2026)

## Abstract (arXiv)

Self-supervised DINO models provide strong transferable visual representations, yet applying them directly to image segmentation remains challenging. Existing approaches commonly rely on heavy decoders with complex upsampling, introducing substantial parameter and computational overhead. We observe that introducing scale into DINO features is far more critical than increasing decoder capacity. In this work, we present SegDINO, an efficient segmentation framework that integrates a DINOv3 backbone with lightweight scale modeling. SegDINO introduces Token Pyramid Adaptation (TPA) to reorganize intermediate DINO features into a pseudo multi-scale hierarchy, and Scale-Aware Decoding (SAD) for efficient intra-scale refinement and top-down multi-scale propagation. We further curate PanCT, a new CT dataset containing 284 patients with expert-annotated pancreatic tumors, to assess SegDINO's ability to handle difficult small-lesion cases. Extensive experiments on PanCT and three public benchmarks demonstrate that SegDINO achieves state-of-the-art results with high efficiency. The code is available at https://github.com/script-Yang/segdino_v2.