# ARTEMIS: Agent-guided Reliability-aware Temporal Mask Evolution for Imperfectly Supervised Video Polyp Segmentation

arXiv: https://arxiv.org/abs/2606.20161 · HTML: https://mlsanity.com/paper/2606.20161/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 36 of its 64 references that are in the map.
- First posted on arXiv 18 Jun 2026.

## Builds on (most cited first, 30 of 36)

- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Qwen2.5-VL Technical Report](https://mlsanity.com/paper/2502.13923/) (2025)
- [Mamba: Linear-Time Sequence Modeling with Selective State Spaces](https://mlsanity.com/paper/2312.00752/) (2023)
- [SAM 2: Segment Anything in Images and Videos](https://mlsanity.com/paper/2408.00714/) (2024)
- [Encouraging Divergent Thinking in Large Language Models through Multi-Agent Debate](https://mlsanity.com/paper/2305.19118/) (2023)
- [PVT v2: Improved Baselines with Pyramid Vision Transformer](https://mlsanity.com/paper/2106.13797/) (2021)
- [ChatEval: Towards Better LLM-based Evaluators through Multi-Agent Debate](https://mlsanity.com/paper/2308.07201/) (2023)
- [Structure-measure: A New Way to Evaluate Foreground Maps](https://mlsanity.com/paper/1708.00786/) (2017)
- [PraNet: Parallel Reverse Attention Network for Polyp Segmentation](https://mlsanity.com/paper/2006.11392/) (2020)
- [Enhanced-alignment Measure for Binary Foreground Map Evaluation](https://mlsanity.com/paper/1805.10421/) (2018)
- [Scaling Large Language Model-based Multi-Agent Collaboration](https://mlsanity.com/paper/2406.07155/) (2024)
- [Advancing Pose-Guided Image Synthesis with Progressive Conditional Diffusion Models](https://mlsanity.com/paper/2310.06313/) (2023)
- [Weakly-Supervised Concealed Object Segmentation with SAM-based Pseudo Labeling and Multi-scale Feature Grouping](https://mlsanity.com/paper/2305.11003/) (2023)
- [Video Polyp Segmentation: A Deep Learning Perspective](https://mlsanity.com/paper/2203.14291/) (2022)
- [Progressively Normalized Self-Attention Network for Video Polyp Segmentation](https://mlsanity.com/paper/2105.08468/) (2021)
- [Structure-Consistent Weakly Supervised Salient Object Detection with Local Saliency Coherence](https://mlsanity.com/paper/2012.04404/) (2020)
- [Tree Energy Loss: Towards Sparsely Annotated Semantic Segmentation](https://mlsanity.com/paper/2203.10739/) (2022)
- [Weakly-Supervised Camouflaged Object Detection with Scribble Annotations](https://mlsanity.com/paper/2207.14083/) (2022)
- [Relax Image-Specific Prompt Requirement in SAM: A Single Generic Prompt for Segmenting Camouflaged Objects](https://mlsanity.com/paper/2312.07374/) (2023)
- [Context-Aware Convolutional Neural Network for Grading of Colorectal Cancer Histology Images](https://mlsanity.com/paper/1907.09478/) (2019)
- [Superpixel-guided Iterative Learning from Noisy Labels for Medical Image Segmentation](https://mlsanity.com/paper/2107.10100/) (2021)
- [Learnable Prompting SAM-induced Knowledge Distillation for Semi-supervised Medical Image Segmentation](https://mlsanity.com/paper/2412.13742/) (2024)
- [WeakTr: Exploring Plain Vision Transformer for Weakly-supervised Semantic Segmentation](https://mlsanity.com/paper/2304.01184/) (2023)
- [Alternate Diverse Teaching for Semi-supervised Medical Image Segmentation](https://mlsanity.com/paper/2311.17325/) (2023)
- [SAM-COD: SAM-guided Unified Framework for Weakly-Supervised Camouflaged Object Detection](https://mlsanity.com/paper/2408.10760/) (2024)
- [Leveraging Hallucinations to Reduce Manual Prompt Dependency in Promptable Segmentation](https://mlsanity.com/paper/2408.15205/) (2024)
- [Weakly Supervised Semantic Segmentation via Alternative Self-Dual Teaching](https://mlsanity.com/paper/2112.09459/) (2021)
- [SALI: Short-term Alignment and Long-term Interaction Network for Colonoscopy Video Polyp Segmentation](https://mlsanity.com/paper/2406.13532/) (2024)
- [Uncertainty-aware Cross-training for Semi-supervised Medical Image Segmentation](https://mlsanity.com/paper/2508.09014/) (2025)
- [Segment Concealed Objects with Incomplete Supervision](https://mlsanity.com/paper/2506.08955/) (2025)

## Built on by (most cited first, 1 of 1)

- [Beyond the Foreground: FOV-Aware Polyp Image Synthesis via Lesion-Guided Adaptive Mucosal Context Propagation](https://mlsanity.com/paper/2609.19966/) (2026)

## Abstract (arXiv)

Imperfectly supervised video polyp segmentation (VPS) aims to learn dense, temporally consistent masks from inexpensive supervision, including weak annotations (points, scribbles) and semi-supervision with few densely labeled frames. This setting is clinically valuable but challenging due to weak contrast, ambiguous boundaries, motion blur, and specular highlights, compounded by sparse pixel-level guidance. While SAM2 can generate dense masks from sparse inputs, direct pseudo-labeling often yields geometry-degraded masks with boundary leakage, underutilizes temporal consistency, and ignores reliability. To address these issues, we propose ARTEMIS, a unified framework for imperfectly supervised VPS driven by agent-guided reliability-aware temporal mask evolution. ARTEMIS initializes coarse masks from available supervision: SAM2 converts points/scribbles, while dense labels serve as reliable anchors. A debate-and-judge vision-language agent selects reliable temporal anchors under weak supervision, which are propagated bidirectionally with SAM2 to refine unreliable or unlabeled frames. Finally, ARTEMIS trains the segmenter using temporal reliability-aware robust learning, incorporating reliability-guided reference selection, a Reference Prototype Transport Module, and reliability-aware robust loss. These components assess mask reliability, evolve anchors over time, transport target identity across frames, and down-weight noisy supervision instead of discarding difficult samples. Experiments on SUN-SEG and CVC-ClinicDB-612 under scribble, point, and limited-label settings demonstrate that ARTEMIS achieves state-of-the-art performance. Code will be released at https://github.com/wangtong627/ARTEMIS.