ResearchResearch paperComputer Vision · Multimodal Models · Large Language Models1 source · Oct 20, 2026

Reliability-Guided Vision-Language Decoding with Text-Aware Skip Refinement for Medical Image Segmentation

We present RELiF, a vision--language framework that integrates text through reliability-guided decoding.

Key points

  • Medical image segmentation remains challenging when targets exhibit limited visual distinction, irregular structure, or substantial variation across imaging modalities.
  • Medical text can reduce this ambiguity, but indiscriminate fusion may introduce unreliable guidance.
  • Its Reliability-guided Fusion Gate (RFG) adaptively controls cross-modal updates, while the Text-guided Skip Refinement Adapter (TSRA) refines high-resolution features using text guidance.
  • RELiF is evaluated on radiographic, CT, and endoscopic segmentation tasks, where it shows competitive performance across diverse imaging characteristics and target appearances.

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