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Cross-Modal Interactive Perception Network with Mamba for Lung Tumor Segmentation in PET-CT Images
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Introduces PCLT20K, a large public PET-CT lung tumor segmentation dataset (21,930 slice pairs, 605 patients), and CIPA, a Mamba-based dual-branch network with channel-wise rectification and dynamic cross-modality interaction modules.
Problem
Lung tumor segmentation in PET-CT is limited by small, private datasets and by difficulty fusing complementary PET and CT information (noise, low resolution, complex morphology).
Approach
A fully state-space-model dual-branch network: a channel state space block (CRM) rectifies channels across PET and CT to suppress modality-specific noise, and DCIM uses PET regional tokens (via a region Mamba block) as position cues added to CT local tokens processed by a local Mamba block.
Key results
- CIPA reaches 63.81% IoU, 77.91% F1, 89.01% accuracy and 17.74 HD95 on PCLT20K-TE, best among 12 compared methods (best baseline Sigma 63.26% IoU).
- On the public STS dataset, CIPA achieves 60.33% IoU vs 59.02% for GeminiFusion.
- Ablation: adding CRM and DCIM raises IoU from 62.12% to 63.81%.
Measured effects reported in the paper
| What was changed | Where | Measured | Effect |
|---|---|---|---|
| Use CIPA instead of Sigma | PCLT20K-TE segmentation · PCLT20K-TE | IoU (%): 63.26 -> 63.81 | Helped |
| Use CIPA instead of GeminiFusion | STS segmentation · STS test set | IoU (%): 59.02 -> 60.33 | Helped |
| Add CRM to the shared Mamba baseline (ablation) | CIPA · PCLT20K-TE | IoU: 62.12 -> 62.70 | Helped |
| Add DCIM to the shared Mamba baseline (ablation) | CIPA · PCLT20K-TE | IoU: 62.12 -> 63.48 | Helped |
| Add CRM and DCIM (ablation) | CIPA · PCLT20K-TE | IoU: 62.12 -> 63.81 | Helped |
| Use 2×2 instead of 4×4 local patches per region (ablation) | DCIM · PCLT20K-TE | IoU: 63.81 -> 62.87 | Hurt |
| Use 8×8 instead of 4×4 local patches per region (ablation) | DCIM · PCLT20K-TE | IoU: 63.81 -> 63.07 | Hurt |
| Apply region and local Mamba blocks to PET rather than the default PET-region/CT-local assignment (ablation) | DCIM · PCLT20K-TE | IoU: 63.81 -> 42.06 | Hurt |
| Apply region and local Mamba blocks to CT rather than the default PET-region/CT-local assignment (ablation) | DCIM · PCLT20K-TE | IoU: 63.81 -> 61.37 | Hurt |
| Apply region Mamba to CT and local Mamba to PET rather than the default assignment (ablation) | DCIM · PCLT20K-TE | IoU: 63.81 -> 60.63 | Hurt |
| Remove region Mamba from PET and use direct PET features (ablation) | DCIM · PCLT20K-TE | IoU: 63.81 -> 62.65 | Hurt |
| Remove local Mamba from CT and use direct CT features (ablation) | DCIM · PCLT20K-TE | IoU: 63.81 -> 62.26 | Hurt |
Surprising findings
- Asymmetric DCIM variant that applies the region Mamba to the PET branch only (62.26% IoU) is nearly as good as the full configuration, and naive PET-only Mamba variants outperform some ablated settings.
- Swin-UNet and TransUNet perform far below CNN and modern fusion baselines on PCLT20K.
Limitations
- Dataset is 2D slice-based and split randomly at patient level; only lung tumors from one hospital scanner.
- Reported results are single-run with no variance or statistical tests.
- Dataset labels are for tumor parenchyma only and may be discontinuous.
Experimental setup
Datasets: PCLT20K STS
Benchmarks: PCLT20K-TE STS
Metrics: IoU F1 accuracy HD95 FLOPs parameters
Baselines: TokenFusion CEN CMX CMNeXt AsymFormer DFormer Sigma GeminiFusion nnU-Net Swin-UNet TransUNet nnSAM
Builds on: VMamba Mamba Sigma U-Mamba
Closest papers by meaning
- NaMa: Neighbor-Aware Multi-Modal Adaptive Learning for Prostate Tumor Segmentation on Anisotropic MR Images (AAAI 2024 · similarity 0.85)
- Toward a Vision-Language Foundation Model for Medical Data: Multimodal Dataset and Benchmarks for Vietnamese PET/CT Report Generation (NeurIPS 2025 · similarity 0.85)
- Multi-modal Vision Pre-training for Medical Image Analysis (CVPR 2025 · similarity 0.84)
- TumorChain: Interleaved Multimodal Chain-of-Thought Reasoning for Traceable Clinical Tumor Analysis (ICLR 2026 · similarity 0.84)
- LungNoduleAgent: A Collaborative Multi-Agent System for Precision Diagnosis of Lung Nodules (AAAI 2026 · similarity 0.83)
- Training Like a Medical Resident: Context-Prior Learning Toward Universal Medical Image Segmentation (CVPR 2024 · similarity 0.83)
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