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Cross-Modal Interactive Perception Network with Mamba for Lung Tumor Segmentation in PET-CT Images

CVPR 2025 · Vision-language and multimodal › Cross-modal learning · approach: Medical multimodal fusion · 12 citations (OpenAlex)

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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

Measured effects reported in the paper

What was changedWhereMeasuredEffect
Use CIPA instead of SigmaPCLT20K-TE segmentation · PCLT20K-TEIoU (%): 63.26 -> 63.81Helped
Use CIPA instead of GeminiFusionSTS segmentation · STS test setIoU (%): 59.02 -> 60.33Helped
Add CRM to the shared Mamba baseline (ablation)CIPA · PCLT20K-TEIoU: 62.12 -> 62.70Helped
Add DCIM to the shared Mamba baseline (ablation)CIPA · PCLT20K-TEIoU: 62.12 -> 63.48Helped
Add CRM and DCIM (ablation)CIPA · PCLT20K-TEIoU: 62.12 -> 63.81Helped
Use 2×2 instead of 4×4 local patches per region (ablation)DCIM · PCLT20K-TEIoU: 63.81 -> 62.87Hurt
Use 8×8 instead of 4×4 local patches per region (ablation)DCIM · PCLT20K-TEIoU: 63.81 -> 63.07Hurt
Apply region and local Mamba blocks to PET rather than the default PET-region/CT-local assignment (ablation)DCIM · PCLT20K-TEIoU: 63.81 -> 42.06Hurt
Apply region and local Mamba blocks to CT rather than the default PET-region/CT-local assignment (ablation)DCIM · PCLT20K-TEIoU: 63.81 -> 61.37Hurt
Apply region Mamba to CT and local Mamba to PET rather than the default assignment (ablation)DCIM · PCLT20K-TEIoU: 63.81 -> 60.63Hurt
Remove region Mamba from PET and use direct PET features (ablation)DCIM · PCLT20K-TEIoU: 63.81 -> 62.65Hurt
Remove local Mamba from CT and use direct CT features (ablation)DCIM · PCLT20K-TEIoU: 63.81 -> 62.26Hurt

Surprising findings

Limitations

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

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