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MedSteer: Counterfactual Endoscopic Synthesis via Training-Free Activation Steering

arXiv:2603.07066v1 Announce Type: cross Abstract: Generative diffusion models are increasingly used for medical imaging data augmentation, but text prompting cannot produce causal training data. Re-prompting rerolls the entire generation trajectory, altering anatomy, texture, and background. Inversion-based editing methods introduce reconstruction error that causes structural drift. We propose MedSteer, a training-free activation-steering framework for endoscopic synthesis. MedSteer identifies a pathology vector for each contrastive prompt pair in the cross-attention layers of a diffusion transformer. At inference time, it steers image activations along this vector, generating counterfactual pairs from scratch where the only difference is the steered concept. All other structure is preserved by construction. We evaluate MedSteer across three experiments on Kvasir v3 and HyperKvasir. On counterfactual generation across three clinical concept pairs, MedSteer achieves flip rates of 0.800, 0.925, and 0.950, outperforming the best inversion-based baseline in both concept flip rate and structural preservation. On dye disentanglement, MedSteer achieves 75% dye removal against 20% (PnP) and 10% (h-Edit). On downstream polyp detection, augmenting with MedSteer counterfactual pairs achieves ViT AUC of 0.9755 versus 0.9083 for quantity-matched re-prompting, confirming that counterfactual structure drives the gain. Code is at link https://github.com/phamtrongthang123/medsteer
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Catch Me If You Can Describe Me: Open-Vocabulary Camouflaged Instance Segmentation with Diffusion

arXiv:2312.17505v2 Announce Type: replace-cross Abstract: Text-to-image diffusion techniques have shown exceptional capabilities in producing high-quality, dense visual predictions from open-vocabulary text. This indicates a strong correlation between visual and textual domains in open concepts and that diffusion-based text-to-image models can capture rich and diverse information for computer vision tasks. However, we found that those advantages do not hold for learning of features of camouflaged individuals because of the significant blending between their visual boundaries and their surroundings. In this paper, while leveraging the benefits of diffusion-based techniques and text-image models in open-vocabulary settings, we aim to address a challenging problem in computer vision: open-vocabulary camouflaged instance segmentation (OVCIS). Specifically, we propose a method built upon state-of-the-art diffusion empowered by open-vocabulary to learn multi-scale textual-visual features for camouflaged object representation learning. Such cross-domain representations are desirable in segmenting camouflaged objects where visual cues subtly distinguish the objects from the background, and in segmenting novel object classes which are not seen in training. To enable such powerful representations, we devise complementary modules to effectively fuse cross-domain features, and to engage relevant features towards respective foreground objects. We validate and compare our method with existing ones on several benchmark datasets of camouflaged and generic open-vocabulary instance segmentation. The experimental results confirm the advances of our method over existing ones. We believe that our proposed method would open a new avenue for handling camouflages such as computer vision-based surveillance systems, wildlife monitoring, and military reconnaissance.
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