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GeoCoBox: Box-supervised 3D Tumor Segmentation via Geometric Co-embedding

Tianzhong Lan, Zhang Yi, Xiuyuan Xu, Min Zhu

2026Year

Abstract

Data economics drives AI by optimizing data usage, reducing costs, and enhancing efficiency. In 3D tumor segmentation, efficiency is crucial due to the high demand for labor-intensive manual annotations. Box-supervised segmentation offers a promising alternative but is constrained by tumor morphology complexity and boundary ambiguity. In this paper, we propose a novel 3D tumor segmentation model that integrates both positional and embedding features to facilitate inter-task collaboration. We introduce an Anatomical-Driven Class Activation Map to predefine the complex tumor morphology prior, which is further refined by our Geometric Pixel Co-embedding Learner. This learner utilizes contrastive learning to encode semantic information between center and edge pixels, enhancing pixel clustering and progressively refining tumor boundary segmentation in a coarse-to-fine manner. Our approach outperforms existing box-supervised methods in segmentation performance, with extensive experiments on four tumor datasets demonstrating significant improvements. This work provides a cost-effective and efficient solution for tumor segmentation, advancing the application of data economics in medical imaging.

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