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Sep 18

ReSurgSAM2: Referring Segment Anything in Surgical Video via Credible Long-term Tracking

Surgical scene segmentation is critical in computer-assisted surgery and is vital for enhancing surgical quality and patient outcomes. Recently, referring surgical segmentation is emerging, given its advantage of providing surgeons with an interactive experience to segment the target object. However, existing methods are limited by low efficiency and short-term tracking, hindering their applicability in complex real-world surgical scenarios. In this paper, we introduce ReSurgSAM2, a two-stage surgical referring segmentation framework that leverages Segment Anything Model 2 to perform text-referred target detection, followed by tracking with reliable initial frame identification and diversity-driven long-term memory. For the detection stage, we propose a cross-modal spatial-temporal Mamba to generate precise detection and segmentation results. Based on these results, our credible initial frame selection strategy identifies the reliable frame for the subsequent tracking. Upon selecting the initial frame, our method transitions to the tracking stage, where it incorporates a diversity-driven memory mechanism that maintains a credible and diverse memory bank, ensuring consistent long-term tracking. Extensive experiments demonstrate that ReSurgSAM2 achieves substantial improvements in accuracy and efficiency compared to existing methods, operating in real-time at 61.2 FPS. Our code and datasets will be available at https://github.com/jinlab-imvr/ReSurgSAM2.

  • 7 authors
·
May 13, 2025 2

U-Mamba2: Scaling State Space Models for Dental Anatomy Segmentation in CBCT

Cone-Beam Computed Tomography (CBCT) is a widely used 3D imaging technique in dentistry, providing volumetric information about the anatomical structures of jaws and teeth. Accurate segmentation of these anatomies is critical for clinical applications such as diagnosis and surgical planning, but remains time-consuming and challenging. In this paper, we present U-Mamba2, a new neural network architecture designed for multi-anatomy CBCT segmentation in the context of the ToothFairy3 challenge. U-Mamba2 integrates the Mamba2 state space models into the U-Net architecture, enforcing stronger structural constraints for higher efficiency without compromising performance. In addition, we integrate interactive click prompts with cross-attention blocks, pre-train U-Mamba2 using self-supervised learning, and incorporate dental domain knowledge into the model design to address key challenges of dental anatomy segmentation in CBCT. Extensive experiments, including independent tests, demonstrate that U-Mamba2 is both effective and efficient, securing first place in both tasks of the Toothfairy3 challenge. In Task 1, U-Mamba2 achieved a mean Dice of 0.84, HD95 of 38.17 with the held-out test data, with an average inference time of 40.58s. In Task 2, U-Mamba2 achieved the mean Dice of 0.87 and HD95 of 2.15 with the held-out test data. The code is publicly available at https://github.com/zhiqin1998/UMamba2.

  • 4 authors
·
Sep 15, 2025

MambaMIM: Pre-training Mamba with State Space Token Interpolation and its Application to Medical Image Segmentation

Recently, the state space model Mamba has demonstrated efficient long-sequence modeling capabilities, particularly for addressing long-sequence visual tasks in 3D medical imaging. However, existing generative self-supervised learning methods have not yet fully unleashed Mamba's potential for handling long-range dependencies because they overlook the inherent causal properties of state space sequences in masked modeling. To address this challenge, we propose a general-purpose pre-training framework called MambaMIM, a masked image modeling method based on a novel TOKen-Interpolation strategy (TOKI) for the selective structure state space sequence, which learns causal relationships of state space within the masked sequence. Further, MambaMIM introduces a bottom-up 3D hybrid masking strategy to maintain a masking consistency across different architectures and can be used on any single or hybrid Mamba architecture to enhance its multi-scale and long-range representation capability. We pre-train MambaMIM on a large-scale dataset of 6.8K CT scans and evaluate its performance across eight public medical segmentation benchmarks. Extensive downstream experiments reveal the feasibility and advancement of using Mamba for medical image pre-training. In particular, when we apply the MambaMIM to a customized architecture that hybridizes MedNeXt and Vision Mamba, we consistently obtain the state-of-the-art segmentation performance. The code is available at: https://github.com/FengheTan9/MambaMIM.

  • 7 authors
·
Aug 15, 2024

LBMamba: Locally Bi-directional Mamba

Mamba, a State Space Model (SSM) that accelerates training by recasting recurrence as a parallel scan, has recently emerged as a linearly-scaling alternative to self-attention. Because of its unidirectional nature, each state in Mamba only has information of its previous states and is blind to states after. Current Mamba-based computer-vision methods typically overcome this by augmenting Mamba's global forward scan with a global backward scan, forming a bi-directional scan to restore a full receptive field. However, this operation doubles the computational load, eroding much of the efficiency advantage that originally Mamba have. To eliminate this extra scans, we introduce LBMamba, a locally bi-directional SSM block that embeds a lightweight locally backward scan inside the forward scan and executes it in per-thread registers. Building on LBMamba, we present LBVim, a backbone that alternates scan directions every two layers to recover a global receptive field without extra backward sweeps. We validate our approach on both natural images and whole slide images (WSIs) and show that it constantly offers a superior performance-throughput trade-off. Under the same throughput, LBVim achieves 0.8% to 1.6% higher top-1 accuracy on the ImageNet-1K classification dataset, 0.6% to 2.7% higher mIoU on the ADE20K semantic segmentation dataset, 0.9% higher APb and 1.1% higher APm on the COCO detection dataset. Our method also boosts the accuracy of four SOTA Mamba models, namely VMamba, LocalVim, PlainMamba and Adventurer, by 0.5% to 3.4%. We integrate LBMamba into the SOTA pathology multiple instance learning (MIL) model, MambaMIL, which is unidirectional. Experiments on 3 public WSI classification datasets show that our method achieves a relative improvement of up to 3.06% better AUC, 3.39% better F1, 1.67% better accuracy. Our code is available at https://github.com/cvlab-stonybrook/LBMamba.

  • 5 authors
·
Jun 18, 2025

SPRMamba: Surgical Phase Recognition for Endoscopic Submucosal Dissection with Mamba

Endoscopic Submucosal Dissection (ESD) is a minimally invasive procedure initially developed for early gastric cancer treatment and has expanded to address diverse gastrointestinal lesions. While computer-assisted surgery (CAS) systems enhance ESD precision and safety, their efficacy hinges on accurate real-time surgical phase recognition, a task complicated by ESD's inherent complexity, including heterogeneous lesion characteristics and dynamic tissue interactions. Existing video-based phase recognition algorithms, constrained by inefficient temporal context modeling, exhibit limited performance in capturing fine-grained phase transitions and long-range dependencies. To overcome these limitations, we propose SPRMamba, a novel framework integrating a Mamba-based architecture with a Scaled Residual TranMamba (SRTM) block to synergize long-term temporal modeling and localized detail extraction. SPRMamba further introduces the Hierarchical Sampling Strategy to optimize computational efficiency, enabling real-time processing critical for clinical deployment. Evaluated on the ESD385 dataset and the cholecystectomy benchmark Cholec80, SPRMamba achieves state-of-the-art performance (87.64% accuracy on ESD385, +1.0% over prior methods), demonstrating robust generalizability across surgical workflows. This advancement bridges the gap between computational efficiency and temporal sensitivity, offering a transformative tool for intraoperative guidance and skill assessment in ESD surgery. The code is accessible at https://github.com/Zxnyyyyy/SPRMamba.

  • 8 authors
·
Sep 18, 2024

MambaClinix: Hierarchical Gated Convolution and Mamba-Based U-Net for Enhanced 3D Medical Image Segmentation

Deep learning, particularly convolutional neural networks (CNNs) and Transformers, has significantly advanced 3D medical image segmentation. While CNNs are highly effective at capturing local features, their limited receptive fields may hinder performance in complex clinical scenarios. In contrast, Transformers excel at modeling long-range dependencies but are computationally intensive, making them expensive to train and deploy. Recently, the Mamba architecture, based on the State Space Model (SSM), has been proposed to efficiently model long-range dependencies while maintaining linear computational complexity. However, its application in medical image segmentation reveals shortcomings, particularly in capturing critical local features essential for accurate delineation of clinical regions. In this study, we propose MambaClinix, a novel U-shaped architecture for medical image segmentation that integrates a hierarchical gated convolutional network(HGCN) with Mamba in an adaptive stage-wise framework. This design significantly enhances computational efficiency and high-order spatial interactions, enabling the model to effectively capture both proximal and distal relationships in medical images. Specifically, our HGCN is designed to mimic the attention mechanism of Transformers by a purely convolutional structure, facilitating high-order spatial interactions in feature maps while avoiding the computational complexity typically associated with Transformer-based methods. Additionally, we introduce a region-specific Tversky loss, which emphasizes specific pixel regions to improve auto-segmentation performance, thereby optimizing the model's decision-making process. Experimental results on five benchmark datasets demonstrate that the proposed MambaClinix achieves high segmentation accuracy while maintaining low model complexity.

  • 7 authors
·
Sep 19, 2024

VCMamba: Bridging Convolutions with Multi-Directional Mamba for Efficient Visual Representation

Recent advances in Vision Transformers (ViTs) and State Space Models (SSMs) have challenged the dominance of Convolutional Neural Networks (CNNs) in computer vision. ViTs excel at capturing global context, and SSMs like Mamba offer linear complexity for long sequences, yet they do not capture fine-grained local features as effectively as CNNs. Conversely, CNNs possess strong inductive biases for local features but lack the global reasoning capabilities of transformers and Mamba. To bridge this gap, we introduce VCMamba, a novel vision backbone that integrates the strengths of CNNs and multi-directional Mamba SSMs. VCMamba employs a convolutional stem and a hierarchical structure with convolutional blocks in its early stages to extract rich local features. These convolutional blocks are then processed by later stages incorporating multi-directional Mamba blocks designed to efficiently model long-range dependencies and global context. This hybrid design allows for superior feature representation while maintaining linear complexity with respect to image resolution. We demonstrate VCMamba's effectiveness through extensive experiments on ImageNet-1K classification and ADE20K semantic segmentation. Our VCMamba-B achieves 82.6% top-1 accuracy on ImageNet-1K, surpassing PlainMamba-L3 by 0.3% with 37% fewer parameters, and outperforming Vision GNN-B by 0.3% with 64% fewer parameters. Furthermore, VCMamba-B obtains 47.1 mIoU on ADE20K, exceeding EfficientFormer-L7 by 2.0 mIoU while utilizing 62% fewer parameters. Code is available at https://github.com/Wertyuui345/VCMamba.

  • 3 authors
·
Sep 4, 2025

Cross-Phase Mutual Learning Framework for Pulmonary Embolism Identification on Non-Contrast CT Scans

Pulmonary embolism (PE) is a life-threatening condition where rapid and accurate diagnosis is imperative yet difficult due to predominantly atypical symptomatology. Computed tomography pulmonary angiography (CTPA) is acknowledged as the gold standard imaging tool in clinics, yet it can be contraindicated for emergency department (ED) patients and represents an onerous procedure, thus necessitating PE identification through non-contrast CT (NCT) scans. In this work, we explore the feasibility of applying a deep-learning approach to NCT scans for PE identification. We propose a novel Cross-Phase Mutual learNing framework (CPMN) that fosters knowledge transfer from CTPA to NCT, while concurrently conducting embolism segmentation and abnormality classification in a multi-task manner. The proposed CPMN leverages the Inter-Feature Alignment (IFA) strategy that enhances spatial contiguity and mutual learning between the dual-pathway network, while the Intra-Feature Discrepancy (IFD) strategy can facilitate precise segmentation of PE against complex backgrounds for single-pathway networks. For a comprehensive assessment of the proposed approach, a large-scale dual-phase dataset containing 334 PE patients and 1,105 normal subjects has been established. Experimental results demonstrate that CPMN achieves the leading identification performance, which is 95.4\% and 99.6\% in patient-level sensitivity and specificity on NCT scans, indicating the potential of our approach as an economical, accessible, and precise tool for PE identification in clinical practice.

  • 8 authors
·
Jul 15, 2024

MambaOut: Do We Really Need Mamba for Vision?

Mamba, an architecture with RNN-like token mixer of state space model (SSM), was recently introduced to address the quadratic complexity of the attention mechanism and subsequently applied to vision tasks. Nevertheless, the performance of Mamba for vision is often underwhelming when compared with convolutional and attention-based models. In this paper, we delve into the essence of Mamba, and conceptually conclude that Mamba is ideally suited for tasks with long-sequence and autoregressive characteristics. For vision tasks, as image classification does not align with either characteristic, we hypothesize that Mamba is not necessary for this task; Detection and segmentation tasks are also not autoregressive, yet they adhere to the long-sequence characteristic, so we believe it is still worthwhile to explore Mamba's potential for these tasks. To empirically verify our hypotheses, we construct a series of models named MambaOut through stacking Mamba blocks while removing their core token mixer, SSM. Experimental results strongly support our hypotheses. Specifically, our MambaOut model surpasses all visual Mamba models on ImageNet image classification, indicating that Mamba is indeed unnecessary for this task. As for detection and segmentation, MambaOut cannot match the performance of state-of-the-art visual Mamba models, demonstrating the potential of Mamba for long-sequence visual tasks. The code is available at https://github.com/yuweihao/MambaOut

  • 2 authors
·
May 13, 2024 1

SurgicalMamba: Dual-Path SSD with State Regramming for Online Surgical Phase Recognition

Online surgical phase recognition (SPR) underpins context-aware operating-room systems and requires committing to a prediction at every frame from past context alone. Surgical video poses three demands that natural-video recognizers do not jointly address: procedures span tens of thousands of frames, time flows non-uniformly as long routine stretches are punctuated by brief phase-defining transitions, and the visual domain is narrow so backbone features are strongly correlated across channels. Existing recognizers either let per-frame cost grow with elapsed length, or hold cost bounded but advance state at a uniform rate with channel-independent dynamics, leaving the latter two demands unaddressed. We present SurgicalMamba, a causal SPR model built on Mamba2's structured state-space duality (SSD) that holds per-frame cost at O(d). It introduces three SSD-compatible components, each targeting one demand: a dual-path SSD block that separates long- and short-term regimes at the level of recurrent state; intensity-modulated stepping, a continuous-time time-warp that adapts the slow path's effective rate to phase-relevant information; and state regramming, a per-chunk Cayley rotation that opens cross-channel mixing in the otherwise axis-aligned SSM recurrence. The learned rotation planes inherit a phase-aligned structure without any direct supervision, offering an interpretable internal signature of surgical workflow. Across seven public SPR benchmarks, SurgicalMamba reaches state-of-the-art accuracy and phase-level Jaccard under strict online evaluation: 94.6%/82.7% on Cholec80 (+0.7 pp/+2.2 pp over the strongest prior) and 89.5%/68.9% on AutoLaparo (+1.7 pp/+2.0 pp), at 119 fps on a single GPU. Ablations isolate the contribution of each component. The code is publicly available at https://github.com/sukjuoh/Surgical-Mamba.

SparX: A Sparse Cross-Layer Connection Mechanism for Hierarchical Vision Mamba and Transformer Networks

Due to the capability of dynamic state space models (SSMs) in capturing long-range dependencies with linear-time computational complexity, Mamba has shown notable performance in NLP tasks. This has inspired the rapid development of Mamba-based vision models, resulting in promising results in visual recognition tasks. However, such models are not capable of distilling features across layers through feature aggregation, interaction, and selection. Moreover, existing cross-layer feature aggregation methods designed for CNNs or ViTs are not practical in Mamba-based models due to high computational costs. Therefore, this paper aims to introduce an efficient cross-layer feature aggregation mechanism for vision backbone networks. Inspired by the Retinal Ganglion Cells (RGCs) in the human visual system, we propose a new sparse cross-layer connection mechanism termed SparX to effectively improve cross-layer feature interaction and reuse. Specifically, we build two different types of network layers: ganglion layers and normal layers. The former has higher connectivity and complexity, enabling multi-layer feature aggregation and interaction in an input-dependent manner. In contrast, the latter has lower connectivity and complexity. By interleaving these two types of layers, we design a new family of vision backbone networks with sparsely cross-connected layers, achieving an excellent trade-off among model size, computational cost, memory cost, and accuracy in comparison to its counterparts. For instance, with fewer parameters, SparX-Mamba-T improves the top-1 accuracy of VMamba-T from 82.5\% to 83.5\%, while SparX-Swin-T achieves a 1.3\% increase in top-1 accuracy compared to Swin-T. Extensive experimental results demonstrate that our new connection mechanism possesses both superior performance and generalization capabilities on various vision tasks.

  • 3 authors
·
Dec 19, 2024

MambaVesselNet++: A Hybrid CNN-Mamba Architecture for Medical Image Segmentation

Medical image segmentation plays an important role in computer-aided diagnosis. Traditional convolution-based U-shape segmentation architectures are usually limited by the local receptive field. Existing vision transformers have been widely applied to diverse medical segmentation frameworks due to their superior capabilities of capturing global contexts. Despite the advantage, the real-world application of vision transformers is challenged by their non-linear self-attention mechanism, requiring huge computational costs. To address this issue, the selective state space model (SSM) Mamba has gained recognition for its adeptness in modeling long-range dependencies in sequential data, particularly noted for its efficient memory costs. In this paper, we propose MambaVesselNet++, a Hybrid CNN-Mamba framework for medical image segmentation. Our MambaVesselNet++ is comprised of a hybrid image encoder (Hi-Encoder) and a bifocal fusion decoder (BF-Decoder). In Hi-Encoder, we first devise the texture-aware layer to capture low-level semantic features by leveraging convolutions. Then, we utilize Mamba to effectively model long-range dependencies with linear complexity. The Bi-Decoder adopts skip connections to combine local and global information of the Hi-Encoder for the accurate generation of segmentation masks. Extensive experiments demonstrate that MambaVesselNet++ outperforms current convolution-based, transformer-based, and Mamba-based state-of-the-arts across diverse medical 2D, 3D, and instance segmentation tasks. The code is available at https://github.com/CC0117/MambaVesselNet.

  • 7 authors
·
Jul 25, 2025

Motion Mamba: Efficient and Long Sequence Motion Generation with Hierarchical and Bidirectional Selective SSM

Human motion generation stands as a significant pursuit in generative computer vision, while achieving long-sequence and efficient motion generation remains challenging. Recent advancements in state space models (SSMs), notably Mamba, have showcased considerable promise in long sequence modeling with an efficient hardware-aware design, which appears to be a promising direction to build motion generation model upon it. Nevertheless, adapting SSMs to motion generation faces hurdles since the lack of a specialized design architecture to model motion sequence. To address these challenges, we propose Motion Mamba, a simple and efficient approach that presents the pioneering motion generation model utilized SSMs. Specifically, we design a Hierarchical Temporal Mamba (HTM) block to process temporal data by ensemble varying numbers of isolated SSM modules across a symmetric U-Net architecture aimed at preserving motion consistency between frames. We also design a Bidirectional Spatial Mamba (BSM) block to bidirectionally process latent poses, to enhance accurate motion generation within a temporal frame. Our proposed method achieves up to 50% FID improvement and up to 4 times faster on the HumanML3D and KIT-ML datasets compared to the previous best diffusion-based method, which demonstrates strong capabilities of high-quality long sequence motion modeling and real-time human motion generation. See project website https://steve-zeyu-zhang.github.io/MotionMamba/

  • 6 authors
·
Mar 12, 2024 4

BiSegMamba: Efficient Bidirectional Tri-Oriented Mamba for 3D Medical Image Segmentation

Accurate 3D medical image segmentation requires both long-range volumetric context and fine boundary preservation. CNN-based methods have limited global dependency modeling, while Transformer-based models are often computationally expensive for dense 3D inputs. Recent Mamba-based methods provide an efficient alternative, but existing volumetric designs still depend on repeated high-resolution scanning, forward-only sequential modeling, and fixed directional summation, causing high cost, scan-order bias, and suboptimal directional aggregation. We propose BiSegMamba, an efficient bidirectional tri-oriented Mamba network for 3D medical image segmentation. BiSegMamba follows a compact-to-detail design, where a progressive compacting stem (PCS) enables efficient latent-space reasoning while retaining shallow high-resolution features for reconstruction. A multi-scale spatial mixer (MSSM) captures local anatomical patterns in early stages, and the proposed bidirectional tri-oriented Ortho Mamba (Bi-ToOM) block models long-range dependencies from multiple orthogonal views using jointly processed forward and backward scan sequences. Adaptive directional fusion (ADF) learns input-dependent channel-wise weights across scan orientations, replacing fixed summation with orientation-aware fusion. Experiments on a collected carotid CTA dataset and three public benchmarks, BraTS2023, ACDC, and AMOS-CT, show that BiSegMamba generalizes well across vascular, cardiac, brain tumor, and abdominal multi-organ segmentation tasks. Compared with SegMamba-V2, BiSegMamba achieves slightly better performance on BraTS2023 and clear improvements on ACDC and the carotid dataset, while reducing computational cost by up to 77.9% FLOPs, demonstrating a strong accuracy-efficiency balance for general 3D medical image segmentation.

  • 4 authors
·
May 28

MSVM-UNet: Multi-Scale Vision Mamba UNet for Medical Image Segmentation

State Space Models (SSMs), especially Mamba, have shown great promise in medical image segmentation due to their ability to model long-range dependencies with linear computational complexity. However, accurate medical image segmentation requires the effective learning of both multi-scale detailed feature representations and global contextual dependencies. Although existing works have attempted to address this issue by integrating CNNs and SSMs to leverage their respective strengths, they have not designed specialized modules to effectively capture multi-scale feature representations, nor have they adequately addressed the directional sensitivity problem when applying Mamba to 2D image data. To overcome these limitations, we propose a Multi-Scale Vision Mamba UNet model for medical image segmentation, termed MSVM-UNet. Specifically, by introducing multi-scale convolutions in the VSS blocks, we can more effectively capture and aggregate multi-scale feature representations from the hierarchical features of the VMamba encoder and better handle 2D visual data. Additionally, the large kernel patch expanding (LKPE) layers achieve more efficient upsampling of feature maps by simultaneously integrating spatial and channel information. Extensive experiments on the Synapse and ACDC datasets demonstrate that our approach is more effective than some state-of-the-art methods in capturing and aggregating multi-scale feature representations and modeling long-range dependencies between pixels.

  • 4 authors
·
Aug 25, 2024

MambAttention: Mamba with Multi-Head Attention for Generalizable Single-Channel Speech Enhancement

With the advent of new sequence models like Mamba and xLSTM, several studies have shown that these models match or outperform state-of-the-art models in single-channel speech enhancement, automatic speech recognition, and self-supervised audio representation learning. However, prior research has demonstrated that sequence models like LSTM and Mamba tend to overfit to the training set. To address this issue, previous works have shown that adding self-attention to LSTMs substantially improves generalization performance for single-channel speech enhancement. Nevertheless, neither the concept of hybrid Mamba and time-frequency attention models nor their generalization performance have been explored for speech enhancement. In this paper, we propose a novel hybrid architecture, MambAttention, which combines Mamba and shared time- and frequency-multi-head attention modules for generalizable single-channel speech enhancement. To train our model, we introduce VoiceBank+Demand Extended (VB-DemandEx), a dataset inspired by VoiceBank+Demand but with more challenging noise types and lower signal-to-noise ratios. Trained on VB-DemandEx, our proposed MambAttention model significantly outperforms existing state-of-the-art LSTM-, xLSTM-, Mamba-, and Conformer-based systems of similar complexity across all reported metrics on two out-of-domain datasets: DNS 2020 and EARS-WHAM_v2, while matching their performance on the in-domain dataset VB-DemandEx. Ablation studies highlight the role of weight sharing between the time- and frequency-multi-head attention modules for generalization performance. Finally, we explore integrating the shared time- and frequency-multi-head attention modules with LSTM and xLSTM, which yields a notable performance improvement on the out-of-domain datasets. However, our MambAttention model remains superior on both out-of-domain datasets across all reported evaluation metrics.

  • 4 authors
·
Jul 1, 2025

A Comprehensive Survey of Mamba Architectures for Medical Image Analysis: Classification, Segmentation, Restoration and Beyond

Mamba, a special case of the State Space Model, is gaining popularity as an alternative to template-based deep learning approaches in medical image analysis. While transformers are powerful architectures, they have drawbacks, including quadratic computational complexity and an inability to address long-range dependencies efficiently. This limitation affects the analysis of large and complex datasets in medical imaging, where there are many spatial and temporal relationships. In contrast, Mamba offers benefits that make it well-suited for medical image analysis. It has linear time complexity, which is a significant improvement over transformers. Mamba processes longer sequences without attention mechanisms, enabling faster inference and requiring less memory. Mamba also demonstrates strong performance in merging multimodal data, improving diagnosis accuracy and patient outcomes. The organization of this paper allows readers to appreciate the capabilities of Mamba in medical imaging step by step. We begin by defining core concepts of SSMs and models, including S4, S5, and S6, followed by an exploration of Mamba architectures such as pure Mamba, U-Net variants, and hybrid models with convolutional neural networks, transformers, and Graph Neural Networks. We also cover Mamba optimizations, techniques and adaptations, scanning, datasets, applications, experimental results, and conclude with its challenges and future directions in medical imaging. This review aims to demonstrate the transformative potential of Mamba in overcoming existing barriers within medical imaging while paving the way for innovative advancements in the field. A comprehensive list of Mamba architectures applied in the medical field, reviewed in this work, is available at Github.

  • 9 authors
·
Oct 3, 2024 4

A2Mamba: Attention-augmented State Space Models for Visual Recognition

Transformers and Mamba, initially invented for natural language processing, have inspired backbone architectures for visual recognition. Recent studies integrated Local Attention Transformers with Mamba to capture both local details and global contexts. Despite competitive performance, these methods are limited to simple stacking of Transformer and Mamba layers without any interaction mechanism between them. Thus, deep integration between Transformer and Mamba layers remains an open problem. We address this problem by proposing A2Mamba, a powerful Transformer-Mamba hybrid network architecture, featuring a new token mixer termed Multi-scale Attention-augmented State Space Model (MASS), where multi-scale attention maps are integrated into an attention-augmented SSM (A2SSM). A key step of A2SSM performs a variant of cross-attention by spatially aggregating the SSM's hidden states using the multi-scale attention maps, which enhances spatial dependencies pertaining to a two-dimensional space while improving the dynamic modeling capabilities of SSMs. Our A2Mamba outperforms all previous ConvNet-, Transformer-, and Mamba-based architectures in visual recognition tasks. For instance, A2Mamba-L achieves an impressive 86.1% top-1 accuracy on ImageNet-1K. In semantic segmentation, A2Mamba-B exceeds CAFormer-S36 by 2.5% in mIoU, while exhibiting higher efficiency. In object detection and instance segmentation with Cascade Mask R-CNN, A2Mamba-S surpasses MambaVision-B by 1.2%/0.9% in AP^b/AP^m, while having 40% less parameters. Code is publicly available at https://github.com/LMMMEng/A2Mamba.

  • 3 authors
·
Jul 22, 2025

CDMamba: Incorporating Local Clues into Mamba for Remote Sensing Image Binary Change Detection

Recently, the Mamba architecture based on state space models has demonstrated remarkable performance in a series of natural language processing tasks and has been rapidly applied to remote sensing change detection (CD) tasks. However, most methods enhance the global receptive field by directly modifying the scanning mode of Mamba, neglecting the crucial role that local information plays in dense prediction tasks (e.g., binary CD). In this article, we propose a model called CDMamba, which effectively combines global and local features for handling binary CD tasks. Specifically, the Scaled Residual ConvMamba (SRCM) block is proposed to utilize the ability of Mamba to extract global features and convolution to enhance the local details to alleviate the issue that current Mamba-based methods lack detailed clues and are difficult to achieve fine detection in dense prediction tasks. Furthermore, considering the characteristics of bi-temporal feature interaction required for CD, the Adaptive Global Local Guided Fusion (AGLGF) block is proposed to dynamically facilitate the bi-temporal interaction guided by other temporal global/local features. Our intuition is that more discriminative change features can be acquired with the guidance of other temporal features. Extensive experiments on five datasets demonstrate that our proposed CDMamba is comparable to the current methods (such as the F1/IoU scores are improved by 2.10%/3.00% and 2.44%/2.91% on LEVIR+CD and CLCD, respectively). Our code is open-sourced at https://github.com/zmoka-zht/CDMamba.

  • 6 authors
·
Jun 6, 2024

One Dimensional CNN ECG Mamba for Multilabel Abnormality Classification in 12 Lead ECG

Accurate detection of cardiac abnormalities from electrocardiogram recordings is regarded as essential for clinical diagnostics and decision support. Traditional deep learning models such as residual networks and transformer architectures have been applied successfully to this task, but their performance has been limited when long sequential signals are processed. Recently, state space models have been introduced as an efficient alternative. In this study, a hybrid framework named One Dimensional Convolutional Neural Network Electrocardiogram Mamba is introduced, in which convolutional feature extraction is combined with Mamba, a selective state space model designed for effective sequence modeling. The model is built upon Vision Mamba, a bidirectional variant through which the representation of temporal dependencies in electrocardiogram data is enhanced. Comprehensive experiments on the PhysioNet Computing in Cardiology Challenges of 2020 and 2021 were conducted, and superior performance compared with existing methods was achieved. Specifically, the proposed model achieved substantially higher AUPRC and AUROC scores than those reported by the best previously published algorithms on twelve lead electrocardiograms. These results demonstrate the potential of Mamba-based architectures to advance reliable ECG classification. This capability supports early diagnosis and personalized treatment, while enhancing accessibility in telemedicine and resource-constrained healthcare systems.

  • 4 authors
·
Oct 14, 2025

A Survey on Visual Mamba

State space models (SSMs) with selection mechanisms and hardware-aware architectures, namely Mamba, have recently demonstrated significant promise in long-sequence modeling. Since the self-attention mechanism in transformers has quadratic complexity with image size and increasing computational demands, the researchers are now exploring how to adapt Mamba for computer vision tasks. This paper is the first comprehensive survey aiming to provide an in-depth analysis of Mamba models in the field of computer vision. It begins by exploring the foundational concepts contributing to Mamba's success, including the state space model framework, selection mechanisms, and hardware-aware design. Next, we review these vision mamba models by categorizing them into foundational ones and enhancing them with techniques such as convolution, recurrence, and attention to improve their sophistication. We further delve into the widespread applications of Mamba in vision tasks, which include their use as a backbone in various levels of vision processing. This encompasses general visual tasks, Medical visual tasks (e.g., 2D / 3D segmentation, classification, and image registration, etc.), and Remote Sensing visual tasks. We specially introduce general visual tasks from two levels: High/Mid-level vision (e.g., Object detection, Segmentation, Video classification, etc.) and Low-level vision (e.g., Image super-resolution, Image restoration, Visual generation, etc.). We hope this endeavor will spark additional interest within the community to address current challenges and further apply Mamba models in computer vision.

  • 6 authors
·
Apr 24, 2024

SRMA-Mamba: Spatial Reverse Mamba Attention Network for Pathological Liver Segmentation in MRI Volumes

Liver Cirrhosis plays a critical role in the prognosis of chronic liver disease. Early detection and timely intervention are critical in significantly reducing mortality rates. However, the intricate anatomical architecture and diverse pathological changes of liver tissue complicate the accurate detection and characterization of lesions in clinical settings. Existing methods underutilize the spatial anatomical details in volumetric MRI data, thereby hindering their clinical effectiveness and explainability. To address this challenge, we introduce a novel Mamba-based network, SRMA-Mamba, designed to model the spatial relationships within the complex anatomical structures of MRI volumes. By integrating the Spatial Anatomy-Based Mamba module (SABMamba), SRMA-Mamba performs selective Mamba scans within liver cirrhotic tissues and combines anatomical information from the sagittal, coronal, and axial planes to construct a global spatial context representation, enabling efficient volumetric segmentation of pathological liver structures. Furthermore, we introduce the Spatial Reverse Attention module (SRMA), designed to progressively refine cirrhotic details in the segmentation map, utilizing both the coarse segmentation map and hierarchical encoding features. Extensive experiments demonstrate that SRMA-Mamba surpasses state-of-the-art methods, delivering exceptional performance in 3D pathological liver segmentation. Our code is available for public: https://github.com/JunZengz/SRMA-Mamba.

  • 10 authors
·
Aug 17, 2025

Remote Sensing Image Segmentation Using Vision Mamba and Multi-Scale Multi-Frequency Feature Fusion

As remote sensing imaging technology continues to advance and evolve, processing high-resolution and diversified satellite imagery to improve segmentation accuracy and enhance interpretation efficiency emerg as a pivotal area of investigation within the realm of remote sensing. Although segmentation algorithms based on CNNs and Transformers achieve significant progress in performance, balancing segmentation accuracy and computational complexity remains challenging, limiting their wide application in practical tasks. To address this, this paper introduces state space model (SSM) and proposes a novel hybrid semantic segmentation network based on vision Mamba (CVMH-UNet). This method designs a cross-scanning visual state space block (CVSSBlock) that uses cross 2D scanning (CS2D) to fully capture global information from multiple directions, while by incorporating convolutional neural network branches to overcome the constraints of Vision Mamba (VMamba) in acquiring local information, this approach facilitates a comprehensive analysis of both global and local features. Furthermore, to address the issue of limited discriminative power and the difficulty in achieving detailed fusion with direct skip connections, a multi-frequency multi-scale feature fusion block (MFMSBlock) is designed. This module introduces multi-frequency information through 2D discrete cosine transform (2D DCT) to enhance information utilization and provides additional scale local detail information through point-wise convolution branches. Finally, it aggregates multi-scale information along the channel dimension, achieving refined feature fusion. Findings from experiments conducted on renowned datasets of remote sensing imagery demonstrate that proposed CVMH-UNet achieves superior segmentation performance while maintaining low computational complexity, outperforming surpassing current leading-edge segmentation algorithms.

  • 7 authors
·
Oct 7, 2024

Gather-Scatter Mamba: Accelerating Propagation with Efficient State Space Model

State Space Models (SSMs)-most notably RNNs-have historically played a central role in sequential modeling. Although attention mechanisms such as Transformers have since dominated due to their ability to model global context, their quadratic complexity and limited scalability make them less suited for long sequences. Video super-resolution (VSR) methods have traditionally relied on recurrent architectures to propagate features across frames. However, such approaches suffer from well-known issues including vanishing gradients, lack of parallelism, and slow inference speed. Recent advances in selective SSMs like Mamba offer a compelling alternative: by enabling input-dependent state transitions with linear-time complexity, Mamba mitigates these issues while maintaining strong long-range modeling capabilities. Despite this potential, Mamba alone struggles to capture fine-grained spatial dependencies due to its causal nature and lack of explicit context aggregation. To address this, we propose a hybrid architecture that combines shifted window self-attention for spatial context aggregation with Mamba-based selective scanning for efficient temporal propagation. Furthermore, we introduce Gather-Scatter Mamba (GSM), an alignment-aware mechanism that warps features toward a center anchor frame within the temporal window before Mamba propagation and scatters them back afterward, effectively reducing occlusion artifacts and ensuring effective redistribution of aggregated information across all frames. The official implementation is provided at: https://github.com/Ko-Lani/GSMamba.

  • 8 authors
·
Oct 1, 2025

MHS-VM: Multi-Head Scanning in Parallel Subspaces for Vision Mamba

Recently, State Space Models (SSMs), with Mamba as a prime example, have shown great promise for long-range dependency modeling with linear complexity. Then, Vision Mamba and the subsequent architectures are presented successively, and they perform well on visual tasks. The crucial step of applying Mamba to visual tasks is to construct 2D visual features in sequential manners. To effectively organize and construct visual features within the 2D image space through 1D selective scan, we propose a novel Multi-Head Scan (MHS) module. The embeddings extracted from the preceding layer are projected into multiple lower-dimensional subspaces. Subsequently, within each subspace, the selective scan is performed along distinct scan routes. The resulting sub-embeddings, obtained from the multi-head scan process, are then integrated and ultimately projected back into the high-dimensional space. Moreover, we incorporate a Scan Route Attention (SRA) mechanism to enhance the module's capability to discern complex structures. To validate the efficacy of our module, we exclusively substitute the 2D-Selective-Scan (SS2D) block in VM-UNet with our proposed module, and we train our models from scratch without using any pre-trained weights. The results indicate a significant improvement in performance while reducing the parameters of the original VM-UNet. The code for this study is publicly available at https://github.com/PixDeep/MHS-VM.

  • 1 authors
·
Jun 9, 2024

crossMoDA Challenge: Evolution of Cross-Modality Domain Adaptation Techniques for Vestibular Schwannoma and Cochlea Segmentation from 2021 to 2023

The cross-Modality Domain Adaptation (crossMoDA) challenge series, initiated in 2021 in conjunction with the International Conference on Medical Image Computing and Computer Assisted Intervention (MICCAI), focuses on unsupervised cross-modality segmentation, learning from contrast-enhanced T1 (ceT1) and transferring to T2 MRI. The task is an extreme example of domain shift chosen to serve as a meaningful and illustrative benchmark. From a clinical application perspective, it aims to automate Vestibular Schwannoma (VS) and cochlea segmentation on T2 scans for more cost-effective VS management. Over time, the challenge objectives have evolved to enhance its clinical relevance. The challenge evolved from using single-institutional data and basic segmentation in 2021 to incorporating multi-institutional data and Koos grading in 2022, and by 2023, it included heterogeneous routine data and sub-segmentation of intra- and extra-meatal tumour components. In this work, we report the findings of the 2022 and 2023 editions and perform a retrospective analysis of the challenge progression over the years. The observations from the successive challenge contributions indicate that the number of outliers decreases with an expanding dataset. This is notable since the diversity of scanning protocols of the datasets concurrently increased. The winning approach of the 2023 edition reduced the number of outliers on the 2021 and 2022 testing data, demonstrating how increased data heterogeneity can enhance segmentation performance even on homogeneous data. However, the cochlea Dice score declined in 2023, likely due to the added complexity from tumour sub-annotations affecting overall segmentation performance. While progress is still needed for clinically acceptable VS segmentation, the plateauing performance suggests that a more challenging cross-modal task may better serve future benchmarking.

  • 41 authors
·
Jul 23, 2025

MSM-Seg: A Modality-and-Slice Memory Framework with Category-Agnostic Prompting for Multi-Modal Brain Tumor Segmentation

Multi-modal brain tumor segmentation is critical for clinical diagnosis, and it requires accurate identification of distinct internal anatomical subregions. While the recent prompt-based segmentation paradigms enable interactive experiences for clinicians, existing methods ignore cross-modal correlations and rely on labor-intensive category-specific prompts, limiting their applicability in real-world scenarios. To address these issues, we propose a MSM-Seg framework for multi-modal brain tumor segmentation. The MSM-Seg introduces a novel dual-memory segmentation paradigm that synergistically integrates multi-modal and inter-slice information with the efficient category-agnostic prompt for brain tumor understanding. To this end, we first devise a modality-and-slice memory attention (MSMA) to exploit the cross-modal and inter-slice relationships among the input scans. Then, we propose a multi-scale category-agnostic prompt encoder (MCP-Encoder) to provide tumor region guidance for decoding. Moreover, we devise a modality-adaptive fusion decoder (MF-Decoder) that leverages the complementary decoding information across different modalities to improve segmentation accuracy. Extensive experiments on different MRI datasets demonstrate that our MSM-Seg framework outperforms state-of-the-art methods in multi-modal metastases and glioma tumor segmentation. The code is available at https://github.com/xq141839/MSM-Seg.

  • 6 authors
·
Oct 12, 2025

Mamba-based Deep Learning Approach for Sleep Staging on a Wireless Multimodal Wearable System without Electroencephalography

Study Objectives: We investigate a Mamba-based deep learning approach for sleep staging on signals from ANNE One (Sibel Health, Evanston, IL), a non-intrusive dual-module wireless wearable system measuring chest electrocardiography (ECG), triaxial accelerometry, and chest temperature, and finger photoplethysmography and finger temperature. Methods: We obtained wearable sensor recordings from 357 adults undergoing concurrent polysomnography (PSG) at a tertiary care sleep lab. Each PSG recording was manually scored and these annotations served as ground truth labels for training and evaluation of our models. PSG and wearable sensor data were automatically aligned using their ECG channels with manual confirmation by visual inspection. We trained a Mamba-based recurrent neural network architecture on these recordings. Ensembling of model variants with similar architectures was performed. Results: After ensembling, the model attains a 3-class (wake, non rapid eye movement [NREM] sleep, rapid eye movement [REM] sleep) balanced accuracy of 84.02%, F1 score of 84.23%, Cohen's κ of 72.89%, and a Matthews correlation coefficient (MCC) score of 73.00%; a 4-class (wake, light NREM [N1/N2], deep NREM [N3], REM) balanced accuracy of 75.30%, F1 score of 74.10%, Cohen's κ of 61.51%, and MCC score of 61.95%; a 5-class (wake, N1, N2, N3, REM) balanced accuracy of 65.11%, F1 score of 66.15%, Cohen's κ of 53.23%, MCC score of 54.38%. Conclusions: Our Mamba-based deep learning model can successfully infer major sleep stages from the ANNE One, a wearable system without electroencephalography (EEG), and can be applied to data from adults attending a tertiary care sleep clinic.

  • 12 authors
·
Nov 24, 2025

CMamba: Channel Correlation Enhanced State Space Models for Multivariate Time Series Forecasting

Recent advancements in multivariate time series forecasting have been propelled by Linear-based, Transformer-based, and Convolution-based models, with Transformer-based architectures gaining prominence for their efficacy in temporal and cross-channel mixing. More recently, Mamba, a state space model, has emerged with robust sequence and feature mixing capabilities. However, the suitability of the vanilla Mamba design for time series forecasting remains an open question, particularly due to its inadequate handling of cross-channel dependencies. Capturing cross-channel dependencies is critical in enhancing the performance of multivariate time series prediction. Recent findings show that self-attention excels in capturing cross-channel dependencies, whereas other simpler mechanisms, such as MLP, may degrade model performance. This is counterintuitive, as MLP, being a learnable architecture, should theoretically capture both correlations and irrelevances, potentially leading to neutral or improved performance. Diving into the self-attention mechanism, we attribute the observed degradation in MLP performance to its lack of data dependence and global receptive field, which result in MLP's lack of generalization ability. Based on the above insights, we introduce a refined Mamba variant tailored for time series forecasting. Our proposed model, CMamba, incorporates a modified Mamba (M-Mamba) module for temporal dependencies modeling, a global data-dependent MLP (GDD-MLP) to effectively capture cross-channel dependencies, and a Channel Mixup mechanism to mitigate overfitting. Comprehensive experiments conducted on seven real-world datasets demonstrate the efficacy of our model in improving forecasting performance.

  • 4 authors
·
Sep 25, 2024

GroupMamba: Parameter-Efficient and Accurate Group Visual State Space Model

Recent advancements in state-space models (SSMs) have showcased effective performance in modeling long-range dependencies with subquadratic complexity. However, pure SSM-based models still face challenges related to stability and achieving optimal performance on computer vision tasks. Our paper addresses the challenges of scaling SSM-based models for computer vision, particularly the instability and inefficiency of large model sizes. To address this, we introduce a Modulated Group Mamba layer which divides the input channels into four groups and applies our proposed SSM-based efficient Visual Single Selective Scanning (VSSS) block independently to each group, with each VSSS block scanning in one of the four spatial directions. The Modulated Group Mamba layer also wraps the four VSSS blocks into a channel modulation operator to improve cross-channel communication. Furthermore, we introduce a distillation-based training objective to stabilize the training of large models, leading to consistent performance gains. Our comprehensive experiments demonstrate the merits of the proposed contributions, leading to superior performance over existing methods for image classification on ImageNet-1K, object detection, instance segmentation on MS-COCO, and semantic segmentation on ADE20K. Our tiny variant with 23M parameters achieves state-of-the-art performance with a classification top-1 accuracy of 83.3% on ImageNet-1K, while being 26% efficient in terms of parameters, compared to the best existing Mamba design of same model size. Our code and models are available at: https://github.com/Amshaker/GroupMamba.

  • 5 authors
·
Jul 18, 2024

Mixture-of-Mamba: Enhancing Multi-Modal State-Space Models with Modality-Aware Sparsity

State Space Models (SSMs) have emerged as efficient alternatives to Transformers for sequential modeling, but their inability to leverage modality-specific features limits their performance in multi-modal pretraining. Here, we propose Mixture-of-Mamba, a novel SSM architecture that introduces modality-aware sparsity through modality-specific parameterization of the Mamba block. Building on Mixture-of-Transformers (W. Liang et al. arXiv:2411.04996; 2024), we extend the benefits of modality-aware sparsity to SSMs while preserving their computational efficiency. We evaluate Mixture-of-Mamba across three multi-modal pretraining settings: Transfusion (interleaved text and continuous image tokens with diffusion loss), Chameleon (interleaved text and discrete image tokens), and an extended three-modality framework incorporating speech. Mixture-of-Mamba consistently reaches the same loss values at earlier training steps with significantly reduced computational costs. In the Transfusion setting, Mixture-of-Mamba achieves equivalent image loss using only 34.76% of the training FLOPs at the 1.4B scale. In the Chameleon setting, Mixture-of-Mamba reaches similar image loss with just 42.50% of the FLOPs at the 1.4B scale, and similar text loss with just 65.40% of the FLOPs. In the three-modality setting, MoM matches speech loss at 24.80% of the FLOPs at the 1.4B scale. Our ablation study highlights the synergistic effects of decoupling projection components, where joint decoupling yields greater gains than individual modifications. These results establish modality-aware sparsity as a versatile and effective design principle, extending its impact from Transformers to SSMs and setting new benchmarks in multi-modal pretraining. Our code can be accessed at https://github.com/Weixin-Liang/Mixture-of-Mamba

  • 6 authors
·
Jan 27, 2025 1

DB-SAM: Delving into High Quality Universal Medical Image Segmentation

Recently, the Segment Anything Model (SAM) has demonstrated promising segmentation capabilities in a variety of downstream segmentation tasks. However in the context of universal medical image segmentation there exists a notable performance discrepancy when directly applying SAM due to the domain gap between natural and 2D/3D medical data. In this work, we propose a dual-branch adapted SAM framework, named DB-SAM, that strives to effectively bridge this domain gap. Our dual-branch adapted SAM contains two branches in parallel: a ViT branch and a convolution branch. The ViT branch incorporates a learnable channel attention block after each frozen attention block, which captures domain-specific local features. On the other hand, the convolution branch employs a light-weight convolutional block to extract domain-specific shallow features from the input medical image. To perform cross-branch feature fusion, we design a bilateral cross-attention block and a ViT convolution fusion block, which dynamically combine diverse information of two branches for mask decoder. Extensive experiments on large-scale medical image dataset with various 3D and 2D medical segmentation tasks reveal the merits of our proposed contributions. On 21 3D medical image segmentation tasks, our proposed DB-SAM achieves an absolute gain of 8.8%, compared to a recent medical SAM adapter in the literature. The code and model are available at https://github.com/AlfredQin/DB-SAM.

  • 5 authors
·
Oct 5, 2024

KMM: Key Frame Mask Mamba for Extended Motion Generation

Human motion generation is a cut-edge area of research in generative computer vision, with promising applications in video creation, game development, and robotic manipulation. The recent Mamba architecture shows promising results in efficiently modeling long and complex sequences, yet two significant challenges remain: Firstly, directly applying Mamba to extended motion generation is ineffective, as the limited capacity of the implicit memory leads to memory decay. Secondly, Mamba struggles with multimodal fusion compared to Transformers, and lack alignment with textual queries, often confusing directions (left or right) or omitting parts of longer text queries. To address these challenges, our paper presents three key contributions: Firstly, we introduce KMM, a novel architecture featuring Key frame Masking Modeling, designed to enhance Mamba's focus on key actions in motion segments. This approach addresses the memory decay problem and represents a pioneering method in customizing strategic frame-level masking in SSMs. Additionally, we designed a contrastive learning paradigm for addressing the multimodal fusion problem in Mamba and improving the motion-text alignment. Finally, we conducted extensive experiments on the go-to dataset, BABEL, achieving state-of-the-art performance with a reduction of more than 57% in FID and 70% parameters compared to previous state-of-the-art methods. See project website: https://steve-zeyu-zhang.github.io/KMM

  • 8 authors
·
Nov 10, 2024 2

Computation-Efficient Era: A Comprehensive Survey of State Space Models in Medical Image Analysis

Sequence modeling plays a vital role across various domains, with recurrent neural networks being historically the predominant method of performing these tasks. However, the emergence of transformers has altered this paradigm due to their superior performance. Built upon these advances, transformers have conjoined CNNs as two leading foundational models for learning visual representations. However, transformers are hindered by the O(N^2) complexity of their attention mechanisms, while CNNs lack global receptive fields and dynamic weight allocation. State Space Models (SSMs), specifically the \textbf{Mamba} model with selection mechanisms and hardware-aware architecture, have garnered immense interest lately in sequential modeling and visual representation learning, challenging the dominance of transformers by providing infinite context lengths and offering substantial efficiency maintaining linear complexity in the input sequence. Capitalizing on the advances in computer vision, medical imaging has heralded a new epoch with Mamba models. Intending to help researchers navigate the surge, this survey seeks to offer an encyclopedic review of Mamba models in medical imaging. Specifically, we start with a comprehensive theoretical review forming the basis of SSMs, including Mamba architecture and its alternatives for sequence modeling paradigms in this context. Next, we offer a structured classification of Mamba models in the medical field and introduce a diverse categorization scheme based on their application, imaging modalities, and targeted organs. Finally, we summarize key challenges, discuss different future research directions of the SSMs in the medical domain, and propose several directions to fulfill the demands of this field. In addition, we have compiled the studies discussed in this paper along with their open-source implementations on our GitHub repository.

  • 11 authors
·
Jun 5, 2024

CSFMamba: Cross State Fusion Mamba Operator for Multimodal Remote Sensing Image Classification

Multimodal fusion has made great progress in the field of remote sensing image classification due to its ability to exploit the complementary spatial-spectral information. Deep learning methods such as CNN and Transformer have been widely used in these domains. State Space Models recently highlighted that prior methods suffer from quadratic computational complexity. As a result, modeling longer-range dependencies of spatial-spectral features imposes an overwhelming burden on the network. Mamba solves this problem by incorporating time-varying parameters into ordinary SSM and performing hardware optimization, but it cannot perform feature fusion directly. In order to make full use of Mamba's low computational burden and explore the potential of internal structure in multimodal feature fusion, we propose Cross State Fusion Mamba (CSFMamba) Network. Specifically, we first design the preprocessing module of remote sensing image information for the needs of Mamba structure, and combine it with CNN to extract multi-layer features. Secondly, a cross-state module based on Mamba operator is creatively designed to fully fuse the feature of the two modalities. The advantages of Mamba and CNN are combined by designing a more powerful backbone. We capture the fusion relationship between HSI and LiDAR modalities with stronger full-image understanding. The experimental results on two datasets of MUUFL and Houston2018 show that the proposed method outperforms the experimental results of Transformer under the premise of reducing the network training burden.

  • 3 authors
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Aug 30, 2025

LCMamNet: A Lightweight Cross-scale Mamba Network for Infrared Small Target Detection

Infrared small target detection (IRSTD) is important for low-altitude perception, unmanned-system warning, and security monitoring. However, weak targets in infrared imagery usually occupy only a few pixels and are easily submerged by cloud clutter, ground edges, and bright noise, making it difficult for lightweight segmentation-based methods to preserve local target structures while suppressing background interference. To address these challenges, we propose LCMamNet, a lightweight cross-scale Mamba network that progressively enhances local target structures, interacts cross-scale context in a latent space, and restores spatial details with background suppression. Specifically, a compact hierarchical encoder with cross-shaped directional bottleneck residual (CDBR) blocks strengthens direction-sensitive target structures under a small computation budget. A latent dense cross-scale fusion (LDCF) module then performs dense all-level interaction through bidirectional Mamba modeling and reorganizes the interacted features into stable hierarchical semantics. Finally, a progressive decoder selectively recovers shallow spatial details while suppressing irrelevant background textures. Extensive experiments on IRSTD-1k, NUAA-SIRST, and NUDT-SIRST show that the proposed network achieves mIoU scores of 71.25\%, 79.60\%, and 95.58\%, respectively, with only 1.175M parameters and 6.91 GFLOPs. It also runs with a mean inference latency of 6.62 ms, and deployment results on an NVIDIA Jetson Orin NX 16G SUPER further demonstrate its practical potential for real-time edge inference. The code and checkpoints are publicly available at https://github.com/Haoyu096/LCMamNet.

  • 3 authors
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Jul 26

Co-Seg++: Mutual Prompt-Guided Collaborative Learning for Versatile Medical Segmentation

Medical image analysis is critical yet challenged by the need of jointly segmenting organs or tissues, and numerous instances for anatomical structures and tumor microenvironment analysis. Existing studies typically formulated different segmentation tasks in isolation, which overlooks the fundamental interdependencies between these tasks, leading to suboptimal segmentation performance and insufficient medical image understanding. To address this issue, we propose a Co-Seg++ framework for versatile medical segmentation. Specifically, we introduce a novel co-segmentation paradigm, allowing semantic and instance segmentation tasks to mutually enhance each other. We first devise a spatio-temporal prompt encoder (STP-Encoder) to capture long-range spatial and temporal relationships between segmentation regions and image embeddings as prior spatial constraints. Moreover, we devise a multi-task collaborative decoder (MTC-Decoder) that leverages cross-guidance to strengthen the contextual consistency of both tasks, jointly computing semantic and instance segmentation masks. Extensive experiments on diverse CT and histopathology datasets demonstrate that the proposed Co-Seg++ outperforms state-of-the-arts in the semantic, instance, and panoptic segmentation of dental anatomical structures, histopathology tissues, and nuclei instances. The source code is available at https://github.com/xq141839/Co-Seg-Plus.

  • 4 authors
·
Jun 20, 2025

TransMamba: Fast Universal Architecture Adaption from Transformers to Mamba

Transformer-based architectures have become the backbone of both uni-modal and multi-modal foundation models, largely due to their scalability via attention mechanisms, resulting in a rich ecosystem of publicly available pre-trained models such as LLaVA, CLIP, and DeiT, etc. In parallel, emerging sub-quadratic architectures like Mamba offer promising efficiency gains by enabling global context modeling with linear complexity. However, training these architectures from scratch remains resource-intensive (e.g., in terms of data and time). Motivated by this challenge, we explore a cross-architecture knowledge transfer paradigm, termed TransMamba, that facilitates the reuse of Transformer pre-trained knowledge. We propose a two-stage framework to accelerate the training of Mamba-based models, ensuring their effectiveness across both uni-modal and multi-modal tasks. The first stage leverages pre-trained Transformer models to initialize critical components of the Mamba architecture. To bridge architectural and dimensional gaps, we develop a selective weight subcloning strategy and a layered initialization scheme that prioritizes the early n layers. Building on this initialization, the second stage introduces an adaptive multi-directional knowledge distillation method. This mechanism employs layer-wise adaptive scaling factors to align Mamba representations with their Transformer counterparts, while accommodating the scanning order variations inherent to multi-modal Mamba architectures. Despite operating with a reduced training dataset and a more compact model architecture, TransMamba consistently outperforms baseline approaches across diverse mamba-based backbones (e.g., PlainMamba, Vmamba, ViM and VideoMamba) and downstream tasks (e.g., image classification, visual question answering, text-video retrieval and multimodal reasoning). All code and implementation details will be released.

  • 10 authors
·
Oct 8, 2025

Rad-JEPA 3D: Radiology Joint-Embedding Predictive Model for 3D Computed Tomography

Self-supervised pretraining is central to 3D medical image analysis, where unlabeled CT volumes are abundant but expert annotations are scarce. Yet existing volumetric encoders often fail to preserve the coarse spatial and geometric structure that downstream reasoning depends on, limiting their performance on organ disentanglement, abnormality detection, and spatial understanding when paired with language models. We introduce Rad-JEPA 3D, a joint-embedding predictive framework that learns volumetric CT representations by predicting the latent features of a complete scan from a masked view. At its core is a hybrid H-Mamba encoder that fuses a Mamba state-space branch, which models inter-slice continuity through sequential scanning, with a grouped-query attention branch, which captures cross-plane spatial context, combined through a lightweight per-token router. To improve the quality of intermediate representations, we further propose Hidden States Orthogonal Regularization (HSOR), which aligns student-teacher hidden states and reduces feature redundancy throughout the encoder. This layer-wise regularization produces more consistent and discriminative volumetric representations, leading to improved performance on organ recognition and spatial reasoning tasks. Pretrained on approximately 120,000 CT scans, Rad-JEPA 3D attains state-of-the-art results despite its compact size: with only 4.0B total parameters, it achieves competitive results with state-of-the-art on closed-ended VQA and the best average spatial-reasoning score on the Spatial-Med benchmark. Ablation studies confirm that the hybrid block and HSOR contribute complementary gains, and that the induced spatial structure can substitute for raw language-model scale on volumetric reasoning tasks.

  • 3 authors
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Jul 27

LuMamba: Latent Unified Mamba for Electrode Topology-Invariant and Efficient EEG Modeling

Electroencephalography (EEG) enables non-invasive monitoring of brain activity across clinical and neurotechnology applications, yet building foundation models for EEG remains challenging due to differing electrode topologies and computational scalability, as Transformer architectures incur quadratic sequence complexity. As a joint solution, we propose LuMamba (Latent Unified Mamba), a self-supervised framework combining topology-invariant encodings with linear-complexity state-space modeling, using LUNA's learned-query cross-attention mechanism for channel unification~luna, and FEMBA's bidirectional Mamba blocks for efficient temporal modeling~femba. Within this architecture, we provide the first systematic investigation of the Latent-Euclidean Joint-Embedding Predictive Architecture (LeJEPA) for biosignal learning. Pre-trained on over 21,000 hours of unlabeled EEG from the TUEG corpus, LuMamba is evaluated on five downstream tasks spanning abnormality detection, artifact recognition, and mental condition classification across electrode configurations ranging from 16 to 26 channels. In the pre-training objective, masked reconstruction alone yields structured but less generalizable representations, while LeJEPA alone produces diffuse embeddings; combining both objectives achieves the most robust performance. With only 4.6M parameters, LuMamba attains 80.99\% balanced accuracy on TUAB and achieves state-of-art performance on Alzheimer's detection (0.97 AUPR), while requiring 377times fewer FLOPS than state-of-art models at equivalent sequence lengths and scaling to 12times longer sequences before reaching typical GPU memory limits. Code is available at https://github.com/pulp-bio/biofoundation

M3Net: Multimodal Multi-task Learning for 3D Detection, Segmentation, and Occupancy Prediction in Autonomous Driving

The perception system for autonomous driving generally requires to handle multiple diverse sub-tasks. However, current algorithms typically tackle individual sub-tasks separately, which leads to low efficiency when aiming at obtaining full-perception results. Some multi-task learning methods try to unify multiple tasks with one model, but do not solve the conflicts in multi-task learning. In this paper, we introduce M3Net, a novel multimodal and multi-task network that simultaneously tackles detection, segmentation, and 3D occupancy prediction for autonomous driving and achieves superior performance than single task model. M3Net takes multimodal data as input and multiple tasks via query-token interactions. To enhance the integration of multi-modal features for multi-task learning, we first propose the Modality-Adaptive Feature Integration (MAFI) module, which enables single-modality features to predict channel-wise attention weights for their high-performing tasks, respectively. Based on integrated features, we then develop task-specific query initialization strategies to accommodate the needs of detection/segmentation and 3D occupancy prediction. Leveraging the properly initialized queries, a shared decoder transforms queries and BEV features layer-wise, facilitating multi-task learning. Furthermore, we propose a Task-oriented Channel Scaling (TCS) module in the decoder to mitigate conflicts between optimizing for different tasks. Additionally, our proposed multi-task querying and TCS module support both Transformer-based decoder and Mamba-based decoder, demonstrating its flexibility to different architectures. M3Net achieves state-of-the-art multi-task learning performance on the nuScenes benchmarks.

  • 7 authors
·
Mar 23, 2025

MambaTrack: A Simple Baseline for Multiple Object Tracking with State Space Model

Tracking by detection has been the prevailing paradigm in the field of Multi-object Tracking (MOT). These methods typically rely on the Kalman Filter to estimate the future locations of objects, assuming linear object motion. However, they fall short when tracking objects exhibiting nonlinear and diverse motion in scenarios like dancing and sports. In addition, there has been limited focus on utilizing learning-based motion predictors in MOT. To address these challenges, we resort to exploring data-driven motion prediction methods. Inspired by the great expectation of state space models (SSMs), such as Mamba, in long-term sequence modeling with near-linear complexity, we introduce a Mamba-based motion model named Mamba moTion Predictor (MTP). MTP is designed to model the complex motion patterns of objects like dancers and athletes. Specifically, MTP takes the spatial-temporal location dynamics of objects as input, captures the motion pattern using a bi-Mamba encoding layer, and predicts the next motion. In real-world scenarios, objects may be missed due to occlusion or motion blur, leading to premature termination of their trajectories. To tackle this challenge, we further expand the application of MTP. We employ it in an autoregressive way to compensate for missing observations by utilizing its own predictions as inputs, thereby contributing to more consistent trajectories. Our proposed tracker, MambaTrack, demonstrates advanced performance on benchmarks such as Dancetrack and SportsMOT, which are characterized by complex motion and severe occlusion.

  • 4 authors
·
Aug 17, 2024

TYrPPG: Uncomplicated and Enhanced Learning Capability rPPG for Remote Heart Rate Estimation

Remote photoplethysmography (rPPG) can remotely extract physiological signals from RGB video, which has many advantages in detecting heart rate, such as low cost and no invasion to patients. The existing rPPG model is usually based on the transformer module, which has low computation efficiency. Recently, the Mamba model has garnered increasing attention due to its efficient performance in natural language processing tasks, demonstrating potential as a substitute for transformer-based algorithms. However, the Mambaout model and its variants prove that the SSM module, which is the core component of the Mamba model, is unnecessary for the vision task. Therefore, we hope to prove the feasibility of using the Mambaout-based module to remotely learn the heart rate. Specifically, we propose a novel rPPG algorithm called uncomplicated and enhanced learning capability rPPG (TYrPPG). This paper introduces an innovative gated video understanding block (GVB) designed for efficient analysis of RGB videos. Based on the Mambaout structure, this block integrates 2D-CNN and 3D-CNN to enhance video understanding for analysis. In addition, we propose a comprehensive supervised loss function (CSL) to improve the model's learning capability, along with its weakly supervised variants. The experiments show that our TYrPPG can achieve state-of-the-art performance in commonly used datasets, indicating its prospects and superiority in remote heart rate estimation. The source code is available at https://github.com/Taixi-CHEN/TYrPPG.

  • 2 authors
·
Nov 7, 2025

MambaEVT: Event Stream based Visual Object Tracking using State Space Model

Event camera-based visual tracking has drawn more and more attention in recent years due to the unique imaging principle and advantages of low energy consumption, high dynamic range, and dense temporal resolution. Current event-based tracking algorithms are gradually hitting their performance bottlenecks, due to the utilization of vision Transformer and the static template for target object localization. In this paper, we propose a novel Mamba-based visual tracking framework that adopts the state space model with linear complexity as a backbone network. The search regions and target template are fed into the vision Mamba network for simultaneous feature extraction and interaction. The output tokens of search regions will be fed into the tracking head for target localization. More importantly, we consider introducing a dynamic template update strategy into the tracking framework using the Memory Mamba network. By considering the diversity of samples in the target template library and making appropriate adjustments to the template memory module, a more effective dynamic template can be integrated. The effective combination of dynamic and static templates allows our Mamba-based tracking algorithm to achieve a good balance between accuracy and computational cost on multiple large-scale datasets, including EventVOT, VisEvent, and FE240hz. The source code will be released on https://github.com/Event-AHU/MambaEVT

  • 7 authors
·
Aug 19, 2024 2

Swin-UMamba: Mamba-based UNet with ImageNet-based pretraining

Accurate medical image segmentation demands the integration of multi-scale information, spanning from local features to global dependencies. However, it is challenging for existing methods to model long-range global information, where convolutional neural networks (CNNs) are constrained by their local receptive fields, and vision transformers (ViTs) suffer from high quadratic complexity of their attention mechanism. Recently, Mamba-based models have gained great attention for their impressive ability in long sequence modeling. Several studies have demonstrated that these models can outperform popular vision models in various tasks, offering higher accuracy, lower memory consumption, and less computational burden. However, existing Mamba-based models are mostly trained from scratch and do not explore the power of pretraining, which has been proven to be quite effective for data-efficient medical image analysis. This paper introduces a novel Mamba-based model, Swin-UMamba, designed specifically for medical image segmentation tasks, leveraging the advantages of ImageNet-based pretraining. Our experimental results reveal the vital role of ImageNet-based training in enhancing the performance of Mamba-based models. Swin-UMamba demonstrates superior performance with a large margin compared to CNNs, ViTs, and latest Mamba-based models. Notably, on AbdomenMRI, Encoscopy, and Microscopy datasets, Swin-UMamba outperforms its closest counterpart U-Mamba_Enc by an average score of 2.72%.

  • 11 authors
·
Feb 5, 2024

HRVMamba: High-Resolution Visual State Space Model for Dense Prediction

Recently, State Space Models (SSMs) with efficient hardware-aware designs, i.e., Mamba, have demonstrated significant potential in computer vision tasks due to their linear computational complexity with respect to token length and their global receptive field. However, Mamba's performance on dense prediction tasks, including human pose estimation and semantic segmentation, has been constrained by three key challenges: insufficient inductive bias, long-range forgetting, and low-resolution output representation. To address these challenges, we introduce the Dynamic Visual State Space (DVSS) block, which utilizes multi-scale convolutional kernels to extract local features across different scales and enhance inductive bias, and employs deformable convolution to mitigate the long-range forgetting problem while enabling adaptive spatial aggregation based on input and task-specific information. By leveraging the multi-resolution parallel design proposed in HRNet, we introduce High-Resolution Visual State Space Model (HRVMamba) based on the DVSS block, which preserves high-resolution representations throughout the entire process while promoting effective multi-scale feature learning. Extensive experiments highlight HRVMamba's impressive performance on dense prediction tasks, achieving competitive results against existing benchmark models without bells and whistles. Code is available at https://github.com/zhanghao5201/HRVMamba.

  • 6 authors
·
Oct 4, 2024

FEMBA on the Edge: Physiologically-Aware Pre-Training, Quantization, and Deployment of a Bidirectional Mamba EEG Foundation Model on an Ultra-low Power Microcontroller

Objective: To enable continuous, long-term neuro-monitoring on wearable devices by overcoming the computational bottlenecks of Transformer-based Electroencephalography (EEG) foundation models and the quantization challenges inherent to State-Space Models (SSMs). Methods: We present FEMBA, a bidirectional Mamba architecture pre-trained on over 21,000 hours of EEG. We introduce a novel Physiologically-Aware pre-training objective, consisting of a reconstruction with low-pass filtering, to prioritize neural oscillations over high-frequency artifacts. To address the activation outliers common in SSMs, we employ Quantization-Aware Training (QAT) to compress the model to 2-bit weights. The framework is deployed on a parallel ultra-low-power RISC-V microcontroller (GAP9) using a custom double-buffered memory streaming scheme. Results: The proposed low-pass pre-training improves downstream AUROC on TUAB from 0.863 to 0.893 and AUPR from 0.862 to 0.898 compared to the best contrastive baseline. QAT successfully compresses weights with negligible performance loss, whereas standard post-training quantization degrades accuracy by approximately 30\%. The embedded implementation achieves deterministic real-time inference (1.70~s per 5~s window) and reduces the memory footprint by 74\% (to approx2~MB), achieving competitive accuracy with up to 27times fewer FLOPs than Transformer benchmarks. Conclusion: FEMBA demonstrates that Mamba-based foundation models can be effectively quantized and deployed on extreme-edge hardware without sacrificing the representation quality required for robust clinical analysis. Significance: This work establishes the first full-stack framework for deploying large-scale EEG foundation models on ultra-low-power wearables, facilitating continuous, SSM based monitoring for epilepsy and sleep disorders.

  • 6 authors
·
Mar 17

Contrast: A Hybrid Architecture of Transformers and State Space Models for Low-Level Vision

Transformers have become increasingly popular for image super-resolution (SR) tasks due to their strong global context modeling capabilities. However, their quadratic computational complexity necessitates the use of window-based attention mechanisms, which restricts the receptive field and limits effective context expansion. Recently, the Mamba architecture has emerged as a promising alternative with linear computational complexity, allowing it to avoid window mechanisms and maintain a large receptive field. Nevertheless, Mamba faces challenges in handling long-context dependencies when high pixel-level precision is required, as in SR tasks. This is due to its hidden state mechanism, which can compress and store a substantial amount of context but only in an approximate manner, leading to inaccuracies that transformers do not suffer from. In this paper, we propose Contrast, a hybrid SR model that combines Convolutional, Transformer, and State Space components, effectively blending the strengths of transformers and Mamba to address their individual limitations. By integrating transformer and state space mechanisms, Contrast compensates for the shortcomings of each approach, enhancing both global context modeling and pixel-level accuracy. We demonstrate that combining these two architectures allows us to mitigate the problems inherent in each, resulting in improved performance on image super-resolution tasks.

  • 2 authors
·
Jan 22, 2025

Multi-dimensional Visual Prompt Enhanced Image Restoration via Mamba-Transformer Aggregation

Recent efforts on image restoration have focused on developing "all-in-one" models that can handle different degradation types and levels within single model. However, most of mainstream Transformer-based ones confronted with dilemma between model capabilities and computation burdens, since self-attention mechanism quadratically increase in computational complexity with respect to image size, and has inadequacies in capturing long-range dependencies. Most of Mamba-related ones solely scanned feature map in spatial dimension for global modeling, failing to fully utilize information in channel dimension. To address aforementioned problems, this paper has proposed to fully utilize complementary advantages from Mamba and Transformer without sacrificing computation efficiency. Specifically, the selective scanning mechanism of Mamba is employed to focus on spatial modeling, enabling capture long-range spatial dependencies under linear complexity. The self-attention mechanism of Transformer is applied to focus on channel modeling, avoiding high computation burdens that are in quadratic growth with image's spatial dimensions. Moreover, to enrich informative prompts for effective image restoration, multi-dimensional prompt learning modules are proposed to learn prompt-flows from multi-scale encoder/decoder layers, benefiting for revealing underlying characteristic of various degradations from both spatial and channel perspectives, therefore, enhancing the capabilities of "all-in-one" model to solve various restoration tasks. Extensive experiment results on several image restoration benchmark tasks such as image denoising, dehazing, and deraining, have demonstrated that the proposed method can achieve new state-of-the-art performance, compared with many popular mainstream methods. Related source codes and pre-trained parameters will be public on github https://github.com/12138-chr/MTAIR.

  • 5 authors
·
Dec 20, 2024

CrossPT-EEG: A Benchmark for Cross-Participant and Cross-Time Generalization of EEG-based Visual Decoding

Exploring brain activity in relation to visual perception provides insights into the biological representation of the world. While functional magnetic resonance imaging (fMRI) and magnetoencephalography (MEG) have enabled effective image classification and reconstruction, their high cost and bulk limit practical use. Electroencephalography (EEG), by contrast, offers low cost and excellent temporal resolution, but its potential has been limited by the scarcity of large, high-quality datasets and by block-design experiments that introduce temporal confounds. To fill this gap, we present CrossPT-EEG, a benchmark for cross-participant and cross-time generalization of visual decoding from EEG. We collected EEG data from 16 participants while they viewed 4,000 images sampled from ImageNet, with image stimuli annotated at multiple levels of granularity. Our design includes two stages separated in time to allow cross-time generalization and avoid block-design artifacts. We also introduce benchmarks tailored to non-block design classification, as well as pre-training experiments to assess cross-time and cross-participant generalization. These findings highlight the dataset's potential to enhance EEG-based visual brain-computer interfaces, deepen our understanding of visual perception in biological systems, and suggest promising applications for improving machine vision models.

  • 4 authors
·
Dec 15, 2025

LaMamba-Diff: Linear-Time High-Fidelity Diffusion Models Based on Local Attention and Mamba

Recent Transformer-based diffusion models have shown remarkable performance, largely attributed to the ability of the self-attention mechanism to accurately capture both global and local contexts by computing all-pair interactions among input tokens. However, their quadratic complexity poses significant computational challenges for long-sequence inputs. Conversely, a recent state space model called Mamba offers linear complexity by compressing a filtered global context into a hidden state. Despite its efficiency, compression inevitably leads to information loss of fine-grained local dependencies among tokens, which are crucial for effective visual generative modeling. Motivated by these observations, we introduce Local Attentional Mamba (LaMamba) blocks that combine the strengths of self-attention and Mamba, capturing both global contexts and local details with linear complexity. Leveraging the efficient U-Net architecture, our model exhibits exceptional scalability and surpasses the performance of DiT across various model scales on ImageNet at 256x256 resolution, all while utilizing substantially fewer GFLOPs and a comparable number of parameters. Compared to state-of-the-art diffusion models on ImageNet 256x256 and 512x512, our largest model presents notable advantages, such as a reduction of up to 62\% GFLOPs compared to DiT-XL/2, while achieving superior performance with comparable or fewer parameters.

  • 3 authors
·
Aug 5, 2024

MedMamba: Vision Mamba for Medical Image Classification

Since the era of deep learning, convolutional neural networks (CNNs) and vision transformers (ViTs) have been extensively studied and widely used in medical image classification tasks. Unfortunately, CNN's limitations in modeling long-range dependencies result in poor classification performances. In contrast, ViTs are hampered by the quadratic computational complexity of their self-attention mechanism, making them difficult to deploy in real-world settings with limited computational resources. Recent studies have shown that state space models (SSMs) represented by Mamba can effectively model long-range dependencies while maintaining linear computational complexity. Inspired by it, we proposed MedMamba, the first Vision Mamba for generalized medical image classification. Concretely, we introduced a novel hybrid basic block named SS-Conv-SSM, which purely integrates the convolutional layers for extracting local features with the abilities of SSM to capture long-range dependencies, aiming to model medical images from different image modalities efficiently. By employing the grouped convolution strategy and channel-shuffle operation, MedMamba successfully provides fewer model parameters and a lower computational burden for efficient applications without sacrificing accuracy. We thoroughly evaluated MedMamba using 16 datasets containing ten imaging modalities and 411,007 images. Experimental results show that MedMamba demonstrates competitive performance on most tasks compared with the state-of-the-art methods. This work aims to explore the potential of Vision Mamba and establish a new baseline for medical image classification, thereby providing valuable insights for developing more powerful Mamba-based artificial intelligence algorithms and applications in medicine. The source codes and all pre-trained weights of MedMamba are available at https://github.com/YubiaoYue/MedMamba.

  • 2 authors
·
Sep 28, 2024

MedSegFactory: Text-Guided Generation of Medical Image-Mask Pairs

This paper presents MedSegFactory, a versatile medical synthesis framework that generates high-quality paired medical images and segmentation masks across modalities and tasks. It aims to serve as an unlimited data repository, supplying image-mask pairs to enhance existing segmentation tools. The core of MedSegFactory is a dual-stream diffusion model, where one stream synthesizes medical images and the other generates corresponding segmentation masks. To ensure precise alignment between image-mask pairs, we introduce Joint Cross-Attention (JCA), enabling a collaborative denoising paradigm by dynamic cross-conditioning between streams. This bidirectional interaction allows both representations to guide each other's generation, enhancing consistency between generated pairs. MedSegFactory unlocks on-demand generation of paired medical images and segmentation masks through user-defined prompts that specify the target labels, imaging modalities, anatomical regions, and pathological conditions, facilitating scalable and high-quality data generation. This new paradigm of medical image synthesis enables seamless integration into diverse medical imaging workflows, enhancing both efficiency and accuracy. Extensive experiments show that MedSegFactory generates data of superior quality and usability, achieving competitive or state-of-the-art performance in 2D and 3D segmentation tasks while addressing data scarcity and regulatory constraints.

  • 8 authors
·
Apr 9, 2025

LightM-UNet: Mamba Assists in Lightweight UNet for Medical Image Segmentation

UNet and its variants have been widely used in medical image segmentation. However, these models, especially those based on Transformer architectures, pose challenges due to their large number of parameters and computational loads, making them unsuitable for mobile health applications. Recently, State Space Models (SSMs), exemplified by Mamba, have emerged as competitive alternatives to CNN and Transformer architectures. Building upon this, we employ Mamba as a lightweight substitute for CNN and Transformer within UNet, aiming at tackling challenges stemming from computational resource limitations in real medical settings. To this end, we introduce the Lightweight Mamba UNet (LightM-UNet) that integrates Mamba and UNet in a lightweight framework. Specifically, LightM-UNet leverages the Residual Vision Mamba Layer in a pure Mamba fashion to extract deep semantic features and model long-range spatial dependencies, with linear computational complexity. Extensive experiments conducted on two real-world 2D/3D datasets demonstrate that LightM-UNet surpasses existing state-of-the-art literature. Notably, when compared to the renowned nnU-Net, LightM-UNet achieves superior segmentation performance while drastically reducing parameter and computation costs by 116x and 21x, respectively. This highlights the potential of Mamba in facilitating model lightweighting. Our code implementation is publicly available at https://github.com/MrBlankness/LightM-UNet.

  • 6 authors
·
Mar 8, 2024

Spinal-Multiple-Myeloma-SEG: A Dual-Energy CT Dataset Extended with Trabecular Bone Segmentation of Lumbar Vertebrae

We present an extension of the publicly available Spinal-Multiple-Myeloma-SEG dataset, a dual-energy CT imaging resource for multiple myeloma research. The purpose of this dataset is to enable voxel-wise analysis of vertebral bone microstructure by adding expert-validated segmentation of the trabecular compartment of lumbar vertebrae. The dataset consists of 72 dual-energy CT examinations from 67 adult patients (mean age 66 years, range 48--85; 36\% female), acquired retrospectively using a dual-layer dual-energy CT system. It includes conventional CT, virtual monoenergetic images, and calcium-suppressed reconstructions, along with structured clinical metadata. The data are provided in DICOM format, while segmentation masks are available in both NIfTI and DICOM-SEG formats. The primary intended applications include trabecular bone segmentation, quantitative bone mineral density-related analysis, and development of deep learning models for vertebral anatomy and disease-affected bone structures in multiple myeloma. The dataset supports both segmentation and multimodal learning tasks in pathological and non-pathological bone. Initial trabecular segmentation masks were generated using a pretrained nnU-Net model and subsequently refined through manual expert correction and radiological quality control, ensuring anatomical consistency. The original dataset is publicly available via TCIA (https://doi.org/10.7937/k4qv-hh78{https://doi.org/10.7937/k4qv-hh78}), while the trabecular segmentation extension (Version 2) is released through Zenodo (https://doi.org/10.5281/zenodo.21628232{https://doi.org/10.5281/zenodo.21628232}) under the CC BY 4.0 license. The Zenodo release provides immediate public access to the segmentation masks and will be additionally incorporated into the official TCIA collection after completion of the curation process.

  • 6 authors
·
Aug 1

Attention to Mamba: A Recipe for Cross-Architecture Distillation

State Space Models (SSMs) such as Mamba have become a popular alternative to Transformer models, due to their reduced memory consumption and higher throughput at generation compared to their Attention-based counterparts. On the other hand, the community has built up a considerable body of knowledge on how to train Transformers, and many pretrained Transformer models are readily available. To facilitate the adoption of SSMs while leveraging existing pretrained Transformers, we aim to identify an effective recipe to distill an Attention-based model into a Mamba-like architecture. In prior work on cross-architecture distillation, however, it has been shown that a naïve distillation procedure from Transformers to Mamba fails to preserve the original teacher performance, a limitation often overcome with hybrid solutions combining Attention and SSM blocks. The key argument from our work is that, by equipping Mamba with a principled initialization, we can recover an overall better recipe for cross-architectural distillation. To this end, we propose a principled two-stage approach: first, we distill knowledge from a traditional Transformer into a linearized version of Attention, using an adaptation of the kernel trick. Then, we distill the linearized version into an adapted Mamba model that does not use any Attention block. Overall, the distilled Mamba model is able to preserve the original Pythia-1B Transformer performance in downstream tasks, maintaining a perplexity of 14.11 close to the teacher's 13.86. To show the efficacy of our recipe, we conduct thorough ablations at 1B scale with 10B tokens varying sequence mixer architecture, scaling analysis on model sizes and total distillation tokens, and a sensitivity analysis on tokens allocation between stages.

  • 6 authors
·
Mar 31

DART: Decoded Attention over Recurrent States for Efficient Long-Context Sequence Modeling

Modern language models are built primarily from Transformers, recurrent models, and their hybrid architectures. Transformers rely on token-level attention memories, while recurrent models such as state space models (SSMs) and linear attention maintain compact recurrent states. These architectures are typically instantiated separately or interleaved at the layer level, leaving open whether a shared memory representation can support both recurrent compression and attention-style retrieval. We study this question through the state space duality (SSD) view of Mamba-2, where the SSM state can be interpreted as a compressed associative key--value (KV) cache. We observe that Mamba-2 decodes token-conditioned values from this state but does not decode token-conditioned keys. Based on this observation, we propose DART (Decoded Attention over Recurrent sTates), which retains the chunk state contributions produced by the Mamba-2 chunked scan as chunk state memories, decodes token-conditioned keys and values from these memories, and performs state-memory attention (SMA) over the resulting KV pairs. The retrieved output is then combined with the native Mamba-2 output through a gated residual connection. DART supports practical training by reusing the Mamba-2 chunked scan and implementing SMA as a FlashAttention-style computation. Our analysis and experiments show that DART substantially reduces the length-dependent inference cache compared with a matched attention baseline (e.g., 75% savings when the chunk size is S=256 and the state size is N=128). Compared with Mamba-2, DART substantially improves associative recall and retrieval while preserving general language-modeling quality.

  • 6 authors
·
Aug 2

STROKEVISION-BENCH: A Multimodal Video And 2D Pose Benchmark For Tracking Stroke Recovery

Despite advancements in rehabilitation protocols, clinical assessment of upper extremity (UE) function after stroke largely remains subjective, relying heavily on therapist observation and coarse scoring systems. This subjectivity limits the sensitivity of assessments to detect subtle motor improvements, which are critical for personalized rehabilitation planning. Recent progress in computer vision offers promising avenues for enabling objective, quantitative, and scalable assessment of UE motor function. Among standardized tests, the Box and Block Test (BBT) is widely utilized for measuring gross manual dexterity and tracking stroke recovery, providing a structured setting that lends itself well to computational analysis. However, existing datasets targeting stroke rehabilitation primarily focus on daily living activities and often fail to capture clinically structured assessments such as block transfer tasks. Furthermore, many available datasets include a mixture of healthy and stroke-affected individuals, limiting their specificity and clinical utility. To address these critical gaps, we introduce StrokeVision-Bench, the first-ever dedicated dataset of stroke patients performing clinically structured block transfer tasks. StrokeVision-Bench comprises 1,000 annotated videos categorized into four clinically meaningful action classes, with each sample represented in two modalities: raw video frames and 2D skeletal keypoints. We benchmark several state-of-the-art video action recognition and skeleton-based action classification methods to establish performance baselines for this domain and facilitate future research in automated stroke rehabilitation assessment.

  • 5 authors
·
Sep 2, 2025

Mamba State-Space Models Are Lyapunov-Stable Learners

Mamba state-space models (SSMs) were recently shown to outperform state-of-the-art (SOTA) Transformer large language models (LLMs) across various tasks. Despite subsequent widespread adaptation, little work has focused on Mamba LLMs' amenability for fine-tuning frameworks ubiquitously used for Transformer-based LLMs, e.g., mixed-precision fine-tuning (MPFT) and parameter-efficient fine-tuning (PEFT). For the former, it currently remains an open question whether Mamba's recurrent dynamics are robust to small input changes, such as those encountered during MPFT. Using dynamical systems theory (in particular, Lyapunov exponents), we answer this question in the affirmative. We empirically validate this result through several experiments, showing that Mamba SSMs are significantly more stable to changes introduced by mixed-precision than comparable Transformers, even when both MPFT and PEFT are combined. For PEFT, we show how targeting specific memory buffers in Mamba's customized CUDA kernels for low-rank adaptation regularizes SSM parameters, thus providing both parameter efficient learning and computational savings. Finally, with both MPFT and PEFT enabled, we explore the impact of instruction tuning Mamba SSMs for in-context learning (ICL) on natural language tasks. While pretrained Mamba and Mamba-2 models only achieve 38% and 82% (respectively) of the ICL improvements of comparable Transformer-based LLMs, we show that instruction tuning allows Mamba models to narrow this gap to 81% and Mamba-2 models to skyrocket over this gap to 132%.

  • 3 authors
·
May 31, 2024

Cross-Frequency Collaborative Training Network and Dataset for Semi-supervised First Molar Root Canal Segmentation

Root canal (RC) treatment is a highly delicate and technically complex procedure in clinical practice, heavily influenced by the clinicians' experience and subjective judgment. Deep learning has made significant advancements in the field of computer-aided diagnosis (CAD) because it can provide more objective and accurate diagnostic results. However, its application in RC treatment is still relatively rare, mainly due to the lack of public datasets in this field. To address this issue, in this paper, we established a First Molar Root Canal segmentation dataset called FMRC-2025. Additionally, to alleviate the workload of manual annotation for dentists and fully leverage the unlabeled data, we designed a Cross-Frequency Collaborative training semi-supervised learning (SSL) Network called CFC-Net. It consists of two components: (1) Cross-Frequency Collaborative Mean Teacher (CFC-MT), which introduces two specialized students (SS) and one comprehensive teacher (CT) for collaborative multi-frequency training. The CT and SS are trained on different frequency components while fully integrating multi-frequency knowledge through cross and full frequency consistency supervisions. (2) Uncertainty-guided Cross-Frequency Mix (UCF-Mix) mechanism enables the network to generate high-confidence pseudo-labels while learning to integrate multi-frequency information and maintaining the structural integrity of the targets. Extensive experiments on FMRC-2025 and three public dental datasets demonstrate that CFC-MT is effective for RC segmentation and can also exhibit strong generalizability on other dental segmentation tasks, outperforming state-of-the-art SSL medical image segmentation methods. Codes and dataset will be released.

  • 6 authors
·
Apr 16, 2025

SAR-RARP50: Segmentation of surgical instrumentation and Action Recognition on Robot-Assisted Radical Prostatectomy Challenge

Surgical tool segmentation and action recognition are fundamental building blocks in many computer-assisted intervention applications, ranging from surgical skills assessment to decision support systems. Nowadays, learning-based action recognition and segmentation approaches outperform classical methods, relying, however, on large, annotated datasets. Furthermore, action recognition and tool segmentation algorithms are often trained and make predictions in isolation from each other, without exploiting potential cross-task relationships. With the EndoVis 2022 SAR-RARP50 challenge, we release the first multimodal, publicly available, in-vivo, dataset for surgical action recognition and semantic instrumentation segmentation, containing 50 suturing video segments of Robotic Assisted Radical Prostatectomy (RARP). The aim of the challenge is twofold. First, to enable researchers to leverage the scale of the provided dataset and develop robust and highly accurate single-task action recognition and tool segmentation approaches in the surgical domain. Second, to further explore the potential of multitask-based learning approaches and determine their comparative advantage against their single-task counterparts. A total of 12 teams participated in the challenge, contributing 7 action recognition methods, 9 instrument segmentation techniques, and 4 multitask approaches that integrated both action recognition and instrument segmentation. The complete SAR-RARP50 dataset is available at: https://rdr.ucl.ac.uk/projects/SARRARP50_Segmentation_of_surgical_instrumentation_and_Action_Recognition_on_Robot-Assisted_Radical_Prostatectomy_Challenge/191091

  • 50 authors
·
Jan 22, 2024

Can Mamba Learn In Context with Outliers? A Theoretical Generalization Analysis

The Mamba model has gained significant attention for its computational advantages over Transformer-based models, while achieving comparable performance across a wide range of language tasks. Like Transformers, Mamba exhibits in-context learning (ICL) capabilities, i.e., making predictions for new tasks based on a prompt containing input-label pairs and a query, without requiring fine-tuning. Despite its empirical success, the theoretical understanding of Mamba remains limited, largely due to the nonlinearity introduced by its gating mechanism. To the best of our knowledge, this paper presents the first theoretical analysis of the training dynamics of a one-layer Mamba model, which consists of a linear attention component followed by a nonlinear gating layer, and its ICL generalization on unseen binary classification tasks, even when the prompt includes additive outliers. Our analysis shows that Mamba leverages the linear attention layer to select informative context examples and uses the nonlinear gating layer to suppress the influence of outliers. By establishing and comparing to the analysis of linear Transformers under the same setting, we show that although Mamba may require more training iterations to converge, it maintains accurate predictions even when the proportion of outliers exceeds the threshold that a linear Transformer can tolerate. These theoretical findings are supported by empirical experiments.

  • 5 authors
·
Sep 30, 2025

MobileMamba: Lightweight Multi-Receptive Visual Mamba Network

Previous research on lightweight models has primarily focused on CNNs and Transformer-based designs. CNNs, with their local receptive fields, struggle to capture long-range dependencies, while Transformers, despite their global modeling capabilities, are limited by quadratic computational complexity in high-resolution scenarios. Recently, state-space models have gained popularity in the visual domain due to their linear computational complexity. Despite their low FLOPs, current lightweight Mamba-based models exhibit suboptimal throughput. In this work, we propose the MobileMamba framework, which balances efficiency and performance. We design a three-stage network to enhance inference speed significantly. At a fine-grained level, we introduce the Multi-Receptive Field Feature Interaction(MRFFI) module, comprising the Long-Range Wavelet Transform-Enhanced Mamba(WTE-Mamba), Efficient Multi-Kernel Depthwise Convolution(MK-DeConv), and Eliminate Redundant Identity components. This module integrates multi-receptive field information and enhances high-frequency detail extraction. Additionally, we employ training and testing strategies to further improve performance and efficiency. MobileMamba achieves up to 83.6% on Top-1, surpassing existing state-of-the-art methods which is maximum x21 faster than LocalVim on GPU. Extensive experiments on high-resolution downstream tasks demonstrate that MobileMamba surpasses current efficient models, achieving an optimal balance between speed and accuracy.

  • 10 authors
·
Nov 24, 2024

NeuroNet: A Novel Hybrid Self-Supervised Learning Framework for Sleep Stage Classification Using Single-Channel EEG

The classification of sleep stages is a pivotal aspect of diagnosing sleep disorders and evaluating sleep quality. However, the conventional manual scoring process, conducted by clinicians, is time-consuming and prone to human bias. Recent advancements in deep learning have substantially propelled the automation of sleep stage classification. Nevertheless, challenges persist, including the need for large datasets with labels and the inherent biases in human-generated annotations. This paper introduces NeuroNet, a self-supervised learning (SSL) framework designed to effectively harness unlabeled single-channel sleep electroencephalogram (EEG) signals by integrating contrastive learning tasks and masked prediction tasks. NeuroNet demonstrates superior performance over existing SSL methodologies through extensive experimentation conducted across three polysomnography (PSG) datasets. Additionally, this study proposes a Mamba-based temporal context module to capture the relationships among diverse EEG epochs. Combining NeuroNet with the Mamba-based temporal context module has demonstrated the capability to achieve, or even surpass, the performance of the latest supervised learning methodologies, even with a limited amount of labeled data. This study is expected to establish a new benchmark in sleep stage classification, promising to guide future research and applications in the field of sleep analysis.

  • 6 authors
·
Apr 10, 2024

An Empirical Study of Mamba-based Language Models

Selective state-space models (SSMs) like Mamba overcome some of the shortcomings of Transformers, such as quadratic computational complexity with sequence length and large inference-time memory requirements from the key-value cache. Moreover, recent studies have shown that SSMs can match or exceed the language modeling capabilities of Transformers, making them an attractive alternative. In a controlled setting (e.g., same data), however, studies so far have only presented small scale experiments comparing SSMs to Transformers. To understand the strengths and weaknesses of these architectures at larger scales, we present a direct comparison between 8B-parameter Mamba, Mamba-2, and Transformer models trained on the same datasets of up to 3.5T tokens. We also compare these models to a hybrid architecture consisting of 43% Mamba-2, 7% attention, and 50% MLP layers (Mamba-2-Hybrid). Using a diverse set of tasks, we answer the question of whether Mamba models can match Transformers at larger training budgets. Our results show that while pure SSMs match or exceed Transformers on many tasks, they lag behind Transformers on tasks which require strong copying or in-context learning abilities (e.g., 5-shot MMLU, Phonebook) or long-context reasoning. In contrast, we find that the 8B Mamba-2-Hybrid exceeds the 8B Transformer on all 12 standard tasks we evaluated (+2.65 points on average) and is predicted to be up to 8x faster when generating tokens at inference time. To validate long-context capabilities, we provide additional experiments evaluating variants of the Mamba-2-Hybrid and Transformer extended to support 16K, 32K, and 128K sequences. On an additional 23 long-context tasks, the hybrid model continues to closely match or exceed the Transformer on average. To enable further study, we release the checkpoints as well as the code used to train our models as part of NVIDIA's Megatron-LM project.

  • 16 authors
·
Jun 12, 2024 2

Multi-Scale VMamba: Hierarchy in Hierarchy Visual State Space Model

Despite the significant achievements of Vision Transformers (ViTs) in various vision tasks, they are constrained by the quadratic complexity. Recently, State Space Models (SSMs) have garnered widespread attention due to their global receptive field and linear complexity with respect to the input length, demonstrating substantial potential across fields including natural language processing and computer vision. To improve the performance of SSMs in vision tasks, a multi-scan strategy is widely adopted, which leads to significant redundancy of SSMs. For a better trade-off between efficiency and performance, we analyze the underlying reasons behind the success of the multi-scan strategy, where long-range dependency plays an important role. Based on the analysis, we introduce Multi-Scale Vision Mamba (MSVMamba) to preserve the superiority of SSMs in vision tasks with limited parameters. It employs a multi-scale 2D scanning technique on both original and downsampled feature maps, which not only benefits long-range dependency learning but also reduces computational costs. Additionally, we integrate a Convolutional Feed-Forward Network (ConvFFN) to address the lack of channel mixing. Our experiments demonstrate that MSVMamba is highly competitive, with the MSVMamba-Tiny model achieving 82.8% top-1 accuracy on ImageNet, 46.9% box mAP, and 42.2% instance mAP with the Mask R-CNN framework, 1x training schedule on COCO, and 47.6% mIoU with single-scale testing on ADE20K.Code is available at https://github.com/YuHengsss/MSVMamba.

  • 3 authors
·
May 23, 2024 2

Mamba-3: Improved Sequence Modeling using State Space Principles

Scaling inference-time compute has emerged as an important driver of LLM performance, making inference efficiency a central focus of model design alongside model quality. While the current Transformer-based models deliver strong model quality, their quadratic compute and linear memory make inference expensive. This has spurred the development of sub-quadratic models with reduced linear compute and constant memory requirements. However, many recent linear models trade off model quality and capability for algorithmic efficiency, failing on tasks such as state tracking. Moreover, their theoretically linear inference remains hardware-inefficient in practice. Guided by an inference-first perspective, we introduce three core methodological improvements inspired by the state space model (SSM) viewpoint of linear models. We combine: (1) a more expressive recurrence derived from SSM discretization, (2) a complex-valued state update rule that enables richer state tracking, and (3) a multi-input, multi-output (MIMO) formulation for better model performance without increasing decode latency. Together with architectural refinements, our Mamba-3 model achieves significant gains across retrieval, state-tracking, and downstream language modeling tasks. At the 1.5B scale, Mamba-3 improves average downstream accuracy by 0.6 percentage points compared to the next best model (Gated DeltaNet), with Mamba-3's MIMO variant further improving accuracy by another 1.2 points for a total 1.8 point gain. Across state-size experiments, Mamba-3 achieves comparable perplexity to Mamba-2 despite using half of its predecessor's state size. Our evaluations demonstrate Mamba-3's ability to advance the performance-efficiency Pareto frontier.

  • 8 authors
·
Mar 16 1