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OmniMamba4D: Spatio-temporal Mamba for longitudinal CT lesion segmentation

2025/04/13 by Justin N. Kim, Kim, Justin Namuk, Yiqiao Liu +15 · 1 citation
Computer Science · Engineering · Medicine · #Computer Vision and Pattern Recognition (cs.CV) #FOS: Computer and information sciences #FOS: Electrical engineering #Image and Video Processing (eess.IV) #Medical Image Segmentation Techniques #Medical Imaging and Analysis #Radiomics and Machine Learning in Medical Imaging #electronic engineering #information engineering

paper · pdf · doi:10.48550/arxiv.2504.09655

openalex publication_date 2025/04/13 · openalex created_date 2025/10/18 · openalex updated_date 2026/07/28

Abstract

Accurate segmentation of longitudinal CT scans is important for monitoring tumor progression and evaluating treatment responses. However, existing 3D segmentation models solely focus on spatial information. To address this gap, we propose OmniMamba4D, a novel segmentation model designed for 4D medical images (3D images over time). OmniMamba4D utilizes a spatio-temporal tetra-orientated Mamba block to effectively capture both spatial and temporal features. Unlike traditional 3D models, which analyze single-time points, OmniMamba4D processes 4D CT data, providing comprehensive spatio-temporal information on lesion progression. Evaluated on an internal dataset comprising of 3,252 CT scans, OmniMamba4D achieves a competitive Dice score of 0.682, comparable to state-of-the-arts (SOTA) models, while maintaining computational efficiency and better detecting disappeared lesions. This work demonstrates a new framework to leverage spatio-temporal information for longitudinal CT lesion segmentation.

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