Daily Papers

Large-scale supervised pretraining is rapidly reshaping 3D medical image segmentation. However, existing efforts focus primarily on increasing dataset size and overlook the question of whether the backbone network is an effective representation learner at scale. In this work, we address this gap by revisiting ConvNeXt-based architectures for volumetric segmentation and introducing MedNeXt-v2, a compound-scaled 3D ConvNeXt that leverages improved micro-architecture and data scaling to deliver state-of-the-art performance. First, we show that routinely used backbones in large-scale pretraining pipelines are often suboptimal. Subsequently, we use comprehensive backbone benchmarking prior to scaling and demonstrate that stronger from scratch performance reliably predicts stronger downstream performance after pretraining. Guided by these findings, we incorporate a 3D Global Response Normalization module and use depth, width, and context scaling to improve our architecture for effective representation learning. We pretrain MedNeXt-v2 on 18k CT volumes and demonstrate state-of-the-art performance when fine-tuning across six challenging CT and MR benchmarks (144 structures), showing consistent gains over seven publicly released pretrained models. Beyond improvements, our benchmarking of these models also reveals that stronger backbones yield better results on similar data, representation scaling disproportionately benefits pathological segmentation, and that modality-specific pretraining offers negligible benefit once full finetuning is applied. In conclusion, our results establish MedNeXt-v2 as a strong backbone for large-scale supervised representation learning in 3D Medical Image Segmentation. Our code and pretrained models are made available with the official nnUNet repository at: https://www.github.com/MIC-DKFZ/nnUNet

The "Roaring 20s" of visual recognition began with the introduction of Vision Transformers (ViTs), which quickly superseded ConvNets as the state-of-the-art image classification model. A vanilla ViT, on the other hand, faces difficulties when applied to general computer vision tasks such as object detection and semantic segmentation. It is the hierarchical Transformers (e.g., Swin Transformers) that reintroduced several ConvNet priors, making Transformers practically viable as a generic vision backbone and demonstrating remarkable performance on a wide variety of vision tasks. However, the effectiveness of such hybrid approaches is still largely credited to the intrinsic superiority of Transformers, rather than the inherent inductive biases of convolutions. In this work, we reexamine the design spaces and test the limits of what a pure ConvNet can achieve. We gradually "modernize" a standard ResNet toward the design of a vision Transformer, and discover several key components that contribute to the performance difference along the way. The outcome of this exploration is a family of pure ConvNet models dubbed ConvNeXt. Constructed entirely from standard ConvNet modules, ConvNeXts compete favorably with Transformers in terms of accuracy and scalability, achieving 87.8% ImageNet top-1 accuracy and outperforming Swin Transformers on COCO detection and ADE20K segmentation, while maintaining the simplicity and efficiency of standard ConvNets.

Handling novelty remains a key challenge in visual recognition systems. Existing open-set recognition (OSR) methods rely on the familiarity hypothesis, detecting novelty by the absence of familiar features. We propose a novel attenuation hypothesis: small weights learned during training attenuate features and serve a dual role-differentiating known classes while discarding information useful for distinguishing known from unknown classes. To leverage this overlooked information, we present COSTARR, a novel approach that combines both the requirement of familiar features and the lack of unfamiliar ones. We provide a probabilistic interpretation of the COSTARR score, linking it to the likelihood of correct classification and belonging in a known class. To determine the individual contributions of the pre- and post-attenuated features to COSTARR's performance, we conduct ablation studies that show both pre-attenuated deep features and the underutilized post-attenuated Hadamard product features are essential for improving OSR. Also, we evaluate COSTARR in a large-scale setting using ImageNet2012-1K as known data and NINCO, iNaturalist, OpenImage-O, and other datasets as unknowns, across multiple modern pre-trained architectures (ViTs, ConvNeXts, and ResNet). The experiments demonstrate that COSTARR generalizes effectively across various architectures and significantly outperforms prior state-of-the-art methods by incorporating previously discarded attenuation information, advancing open-set recognition capabilities.