NeurIPS Conference 2025 Conference Paper
Gate to the Vessel: Residual Experts Restore What SAM Overlooks
- Weili Jiang
- Jinrong Lv
- Xun Gong
- Xiaomeng Li
- Chubin Ou
Foundation segmentation models like Segment Anything (SAM) exhibit strong generalization on natural images but struggle with localized failures in medical imaging, especially on fine-grained structures such as vessels with complex morphology and indistinct boundaries. To address this, we propose FineSAM++, a structure-aware sparse expert framework designed to refine SAM outputs by introducing a confidence-driven soft Routing Module. This module dynamically identifies structurally uncertain regions and activates a lightweight Residual Expert to model and correct residual structural errors only within these areas, thereby achieving efficient "refinement over retraining. " Extensive experiments on five public vascular segmentation datasets demonstrate that FineSAM++ consistently outperforms both SAM-adapted baselines and task-specific models in terms of accuracy, topological consistency. Our results highlight the effectiveness of sparse, structure-driven Mixture-of-Experts (MoE) strategies for enhancing the reliability of foundation vision models in clinical image understanding tasks.