CORE-Seg: Reasoning-Driven Segmentation for Complex Lesions via Reinforcement Learning

CORE-Seg is a new framework that combines Multimodal Large Language Models (MLLMs) with reinforcement learning to segment complex medical lesions. It uses a two-stage training process, starting with supervised fine-tuning and moving to reinforcement learning guided by a dual-granularity reward mechanism. This approach achieves state-of-the-art segmentation accuracy on challenging lesions.

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