MediRound: Multi-Round Entity-Level Reasoning Segmentation in Medical Images
Qinyue Tong, Ziqian Lu, Jun Liu, Rui Zuo, Zheming Lu, Yueming Jin · Nov 15, 2025 · Citations: 0
How to use this paper page
Coverage: StaleUse this page to decide whether the paper is strong enough to influence an eval design. It summarizes the abstract plus available structured metadata. If the signal is thin, use it as background context and compare it against stronger hub pages before making protocol choices.
Best use
Background context only
Metadata: StaleTrust level
Provisional
Signals: StaleWhat still needs checking
Structured extraction is still processing; current fields are metadata-first.
Signal confidence unavailable
Abstract
Despite recent progress in text-prompt-based medical image segmentation, these methods are limited to single-round dialogues and fail to support multi-round reasoning, which is important for medical education scenarios. In this work, we introduce Multi-Round Entity-Level Medical Reasoning Segmentation (MEMR-Seg), a new task that requires generating segmentation masks through multi-round queries with entity-level reasoning, helping learners progressively develop their understanding of medical knowledge. To support this task, we construct MR-MedSeg, a large-scale dataset of 177K multi-round medical segmentation dialogues, featuring entity-based reasoning across rounds. Furthermore, we propose MediRound, an effective baseline model designed for multi-round medical reasoning segmentation. To mitigate the inherent error propagation within the chain-like pipeline of multi-round segmentation, we introduce a lightweight yet effective Judgment & Correction Mechanism during model inference. Experimental results demonstrate that our method effectively addresses the MEMR-Seg task and outperforms conventional medical referring segmentation methods. The project is available at https://github.com/Edisonhimself/MediRound.