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Self-Attention Diffusion Models for Zero-Shot Biomedical Image Segmentation: Unlocking New Frontiers in Medical
Abderrachid Hamrani1, Anuradha Godavarty1
1Optical Imaging Laboratory, Department of Biomedical Engineering, Florida International University, 10555 West Flagler Street, EC 2675, Miami, FL 33174, USA.
Bioengineering (Basel, Switzerland)
|October 29, 2025
Summary
The Attention Diffusion Zero-Shot Unsupervised System (ADZUS) enables accurate medical image segmentation without any labels. This AI advancement reduces data annotation costs and enhances diagnostic capabilities for various medical imaging tasks.
Area of Science:
- Biomedical image analysis
- Artificial intelligence in healthcare
- Medical imaging segmentation
Background:
- High-quality medical image segmentation is crucial but challenging.
- Supervised and unsupervised learning methods have limitations in data requirements and annotation needs.
- A significant hurdle is achieving zero-shot segmentation across diverse medical images without prior labels.
Purpose of the Study:
- To introduce a novel method for zero-shot unsupervised medical image segmentation.
- To develop a model capable of segmenting diverse medical images without any prior labels.
- To leverage self-attention diffusion models for accurate and efficient segmentation.
Main Methods:
- The Attention Diffusion Zero-Shot Unsupervised System (ADZUS) was developed.
- ADZUS utilizes self-attention mechanisms for context-aware and detail-sensitive segmentation.
- The method integrates the strengths of pre-trained diffusion models with self-attention.
Main Results:
- ADZUS demonstrated superior performance compared to state-of-the-art models on multiple datasets (skin lesions, chest X-rays, white blood cells).
- Achieved high Dice scores (88.7%–92.9%) and Intersection over Union (IoU) scores (66.3%–93.3%).
- Successfully performed zero-shot segmentation across different medical imaging modalities.
Conclusions:
- ADZUS effectively segments biomedical images in a zero-shot manner, eliminating the need for annotations.
- The model's success can significantly reduce data labeling costs.
- ADZUS has the potential to improve AI-based diagnostic capabilities and adapt to new medical imaging tasks.

