Few-shot semantic segmentation has attracted growing interest for its ability to generalize to novel object categories using only a few annotated samples. To address data scarcity, recent methods incorporate multiple foundation models to improve feature transferability and segmentation performance. However, they often rely on dual-branch architectures that combine pre-trained encoders to leverage complementary strengths, a design that limits flexibility and efficiency. This raises a fundamental question: can we build a unified model that integrates knowledge from different foundation architectures? Achieving this is, however, challenging due to the misalignment between class-agnostic segmentation capabilities and fine-grained discriminative representations. To this end, we present UINO-FSS, a novel framework built on the key observation that early-stage DINOv2 features exhibit distribution consistency with SAM's output embeddings. This consistency enables the integration of both models' knowledge into a single-encoder architecture via coarse-to-fine multimodal distillation. In particular, our segmenter consists of three core components: a bottleneck adapter for embedding alignment, a meta-visual prompt generator that leverages dense similarity volumes and semantic embeddings, and a mask decoder. Using hierarchical cross-model distillation, we effectively transfer SAM's knowledge into the segmenter, further enhanced by Mamba-based 4D correlation mining on support-query pairs. Extensive experiments on PASCAL-5$^i$ and COCO-20$^i$ show that UINO-FSS achieves new state-of-the-art results under the 1-shot setting, with mIoU of 80.6 (+3.8%) on PASCAL-5$^i$ and 64.5 (+4.1%) on COCO-20$^i$, demonstrating the effectiveness of our unified approach.
Accurate preoperative prediction of lung adenocarcinoma invasiveness is important for surgical planning and individualized treatment. However, overlapping CT appearances make it challenging to distinguish invasive adenocarcinoma (IAD) from Pre-IAD lesions. We propose a multimodal prompt-learning framework with dual-granularity image-text alignment for 3D CT-based IAD classification. A 3D ResNet-CBAM encoder extracts global and spatial visual features. A frozen RadBERT backbone is adapted with separate learnable prompts for report-level and keyword-level text encoding. These prompts are initialized using semantic representations derived from real-world clinical reports. Global contrastive alignment connects whole-volume CT representations with reports generated from clinician-annotated radiological attributes to provide overall semantic supervision. A multiple instance learning-based local alignment module associates spatial CT features with vascular-focused radiological keywords, to capture local imaging characteristics potentially associated with tumor invasion. The framework jointly optimizes classification and alignment objectives, while inference requires only CT images. Experiments included 1,593 pathologically confirmed nodules. On the test set, the proposed method achieved an accuracy of 87.92%, F1-score of 87.78%, and AUC of 0.9499. Its AUC significantly exceeded that of the image-only Res-CBAM baseline with the same visual backbone (0.9297; DeLong test, p = 0.0078). Ablation analyses supported the complementary contributions of global and local alignment and the benefit of report-based prompt initialization. Qualitative visualizations showed activation within nodules and adjacent vascular structures. These findings suggest that dual-granularity radiological supervision can enhance CT-based invasiveness prediction while preserving a CT-only inference workflow.