BruNet: A Cross-Domain Transfer Framework for Bruise Segmentation

Abstract: Segmenting bruises is a challenging task in medical imaging due to limited data and annotations, diffuse boundaries, and highly variable appearance. In this work, we propose BruNet, a segmentation framework that combines a ViT-based visual encoder (a self-supervised DINOv3 or a pretrained LingBot-Vision backbone) with a SAM-based mask decoder. BruNet is trained on the HAM10000 skin lesion dataset and evaluated on a separate bruise dataset without additional fine-tuning. Although a small number of prior studies have explored machine learning and computer vision for bruise analysis, existing work has primarily focused on detection, classification, or colour analysis rather than pixel-level localisation. To the best of our knowledge, this is the first study to address automatic bruise segmentation. Our results show that BruNet outperforms CNN-based models, state-of-the-art segmentation models, ChatGPT-4o/5-assisted SAM2 zero-shot baselines, and the medical-oriented MedSAM model, demonstrating strong cross-domain generalisation to bruise segmentation.