This study conceptually examines a self-supervised multi-scale fusion framework designed to enhance accuracy and computational efficiency in medical image segmentation, a domain where data scarcity and annotation cost remain major challenges. Traditional supervised approaches are constrained by their reliance on extensive labeled datasets, limiting applicability in real-world clinical environments. Self-supervised learning (SSL) mitigates this issue by extracting supervisory signals directly from unlabeled data, enabling the model to learn rich feature representations without human annotation. Simultaneously, multi-scale fusion architectures integrate global contextual information with fine-grained local features, supporting robust segmentation across varying anatomical structures and image resolutions. Through a qualitative methodology involving library research and content analysis, this study synthesizes state-of-the-art SSL-driven segmentation techniques and highlights how adaptive multi-scale fusion mechanisms address limitations of existing convolutional and transformer-based architectures. The analysis indicates that combining SSL and multi-scale strategies leads to more generalizable, scalable, and computationally efficient segmentation pipelines suitable for diverse medical imaging modalities. The proposed framework represents a promising direction for developing next-generation diagnostic tools capable of handling sparse labels, complex textures, and real-time deployment constraints.
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