Augmented Equivariant Mesh Networks for Anatomical Segmentation

Anatomical mesh segmentation requires models that operate directly on irregular surface geometry while remaining robust to changes in coordinate pose across meshes of varying resolution. Existing task-specific mesh and point-cloud methods are not equivariant, and can degrade sharply under test-time perturbation, for example dropping by 28-30 IoU points on 3D-IOSSeg at $40\textdegree{}$ rotation even with matched training augmentation. We present EAMS, an **E**quivariant **A**natomical **M**esh **S**egmentor built on Equivariant Mesh Neural Networks (EMNN), and evaluate it in four dataset settings across three clinical application areas, spanning edge-, vertex-, and face-level supervision. We combine intrinsic mesh descriptors with anatomy-aware priors, including PCA-derived frames for dental arches and liver surfaces, and augment message passing to provide lightweight global context. Across intracranial aneurysm and intraoral segmentation, EAMS variants are competitive with specialized baselines on unperturbed inputs while remaining stable under geometric perturbations, and on liver surfaces they expose a favorable trade-off between canonical-pose accuracy and rotation robustness. These results show that a lightweight ($<2\text{M}$ parameters) equivariant framework can deliver robust anatomical mesh segmentation across diverse label types.