Generalist segmentation models are increasingly favored for diverse tasks involving various objects from different image sources. Task-Incremental Learning (TIL) offers a privacy-preserving training paradigm using tasks arriving sequentially, instead of gathering them due to strict data sharing policies. However, the task evolution can span a wide scope that involves shifts in both image appearance and segmentation semantics with intricate correlation, causing concurrent appearance and semantic forgetting. To solve this issue, we propose a Comprehensive Generative Replay (CGR) framework that restores appearance and semantic knowledge by synthesizing image-mask pairs to mimic past task data, which focuses on two aspects: modeling image-mask correspondence and promoting scalability for diverse tasks. Specifically, we introduce a novel Bayesian Joint Diffusion (BJD) model for high-quality synthesis of image-mask pairs with their correspondence explicitly preserved by conditional denoising. Furthermore, we develop a Task-Oriented Adapter (TOA) that recalibrates prompt embeddings to modulate the diffusion model, making the data synthesis compatible with different tasks. Experiments on incremental tasks (cardiac, fundus and prostate segmentation) show its clear advantage for alleviating concurrent appearance and semantic forgetting. Code is available at https://github.com/jingyzhang/CGR.

任务增量学习中的综合生成回放框架通过合成图像-掩模对来还原外观和语义知识，解决了出现同时外观和语义遗忘的问题。

综合生成回放的任务增量分割：具有并行外观和语义遗忘