Annotating medical data for training AI models is often costly and limited due to the shortage of specialists with relevant clinical expertise. This challenge is further compounded by privacy and ethical concerns associated with sensitive patient information. As a result, well-trained medical segmentation models on private datasets constitute valuable intellectual property requiring robust protection mechanisms. Existing model protection techniques primarily focus on classification and generative tasks, while segmentation models-crucial to medical image analysis-remain largely underexplored. In this paper, we propose a novel, stealthy, and harmless method, StealthMark, for verifying the ownership of medical segmentation models under black-box conditions. Our approach subtly modulates model uncertainty without altering the final segmentation outputs, thereby preserving the model's performance. To enable ownership verification, we incorporate model-agnostic explanation methods, e.g. LIME, to extract feature attributions from the model outputs. Under specific triggering conditions, these explanations reveal a distinct and verifiable watermark. We further design the watermark as a QR code to facilitate robust and recognizable ownership claims. We conducted extensive experiments across four medical imaging datasets and five mainstream segmentation models. The results demonstrate the effectiveness, stealthiness, and harmlessness of our method on the original model's segmentation performance. For example, when applied to the SAM model, StealthMark consistently achieved ASR above 95% across various datasets while maintaining less than a 1% drop in Dice and AUC scores, significantly outperforming backdoor-based watermarking methods and highlighting its strong potential for practical deployment. Our implementation code is made available at: https://github.com/Qinkaiyu/StealthMark.

Rapid advances in Artificial Intelligence Generated Content (AIGC) have enabled increasingly sophisticated face forgeries, posing a significant threat to social security. However, current Deepfake detection methods are limited by constraints in existing datasets, which lack the diversity necessary in real-world scenarios. Specifically, these data sets fall short in four key areas: unknown of advanced forgery techniques, variability of facial scenes, richness of real data, and degradation of real-world propagation. To address these challenges, we propose the Multi-dimensional Face Forgery Image (\textbf{MFFI}) dataset, tailored for real-world scenarios. MFFI enhances realism based on four strategic dimensions: 1) Wider Forgery Methods; 2) Varied Facial Scenes; 3) Diversified Authentic Data; 4) Multi-level Degradation Operations. MFFI integrates $50$ different forgery methods and contains $1024K$ image samples. Benchmark evaluations show that MFFI outperforms existing public datasets in terms of scene complexity, cross-domain generalization capability, and detection difficulty gradients. These results validate the technical advance and practical utility of MFFI in simulating real-world conditions. The dataset and additional details are publicly available at {https://github.com/inclusionConf/MFFI}.