AB - Medical image super-resolution (SR) is essential for enhancing diagnostic accuracy while reducing acquisition cost and scanning time. However, modeling both long-range anatomical structures and fine-grained frequency details with low computational overhead remains challenging. We propose FGMamba, a novel frequency-aware gated state-space model that unifies global dependency modeling and fine-detail enhancement into a lightweight architecture. Our method introduces two key innovations: a Gated Attention-enhanced State-Space Module (GASM) that integrates efficient state-space modeling with dualbranch spatial and channel attention, and a Pyramid Frequency Fusion Module (PFFM) that captures high-frequency details across multiple resolutions via FFT-guided fusion. Extensive evaluations across five medical imaging modalities (Ultrasound, OCT, MRI, CT, and Endoscopic) demonstrate that FGMamba achieves superior PSNR/SSIM while maintaining a compact parameter footprint (<0.75M), outperforming CNN-based and Transformerbased SOTAs. Our results validate the effectiveness of frequencyaware state-space modeling for scalable and accurate medical image enhancement. Source code and dataset will be made publicly available. AU - Huang, W AU - Liao, X AU - Cao, W AU - Jia, W AU - Si, W DA - 2025/12/18 DO - 10.1109/bibm66473.2025.11356215 EP - 08 JO - 2025 IEEE International Conference on Bioinformatics and Biomedicine (BIBM) PB - Institute of Electrical and Electronics Engineers (IEEE) PY - 2025/12/18 SP - 01 TI - Versatile and Efficient Medical Image Super-Resolution Via Frequency-Gated Mamba VL - 00 Y1 - 2025/12/18 Y2 - 2026/05/26 ER -