Deep learning-based automatic medical image segmentation plays a critical role in clinical diagnosis and treatment planning but remains challenging in few-shot scenarios due to the scarcity of annotated training data. Recently, self-supervised foundation models such as DINOv3, which were trained on large natural image datasets, have shown strong potential for dense feature extraction that can help with the few-shot learning challenge. Yet, their direct application to medical images is hindered by domain differences. In this work, we propose DINO-AugSeg, a novel framework that leverages DINOv3 features to address the few-shot medical image segmentation challenge. Specifically, we introduce WT-Aug, a wavelet-based feature-level augmentation module that enriches the diversity of DINOv3-extracted features by perturbing frequency components, and CG-Fuse, a contextual information-guided fusion module that exploits cross-attention to integrate semantic-rich low-resolution features with spatially detailed high-resolution features. Extensive experiments on six public benchmarks spanning five imaging modalities, including MRI, CT, ultrasound, endoscopy, and dermoscopy, demonstrate that DINO-AugSeg consistently outperforms existing methods under limited-sample conditions. The results highlight the effectiveness of incorporating wavelet-domain augmentation and contextual fusion for robust feature representation, suggesting DINO-AugSeg as a promising direction for advancing few-shot medical image segmentation. Code and data will be made available on https://github.com/apple1986/DINO-AugSeg.
Medical images are widely used in clinical practice for diagnosis. Automatically generating interpretable medical reports can reduce radiologists' burden and facilitate timely care. However, most existing approaches to automatic report generation require sufficient labeled data for training. In addition, the learned model can only generate reports for the training classes, lacking the ability to adapt to previously unseen novel diseases. To this end, we propose a lesion guided explainable few weak-shot medical report generation framework that learns correlation between seen and novel classes t…
MediCLIP: Adapting CLIP for Few-shot Medical Image Anomaly Detection
College of Information and Engineering, Capital Normal University（首都师范大学信息工程学院）；Peking University Third Hospital（北京大学第三医院）；School of Artificial Intelligence, Beijing University of Posts and Telecommunications（北京邮电大学人工智能学院）
UiT The Arctic University of Norway（特罗姆瑟大学（挪威北极圈大学））
Recent work has shown that label-efficient few-shot learning through self-supervision can achieve promising medical image segmentation results. However, few-shot segmentation models typically rely on prototype representations of the semantic classes, resulting in a loss of local information that can degrade performance. This is particularly problematic for the typically large and highly heterogeneous background class in medical image segmentation problems. Previous works have attempted to address this issue by learning additional prototypes for each class, but since the prototypes are based on…
SD-MAD: Sign-Driven Few-shot Multi-Anomaly Detection in Medical Images
Shanghai Academy of AI for Science University of Queensland（上海人工智能科学研究院 华南理工大学）；Fudan University Shanghai Academy of AI for Science（复旦大学 上海人工智能科学研究院）；University of Queensland（昆士兰大学）
A ChatGPT Aided Explainable Framework for Zero-Shot Medical Image Diagnosis
Zhejiang University-University of Illinois at Urbana-Champaign Institute（浙江大学伊利诺伊大学厄巴纳香槟校区联合学院）；Zhejiang University（浙江大学）；National University of Singapore（新加坡国立大学）；Angelalign Inc.（时代天使公司）
Navigating Data Scarcity using Foundation Models: A Benchmark of Few-Shot and Zero-Shot Learning Approaches in Medical Imaging
Cluster of Excellence “Machine Learning”（卓越集群“机器学习”）；University of Tübingen（蒂宾根大学）；Faculty of Health Sciences and Medicine, University of Lucerne（卢塞恩大学健康科学与医学院）
To mitigate the impact of the scarcity of labelled data on fact-checking systems, we focus on few-shot claim verification. Despite recent work on few-shot classification by proposing advanced language models, there is a dearth of research in data annotation prioritisation that improves the selection of the few shots to be labelled for optimal model performance. We propose Active PETs, a novel weighted approach that utilises an ensemble of Pattern Exploiting Training (PET) models based on various language models, to actively select unlabelled data as candidates for annotation. Using Active PETs…
Few-shot medical image classification with simple shape and texture text descriptors using vision-language models
RIKEN Center for Brain Science（理化学研究所脑科学中心）；Institute of Fundamental Technological Research, Polish Academy of Sciences（波兰科学院基础技术研究所）；Faculty of Computer Science, Universitas Indonesia（印度尼西亚大学计算机学院）
In this paper, we propose a novel approach for few-shot semantic segmentation with sparse labeled images. We investigate the effectiveness of our method, which is based on the Model-Agnostic Meta-Learning (MAML) algorithm, in the medical scenario, where the use of sparse labeling and few-shot can alleviate the cost of producing new annotated datasets. Our method uses sparse labels in the meta-training and dense labels in the meta-test, thus making the model learn to predict dense labels from sparse ones. We conducted experiments with four Chest X-Ray datasets to evaluate two types of annotatio…
Although having achieved great success in medical image segmentation, deep convolutional neural networks usually require a large dataset with manual annotations for training and are difficult to generalize to unseen classes. Few-shot learning has the potential to address these challenges by learning new classes from only a few labeled examples. In this work, we propose a new framework for few-shot medical image segmentation based on prototypical networks. Our innovation lies in the design of two key modules: 1) a context relation encoder (CRE) that uses correlation to capture local relation fe…
A Systematic Review of Few-Shot Learning in Medical Imaging
Institute of Information Science and Technologies “Alessandro Faedo”, National Research Council of Italy (ISTI-CNR)（意大利国家研究委员会信息科学与技术研究所）；Department of Information Engineering, University of Pisa（比萨大学信息工程系）
DiffuSAM: Diffusion-Based Prompt-Free SAM2 for Few-Shot and Source-Free Medical Image Segmentation
School of Electrical Engineering, Tel Aviv University, Israel（特拉维夫大学电气工程学院）；School of Biomedical Engineering, Tel Aviv University, Israel（特拉维夫大学生物医学工程学院）
Inception Institute of Artificial Intelligence（英赛普申人工智能研究院）
In many real world medical image classification settings we do not have access to samples of all possible disease classes, while a robust system is expected to give high performance in recognizing novel test data. We propose a generalized zero shot learning (GZSL) method that uses self supervised learning (SSL) for: 1) selecting anchor vectors of different disease classes; and 2) training a feature generator. Our approach does not require class attribute vectors which are available for natural images but not for medical images. SSL ensures that the anchor vectors are representative of each cla…
Image segmentation is an important task in many medical applications. Methods based on convolutional neural networks attain state-of-the-art accuracy; however, they typically rely on supervised training with large labeled datasets. Labeling medical images requires significant expertise and time, and typical hand-tuned approaches for data augmentation fail to capture the complex variations in such images. We present an automated data augmentation method for synthesizing labeled medical images. We demonstrate our method on the task of segmenting magnetic resonance imaging (MRI) brain scans. Our …
Macquarie University（麦考瑞大学）；University of Technology Sydney（悉尼科技大学）；The University of Sydney（悉尼大学）
Automatic tumor segmentation is a crucial step in medical image analysis for computer-aided diagnosis. Although the existing methods based on convolutional neural networks (CNNs) have achieved the state-of-the-art performance, many challenges still remain in medical tumor segmentation. This is because regular CNNs can only exploit translation invariance, ignoring further inherent symmetries existing in medical images such as rotations and reflections. To mitigate this shortcoming, we propose a novel group equivariant segmentation framework by encoding those inherent symmetries for learning mor…
Juelich Supercomputing Center, Research Center Juelich（于利希研究中心于利希超级计算中心）；Helmholtz AI（亥姆霍兹AI）；LAION
Increasing model, data and compute budget scale in the pre-training has been shown to strongly improve model generalization and transfer learning in vast line of work done in language modeling and natural image recognition. However, most studies on the positive effect of larger scale were done in scope of in-domain setting, with source and target data being in close proximity. To study effect of larger scale for both in-domain and out-of-domain setting when performing full and few-shot transfer, we combine here for the first time large, openly available medical X-Ray chest imaging datasets to …
Xiamen University（厦门大学）；Chinese PLA General Hospital（中国人民解放军总医院）；Deepwise AI Laboratory（深智云AI实验室）
Despite deep convolutional neural networks achieved impressive progress in medical image computing and analysis, its paradigm of supervised learning demands a large number of annotations for training to avoid overfitting and achieving promising results. In clinical practices, massive semantic annotations are difficult to acquire in some conditions where specialized biomedical expert knowledge is required, and it is also a common condition where only few annotated classes are available. In this work, we proposed a novel method for few-shot medical image segmentation, which enables a segmentatio…
The success of deep learning methods relies on the availability of a large number of datasets with annotations; however, curating such datasets is burdensome, especially for medical images. To relieve such a burden for a landmark detection task, we explore the feasibility of using only a single annotated image and propose a novel framework named Cascade Comparing to Detect (CC2D) for one-shot landmark detection. CC2D consists of two stages: 1) Self-supervised learning (CC2D-SSL) and 2) Training with pseudo-labels (CC2D-TPL). CC2D-SSL captures the consistent anatomical information in a coarse-t…
Are Video Models Emerging as Zero-Shot Learners and Reasoners in Medical Imaging?
Department of Computer Science, Emory University（埃默里大学计算机科学系）；Department of Computer Science, University of Southern California（南加州大学计算机科学系）；Department of Computer Science, University of Maryland（马里兰大学计算机科学系）；Department of Biomedical Engineering, Georgia Institute of Technology（佐治亚理工学院生物医学工程系）；Department of Radiation Oncology and Winship Cancer Institute, Emory University（埃默里大学放射肿瘤学系和Winship癌症研究所）
National Tsing Hua University（清华大学）；University of Notre Dame（圣母大学）；Guangdong Provincial People’s Hospital（广东省人民医院）；Guangdong Acadamic of Medical Science（广东医学科学院）
Medical images may contain various types of artifacts with different patterns and mixtures, which depend on many factors such as scan setting, machine condition, patients' characteristics, surrounding environment, etc. However, existing deep-learning-based artifact reduction methods are restricted by their training set with specific predetermined artifact types and patterns. As such, they have limited clinical adoption. In this paper, we introduce One-Shot medical image Artifact Reduction (OSAR), which exploits the power of deep learning but without using pre-trained general networks. Specific…
University of Freiburg（弗莱堡大学）；German Cancer Consortium (DKTK)（德国癌症联盟（DKTK））
Deformable image registration is a very important field of research in medical imaging. Recently multiple deep learning approaches were published in this area showing promising results. However, drawbacks of deep learning methods are the need for a large amount of training datasets and their inability to register unseen images different from the training datasets. One shot learning comes without the need of large training datasets and has already been proven to be applicable to 3D data. In this work we present a one shot registration approach for periodic motion tracking in 3D and 4D datasets.…
Southern University of Science and Technology（南方科技大学）；University of British Columbia（不列颠哥伦比亚大学）
Due to the high cost of manually annotating medical images, especially for large-scale datasets, anomaly detection has been explored through training models with only normal data. Lacking prior knowledge of true anomalies is the main reason for the limited application of previous anomaly detection methods, especially in the medical image analysis realm. In this work, we propose a one-shot anomaly detection framework, namely LesionPaste, that utilizes true anomalies from a single annotated sample and synthesizes artificial anomalous samples for anomaly detection. First, a lesion bank is constru…
Baidu Research（百度研究院）；University of Technology Sydney（悉尼科技大学）
Existing image segmentation networks mainly leverage large-scale labeled datasets to attain high accuracy. However, labeling medical images is very expensive since it requires sophisticated expert knowledge. Thus, it is more desirable to employ only a few labeled data in pursuing high segmentation performance. In this paper, we develop a data augmentation method for one-shot brain magnetic resonance imaging (MRI) image segmentation which exploits only one labeled MRI image (named atlas) and a few unlabeled images. In particular, we propose to learn the probability distributions of deformations…
TV-SAM: Increasing Zero-Shot Segmentation Performance on Multimodal Medical Images Using GPT-4 Generated Descriptive Prompts Without Human Annotation
Sichuan University（四川大学）；Case Western Reserve University（凯斯西储大学）；Beijing University of Posts and Telecommunications（北京邮电大学）；Urgench State University（乌尔根奇国立大学）；Gansu Agricultural University（甘肃农业大学）
Medical Incident Causal Factors and Preventive Measures Generation Using Tag-based Example Selection in Few-shot Learning
Graduate School of Information Science（信息科学研究生院）；Technology Hokkaido University Hokkaido, Japan（技术 Hokkaido 大学 Hokkaido, Japan）；National Institute of Information（信息国家研究所）；Faculty of Information Science（信息科学学院）
Shanghai Jiaotong University（上海交通大学）；Shanghai AI Lab（上海人工智能实验室）；University of Electronic Science and Technology of China（电子科技大学）；Sensetime Research（商汤科技研究院）
Deep neural networks usually require accurate and a large number of annotations to achieve outstanding performance in medical image segmentation. One-shot segmentation and weakly-supervised learning are promising research directions that lower labeling effort by learning a new class from only one annotated image and utilizing coarse labels instead, respectively. Previous works usually fail to leverage the anatomical structure and suffer from class imbalance and low contrast problems. Hence, we present an innovative framework for 3D medical image segmentation with one-shot and weakly-supervised…
Southeast University（东南大学）；Centre de Recherche en Information Biomédicale Sino-Français (CRIBs)（中法生物医学信息研究中心）；Univ Rennes（雷恩大学）；Inserm（法国国家健康与医学研究院）；LTSI - UMR1099（信号与图像处理实验室）
Deep learning-based medical image registration and segmentation joint models utilize the complementarity (augmentation data or weakly supervised data from registration, region constraints from segmentation) to bring mutual improvement in complex scene and few-shot situation. However, further adoption of the joint models are hindered: 1) the diversity of augmentation data is reduced limiting the further enhancement of segmentation, 2) misaligned regions in weakly supervised data disturb the training process, 3) lack of label-based region constraints in few-shot situation limits the registration…
University of Electronic Science and Technology of China（电子科技大学）；Tencent Jarvis Lab（腾讯 Jarvis 实验室）
Medical image segmentation has achieved remarkable advancements using deep neural networks (DNNs). However, DNNs often need big amounts of data and annotations for training, both of which can be difficult and costly to obtain. In this work, we propose a unified framework for generalized low-shot (one- and few-shot) medical image segmentation based on distance metric learning (DML). Unlike most existing methods which only deal with the lack of annotations while assuming abundance of data, our framework works with extreme scarcity of both, which is ideal for rare diseases. Via DML, the framework…
Assessing Large Language Models for Medical QA: Zero-Shot and LLM-as-a-Judge Evaluation
Department of Computer Science and Engineering, Islamic University of Technology, Gazipur, Bangladesh（计算机科学与工程系，伊斯兰技术大学，加兹ipur，孟加拉国）；Department of Computer Science（计算机科学系）；Engineering, Islamic University of Technology, Gazipur, Bangladesh（工程，伊斯兰技术大学，加兹ipur，孟加拉国）
In medical image segmentation, supervised deep networks' success comes at the cost of requiring abundant labeled data. While asking domain experts to annotate only one or a few of the cohort's images is feasible, annotating all available images is impractical. This issue is further exacerbated when pre-trained deep networks are exposed to a new image dataset from an unfamiliar distribution. Using available open-source data for ad-hoc transfer learning or hand-tuned techniques for data augmentation only provides suboptimal solutions. Motivated by atlas-based segmentation, we propose a novel vol…
Distillation Learning Guided by Image Reconstruction for One-Shot Medical Image Segmentation
School of Artificial Intelligence, Beijing University of Posts and Telecommunications（北京邮电大学人工智能学院）；Peking University Third Hospital（北京大学第三医院）；Beijing Children’s Hospital, Capital Medical University（首都医科大学附属北京儿童医院）；Duke University（杜克大学）
llmNER: (Zero|Few)-Shot Named Entity Recognition, Exploiting the Power of Large Language Models
University of Chile（智利大学）；Millennium Institute for Foundational Research on Data（数据基础研究千年研究所）；Catholic University of Chile（智利天主教大学）；Faculty of Physical and Mathematical Sciences, University of Chile（智利大学物理与数学学院）
本文提出 llmNER 库，通过简化提示构建与结果解析，支持基于大型语言模型的零样本和少样本命名实体识别，并在两个 NER 任务上验证其灵活性与有效性。
