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Few-shot Medical Image Segmentation via Boundary-extended Prototypes and Momentum Inference

Lookup NU author(s): Dr Shidong WangORCiD

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Abstract

© 2025 Elsevier Inc.Few-Shot Medical Image Segmentation ( FSMIS ) aims to achieve precise segmentation of different organs using minimal annotated data. Current prototype-based FSMIS methods primarily extract prototypes from support samples through random sampling or local averaging. However, due to the extremely small proportion of boundary features, traditional methods have difficulty generating boundary prototypes, resulting in poorly delineated boundaries in segmentation results. Moreover, their reliance on a single support image for segmenting all query images leads to significant performance degradation when substantial discrepancies exist between support and query images. To address these challenges, we propose an innovative solution namely Boundary-extended Prototypes and Momentum Inference ( BePMI ), which includes two key modules: a Boundary-extended Prototypes ( BePro ) module and a Momentum Inference ( MoIf ) module. BePro constructs boundary prototypes by explicitly clustering the internal and external boundary features to alleviate the problem of boundary ambiguity. MoIf employs the spatial consistency of adjacent slices in 3D medical images to dynamically optimize the prototype representation, thereby reducing the reliance on a single sample. Extensive experiments on three publicly available medical image datasets demonstrate that our method outperforms the state-of-the-art methods. Code is available at https://github.com/xubin471/BePMI .


Publication metadata

Author(s): Xu B, Zhu Y, Wang S, Long Y, Zhang H

Publication type: Article

Publication status: Published

Journal: Computer Vision and Image Understanding

Year: 2026

Volume: 263

Print publication date: 01/01/2026

Online publication date: 20/11/2025

Acceptance date: 17/11/2025

ISSN (print): 1077-3142

ISSN (electronic): 1090-235X

Publisher: Academic Press Inc.

URL: https://doi.org/10.1016/j.cviu.2025.104571

DOI: 10.1016/j.cviu.2025.104571


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