SAM-Guided Robust Representation Learning for One-Shot 3D Medical Image Segmentation

One-shot medical image segmentation (MIS) is crucial for medical analysis due to the burden of medical experts on manual annotation. The recent emergence of the segment anything model (SAM) has demonstrated remarkable adaptation in MIS but cannot be directly applied to one-shot medical image segmentation (MIS) due to its reliance on labor-intensive user interactions and the high computational cost. To cope with these limitations, we propose a novel SAM-guided robust representation learning framework, named RRL-MedSAM, to adapt SAM to one-shot 3D MIS, which exploits the strong generalization capabilities of the SAM encoder to learn better feature representation. We devise a dual-stage knowledge distillation (DSKD) strategy to distill general knowledge between natural and medical images from the foundation model to train a lightweight encoder, and then adopt a mutual exponential moving average (mutual-EMA) to update the weights of the general lightweight encoder and medical-specific encoder. Specifically, pseudo labels from the registration network are used to perform mutual supervision for such two encoders. Moreover, we introduce an auto-prompting (AP) segmentation decoder which adopts the mask generated from the general lightweight model as a prompt to assist the medical-specific model in boosting the final segmentation performance. Extensive experiments conducted on three public datasets, i.e., OASIS, CT-lung demonstrate that the proposed RRL-MedSAM outperforms state-of-the-art one-shot MIS methods for both segmentation and registration tasks. Especially, our lightweight encoder uses only 3\% of the parameters compared to the encoder of SAM-Base.

DC-SAM: In-Context Segment Anything in Images and Videos via Dual Consistency

Given a single labeled example, in-context segmentation aims to segment corresponding objects. This setting, known as one-shot segmentation in few-shot learning, explores the segmentation model's generalization ability and has been applied to various vision tasks, including scene understanding and image/video editing. While recent Segment Anything Models have achieved state-of-the-art results in interactive segmentation, these approaches are not directly applicable to in-context segmentation. In this work, we propose the Dual Consistency SAM (DC-SAM) method based on prompt-tuning to adapt SAM and SAM2 for in-context segmentation of both images and videos. Our key insights are to enhance the features of the SAM's prompt encoder in segmentation by providing high-quality visual prompts. When generating a mask prior, we fuse the SAM features to better align the prompt encoder. Then, we design a cycle-consistent cross-attention on fused features and initial visual prompts. Next, a dual-branch design is provided by using the discriminative positive and negative prompts in the prompt encoder. Furthermore, we design a simple mask-tube training strategy to adopt our proposed dual consistency method into the mask tube. Although the proposed DC-SAM is primarily designed for images, it can be seamlessly extended to the video domain with the support of SAM2. Given the absence of in-context segmentation in the video domain, we manually curate and construct the first benchmark from existing video segmentation datasets, named In-Context Video Object Segmentation (IC-VOS), to better assess the in-context capability of the model. Extensive experiments demonstrate that our method achieves 55.5 (+1.4) mIoU on COCO-20i, 73.0 (+1.1) mIoU on PASCAL-5i, and a J&F score of 71.52 on the proposed IC-VOS benchmark. Our source code and benchmark are available at https://github.com/zaplm/DC-SAM.

Federated Self-Supervised Learning for One-Shot Cross-Modal and Cross-Imaging Technique Segmentation

Decentralized federated learning enables learning of data representations from multiple sources without compromising the privacy of the clients. In applications like medical image segmentation, where obtaining a large annotated dataset from a single source is a distressing problem, federated self-supervised learning can provide some solace. In this work, we push the limits further by exploring a federated self-supervised one-shot segmentation task representing a more data-scarce scenario. We adopt a pre-existing self-supervised few-shot segmentation framework CoWPro and adapt it to the federated learning scenario. To the best of our knowledge, this work is the first to attempt a self-supervised few-shot segmentation task in the federated learning domain. Moreover, we consider the clients to be constituted of data from different modalities and imaging techniques like MR or CT, which makes the problem even harder. Additionally, we reinforce and improve the baseline CoWPro method using a fused dice loss which shows considerable improvement in performance over the baseline CoWPro. Finally, we evaluate this novel framework on a completely unseen held-out part of the local client dataset. We observe that the proposed framework can achieve performance at par or better than the FedAvg version of the CoWPro framework on the held-out validation dataset.

One-Shot Medical Video Object Segmentation via Temporal Contrastive Memory Networks

Video object segmentation is crucial for the efficient analysis of complex medical video data, yet it faces significant challenges in data availability and annotation. We introduce the task of one-shot medical video object segmentation, which requires separating foreground and background pixels throughout a video given only the mask annotation of the first frame. To address this problem, we propose a temporal contrastive memory network comprising image and mask encoders to learn feature representations, a temporal contrastive memory bank that aligns embeddings from adjacent frames while pushing apart distant ones to explicitly model inter-frame relationships and stores these features, and a decoder that fuses encoded image features and memory readouts for segmentation. We also collect a diverse, multi-source medical video dataset spanning various modalities and anatomies to benchmark this task. Extensive experiments demonstrate state-of-the-art performance in segmenting both seen and unseen structures from a single exemplar, showing ability to generalize from scarce labels. This highlights the potential to alleviate annotation burdens for medical video analysis. Code is available at https://github.com/MedAITech/TCMN.

MultiCo3D: Multi-Label Voxel Contrast for One-Shot Incremental Segmentation of 3D Neuroimages

3D neuroimages provide a comprehensive view of brain structure and function, aiding in precise localization and functional connectivity analysis. Segmentation of white matter (WM) tracts using 3D neuroimages is vital for understanding the brain's structural connectivity in both healthy and diseased states. One-shot Class Incremental Semantic Segmentation (OCIS) refers to effectively segmenting new (novel) classes using only a single sample while retaining knowledge of old (base) classes without forgetting. Voxel-contrastive OCIS methods adjust the feature space to alleviate the feature overlap problem between the base and novel classes. However, since WM tract segmentation is a multi-label segmentation task, existing single-label voxel contrastive-based methods may cause inherent contradictions. To address this, we propose a new multi-label voxel contrast framework called MultiCo3D for one-shot class incremental tract segmentation. Our method utilizes uncertainty distillation to preserve base tract segmentation knowledge while adjusting the feature space with multi-label voxel contrast to alleviate feature overlap when learning novel tracts and dynamically weighting multi losses to balance overall loss. We compare our method against several state-of-the-art (SOTA) approaches. The experimental results show that our method significantly enhances one-shot class incremental tract segmentation accuracy across five different experimental setups on HCP and Preto datasets.

Show and Segment: Universal Medical Image Segmentation via In-Context Learning

Medical image segmentation remains challenging due to the vast diversity of anatomical structures, imaging modalities, and segmentation tasks. While deep learning has made significant advances, current approaches struggle to generalize as they require task-specific training or fine-tuning on unseen classes. We present Iris, a novel In-context Reference Image guided Segmentation framework that enables flexible adaptation to novel tasks through the use of reference examples without fine-tuning. At its core, Iris features a lightweight context task encoding module that distills task-specific information from reference context image-label pairs. This rich context embedding information is used to guide the segmentation of target objects. By decoupling task encoding from inference, Iris supports diverse strategies from one-shot inference and context example ensemble to object-level context example retrieval and in-context tuning. Through comprehensive evaluation across twelve datasets, we demonstrate that Iris performs strongly compared to task-specific models on in-distribution tasks. On seven held-out datasets, Iris shows superior generalization to out-of-distribution data and unseen classes. Further, Iris's task encoding module can automatically discover anatomical relationships across datasets and modalities, offering insights into medical objects without explicit anatomical supervision.

One-shot In-context Part Segmentation

In this paper, we present the One-shot In-context Part Segmentation (OIParts) framework, designed to tackle the challenges of part segmentation by leveraging visual foundation models (VFMs). Existing training-based one-shot part segmentation methods that utilize VFMs encounter difficulties when faced with scenarios where the one-shot image and test image exhibit significant variance in appearance and perspective, or when the object in the test image is partially visible. We argue that training on the one-shot example often leads to overfitting, thereby compromising the model's generalization capability. Our framework offers a novel approach to part segmentation that is training-free, flexible, and data-efficient, requiring only a single in-context example for precise segmentation with superior generalization ability. By thoroughly exploring the complementary strengths of VFMs, specifically DINOv2 and Stable Diffusion, we introduce an adaptive channel selection approach by minimizing the intra-class distance for better exploiting these two features, thereby enhancing the discriminatory power of the extracted features for the fine-grained parts. We have achieved remarkable segmentation performance across diverse object categories. The OIParts framework not only eliminates the need for extensive labeled data but also demonstrates superior generalization ability. Through comprehensive experimentation on three benchmark datasets, we have demonstrated the superiority of our proposed method over existing part segmentation approaches in one-shot settings.

Static Segmentation by Tracking: A Frustratingly Label-Efficient Approach to Fine-Grained Segmentation

We study image segmentation in the biological domain, particularly trait and part segmentation from specimen images (e.g., butterfly wing stripes or beetle body parts). This is a crucial, fine-grained task that aids in understanding the biology of organisms. The conventional approach involves hand-labeling masks, often for hundreds of images per species, and training a segmentation model to generalize these labels to other images, which can be exceedingly laborious. We present a label-efficient method named Static Segmentation by Tracking (SST). SST is built upon the insight: while specimens of the same species have inherent variations, the traits and parts we aim to segment show up consistently. This motivates us to concatenate specimen images into a ``pseudo-video'' and reframe trait and part segmentation as a tracking problem. Concretely, SST generates masks for unlabeled images by propagating annotated or predicted masks from the ``pseudo-preceding'' images. Powered by Segment Anything Model 2 (SAM~2) initially developed for video segmentation, we show that SST can achieve high-quality trait and part segmentation with merely one labeled image per species -- a breakthrough for analyzing specimen images. We further develop a cycle-consistent loss to fine-tune the model, again using one labeled image. Additionally, we highlight the broader potential of SST, including one-shot instance segmentation on images taken in the wild and trait-based image retrieval.

Nearly Lossless Adaptive Bit Switching

Model quantization is widely applied for compressing and accelerating deep neural networks (DNNs). However, conventional Quantization-Aware Training (QAT) focuses on training DNNs with uniform bit-width. The bit-width settings vary across different hardware and transmission demands, which induces considerable training and storage costs. Hence, the scheme of one-shot joint training multiple precisions is proposed to address this issue. Previous works either store a larger FP32 model to switch between different precision models for higher accuracy or store a smaller INT8 model but compromise accuracy due to using shared quantization parameters. In this paper, we introduce the Double Rounding quantization method, which fully utilizes the quantized representation range to accomplish nearly lossless bit-switching while reducing storage by using the highest integer precision instead of full precision. Furthermore, we observe a competitive interference among different precisions during one-shot joint training, primarily due to inconsistent gradients of quantization scales during backward propagation. To tackle this problem, we propose an Adaptive Learning Rate Scaling (ALRS) technique that dynamically adapts learning rates for various precisions to optimize the training process. Additionally, we extend our Double Rounding to one-shot mixed precision training and develop a Hessian-Aware Stochastic Bit-switching (HASB) strategy. Experimental results on the ImageNet-1K classification demonstrate that our methods have enough advantages to state-of-the-art one-shot joint QAT in both multi-precision and mixed-precision. We also validate the feasibility of our method on detection and segmentation tasks, as well as on LLMs task. Our codes are available at https://github.com/haiduo/Double-Rounding.

Sa2VA: Marrying SAM2 with LLaVA for Dense Grounded Understanding of Images and Videos

This work presents Sa2VA, the first unified model for dense grounded understanding of both images and videos. Unlike existing multi-modal large language models, which are often limited to specific modalities and tasks, Sa2VA supports a wide range of image and video tasks, including referring segmentation and conversation, with minimal one-shot instruction tuning. Sa2VA combines SAM-2, a foundation video segmentation model, with LLaVA, an advanced vision-language model, and unifies text, image, and video into a shared LLM token space. Using the LLM, Sa2VA generates instruction tokens that guide SAM-2 in producing precise masks, enabling a grounded, multi-modal understanding of both static and dynamic visual content. Additionally, we introduce Ref-SAV, an auto-labeled dataset containing over 72k object expressions in complex video scenes, designed to boost model performance. We also manually validate 2k video objects in the Ref-SAV datasets to benchmark referring video object segmentation in complex environments. Experiments show that Sa2VA achieves state-of-the-art across multiple tasks, particularly in referring video object segmentation, highlighting its potential for complex real-world applications.