arXiv subjects

Yazhou Zhu

Publications and source records attributed to Yazhou Zhu.

9 recordsLinked to original sources

arXiv2026

From Few-Shot Segmentation to Clinician-in-the-Loop Medical Image Analysis

Few-shot medical image segmentation (FSMIS) seeks to delineate unseen structures from a small support set, but its standard formulation fixes task-defining evidence before inference. This assumption is fragile under acquisition shift, atypical pathology, ambiguous boundaries, and poor image quality. Adding clinician interaction and rapid adaptation is not sufficient: the binding constraint is deciding when asking or changing is warranted. We therefore reframe FSMIS as a three-layer sequential decision problem. First, decidable self-assessment separates errors that a bounded intervention can repair from those that no admissible intervention can reach. We formalize this distinction through a correctable set defined by the update operator and remaining interaction budget. Second, selective interaction allocates a distinct expert-attention budget by response-conditioned net expected value of information, yielding explicit accept, query, and defer actions. Third, bounded adaptation emphasizes reversibility and independent safety reassessment rather than speed. A complementary cross-case memory stores reproducible correction priors over failure modes instead of disease-specific mask priors. This structure links sparse support representation, cross-domain robustness, multi-level risk estimation, clinician feedback, and governed experience transfer. We state six hypotheses with an explicit dependency order and propose a minimal pilot that can falsify the foundational self-assessment claim before a clinician study. The central claim is not that interaction resolves domain shift, but that scarce expert attention should be used only when a bounded intervention is expected to reach a clinically better outcome.

cs.CV↗

arXiv2026

PSP: Harnessing Position and Shape Priors for Cross-Domain Few-Shot Medical Image Segmentation

Few-Shot Medical Image Segmentation (FSMIS) offers a powerful solution to data scarcity but struggles to generalize across different imaging modalities. This performance collapse stems primarily from the drastic texture discrepancies between domains, which mislead models trained on source-specific intensity distributions. While existing methods attempt to align frequency or local texture features, they often fail to decouple semantic structure from domain-specific appearance. To address this, we identify a critical invariance: despite distinct imaging physics, the position and geometric shape of organs remain robustly consistent across modalities. Therefore, we propose a novel framework that harnesses Position and Shape Priors (PSP) for cross-domain FSMIS. Specifically, PSP first introduces a Position Coordinate Embedding (PCE) module to inject relative spatial coordinates for rapid organ localization. Subsequently, a Shape Prototype Modulation (SPM) module constructs domain-invariant structural prototypes via explicit shape priors, effectively filtering out texture noise. Furthermore, the Hybrid-Prototype Prediction (HPP) module adaptively calibrates the support prototype to the query feature distribution, mitigating feature misalignment. Extensive experiments on two public medical imaging datasets demonstrate that PSP significantly outperforms state-of-the-art methods.

cs.CV↗

arXiv2026

WiRD-Gest: Gesture Recognition In The Real World Using Range-Doppler Wi-Fi Sensing on COTS Hardware

Wi-Fi sensing has emerged as a promising technique for gesture recognition, yet its practical deployment is hindered by environmental sensitivity and device placement challenges. To overcome these limitations we propose Wi-Fi Range and Doppler (WiRD)-Gest, a novel system that performs gesture recognition using a single, unmodified Wi-Fi transceiver on a commercial off-the-shelf (COTS) laptop. The system leverages an monostatic full duplex sensing pipeline capable of extracting Range-Doppler (RD) information. Utilizing this, we present the first benchmark of deep learning models for gesture recognition based on monostatic sensing. The key innovation lies in how monostatic sensing and spatial (range) information fundamentally transforms accuracy, robustness and generalization compared to prior approaches. We demonstrate excellent performance in crowded, unseen public spaces with dynamic interference and additional moving targets even when trained on data from controlled environments only. These are scenarios where prior Wi-Fi sensing approaches often fail, however, our system suffers minor degradation. The WiRD-Gest benchmark and dataset will also be released as open source.

eess.AS↗

arXiv2026

Focus on Background: Exploring SAM's Potential in Few-shot Medical Image Segmentation with Background-centric Prompting

Conventional few-shot medical image segmentation (FSMIS) approaches face performance bottlenecks that hinder broader clinical applicability. Although the Segment Anything Model (SAM) exhibits strong category-agnostic segmentation capabilities, its direct application to medical images often leads to over-segmentation due to ambiguous anatomical boundaries. In this paper, we reformulate SAM-based FSMIS as a prompt localization task and propose FoB (Focus on Background), a background-centric prompt generator that provides accurate background prompts to constrain SAM's over-segmentation. Specifically, FoB bridges the gap between segmentation and prompt localization by category-agnostic generation of support background prompts and localizing them directly in the query image. To address the challenge of prompt localization for novel categories, FoB models rich contextual information to capture foreground-background spatial dependencies. Moreover, inspired by the inherent structural patterns of background prompts in medical images, FoB models this structure as a constraint to progressively refine background prompt predictions. Experiments on three diverse medical image datasets demonstrate that FoB outperforms other baselines by large margins, achieving state-of-the-art performance on FSMIS, and exhibiting strong cross-domain generalization. Our code is available at https://github.com/primebo1/FoB_SAM.

cs.CV↗

arXiv2025

MAUP: Training-free Multi-center Adaptive Uncertainty-aware Prompting for Cross-domain Few-shot Medical Image Segmentation

Cross-domain Few-shot Medical Image Segmentation (CD-FSMIS) is a potential solution for segmenting medical images with limited annotation using knowledge from other domains. The significant performance of current CD-FSMIS models relies on the heavily training procedure over other source medical domains, which degrades the universality and ease of model deployment. With the development of large visual models of natural images, we propose a training-free CD-FSMIS model that introduces the Multi-center Adaptive Uncertainty-aware Prompting (MAUP) strategy for adapting the foundation model Segment Anything Model (SAM), which is trained with natural images, into the CD-FSMIS task. To be specific, MAUP consists of three key innovations: (1) K-means clustering based multi-center prompts generation for comprehensive spatial coverage, (2) uncertainty-aware prompts selection that focuses on the challenging regions, and (3) adaptive prompt optimization that can dynamically adjust according to the target region complexity. With the pre-trained DINOv2 feature encoder, MAUP achieves precise segmentation results across three medical datasets without any additional training compared with several conventional CD-FSMIS models and training-free FSMIS model. The source code is available at: https://github.com/YazhouZhu19/MAUP.

cs.CV↗

arXiv2025

RobustEMD: Domain Robust Matching for Cross-domain Few-shot Medical Image Segmentation

Few-shot medical image segmentation (FSMIS) aims to perform the limited annotated data learning in the medical image analysis scope. Despite the progress has been achieved, current FSMIS models are all trained and deployed on the same data domain, as is not consistent with the clinical reality that medical imaging data is always across different data domains (e.g. imaging modalities, institutions and equipment sequences). How to enhance the FSMIS models to generalize well across the different specific medical imaging domains? In this paper, we focus on the matching mechanism of the few-shot semantic segmentation models and introduce an Earth Mover's Distance (EMD) calculation based domain robust matching mechanism for the cross-domain scenario. Specifically, we formulate the EMD transportation process between the foreground support-query features, the texture structure aware weights generation method, which proposes to perform the sobel based image gradient calculation over the nodes, is introduced in the EMD matching flow to restrain the domain relevant nodes. Besides, the point set level distance measurement metric is introduced to calculated the cost for the transportation from support set nodes to query set nodes. To evaluate the performance of our model, we conduct experiments on three scenarios (i.e., cross-modal, cross-sequence and cross-institution), which includes eight medical datasets and involves three body regions, and the results demonstrate that our model achieves the SoTA performance against the compared models.

cs.CV↗

arXiv2024

FAMNet: Frequency-aware Matching Network for Cross-domain Few-shot Medical Image Segmentation

Existing few-shot medical image segmentation (FSMIS) models fail to address a practical issue in medical imaging: the domain shift caused by different imaging techniques, which limits the applicability to current FSMIS tasks. To overcome this limitation, we focus on the cross-domain few-shot medical image segmentation (CD-FSMIS) task, aiming to develop a generalized model capable of adapting to a broader range of medical image segmentation scenarios with limited labeled data from the novel target domain. Inspired by the characteristics of frequency domain similarity across different domains, we propose a Frequency-aware Matching Network (FAMNet), which includes two key components: a Frequency-aware Matching (FAM) module and a Multi-Spectral Fusion (MSF) module. The FAM module tackles two problems during the meta-learning phase: 1) intra-domain variance caused by the inherent support-query bias, due to the different appearances of organs and lesions, and 2) inter-domain variance caused by different medical imaging techniques. Additionally, we design an MSF module to integrate the different frequency features decoupled by the FAM module, and further mitigate the impact of inter-domain variance on the model's segmentation performance. Combining these two modules, our FAMNet surpasses existing FSMIS models and Cross-domain Few-shot Semantic Segmentation models on three cross-domain datasets, achieving state-of-the-art performance in the CD-FSMIS task.

cs.CV↗

arXiv2023

Partition-A-Medical-Image: Extracting Multiple Representative Sub-regions for Few-shot Medical Image Segmentation

Few-shot Medical Image Segmentation (FSMIS) is a more promising solution for medical image segmentation tasks where high-quality annotations are naturally scarce. However, current mainstream methods primarily focus on extracting holistic representations from support images with large intra-class variations in appearance and background, and encounter difficulties in adapting to query images. In this work, we present an approach to extract multiple representative sub-regions from a given support medical image, enabling fine-grained selection over the generated image regions. Specifically, the foreground of the support image is decomposed into distinct regions, which are subsequently used to derive region-level representations via a designed Regional Prototypical Learning (RPL) module. We then introduce a novel Prototypical Representation Debiasing (PRD) module based on a two-way elimination mechanism which suppresses the disturbance of regional representations by a self-support, Multi-direction Self-debiasing (MS) block, and a support-query, Interactive Debiasing (ID) block. Finally, an Assembled Prediction (AP) module is devised to balance and integrate predictions of multiple prototypical representations learned using stacked PRD modules. Results obtained through extensive experiments on three publicly accessible medical imaging datasets demonstrate consistent improvements over the leading FSMIS methods. The source code is available at https://github.com/YazhouZhu19/PAMI.

cs.CV↗

arXiv2023

Few-Shot Medical Image Segmentation via a Region-enhanced Prototypical Transformer

Automated segmentation of large volumes of medical images is often plagued by the limited availability of fully annotated data and the diversity of organ surface properties resulting from the use of different acquisition protocols for different patients. In this paper, we introduce a more promising few-shot learning-based method named Region-enhanced Prototypical Transformer (RPT) to mitigate the effects of large intra-class diversity/bias. First, a subdivision strategy is introduced to produce a collection of regional prototypes from the foreground of the support prototype. Second, a self-selection mechanism is proposed to incorporate into the Bias-alleviated Transformer (BaT) block to suppress or remove interferences present in the query prototype and regional support prototypes. By stacking BaT blocks, the proposed RPT can iteratively optimize the generated regional prototypes and finally produce rectified and more accurate global prototypes for Few-Shot Medical Image Segmentation (FSMS). Extensive experiments are conducted on three publicly available medical image datasets, and the obtained results show consistent improvements compared to state-of-the-art FSMS methods. The source code is available at: https://github.com/YazhouZhu19/RPT.

cs.CV↗