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Boosting Few-Shot Semantic Segmentation of 3D Medical Images via Collaborative Slice Alignment.

Ran Duan, Jialun Pei, Zhiwei Wang

    IEEE Journal of Biomedical and Health Informatics
    |June 23, 2025
    PubMed
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    This study introduces a new method for 3D medical image segmentation using few-shot semantic segmentation (FSS). The Collaborative Slice Alignment (CSA) module improves accuracy by matching query slices with the best support slices without prior target knowledge.

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    Area of Science:

    • Medical Imaging
    • Computer Vision
    • Artificial Intelligence

    Background:

    • Few-shot semantic segmentation (FSS) in 3D medical imaging relies on selecting appropriate support slices from labeled volumes to segment unlabeled query slices.
    • Accurate support slice selection is vital for learning robust prototypical features and improving segmentation accuracy.
    • Current methods often use true target locations or single support slices, limiting practicality and leading to segmentation errors.

    Purpose of the Study:

    • To propose a practical and efficient solution for few-shot semantic segmentation (FSS) of 3D medical images.
    • To develop a novel Collaborative Slice Alignment (CSA) module for improved support slice selection.
    • To enhance segmentation accuracy by enabling each query slice to find its fittest support slice without prior target information.

    Main Methods:

    • Proposed a Collaborative Slice Alignment (CSA) module that estimates slice confidence scores to reflect physical location, enabling spatial alignment of support and query slices.
    • Implemented a self-learnable ranking objective within CSA to transfer internal knowledge between support and query features, boosting FSS performance.
    • Introduced an Information Reconciliation (InRe) module to address inconsistent feature distributions between support and query images.

    Main Results:

    • The combined CSA and InRe modules achieved a significant average Dice score improvement of at least 8.61% across three diverse datasets.
    • The proposed method consistently outperformed existing state-of-the-art methods in 3D medical image segmentation.
    • CSA effectively aligned support and query slices based on estimated spatial relevance, leading to more accurate segmentation.

    Conclusions:

    • The novel CSA module offers a practical and efficient approach to few-shot semantic segmentation in 3D medical imaging.
    • The InRe module effectively mitigates feature distribution inconsistencies, further enhancing segmentation performance.
    • The proposed method demonstrates superior accuracy and robustness compared to current state-of-the-art techniques.