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Prompt Learning With Bounding Box Constraints for Medical Image Segmentation
IEEE Transactions on Bio-Medical Engineering
|June 24, 2025
Summary
This study introduces a new method for medical image segmentation using bounding boxes instead of pixel-wise labels. This approach automates prompt generation for foundation models, improving efficiency and accuracy in segmentation tasks.
Area of Science:
- Medical Imaging
- Computer Vision
- Machine Learning
Background:
- Pixel-wise annotations for medical image segmentation are time-consuming and expensive.
- Weakly supervised methods using bounding boxes offer a more efficient alternative.
- Vision foundation models show promise in segmentation with prompt-based learning.
Purpose of the Study:
- To develop a novel framework combining foundation models with weakly supervised segmentation.
- To automate prompt generation for foundation models using only bounding box annotations.
- To reduce the burden of manual annotation in medical image segmentation.
Main Methods:
- A novel framework integrating foundation models with weakly supervised segmentation.
- Automated prompt generation for foundation models utilizing bounding box annotations.
- An optimization scheme combining box annotation constraints with pseudo-labels from prompted foundation models.
Main Results:
- The proposed weakly supervised method achieved an average Dice score of 84.90% in a limited data setting.
- The approach outperformed existing fully-supervised and weakly-supervised methods.
- Demonstrated effectiveness across multi-modal datasets.
Conclusions:
- The developed framework successfully leverages foundation models for efficient medical image segmentation.
- Automated prompt generation with bounding boxes significantly reduces annotation effort.
- This method offers a practical and high-performing solution for medical image segmentation challenges.

