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Paper · arXiv

CLoPA: Continual Low Parameter Adaptation of Interactive Segmentation for Medical Image Annotation

Interactive segmentation enables clinicians to guide annotation, but existing zero-shot models like nnInteractive fail to consistently reach expert-level performance across diverse medical imaging tasks. Because annotation campaigns produce a growing stream of task-specific labelled data, online adaptation of the segmentation model is a natural complement to zero-shot inference. We propose CLoPA, a continual adaptation strategy that tunes a small fraction of nnInteractive's parameters on the annotation cache, triggered by lightweight episode scheduling. CLoPA requires no new parameters or changes to the inference pipeline, and operates entirely within the existing annotation workflow. Acr...

AuthorsParhom Esmaeili, Chayanin Tangwiriyasakul, Eli Gibson et al.
Primary categorycs.CV
Published6 March 2026
Last updated at source6 March 2026
cs.CVcs.AIcs.LG
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