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Paper · arXiv

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 genera...

AuthorsYuntian Bo, Yazhou Zhu, Piotr Koniusz et al.
Primary categorycs.CV
Published22 March 2026
Last updated at source22 March 2026
cs.CV
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