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

arxiv.org/abs/2609.10001

Updated 51 min ago · first seen 11 Sept 2026

paper_01M294H3VX1VZ8X1AHYV7H28C8

Published
11 Sept 2026
T1 · 51 min ago
arXiv
2609.10001
T1 · 51 min ago
Category
cs.CV
T1 · 51 min ago

Abstract

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.

Authors 1

Yazhou Zhu

Specification

Official page

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

Arxiv announce type
replace

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

arXiv id
2609.10001

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

Categories
cs.CV

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

PDF

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

Primary category
cs.CV

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

Published
11 Sept 2026

Source:arXiv (Atom API + RSS)T1observed 51 min agohigh

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Provenance

Attributed facts

9

Source tiers

T19

Freshest observation

51 min ago

Conflicts

None