# Partition-A-Medical-Image: Extracting Multiple Representative Sub-regions for Few-shot Medical Image Segmentation

arXiv: https://arxiv.org/abs/2309.11172 · HTML: https://mlsanity.com/paper/2309.11172/

## Key facts

- Cited by 9 papers in the map (data through 14 Oct 2026).
- Builds on 38 of its 64 references that are in the map.
- First posted on arXiv 20 Sep 2023.

## Builds on (most cited first, 30 of 38)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Model-Agnostic Meta-Learning for Fast Adaptation of Deep Networks](https://mlsanity.com/paper/1703.03400/) (2017)
- [Prototypical Networks for Few-shot Learning](https://mlsanity.com/paper/1703.05175/) (2017)
- [Supervised Contrastive Learning](https://mlsanity.com/paper/2004.11362/) (2020)
- [Non-local Neural Networks](https://mlsanity.com/paper/1711.07971/) (2017)
- [Matching Networks for One Shot Learning](https://mlsanity.com/paper/1606.04080/) (2016)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [UNet++: Redesigning Skip Connections to Exploit Multiscale Features in Image Segmentation](https://mlsanity.com/paper/1912.05074/) (2019)
- [PANet: Few-Shot Image Semantic Segmentation with Prototype Alignment](https://mlsanity.com/paper/1908.06391/) (2019)
- [CHAOS Challenge -- Combined (CT-MR) Healthy Abdominal Organ Segmentation](https://mlsanity.com/paper/2001.06535/) (2020)
- [TransBTS: Multimodal Brain Tumor Segmentation Using Transformer](https://mlsanity.com/paper/2103.04430/) (2021)
- [TransFuse: Fusing Transformers and CNNs for Medical Image Segmentation](https://mlsanity.com/paper/2102.08005/) (2021)
- [Adaptive Prototype Learning and Allocation for Few-Shot Segmentation](https://mlsanity.com/paper/2104.01893/) (2021)
- [Hypercorrelation Squeeze for Few-Shot Segmentation](https://mlsanity.com/paper/2104.01538/) (2021)
- [Prototype Mixture Models for Few-shot Semantic Segmentation](https://mlsanity.com/paper/2008.03898/) (2020)
- [Part-aware Prototype Network for Few-shot Semantic Segmentation](https://mlsanity.com/paper/2007.06309/) (2020)
- [Multivariate mixture model for myocardium segmentation combining multi-source images](https://mlsanity.com/paper/1612.08820/) (2016)
- [Few-Shot Segmentation via Cycle-Consistent Transformer](https://mlsanity.com/paper/2106.02320/) (2021)
- [DS-TransUNet:Dual Swin Transformer U-Net for Medical Image Segmentation](https://mlsanity.com/paper/2106.06716/) (2021)
- [Learning What Not to Segment: A New Perspective on Few-Shot Segmentation](https://mlsanity.com/paper/2203.07615/) (2022)
- [Simpler is Better: Few-shot Semantic Segmentation with Classifier Weight Transformer](https://mlsanity.com/paper/2108.03032/) (2021)
- [Self-Support Few-Shot Semantic Segmentation](https://mlsanity.com/paper/2207.11549/) (2022)
- [Hierarchical Dense Correlation Distillation for Few-Shot Segmentation](https://mlsanity.com/paper/2303.14652/) (2023)
- ['Squeeze & Excite' Guided Few-Shot Segmentation of Volumetric Images](https://mlsanity.com/paper/1902.01314/) (2019)
- [Mining Latent Classes for Few-shot Segmentation](https://mlsanity.com/paper/2103.15402/) (2021)
- [Recurrent Mask Refinement for Few-Shot Medical Image Segmentation](https://mlsanity.com/paper/2108.00622/) (2021)
- [Feature-Proxy Transformer for Few-Shot Segmentation](https://mlsanity.com/paper/2210.06908/) (2022)

## Built on by (most cited first, 9 of 9)

- [MAUP: Training-free Multi-center Adaptive Uncertainty-aware Prompting for Cross-domain Few-shot Medical Image Segmentation](https://mlsanity.com/paper/2508.03511/) (2025)
- [RobustEMD: Domain Robust Matching for Cross-domain Few-shot Medical Image Segmentation](https://mlsanity.com/paper/2410.01110/) (2024)
- [SPENet: Self-guided Prototype Enhancement Network for Few-shot Medical Image Segmentation](https://mlsanity.com/paper/2509.02993/) (2025)
- [Tied Prototype Model for Few-Shot Medical Image Segmentation](https://mlsanity.com/paper/2506.22101/) (2025)
- [Contrastive Graph Modeling for Cross-Domain Few-Shot Medical Image Segmentation](https://mlsanity.com/paper/2512.21683/) (2025)
- [SD-FSMIS: Adapting Stable Diffusion for Few-Shot Medical Image Segmentation](https://mlsanity.com/paper/2604.03134/) (2026)
- [Geometry-aware Prototype Learning for Cross-domain Few-shot Medical Image Segmentation](https://mlsanity.com/paper/2605.10885/) (2026)
- [Beyond Euclidean Prototypes: Spectral Disentanglement and Geodesic Matching for Few-Shot Medical Image Segmentation](https://mlsanity.com/paper/2605.17904/) (2026)
- [From Few-Shot Segmentation to Clinician-in-the-Loop Medical Image Analysis](https://mlsanity.com/paper/2609.10001/) (2026)

## Abstract (arXiv)

Few-shot Medical Image Segmentation (FSMIS) is a more promising solution for medical image segmentation tasks where high-quality annotations are naturally scarce. However, current mainstream methods primarily focus on extracting holistic representations from support images with large intra-class variations in appearance and background, and encounter difficulties in adapting to query images. In this work, we present an approach to extract multiple representative sub-regions from a given support medical image, enabling fine-grained selection over the generated image regions. Specifically, the foreground of the support image is decomposed into distinct regions, which are subsequently used to derive region-level representations via a designed Regional Prototypical Learning (RPL) module. We then introduce a novel Prototypical Representation Debiasing (PRD) module based on a two-way elimination mechanism which suppresses the disturbance of regional representations by a self-support, Multi-direction Self-debiasing (MS) block, and a support-query, Interactive Debiasing (ID) block. Finally, an Assembled Prediction (AP) module is devised to balance and integrate predictions of multiple prototypical representations learned using stacked PRD modules. Results obtained through extensive experiments on three publicly accessible medical imaging datasets demonstrate consistent improvements over the leading FSMIS methods. The source code is available at https://github.com/YazhouZhu19/PAMI.