# Medical Visual Prompting (MVP): A Unified Framework for Versatile and High-Quality Medical Image Segmentation

arXiv: https://arxiv.org/abs/2404.01127 · HTML: https://mlsanity.com/paper/2404.01127/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 35 of its 49 references that are in the map.
- First posted on arXiv 1 Apr 2024.

## Builds on (most cited first, 30 of 35)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Fully Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1411.4038/) (2014)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [SegFormer: Simple and Efficient Design for Semantic Segmentation with Transformers](https://mlsanity.com/paper/2105.15203/) (2021)
- [Pre-train, Prompt, and Predict: A Systematic Survey of Prompting Methods in Natural Language Processing](https://mlsanity.com/paper/2107.13586/) (2021)
- [Visual Prompt Tuning](https://mlsanity.com/paper/2203.12119/) (2022)
- [UNet++: A Nested U-Net Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1807.10165/) (2018)
- [A Primer in BERTology: What we know about how BERT works](https://mlsanity.com/paper/2002.12327/) (2020)
- [Image Segmentation Using Deep Learning: A Survey](https://mlsanity.com/paper/2001.05566/) (2020)
- [Kvasir-SEG: A Segmented Polyp Dataset](https://mlsanity.com/paper/1911.07069/) (2019)
- [Explicit Visual Prompting for Low-Level Structure Segmentations](https://mlsanity.com/paper/2303.10883/) (2023)
- [Superpixel Sampling Networks](https://mlsanity.com/paper/1807.10174/) (2018)
- [Automatic Polyp Segmentation via Multi-scale Subtraction Network](https://mlsanity.com/paper/2108.05082/) (2021)
- [UACANet: Uncertainty Augmented Context Attention for Polyp Segmentation](https://mlsanity.com/paper/2107.02368/) (2021)
- [FANet: A Feedback Attention Network for Improved Biomedical Image Segmentation](https://mlsanity.com/paper/2103.17235/) (2021)
- [High-Resolution Document Shadow Removal via A Large-Scale Real-World Dataset and A Frequency-Aware Shadow Erasing Net](https://mlsanity.com/paper/2308.14221/) (2023)
- [Fine-tuning Image Transformers using Learnable Memory](https://mlsanity.com/paper/2203.15243/) (2022)
- [KiU-Net: Overcomplete Convolutional Architectures for Biomedical Image and Volumetric Segmentation](https://mlsanity.com/paper/2010.01663/) (2020)
- [CMU-Net: A Strong ConvMixer-based Medical Ultrasound Image Segmentation Network](https://mlsanity.com/paper/2210.13012/) (2022)
- [Vox2Cortex: Fast Explicit Reconstruction of Cortical Surfaces from 3D MRI Scans with Geometric Deep Neural Networks](https://mlsanity.com/paper/2203.09446/) (2022)
- [Depth-aware Test-Time Training for Zero-shot Video Object Segmentation](https://mlsanity.com/paper/2403.04258/) (2024)
- [A Large-scale Film Style Dataset for Learning Multi-frequency Driven Film Enhancement](https://mlsanity.com/paper/2301.08880/) (2023)
- [Brain Diffuser: An End-to-End Brain Image to Brain Network Pipeline](https://mlsanity.com/paper/2303.06410/) (2023)
- [FVP: Fourier Visual Prompting for Source-Free Unsupervised Domain Adaptation of Medical Image Segmentation](https://mlsanity.com/paper/2304.13672/) (2023)
- [Image Augmentation with Controlled Diffusion for Weakly-Supervised Semantic Segmentation](https://mlsanity.com/paper/2310.09760/) (2023)
- [Devignet: High-Resolution Vignetting Removal via a Dual Aggregated Fusion Transformer With Adaptive Channel Expansion](https://mlsanity.com/paper/2308.13739/) (2023)
- [ShaDocNet: Learning Spatial-Aware Tokens in Transformer for Document Shadow Removal](https://mlsanity.com/paper/2211.16675/) (2022)

## Abstract (arXiv)

Accurate segmentation of lesion regions is crucial for clinical diagnosis and treatment across various diseases. While deep convolutional networks have achieved satisfactory results in medical image segmentation, they face challenges such as loss of lesion shape information due to continuous convolution and downsampling, as well as the high cost of manually labeling lesions with varying shapes and sizes. To address these issues, we propose a novel medical visual prompting (MVP) framework that leverages pre-training and prompting concepts from natural language processing (NLP). The framework utilizes three key components: Super-Pixel Guided Prompting (SPGP) for superpixelating the input image, Image Embedding Guided Prompting (IEGP) for freezing patch embedding and merging with superpixels to provide visual prompts, and Adaptive Attention Mechanism Guided Prompting (AAGP) for pinpointing prompt content and efficiently adapting all layers. By integrating SPGP, IEGP, and AAGP, the MVP enables the segmentation network to better learn shape prompting information and facilitates mutual learning across different tasks. Extensive experiments conducted on five datasets demonstrate superior performance of this method in various challenging medical image tasks, while simplifying single-task medical segmentation models. This novel framework offers improved performance with fewer parameters and holds significant potential for accurate segmentation of lesion regions in various medical tasks, making it clinically valuable.