RobustEMD: Domain Robust Matching for Cross-domain Few-shot Medical Image Segmentation
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Abstract (arXiv)
Few-shot medical image segmentation (FSMIS) aims to perform the limited annotated data learning in the medical image analysis scope. Despite the progress has been achieved, current FSMIS models are all trained and deployed on the same data domain, as is not consistent with the clinical reality that medical imaging data is always across different data domains (e.g. imaging modalities, institutions and equipment sequences). How to enhance the FSMIS models to generalize well across the different specific medical imaging domains? In this paper, we focus on the matching mechanism of the few-shot semantic segmentation models and introduce an Earth Mover's Distance (EMD) calculation based domain robust matching mechanism for the cross-domain scenario. Specifically, we formulate the EMD transportation process between the foreground support-query features, the texture structure aware weights generation method, which proposes to perform the sobel based image gradient calculation over the nodes, is introduced in the EMD matching flow to restrain the domain relevant nodes. Besides, the point set level distance measurement metric is introduced to calculated the cost for the transportation from support set nodes to query set nodes. To evaluate the performance of our model, we conduct experiments on three scenarios (i.e., cross-modal, cross-sequence and cross-institution), which includes eight medical datasets and involves three body regions, and the results demonstrate that our model achieves the SoTA performance against the compared models.
Key facts. Cited by 6 papers in the map (data through 7 Oct 2026). Builds on 40 of its 73 references that are in the map. First posted on arXiv 1 Oct 2024.
Builds on
40 of 73 references.
References · 40
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28 more
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Built on by
Citing papers per year: 2025: 2; 2026: 4.
6 papers.
- 2025MAUP: Training-free Multi-center Adaptive Uncertainty-aware Prompting for Cross-domain Few-shot Medical Image Segmentationcited by 8
- 2025Contrastive Graph Modeling for Cross-Domain Few-Shot Medical Image Segmentationcited by 1
- 2026Focus on Background: Exploring SAM's Potential in Few-shot Medical Image Segmentation with Background-centric Promptingcited by 1
- 2026Geometry-aware Prototype Learning for Cross-domain Few-shot Medical Image Segmentationcited by 0
- 2026PSP: Harnessing Position and Shape Priors for Cross-Domain Few-Shot Medical Image Segmentationcited by 0
- 2026From Few-Shot Segmentation to Clinician-in-the-Loop Medical Image Analysiscited by 0
- 2026From Few-Shot Segmentation to Clinician-in-the-Loop Medical Image Analysis9 Sep 2026
- 2026PSP: Harnessing Position and Shape Priors for Cross-Domain Few-Shot Medical Image Segmentation27 Jun 2026
- 2026Geometry-aware Prototype Learning for Cross-domain Few-shot Medical Image Segmentation11 May 2026
- 2026Focus on Background: Exploring SAM's Potential in Few-shot Medical Image Segmentation with Background-centric Prompting22 Mar 2026
- 2025Contrastive Graph Modeling for Cross-Domain Few-Shot Medical Image Segmentation25 Dec 2025
- 2025MAUP: Training-free Multi-center Adaptive Uncertainty-aware Prompting for Cross-domain Few-shot Medical Image Segmentation5 Aug 2025