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arXiv:2410.16057

Label Filling via Mixed Supervision for Medical Image Segmentation from Noisy Annotations

The success of medical image segmentation usually requires a large number of high-quality labels. But since the labeling process is usually affected by the raters' varying skill levels and characteristics, the estimated masks provided by different raters usually suffer from high inter-rater variability. In this paper, we propose a simple yet effective Label Filling framework, termed as LF-Net, predicting the groundtruth segmentation label given only noisy annotations during training. The fundamental idea of label filling is to supervise the segmentation model by a subset of pixels with trustworthy labels, meanwhile filling labels of other pixels by mixed supervision. More concretely, we propose a qualified majority voting strategy, i.e., a threshold voting scheme is designed to model agreement among raters and the majority-voted labels of the selected subset of pixels are regarded as supervision. To fill labels of other pixels, two types of mixed auxiliary supervision are proposed: a soft label learned from intrinsic structures of noisy annotations, and raters' characteristics labels which propagate individual rater's characteristics information. LF-Net has two main advantages. 1) Training with trustworthy pixels incorporates training with confident supervision, guiding the direction of groundtruth label learning. 2) Two types of mixed supervision prevent over-fitting issues when the network is supervised by a subset of pixels, and guarantee high fidelity with the true label. Results on five datasets of diverse imaging modalities show that our LF-Net boosts segmentation accuracy in all datasets compared with state-of-the-art methods, with even a 7% improvement in DSC for MS lesion segmentation.

arXiv:2410.15812공식 코드 · Papers with Code

FusionLungNet: Multi-scale Fusion Convolution with Refinement Network for Lung CT Image Segmentation

Early detection of lung cancer is crucial as it increases the chances of successful treatment. Automatic lung image segmentation assists doctors in identifying diseases such as lung cancer, COVID-19, and respiratory disorders. However, lung segmentation is challenging due to overlapping features like vascular and bronchial structures, along with pixel-level fusion of brightness, color, and texture. New lung segmentation methods face difficulties in identifying long-range relationships between image components, reliance on convolution operations that may not capture all critical features, and the complex structures of the lungs. Furthermore, semantic gaps between feature maps can hinder the integration of relevant information, reducing model accuracy. Skip connections can also limit the decoder's access to complete information, resulting in partial information loss during encoding. To overcome these challenges, we propose a hybrid approach using the FusionLungNet network, which has a multi-level structure with key components, including the ResNet-50 encoder, Channel-wise Aggregation Attention (CAA) module, Multi-scale Feature Fusion (MFF) block, self refinement (SR) module, and multiple decoders. The refinement sub-network uses convolutional neural networks for image post-processing to improve quality. Our method employs a combination of loss functions, including SSIM, IOU, and focal loss, to optimize image reconstruction quality. We created and publicly released a new dataset for lung segmentation called LungSegDB, including 1800 CT images from the LIDC-IDRI dataset (dataset version 1) and 700 images from the Chest CT Cancer Images from Kaggle dataset (dataset version 2). Our method achieved an IOU score of 98.04, outperforming existing methods and demonstrating significant improvements in segmentation accuracy. https://github.com/sadjadrz/FusionLungNet

arXiv:2410.14735공식 코드 · Papers with Code

Agent Skill Acquisition for Large Language Models via CycleQD

Training large language models to acquire specific skills remains a challenging endeavor. Conventional training approaches often struggle with data distribution imbalances and inadequacies in objective functions that do not align well with task-specific performance. To address these challenges, we introduce CycleQD, a novel approach that leverages the Quality Diversity framework through a cyclic adaptation of the algorithm, along with a model merging based crossover and an SVD-based mutation. In CycleQD, each task's performance metric is alternated as the quality measure while the others serve as the behavioral characteristics. This cyclic focus on individual tasks allows for concentrated effort on one task at a time, eliminating the need for data ratio tuning and simplifying the design of the objective function. Empirical results from AgentBench indicate that applying CycleQD to LLAMA3-8B-INSTRUCT based models not only enables them to surpass traditional fine-tuning methods in coding, operating systems, and database tasks, but also achieves performance on par with GPT-3.5-TURBO, which potentially contains much more parameters, across these domains. Crucially, this enhanced performance is achieved while retaining robust language capabilities, as evidenced by its performance on widely adopted language benchmark tasks. We highlight the key design choices in CycleQD, detailing how these contribute to its effectiveness. Furthermore, our method is general and can be applied to image segmentation models, highlighting its applicability across different domains.

arXiv:2410.15496

Taming Mambas for Voxel Level 3D Medical Image Segmentation

Recently, the field of 3D medical segmentation has been dominated by deep learning models employing Convolutional Neural Networks (CNNs) and Transformer-based architectures, each with their distinctive strengths and limitations. CNNs are constrained by a local receptive field, whereas transformers are hindered by their substantial memory requirements as well as they data hungriness, making them not ideal for processing 3D medical volumes at a fine-grained level. For these reasons, fully convolutional neural networks, as nnUNet, still dominate the scene when segmenting medical structures in 3D large medical volumes. Despite numerous advancements towards developing transformer variants with subquadratic time and memory complexity, these models still fall short in content-based reasoning. A recent breakthrough is Mamba, a Recurrent Neural Network (RNN) based on State Space Models (SSMs) outperforming Transformers in many long-context tasks (million-length sequences) on famous natural language processing and genomic benchmarks while keeping a linear complexity.

arXiv:2410.15444

MDFI-Net: Multiscale Differential Feature Interaction Network for Accurate Retinal Vessel Segmentation

The accurate segmentation of retinal vessels in fundus images is a great challenge in medical image segmentation tasks due to their highly complex structure from other organs.Currently, deep-learning based methods for retinal cessel segmentation achieved suboptimal outcoms,since vessels with indistinct features are prone to being overlooked in deeper layers of the network. Additionally, the abundance of redundant information in the background poses significant interference to feature extraction, thus increasing the segmentation difficulty. To address this issue, this paper proposes a feature-enhanced interaction network based on DPCN, named MDFI-Net.Specifically, we design a feature enhancement structure, the Deformable-convolutional Pulse Coupling Network (DPCN), to provide an enhanced feature iteration sequence to the segmentation network in a simple and efficient manner. Subsequently, these features will interact within the segmentation network.Extensive experiments were conducted on publicly available retinal vessel segmentation datasets to validate the effectiveness of our network structure. Experimental results of our algorithm show that the detection accuracy of the retinal blood vessel achieves 97.91%, 97.97% and 98.16% across all datasets. Finally, plentiful experimental results also prove that the proposed MDFI-Net achieves segmentation performance superior to state-of-the-art methods on public datasets.

arXiv:2410.15360공식 코드 · Papers with Code

Improving 3D Medical Image Segmentation at Boundary Regions using Local Self-attention and Global Volume Mixing

Volumetric medical image segmentation is a fundamental problem in medical image analysis where the objective is to accurately classify a given 3D volumetric medical image with voxel-level precision. In this work, we propose a novel hierarchical encoder-decoder-based framework that strives to explicitly capture the local and global dependencies for volumetric 3D medical image segmentation. The proposed framework exploits local volume-based self-attention to encode the local dependencies at high resolution and introduces a novel volumetric MLP-mixer to capture the global dependencies at low-resolution feature representations, respectively. The proposed volumetric MLP-mixer learns better associations among volumetric feature representations. These explicit local and global feature representations contribute to better learning of the shape-boundary characteristics of the organs. Extensive experiments on three different datasets reveal that the proposed method achieves favorable performance compared to state-of-the-art approaches. On the challenging Synapse Multi-organ dataset, the proposed method achieves an absolute 3.82\% gain over the state-of-the-art approaches in terms of HD95 evaluation metrics {while a similar improvement pattern is exhibited in MSD Liver and Pancreas tumor datasets}. We also provide a detailed comparison between recent architectural design choices in the 2D computer vision literature by adapting them for the problem of 3D medical image segmentation. Finally, our experiments on the ZebraFish 3D cell membrane dataset having limited training data demonstrate the superior transfer learning capabilities of the proposed vMixer model on the challenging 3D cell instance segmentation task, where accurate boundary prediction plays a vital role in distinguishing individual cell instances.

arXiv:2410.15060공식 코드 · Papers with Code

BYOCL: Build Your Own Consistent Latent with Hierarchical Representative Latent Clustering

To address the semantic inconsistency issue with SAM or other single-image segmentation models handling image sequences, we introduce BYOCL. This novel model outperforms SAM in extensive experiments, showcasing its Hierarchical prototype capabilities across CLIP and other representations. BYOCL significantly reduces time and space consumption by dividing inputs into smaller batches, achieving exponential time reduction compared to previous methods. Our approach leverages the SAM image encoder for feature extraction, followed by Intra-Batch and Inter-Batch clustering algorithms. Extensive experiments demonstrate that BYOCL far exceeds the previous state-of-the-art single image segmentation model. Our work is the first to apply consistent segmentation using foundation models without requiring training, utilizing plug-and-play modules for any latent space, making our method highly efficientModels are available at \href{https://github.com/cyt1202/BYOCL.git

arXiv:2410.15036공식 코드 · Papers with Code

EViT-Unet: U-Net Like Efficient Vision Transformer for Medical Image Segmentation on Mobile and Edge Devices

With the rapid development of deep learning, CNN-based U-shaped networks have succeeded in medical image segmentation and are widely applied for various tasks. However, their limitations in capturing global features hinder their performance in complex segmentation tasks. The rise of Vision Transformer (ViT) has effectively compensated for this deficiency of CNNs and promoted the application of ViT-based U-networks in medical image segmentation. However, the high computational demands of ViT make it unsuitable for many medical devices and mobile platforms with limited resources, restricting its deployment on resource-constrained and edge devices. To address this, we propose EViT-UNet, an efficient ViT-based segmentation network that reduces computational complexity while maintaining accuracy, making it ideal for resource-constrained medical devices. EViT-UNet is built on a U-shaped architecture, comprising an encoder, decoder, bottleneck layer, and skip connections, combining convolutional operations with self-attention mechanisms to optimize efficiency. Experimental results demonstrate that EViT-UNet achieves high accuracy in medical image segmentation while significantly reducing computational complexity.

arXiv:2410.15472

Multi-Layer Feature Fusion with Cross-Channel Attention-Based U-Net for Kidney Tumor Segmentation

Renal tumors, especially renal cell carcinoma (RCC), show significant heterogeneity, posing challenges for diagnosis using radiology images such as MRI, echocardiograms, and CT scans. U-Net based deep learning techniques are emerging as a promising approach for automated medical image segmentation for minimally invasive diagnosis of renal tumors. However, current techniques need further improvements in accuracy to become clinically useful to radiologists. In this study, we present an improved U-Net based model for end-to-end automated semantic segmentation of CT scan images to identify renal tumors. The model uses residual connections across convolution layers, integrates a multi-layer feature fusion (MFF) and cross-channel attention (CCA) within encoder blocks, and incorporates skip connections augmented with additional information derived using MFF and CCA. We evaluated our model on the KiTS19 dataset, which contains data from 210 patients. For kidney segmentation, our model achieves a Dice Similarity Coefficient (DSC) of 0.97 and a Jaccard index (JI) of 0.95. For renal tumor segmentation, our model achieves a DSC of 0.96 and a JI of 0.91. Based on a comparison of available DSC scores, our model outperforms the current leading models.

arXiv:2410.15916공식 코드 · Papers with Code

Leveraging CORAL-Correlation Consistency Network for Semi-Supervised Left Atrium MRI Segmentation

Semi-supervised learning (SSL) has been widely used to learn from both a few labeled images and many unlabeled images to overcome the scarcity of labeled samples in medical image segmentation. Most current SSL-based segmentation methods use pixel values directly to identify similar features in labeled and unlabeled data. They usually fail to accurately capture the intricate attachment structures in the left atrium, such as the areas of inconsistent density or exhibit outward curvatures, adding to the complexity of the task. In this paper, we delve into this issue and introduce an effective solution, CORAL(Correlation-Aligned)-Correlation Consistency Network (CORN), to capture the global structure shape and local details of Left Atrium. Diverging from previous methods focused on each local pixel value, the CORAL-Correlation Consistency Module (CCM) in the CORN leverages second-order statistical information to capture global structural features by minimizing the distribution discrepancy between labeled and unlabeled samples in feature space. Yet, direct construction of features from unlabeled data frequently results in ``Sample Selection Bias'', leading to flawed supervision. We thus further propose the Dynamic Feature Pool (DFP) for the CCM, which utilizes a confidence-based filtering strategy to remove incorrectly selected features and regularize both teacher and student models by constraining the similarity matrix to be consistent. Extensive experiments on the Left Atrium dataset have shown that the proposed CORN outperforms previous state-of-the-art semi-supervised learning methods.

arXiv:2410.14210공식 코드 · Papers with Code

Shape Transformation Driven by Active Contour for Class-Imbalanced Semi-Supervised Medical Image Segmentation

Annotating 3D medical images demands expert knowledge and is time-consuming. As a result, semi-supervised learning (SSL) approaches have gained significant interest in 3D medical image segmentation. The significant size differences among various organs in the human body lead to imbalanced class distribution, which is a major challenge in the real-world application of these SSL approaches. To address this issue, we develop a novel Shape Transformation driven by Active Contour (STAC), that enlarges smaller organs to alleviate imbalanced class distribution across different organs. Inspired by curve evolution theory in active contour methods, STAC employs a signed distance function (SDF) as the level set function, to implicitly represent the shape of organs, and deforms voxels in the direction of the steepest descent of SDF (i.e., the normal vector). To ensure that the voxels far from expansion organs remain unchanged, we design an SDF-based weight function to control the degree of deformation for each voxel. We then use STAC as a data-augmentation process during the training stage. Experimental results on two benchmark datasets demonstrate that the proposed method significantly outperforms some state-of-the-art methods. Source code is publicly available at https://github.com/GuGuLL123/STAC.

arXiv:2410.14017

Probabilistic U-Net with Kendall Shape Spaces for Geometry-Aware Segmentations of Images

One of the fundamental problems in computer vision is image segmentation, the task of detecting distinct regions or objects in given images. Deep Neural Networks (DNN) have been shown to be very effective in segmenting challenging images, producing convincing segmentations. There is further need for probabilistic DNNs that can reflect the uncertainties from the input images and the models into the computed segmentations, in other words, new DNNs that can generate multiple plausible segmentations and their distributions depending on the input or the model uncertainties. While there are existing probabilistic segmentation models, many of them do not take into account the geometry or shape underlying the segmented regions. In this paper, we propose a probabilistic image segmentation model that can incorporate the geometry of a segmentation. Our proposed model builds on the Probabilistic U-Net of \cite{kohl2018probabilistic} to generate probabilistic segmentations, i.e.\! multiple likely segmentations for an input image. Our model also adopts the Kendall Shape Variational Auto-Encoder of \cite{vadgama2023kendall} to encode a Kendall shape space in the latent variable layers of the prior and posterior networks of the Probabilistic U-Net. Incorporating the shape space in this manner leads to a more robust segmentation with spatially coherent regions, respecting the underlying geometry in the input images.

논문 ID: 2023.0446

Attention-Guided Residual U-Net with SE Connection and ASPP for Watershed-Based Cell Segmentation in Microscopy Images

Time-lapse microscopy imaging is a crucial technique in biomedical studies for observing cellular behavior over time, providing essential data on cell numbers, sizes, shapes, and interactions. Manual analysis of hundreds or thousands of cells is impractical, necessitating the development of automated cell segmentation approaches. Traditional image processing methods have made significant progress in this area, but the advent of deep learning methods, particularly those using U-Net-based networks, has further enhanced performance in medical and microscopy image segmentation. However, challenges remain, particularly in accurately segmenting touching cells in images with low signal-to-noise ratios. Existing methods often struggle with effectively integrating features across different levels of abstraction. This can lead to model confusion, particularly when important contextual information is lost or the features are not adequately distinguished. The challenge lies in appropriately combining these features to preserve critical details while ensuring robust and accurate segmentation. To address these issues, we propose a novel framework called RA-SE-ASPP-Net, which incorporates Residual Blocks, Attention Mechanism, Squeeze-and-Excitation connection, and Atrous Spatial Pyramid Pooling to achieve precise and robust cell segmentation. We evaluate our proposed architecture using an induced pluripotent stem cell reprogramming dataset, a challenging dataset that has received limited attention in this field. Additionally, we compare our model with different ablation experiments to demonstrate its robustness. The proposed architecture outperforms the baseline models in all evaluated metrics, providing the most accurate semantic segmentation results. Finally, we applied the watershed method to the semantic segmentation results to obtain precise segmentations with specific information for each cell.

arXiv:2410.12831공식 코드 · Papers with Code

Segment as You Wish -- Free-Form Language-Based Segmentation for Medical Images

Medical imaging is crucial for diagnosing a patient's health condition, and accurate segmentation of these images is essential for isolating regions of interest to ensure precise diagnosis and treatment planning. Existing methods primarily rely on bounding boxes or point-based prompts, while few have explored text-related prompts, despite clinicians often describing their observations and instructions in natural language. To address this gap, we first propose a RAG-based free-form text prompt generator, that leverages the domain corpus to generate diverse and realistic descriptions. Then, we introduce FLanS, a novel medical image segmentation model that handles various free-form text prompts, including professional anatomy-informed queries, anatomy-agnostic position-driven queries, and anatomy-agnostic size-driven queries. Additionally, our model also incorporates a symmetry-aware canonicalization module to ensure consistent, accurate segmentations across varying scan orientations and reduce confusion between the anatomical position of an organ and its appearance in the scan. FLanS is trained on a large-scale dataset of over 100k medical images from 7 public datasets. Comprehensive experiments demonstrate the model's superior language understanding and segmentation precision, along with a deep comprehension of the relationship between them, outperforming SOTA baselines on both in-domain and out-of-domain datasets.

arXiv:2410.13486

SemSim: Revisiting Weak-to-Strong Consistency from a Semantic Similarity Perspective for Semi-supervised Medical Image Segmentation

Semi-supervised learning (SSL) for medical image segmentation is a challenging yet highly practical task, which reduces reliance on large-scale labeled dataset by leveraging unlabeled samples. Among SSL techniques, the weak-to-strong consistency framework, popularized by FixMatch, has emerged as a state-of-the-art method in classification tasks. Notably, such a simple pipeline has also shown competitive performance in medical image segmentation. However, two key limitations still persist, impeding its efficient adaptation: (1) the neglect of contextual dependencies results in inconsistent predictions for similar semantic features, leading to incomplete object segmentation; (2) the lack of exploitation of semantic similarity between labeled and unlabeled data induces considerable class-distribution discrepancy. To address these limitations, we propose a novel semi-supervised framework based on FixMatch, named SemSim, powered by two appealing designs from semantic similarity perspective: (1) rectifying pixel-wise prediction by reasoning about the intra-image pair-wise affinity map, thus integrating contextual dependencies explicitly into the final prediction; (2) bridging labeled and unlabeled data via a feature querying mechanism for compact class representation learning, which fully considers cross-image anatomical similarities. As the reliable semantic similarity extraction depends on robust features, we further introduce an effective spatial-aware fusion module (SFM) to explore distinctive information from multiple scales. Extensive experiments show that SemSim yields consistent improvements over the state-of-the-art methods across three public segmentation benchmarks.

arXiv:2410.13472

Day-Night Adaptation: An Innovative Source-free Adaptation Framework for Medical Image Segmentation

Distribution shifts widely exist in medical images acquired from different medical centres, hindering the deployment of semantic segmentation models trained on one centre (source domain) to another (target domain). While unsupervised domain adaptation has shown significant promise in mitigating these shifts, it poses privacy risks due to sharing data between centres. To facilitate adaptation while preserving data privacy, source-free domain adaptation (SFDA) and test-time adaptation (TTA) have emerged as effective paradigms, relying solely on target domain data. However, SFDA requires a pre-collected target domain dataset before deployment. TTA insufficiently exploit the potential value of test data, as it processes the test data only once. Considering that most medical centres operate during the day and remain inactive at night in clinical practice, we propose a novel adaptation framework called Day-Night Adaptation (DyNA) with above insights, which performs adaptation through day-night cycles without requiring access to source data. During the day, a low-frequency prompt is trained to adapt the frozen model to each test sample. We construct a memory bank for prompt initialization and develop a warm-up mechanism to enhance prompt training. During the night, we reuse test data collected from the day and introduce a global student model to bridge the knowledge between teacher and student models, facilitating model fine-tuning while ensuring training stability. Extensive experiments demonstrate that our DyNA outperforms existing TTA and SFDA methods on two benchmark medical image segmentation tasks. Code will be available after the paper is published.

arXiv:2410.13471공식 코드 · Papers with Code

SiamSeg: Self-Training with Contrastive Learning for Unsupervised Domain Adaptation Semantic Segmentation in Remote Sensing

Semantic segmentation of remote sensing (RS) images is a challenging yet essential task with broad applications. While deep learning, particularly supervised learning with large-scale labeled datasets, has significantly advanced this field, the acquisition of high-quality labeled data remains costly and time-intensive. Unsupervised domain adaptation (UDA) provides a promising alternative by enabling models to learn from unlabeled target domain data while leveraging labeled source domain data. Recent self-training (ST) approaches employing pseudo-label generation have shown potential in mitigating domain discrepancies. However, the application of ST to RS image segmentation remains underexplored. Factors such as variations in ground sampling distance, imaging equipment, and geographic diversity exacerbate domain shifts, limiting model performance across domains. In that case, existing ST methods, due to significant domain shifts in cross-domain RS images, often underperform. To address these challenges, we propose integrating contrastive learning into UDA, enhancing the model's ability to capture semantic information in the target domain by maximizing the similarity between augmented views of the same image. This additional supervision improves the model's representational capacity and segmentation performance in the target domain. Extensive experiments conducted on RS datasets, including Potsdam, Vaihingen, and LoveDA, demonstrate that our method, SimSeg, outperforms existing approaches, achieving state-of-the-art results. Visualization and quantitative analyses further validate SimSeg's superior ability to learn from the target domain. The code is publicly available at https://github.com/woldier/SiamSeg.

arXiv:2410.13383

Railway LiDAR semantic segmentation based on intelligent semi-automated data annotation

Automated vehicles rely on an accurate and robust perception of the environment. Similarly to automated cars, highly automated trains require an environmental perception. Although there is a lot of research based on either camera or LiDAR sensors in the automotive domain, very few contributions for this task exist yet for automated trains. Additionally, no public dataset or described approach for a 3D LiDAR semantic segmentation in the railway environment exists yet. Thus, we propose an approach for a point-wise 3D semantic segmentation based on the 2DPass network architecture using scans and images jointly. In addition, we present a semi-automated intelligent data annotation approach, which we use to efficiently and accurately label the required dataset recorded on a railway track in Germany. To improve performance despite a still small number of labeled scans, we apply an active learning approach to intelligently select scans for the training dataset. Our contributions are threefold: We annotate rail data including camera and LiDAR data from the railway environment, transfer label the raw LiDAR point clouds using an image segmentation network, and train a state-of-the-art 3D LiDAR semantic segmentation network efficiently leveraging active learning. The trained network achieves good segmentation results with a mean IoU of 71.48% of 9 classes.

arXiv:2410.12994

Explainable Binary Classification of Separable Shape Ensembles

Materials scientists utilize image segmentation of micrographs to create large curve ensembles representing grain boundaries of material microstructures. Observations of these collections of shapes can facilitate inferences about material properties and manufacturing processes. We seek to bolster this application, and related engineering/scientific tasks, using novel pattern recognition formalisms and inference over large ensembles of segmented curves -- i.e., facilitate principled assessments for quantifying differences in distributions of shapes. To this end, we apply a composite integral operator to motivate accurate and efficient numerical representations of discrete planar curves over matrix manifolds. The main result is a rigid-invariant orthonormal decomposition of curve component functions into separable forms of scale variations and complementary features of undulation. We demonstrate how these separable shape tensors -- given thousands of curves in an ensemble -- can inform explainable binary classification of segmented images by utilizing a product maximum mean discrepancy to distinguish the shape distributions; absent labelled data, building interpretable feature spaces in seconds without high performance computation, and detecting discrepancies below cursory visual inspections.

arXiv:2410.12562

Adaptive Prompt Learning with SAM for Few-shot Scanning Probe Microscope Image Segmentation

The Segment Anything Model (SAM) has demonstrated strong performance in image segmentation of natural scene images. However, its effectiveness diminishes markedly when applied to specific scientific domains, such as Scanning Probe Microscope (SPM) images. This decline in accuracy can be attributed to the distinct data distribution and limited availability of the data inherent in the scientific images. On the other hand, the acquisition of adequate SPM datasets is both time-intensive and laborious as well as skill-dependent. To address these challenges, we propose an Adaptive Prompt Learning with SAM (APL-SAM) framework tailored for few-shot SPM image segmentation. Our approach incorporates two key innovations to enhance SAM: 1) An Adaptive Prompt Learning module leverages few-shot embeddings derived from limited support set to learn adaptively central representatives, serving as visual prompts. This innovation eliminates the need for time-consuming online user interactions for providing prompts, such as exhaustively marking points and bounding boxes slice by slice; 2) A multi-source, multi-level mask decoder specifically designed for few-shot SPM image segmentation is introduced, which can effectively capture the correspondence between the support and query images. To facilitate comprehensive training and evaluation, we introduce a new dataset, SPM-Seg, curated for SPM image segmentation. Extensive experiments on this dataset reveal that the proposed APL-SAM framework significantly outperforms the original SAM, achieving over a 30% improvement in terms of Dice Similarity Coefficient with only one-shot guidance. Moreover, APL-SAM surpasses state-of-the-art few-shot segmentation methods and even fully supervised approaches in performance. Code and dataset used in this study will be made available upon acceptance.