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Main Authors: Fayjie, Abdur R., Kashyap, Pankhi, Borah, Jutika, Vandewalle, Patrick
Format: Preprint
Published: 2026
Subjects:
Online Access:https://arxiv.org/abs/2601.01687
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author Fayjie, Abdur R.
Kashyap, Pankhi
Borah, Jutika
Vandewalle, Patrick
author_facet Fayjie, Abdur R.
Kashyap, Pankhi
Borah, Jutika
Vandewalle, Patrick
contents Precise delineation of anatomical and pathological structures within 3D medical volumes is crucial for accurate diagnosis, effective surgical planning, and longitudinal disease monitoring. Despite advancements in AI, clinically viable segmentation is often hindered by the scarcity of 3D annotations, patient-specific variability, data privacy concerns, and substantial computational overhead. In this work, we propose FALCON, a cross-domain few-shot segmentation framework that achieves high-precision 3D volume segmentation by processing data as 2D slices. The framework is first meta-trained on natural images to learn-to-learn generalizable segmentation priors, then transferred to the medical domain via adversarial fine-tuning and boundary-aware learning. Task-aware inference, conditioned on support cues, allows FALCON to adapt dynamically to patient-specific anatomical variations across slices. Experiments on four benchmarks demonstrate that FALCON consistently achieves the lowest Hausdorff Distance scores, indicating superior boundary accuracy while maintaining a Dice Similarity Coefficient comparable to the state-of-the-art models. Notably, these results are achieved with significantly less labeled data, no data augmentation, and substantially lower computational overhead.
format Preprint
id arxiv_https___arxiv_org_abs_2601_01687
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle FALCON: Few-Shot Adversarial Learning for Cross-Domain Medical Image Segmentation
Fayjie, Abdur R.
Kashyap, Pankhi
Borah, Jutika
Vandewalle, Patrick
Computer Vision and Pattern Recognition
Artificial Intelligence
I.2.4
Precise delineation of anatomical and pathological structures within 3D medical volumes is crucial for accurate diagnosis, effective surgical planning, and longitudinal disease monitoring. Despite advancements in AI, clinically viable segmentation is often hindered by the scarcity of 3D annotations, patient-specific variability, data privacy concerns, and substantial computational overhead. In this work, we propose FALCON, a cross-domain few-shot segmentation framework that achieves high-precision 3D volume segmentation by processing data as 2D slices. The framework is first meta-trained on natural images to learn-to-learn generalizable segmentation priors, then transferred to the medical domain via adversarial fine-tuning and boundary-aware learning. Task-aware inference, conditioned on support cues, allows FALCON to adapt dynamically to patient-specific anatomical variations across slices. Experiments on four benchmarks demonstrate that FALCON consistently achieves the lowest Hausdorff Distance scores, indicating superior boundary accuracy while maintaining a Dice Similarity Coefficient comparable to the state-of-the-art models. Notably, these results are achieved with significantly less labeled data, no data augmentation, and substantially lower computational overhead.
title FALCON: Few-Shot Adversarial Learning for Cross-Domain Medical Image Segmentation
topic Computer Vision and Pattern Recognition
Artificial Intelligence
I.2.4
url https://arxiv.org/abs/2601.01687