Reducing Annotation Burden: Exploiting Image Knowledge for Few-Shot Medical Video Object Segmentation via Spatiotemporal Consistency Relearning

Few-shot video object segmentation aims to reduce annotation costs; however, existing methods still require abundant dense frame annotations for training, which are scarce in the medical domain. We investigate an extremely low-data regime that utilizes annotations from only a few video frames and leverages existing labeled images to minimize costly video annotations. Specifically, we propose a two-phase framework. First, we learn a few-shot segmentation model using labeled images. Subsequently, to improve performance without full supervision, we introduce a spatiotemporal consistency relearning approach on medical videos that enforces consistency between consecutive frames. Constraints are also enforced between the image model and relearning model at both feature and prediction levels. Experiments demonstrate the superiority of our approach over state-of-the-art few-shot segmentation methods. Our model bridges the gap between abundant annotated medical images and scarce, sparsely labeled medical videos to achieve strong video segmentation performance in this low data regime. Code is available at https://github.com/MedAITech/RAB.