Abstract:Precision medicine, such as patient-adaptive treatments utilizing medical images, poses new challenges for image segmentation algorithms due to (1) the large variability across different patients and (2) the limited availability of annotated data for each patient. In this work, we propose a data-efficient segmentation method to address these challenges, namely Part-aware Personalized Segment Anything Model (P^2SAM). Without any model fine-tuning, P^2SAM enables seamless adaptation to any new patients relying only on one-shot patient-specific data. We introduce a novel part-aware prompt mechanism to select multiple-point prompts based on part-level features of the one-shot data. To further promote the robustness of the selected prompt, we propose a retrieval approach to handle outlier prompts. Extensive experiments demonstrate that P^2SAM improves the performance by +8.0% and +2.0% mean Dice score within two patient-specific segmentation settings, and exhibits impressive generality across different application domains, e.g., +6.4% mIoU on the PerSeg benchmark. Code will be released upon acceptance.