Abstract

Vision-language models (VLMs) pre-trained on large, heterogeneous data sources are becoming increasingly popular, providing rich multi-modal embeddings that enable efficient transfer to new tasks. A particularly relevant application is few-shot adaptation, where only a handful of annotated examples are available to adapt the model through multi-modal linear probes. In medical imaging, specialized VLMs have shown promising performance in zero- and few-shot image classification, which is valuable for mitigating the high cost of expert annotations. However, challenges remain in extremely low-shot regimes: the inherent class imbalances in medical tasks often lead to underrepresented categories, penalizing overall model performance. To address this limitation, we propose leveraging unlabeled data by introducing an efficient semi-supervised solver that propagates text-informed pseudo-labels during few-shot adaptation. The proposed method enables lower-budget annotation pipelines for adapting VLMs, reducing labeling effort by ≥ 50 in low-shot regimes.

Links to Paper and Supplementary Materials

Main Paper (Open Access Version): https://papers.miccai.org/miccai-2026-sat/paper/MedAGI_010.pdf

SharedIt Link: Not yet available

SpringerLink (DOI): Not yet available

Supplementary Material: Not Submitted

Link to Open Review

Open Review Page: https://openreview.net/forum?id=WoRUDnOQOj

BibTex

@InProceedings{SilJul_SemiSupervised_MICCAISAT2026,
        author = { Silva-Rodríguez, Julio AND Konukoglu, Ender},
        title = { { Semi-Supervised Few-Shot Adaptation of Vision-Language Models } },
        booktitle = {Medical Image Computing and Computer Assisted Intervention -- MICCAI 2026 Workshops and Challenges},
        year = {2026},
        publisher = {Springer Nature Switzerland},
        volume = {LNCS 17261},
        month = {pending},
        page = {pending}
}


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