Existing prompt-based approaches have demonstrated impressive performance in continual learning, leveraging pre-trained large-scale models for classification tasks; however, the tight coupling between foreground-background information and the coupled attention between prompts and image-text tokens present significant challenges in incremental medical object detection tasks, due to the conceptual gap between medical and natural domains. To overcome these challenges, we introduce the iDPA framework, which comprises two main components: 1) Instance-level Prompt Generation (IPG), which decouples fine-grained instance-level knowledge from images and generates prompts that focus on dense predictions, and 2) Decoupled Prompt Attention (DPA), which decouples the original prompt attention, enabling a more direct and efficient transfer of prompt information while reducing memory usage and mitigating catastrophic forgetting. We collect 13 clinical, cross-modal, multi-organ, and multi-category datasets, referred to as ODinM-13, and experiments demonstrate that iDPA outperforms existing SOTA methods, with FAP improvements of f 5.44%, 4.83%, 12.88%, and 4.59% in full data, 1-shot, 10-shot, and 50-shot settings, respectively.

Kangyu Zhu, Ziyuan Qin, Huahui Yi, Zekun Jiang, Qicheng Lao, Shaoting Zhang, Kang Li. Proceedings of the 2025 Conference of the Nations of the Americas Chapter of the Association for Computational Linguistics: Human Language Technologies (Volume 1: Long Papers). 2025.