Adaptive Prompt Evolution for Continual Learning in Diabetic Retinopathy Detection
摘要
We introduce Adaptive Prompt Evolution (APE), a framework that autonomously optimizes text prompts for continual learning (CL) in medical imaging applications. Building upon task-agnostic domain-incremental learning, APE addresses static prompt engineering limitations through intelligent feedback loops that evolve templates and medical descriptions using iterative performance assessment. Our approach replaces manual prompt crafting with a local medical language model (Med-Gemma 4B) that generates and refines prompt candidates based on zero-shot clustering performance, maintaining complete offline operation for healthcare compliance. APE demonstrates strong efficiency, requiring only 50 evaluations to achieve F1-score of 0.9229, compared to exhaustive search requiring 110 evaluations for F1-score of 0.8921, representing 2.2