通过分块聚类优化医学图像压缩，更好保留病灶细节。

Medical images are inherently high-resolution and contain locally varying structures crucial for diagnosis. Efficient compression must preserve diagnostic fidelity while minimizing redundancy. Low-rank matrix approximation (LoRMA) techniques have shown strong potential for image compression by capturing global correlations; however, they often fail to adapt to local structural variations across regions of interest. To address this, we introduce an adaptive LoRMA, which partitions a medical image into overlapping patches, groups structurally similar patches into clusters using k-means, and performs SVD within each cluster. We derive the overall compression factor accounting for patch overlap and analyze how patch size influences compression efficiency and computational cost. While applicable to any data with high local variation, we focus on medical imaging due to its pronounced local variability. We evaluate and compare our adaptive LoRMA against global SVD across four imaging modalities: MRI, ultrasound, CT scan, and chest X-ray. Results demonstrate that adaptive LoRMA effectively preserves structural integrity, edge details, and diagnostic relevance, measured by PSNR, SSIM, MSE, IoU, and EPI. Adaptive LoRMA minimizes block artifacts and residual errors, particularly in pathological regions, consistently outperforming global SVD in PSNR, SSIM, IoU, EPI, and achieving lower MSE. It prioritizes clinically salient regions while allowing aggressive compression in non-critical regions, optimizing storage efficiency. Although adaptive LoRMA requires higher processing time, its diagnostic fidelity justifies the overhead for high-compression applications.