Image denoising is a fundamental problem in computer vision and medical imaging. However, real-world images are often degraded by structured noise with strong anisotropic correlations that existing methods struggle to remove. Most data-driven approaches rely on large datasets with high-quality labels and still suffer from limited generalizability, whereas existing zero-shot methods avoid this limitation but remain effective only for independent and identically distributed (i.i.d.) noise. To address this gap, we propose Median2Median (M2M), a zero-shot denoising framework designed for structured noise. M2M introduces a novel sampling strategy that generates pseudo-independent sub-image pairs from a single noisy input. This strategy leverages directional interpolation and generalized median filtering to adaptively exclude values distorted by structured artifacts. To further enlarge the effective sampling space and eliminate systematic bias, a randomized assignment strategy is employed, ensuring that the sampled sub-image pairs are suitable for Noise2Noise training. In our realistic simulation studies, M2M performs on par with state-of-the-art zero-shot methods under i.i.d. noise, while consistently outperforming them under correlated noise. These findings establish M2M as an efficient, data-free solution for structured noise suppression and mark the first step toward effective zero-shot denoising beyond the strict i.i.d. assumption.

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