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Medical SAM adapter: Adapting segment anything model for medical image segmentation

2025· article· en· 334 citations· W4408634392 on OpenAlex· 10.1016/j.media.2025.103547

Why is this work in the frame?

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

Canadian affiliationAn author listed a Canadian institution. This is the only route the usual frame has.

Full frame distilled prediction

Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

Candidate categories
Metaresearch, Meta-epidemiology (narrow), Insufficient payload (model declined to judge)
Consensus categories
none
Domain
Candidate signal: noneConsensus signal: none
Study design
Candidate signal: Simulation or modelingConsensus signal: none
Genre
Candidate signal: MethodsConsensus signal: Methods
Teacher disagreement score
0.986
Threshold uncertainty score
1.000
Validation status
machine_predicted_unvalidated · codex-gemma-dda1882f352a

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0070.009
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0010.001
Bibliometrics0.0010.003
Science and technology studies0.0000.001
Scholarly communication0.0000.001
Open science0.0030.001
Research integrity0.0010.001
Insufficient payload (model declined to judge)0.0030.000

Machine scores (provisional)

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Opus teacher head0.015
GPT teacher head0.335
Teacher spread
0.321 · how far apart the two teachers sit on this one work
Validation status
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it

Abstract

The Segment Anything Model (SAM) has recently gained popularity in the field of image segmentation due to its impressive capabilities in various segmentation tasks and its prompt-based interface. However, recent studies and individual experiments have shown that SAM underperforms in medical image segmentation due to the lack of medical-specific knowledge. This raises the question of how to enhance SAM's segmentation capability for medical images. We propose the Medical SAM Adapter (Med-SA), which is one of the first methods to integrate SAM into medical image segmentation. Med-SA uses a light yet effective adaptation technique instead of fine-tuning the SAM model, incorporating domain-specific medical knowledge into the segmentation model. We also propose Space-Depth Transpose (SD-Trans) to adapt 2D SAM to 3D medical images and Hyper-Prompting Adapter (HyP-Adpt) to achieve prompt-conditioned adaptation. Comprehensive evaluation experiments on 17 medical image segmentation tasks across various modalities demonstrate the superior performance of Med-SA while updating only 2% of the SAM parameters (13M). Our code is released at https://github.com/KidsWithTokens/Medical-SAM-Adapter.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

The record

Venue
Medical Image Analysis
Topic
Medical Image Segmentation Techniques
Field
Computer Science
Canadian institutions
University of Alberta
Funders
Ministry of Education - SingaporeMinistry of EducationNational University of Singapore
Keywords
Artificial intelligenceComputer visionSegmentationComputer scienceAdapter (computing)Image segmentationImage (mathematics)
Has abstract in OpenAlex
yes