Evidence map›Paper›PMID 37296799›Full record

ArticleDiagnostics (Basel, Switzerland)2023

Generalist Vision Foundation Models for Medical Imaging: A Case Study of Segment Anything Model on Zero-Shot Medical Segmentation.

Peilun Shi, Jianing Qiu, Sai Mu Dalike Abaxi, Hao Wei, Frank P-W Lo, Wu Yuan

Open access · goldAbstract read
In one paragraph

Article in Diagnostics (Basel, Switzerland), 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 28 papers.

0numbers the graph read from it
0cells of the map it votes in
28citing papers in PubMed
27.3field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

28 citing papers in PubMed, 119 citations in OpenAlex.

  1. Article
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  6. OpenVocabCT: Toward Universal Text-Driven CT Image Segmentation.IEEE transactions on medical imaging · 2026
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  19. Foundation models in ophthalmology.The British journal of ophthalmology · 2024
    Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 2 countries.

Peilun ShiDepartment of Biomedical Engineering, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Jianing QiuDepartment of Biomedical Engineering, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.ORCID 0000-0003-4166-3428
Sai Mu Dalike AbaxiDepartment of Biomedical Engineering, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Hao WeiDepartment of Biomedical Engineering, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Frank P-W LoHamlyn Centre, Department of Surgery and Cancer, Imperial College London, London SW7 2AZ, UK.ORCID 0000-0002-0358-6567
Wu YuanDepartment of Biomedical Engineering, The Chinese University of Hong Kong, Shatin, Hong Kong SAR, China.
Chinese University of Hong Kong · HKImperial College London · GB

Funding

Research Grants Council (RGC) of Hong Kong SAR ECS24211020, GRF14203821, GRF14216222the Innovation and Technology Fund (ITF) of Hong Kong SAR ITS/240/21
6 · The paper itself

Abstract

Medical image analysis plays an important role in clinical diagnosis. In this paper, we examine the recent Segment Anything Model (SAM) on medical images, and report both quantitative and qualitative zero-shot segmentation results on nine medical image segmentation benchmarks, covering various imaging modalities, such as optical coherence tomography (OCT), magnetic resonance imaging (MRI), and computed tomography (CT), as well as different applications including dermatology, ophthalmology, and radiology. Those benchmarks are representative and commonly used in model development. Our experimental results indicate that while SAM presents remarkable segmentation performance on images from the general domain, its zero-shot segmentation ability remains restricted for out-of-distribution images, e.g., medical images. In addition, SAM exhibits inconsistent zero-shot segmentation performance across different unseen medical domains. For certain structured targets, e.g., blood vessels, the zero-shot segmentation of SAM completely failed. In contrast, a simple fine-tuning of it with a small amount of data could lead to remarkable improvement of the segmentation quality, showing the great potential and feasibility of using fine-tuned SAM to achieve accurate medical image segmentation for a precision diagnostics. Our study indicates the versatility of generalist vision foundation models on medical imaging, and their great potential to achieve desired performance through fine-turning and eventually address the challenges associated with accessing large and diverse medical datasets in support of clinical diagnostics.

Indexed as

deep Learningfoundation modelslarge AI modelsmedical image segmentationSegment Anything Model (SAM)zero-shot segmentation

Identifiers

PMID37296799
PMCPMC10252742
OpenAlexW4379141755

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.