Daily Papers

Zero-shot anomaly detection aims to localize anomalies without target-domain samples. Existing CLIP-based methods suffer from coarse anomaly maps and limited semantic prompts. We propose PSMP-CLIP, integrating patch-prompt SAM2 segmentation (PPSS) and multi-semantic guided prompt regularization (MSGPR). PPSS samples prompts directly from intermediate patch features, avoiding threshold drift and guiding SAM2 to produce precise masks. MSGPR uses multiple learnable prompts constrained by semantic anchors to preserve generalization. Experiments on 14 datasets show highly competitive performance, achieving the best pixel-level AUROC on MVTec AD, BTAD, DTD-Synthetic, CVC-ClinicDB, TN3K, Endo, and Kvasir.

Although new vision foundation models such as Segment Anything Model 2 (SAM2) have significantly enhanced zero-shot image segmentation capabilities, reliance on human-provided prompts poses significant challenges in adapting SAM2 to medical image segmentation tasks. Moreover, SAM2's performance in medical image segmentation was limited by the domain shift issue, since it was originally trained on natural images and videos. To address these challenges, we proposed SAM2 with support-set guided prompting (SAM2-SGP), a framework that eliminated the need for manual prompts. The proposed model leveraged the memory mechanism of SAM2 to generate pseudo-masks using image-mask pairs from a support set via a Pseudo-mask Generation (PMG) module. We further introduced a novel Pseudo-mask Attention (PMA) module, which used these pseudo-masks to automatically generate bounding boxes and enhance localized feature extraction by guiding attention to relevant areas. Furthermore, a low-rank adaptation (LoRA) strategy was adopted to mitigate the domain shift issue. The proposed framework was evaluated on both 2D and 3D datasets across multiple medical imaging modalities, including fundus photography, X-ray, computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), and ultrasound. The results demonstrated a significant performance improvement over state-of-the-art models, such as nnUNet and SwinUNet, as well as foundation models, such as SAM2 and MedSAM2, underscoring the effectiveness of the proposed approach. Our code is publicly available at https://github.com/astlian9/SAM_Support.

The Segment Anything Model (SAM) has exhibited outstanding performance in various image segmentation tasks. Despite being trained with over a billion masks, SAM faces challenges in mask prediction quality in numerous scenarios, especially in real-world contexts. In this paper, we introduce a novel prompt-driven adapter into SAM, namely Prompt Adapter Segment Anything Model (PA-SAM), aiming to enhance the segmentation mask quality of the original SAM. By exclusively training the prompt adapter, PA-SAM extracts detailed information from images and optimizes the mask decoder feature at both sparse and dense prompt levels, improving the segmentation performance of SAM to produce high-quality masks. Experimental results demonstrate that our PA-SAM outperforms other SAM-based methods in high-quality, zero-shot, and open-set segmentation. We're making the source code and models available at https://github.com/xzz2/pa-sam.

The recent Segment Anything Model (SAM) 2 has demonstrated remarkable foundational competence in semantic segmentation, with its memory mechanism and mask decoder further addressing challenges in video tracking and object occlusion, thereby achieving superior results in interactive segmentation for both images and videos. Building upon our previous empirical studies, we further explore the zero-shot segmentation performance of SAM 2 in robot-assisted surgery based on prompts, alongside its robustness against real-world corruption. For static images, we employ two forms of prompts: 1-point and bounding box, while for video sequences, the 1-point prompt is applied to the initial frame. Through extensive experimentation on the MICCAI EndoVis 2017 and EndoVis 2018 benchmarks, SAM 2, when utilizing bounding box prompts, outperforms state-of-the-art (SOTA) methods in comparative evaluations. The results with point prompts also exhibit a substantial enhancement over SAM's capabilities, nearing or even surpassing existing unprompted SOTA methodologies. Besides, SAM 2 demonstrates improved inference speed and less performance degradation against various image corruption. Although slightly unsatisfactory results remain in specific edges or regions, SAM 2's robust adaptability to 1-point prompts underscores its potential for downstream surgical tasks with limited prompt requirements.

The Segment Anything Model 2 (SAM2) is a powerful foundation model for promptable segmentation. However, its high computational and memory costs are a major barrier to deployment on resource-constrained devices. In this paper, we present Q-SAM2, an accurate low-bit quantization method that achieves high compression and high fidelity. To address performance degradation arising from challenging weight and activation distributions during quantization, Q-SAM2 introduces two novel contributions: Variance-Reduced Calibration (VRC), an initialization method that reduces weight statistical variance by minimizing the Frobenius norm over a small calibration batch; and Learnable Statistical Clipping (LSC), a Quantization-Aware Training (QAT) method that learns momentum-stabilized clipping factors to manage outliers in weights and activations. Comprehensive experiments demonstrate that Q-SAM2 achieves highly accurate inference with substantial efficiency gains, significantly surpassing state-of-the-art general QAT schemes, particularly in the ultra-low 2-bit regime. Specifically, Q-SAM2 achieves an accuracy gain of up to 9.7 ppt in J&F on the video segmentation benchmark and 7.3 ppt in mIoU for instance segmentation over the best competing QAT model, all while achieving an 8x reduction in model size compared to the BF16 baseline.

Segment Anything Model (SAM) has demonstrated impressive zero-shot performance and brought a range of unexplored capabilities to natural image segmentation tasks. However, as a very important branch of image segmentation, the performance of SAM remains uncertain when applied to medical image segmentation due to the significant differences between natural images and medical images. Meanwhile, it is harsh to meet the SAM's requirements of extra prompts provided, such as points or boxes to specify medical regions. In this paper, we propose a novel self-prompt SAM adaptation framework for medical image segmentation, named Self-Prompt-SAM. We design a multi-scale prompt generator combined with the image encoder in SAM to generate auxiliary masks. Then, we use the auxiliary masks to generate bounding boxes as box prompts and use Distance Transform to select the most central points as point prompts. Meanwhile, we design a 3D depth-fused adapter (DfusedAdapter) and inject the DFusedAdapter into each transformer in the image encoder and mask decoder to enable pre-trained 2D SAM models to extract 3D information and adapt to 3D medical images. Extensive experiments demonstrate that our method achieves state-of-the-art performance and outperforms nnUNet by 2.3% on AMOS2022, 1.6% on ACDCand 0.5% on Synapse datasets.

In this paper, we introduce Medical SAM 2 (MedSAM-2), an advanced segmentation model that utilizes the SAM 2 framework to address both 2D and 3D medical image segmentation tasks. By adopting the philosophy of taking medical images as videos, MedSAM-2 not only applies to 3D medical images but also unlocks new One-prompt Segmentation capability. That allows users to provide a prompt for just one or a specific image targeting an object, after which the model can autonomously segment the same type of object in all subsequent images, regardless of temporal relationships between the images. We evaluated MedSAM-2 across a variety of medical imaging modalities, including abdominal organs, optic discs, brain tumors, thyroid nodules, and skin lesions, comparing it against state-of-the-art models in both traditional and interactive segmentation settings. Our findings show that MedSAM-2 not only surpasses existing models in performance but also exhibits superior generalization across a range of medical image segmentation tasks. Our code will be released at: https://github.com/MedicineToken/Medical-SAM2

Road masks obtained from remote sensing images effectively support a wide range of downstream tasks. In recent years, most studies have focused on improving the performance of fully automatic segmentation models for this task, achieving significant gains. However, current fully automatic methods are still insufficient for identifying certain challenging road segments and often produce false positive and false negative regions. Moreover, fully automatic segmentation does not support local segmentation of regions of interest or refinement of existing masks. Although the SAM model is widely used as an interactive segmentation model and performs well on natural images, it shows poor performance in remote sensing road segmentation and cannot support fine-grained local refinement. To address these limitations, we propose PC-SAM, which integrates fully automatic road segmentation and interactive segmentation within a unified framework. By carefully designing a fine-tuning strategy, the influence of point prompts is constrained to their corresponding patches, overcoming the inability of the original SAM to perform fine local corrections and enabling fine-grained interactive mask refinement. Extensive experiments on several representative remote sensing road segmentation datasets demonstrate that, when combined with point prompts, PC-SAM significantly outperforms state-of-the-art fully automatic models in road mask segmentation, while also providing flexible local mask refinement and local road segmentation. The code will be available at https://github.com/Cyber-CCOrange/PC-SAM.

The recent advancements in large-scale pre-training techniques have significantly enhanced the capabilities of vision foundation models, notably the Segment Anything Model (SAM), which can generate precise masks based on point and box prompts. Recent studies extend SAM to Few-shot Semantic Segmentation (FSS), focusing on prompt generation for SAM-based automatic semantic segmentation. However, these methods struggle with selecting suitable prompts, require specific hyperparameter settings for different scenarios, and experience prolonged one-shot inference times due to the overuse of SAM, resulting in low efficiency and limited automation ability. To address these issues, we propose a simple yet effective approach based on graph analysis. In particular, a Positive-Negative Alignment module dynamically selects the point prompts for generating masks, especially uncovering the potential of the background context as the negative reference. Another subsequent Point-Mask Clustering module aligns the granularity of masks and selected points as a directed graph, based on mask coverage over points. These points are then aggregated by decomposing the weakly connected components of the directed graph in an efficient manner, constructing distinct natural clusters. Finally, the positive and overshooting gating, benefiting from graph-based granularity alignment, aggregate high-confident masks and filter out the false-positive masks for final prediction, reducing the usage of additional hyperparameters and redundant mask generation. Extensive experimental analysis across standard FSS, One-shot Part Segmentation, and Cross Domain FSS datasets validate the effectiveness and efficiency of the proposed approach, surpassing state-of-the-art generalist models with a mIoU of 58.7% on COCO-20i and 35.2% on LVIS-92i. The code is available in https://andyzaq.github.io/GF-SAM/.

Segment Anything Model (SAM) has gained significant attention because of its ability to segment a variety of objects in images given a prompt. The recently developed SAM 2 has extended this ability to video inputs. This opens an opportunity to apply SAM to 3D images, one of the fundamental tasks in the medical imaging field. In this paper, we provide an extensive evaluation of SAM 2's ability to segment both 2D and 3D medical images. We collect 18 medical imaging datasets, including common 3D modalities such as computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) as well as 2D modalities such as X-ray and ultrasound. We consider two evaluation pipelines of SAM 2: (1) multi-frame 3D segmentation, where prompts are provided to one or multiple slice(s) selected from the volume, and (2) single-frame 2D segmentation, where prompts are provided to each slice. The former is only applicable to 3D modalities, while the latter applies to both 2D and 3D modalities. We learn that SAM 2 exhibits similar performance as SAM under single-frame 2D segmentation, and has variable performance under multi-frame 3D segmentation depending on the choices of slices to annotate, the direction of the propagation, the predictions utilized during the propagation, etc.

We study fine-grained referring image segmentation via a decoupled reason-then-segment pipeline. A vision-language model (VLM) receives an image and a natural-language query, reasons about the scene, and emits structured spatial prompts: a bounding box plus two interior keypoints for every referred instance. A frozen promptable segmenter (SAM 2) converts these prompts into high-quality masks. Within our GenSeg-R1 framework we finetune Qwen3-VL models (4B and 8B parameters) using Group Relative Policy Optimization (GRPO), requiring no supervised reasoning-chain annotations. On RefCOCOg validation our best model (GenSeg-R1-8B) achieves 0.7127 cIoU and 0.7382 mIoU, substantially outperforming the corresponding Qwen3-VL Instruct baselines (+15.3 and +21.9 points, respectively) and surpassing Seg-Zero-7B [3] by +3.3 cIoU under identical evaluation. We further introduce GenSeg-R1-G, a variant trained on GRefCOCO [9] with a SAM 2 in-the-loop reward that directly optimizes mask quality. On GRefCOCO validation GenSeg-R1-G achieves 76.69% target mIoU with 82.40% accuracy on negative (no-target) prompts, substantially outperforming Seg-R1-7B and Seg-Zero-7B, which lack no-target detection capability. On ReasonSeg test, GenSeg-R1-4B reaches 68.40% mIoU, surpassing Seg-Zero-7B by +7.0 and Seg-R1-7B by +10.7 points.

The Segment Anything Model (SAM) has garnered significant attention for its versatile segmentation abilities and intuitive prompt-based interface. However, its application in medical imaging presents challenges, requiring either substantial training costs and extensive medical datasets for full model fine-tuning or high-quality prompts for optimal performance. This paper introduces H-SAM: a prompt-free adaptation of SAM tailored for efficient fine-tuning of medical images via a two-stage hierarchical decoding procedure. In the initial stage, H-SAM employs SAM's original decoder to generate a prior probabilistic mask, guiding a more intricate decoding process in the second stage. Specifically, we propose two key designs: 1) A class-balanced, mask-guided self-attention mechanism addressing the unbalanced label distribution, enhancing image embedding; 2) A learnable mask cross-attention mechanism spatially modulating the interplay among different image regions based on the prior mask. Moreover, the inclusion of a hierarchical pixel decoder in H-SAM enhances its proficiency in capturing fine-grained and localized details. This approach enables SAM to effectively integrate learned medical priors, facilitating enhanced adaptation for medical image segmentation with limited samples. Our H-SAM demonstrates a 4.78% improvement in average Dice compared to existing prompt-free SAM variants for multi-organ segmentation using only 10% of 2D slices. Notably, without using any unlabeled data, H-SAM even outperforms state-of-the-art semi-supervised models relying on extensive unlabeled training data across various medical datasets. Our code is available at https://github.com/Cccccczh404/H-SAM.

Segment Anything Model (SAM) represents a large-scale segmentation model that enables powerful zero-shot capabilities with flexible prompts. While SAM can segment any object in zero-shot, it requires user-provided prompts for each target image and does not attach any label information to masks. Few-shot segmentation models addressed these issues by inputting annotated reference images as prompts to SAM and can segment specific objects in target images without user-provided prompts. Previous SAM-based few-shot segmentation models only use annotated reference images as prompts, resulting in limited accuracy due to a lack of reference information. In this paper, we propose a novel few-shot segmentation model, Vision and Language reference Prompt into SAM (VLP-SAM), that utilizes the visual information of the reference images and the semantic information of the text labels by inputting not only images but also language as reference information. In particular, VLP-SAM is a simple and scalable structure with minimal learnable parameters, which inputs prompt embeddings with vision-language information into SAM using a multimodal vision-language model. To demonstrate the effectiveness of VLP-SAM, we conducted experiments on the PASCAL-5i and COCO-20i datasets, and achieved high performance in the few-shot segmentation task, outperforming the previous state-of-the-art model by a large margin (6.3% and 9.5% in mIoU, respectively). Furthermore, VLP-SAM demonstrates its generality in unseen objects that are not included in the training data. Our code is available at https://github.com/kosukesakurai1/VLP-SAM.

The recent Segment Anything Model (SAM) has demonstrated remarkable zero-shot capability and flexible geometric prompting in general image segmentation. However, SAM often struggles when handling various unconventional images, such as aerial, medical, and non-RGB images. This paper presents CAT-SAM, a ConditionAl Tuning network that adapts SAM toward various unconventional target tasks with just few-shot target samples. CAT-SAM freezes the entire SAM and adapts its mask decoder and image encoder simultaneously with a small number of learnable parameters. The core design is a prompt bridge structure that enables decoder-conditioned joint tuning of the heavyweight image encoder and the lightweight mask decoder. The bridging maps the prompt token of the mask decoder to the image encoder, fostering synergic adaptation of the encoder and the decoder with mutual benefits. We develop two representative tuning strategies for the image encoder which leads to two CAT-SAM variants: one injecting learnable prompt tokens in the input space and the other inserting lightweight adapter networks. Extensive experiments over 11 unconventional tasks show that both CAT-SAM variants achieve superior target segmentation performance consistently even under the very challenging one-shot adaptation setup. Project page: https://xiaoaoran.github.io/projects/CAT-SAM

The Segment Anything Model (SAM) represents a state-of-the-art research advancement in natural image segmentation, achieving impressive results with input prompts such as points and bounding boxes. However, our evaluation and recent research indicate that directly applying the pretrained SAM to medical image segmentation does not yield satisfactory performance. This limitation primarily arises from significant domain gap between natural images and medical images. To bridge this gap, we introduce SAM-Med2D, the most comprehensive studies on applying SAM to medical 2D images. Specifically, we first collect and curate approximately 4.6M images and 19.7M masks from public and private datasets, constructing a large-scale medical image segmentation dataset encompassing various modalities and objects. Then, we comprehensively fine-tune SAM on this dataset and turn it into SAM-Med2D. Unlike previous methods that only adopt bounding box or point prompts as interactive segmentation approach, we adapt SAM to medical image segmentation through more comprehensive prompts involving bounding boxes, points, and masks. We additionally fine-tune the encoder and decoder of the original SAM to obtain a well-performed SAM-Med2D, leading to the most comprehensive fine-tuning strategies to date. Finally, we conducted a comprehensive evaluation and analysis to investigate the performance of SAM-Med2D in medical image segmentation across various modalities, anatomical structures, and organs. Concurrently, we validated the generalization capability of SAM-Med2D on 9 datasets from MICCAI 2023 challenge. Overall, our approach demonstrated significantly superior performance and generalization capability compared to SAM.

Medical images often exhibit distribution shifts due to variations in imaging protocols and scanners across different medical centers. Domain Generalization (DG) methods aim to train models on source domains that can generalize to unseen target domains. Recently, the segment anything model (SAM) has demonstrated strong generalization capabilities due to its prompt-based design, and has gained significant attention in image segmentation tasks. Existing SAM-based approaches attempt to address the need for manual prompts by introducing prompt generators that automatically generate these prompts. However, we argue that auto-generated prompts may not be sufficiently accurate under distribution shifts, potentially leading to incorrect predictions that still require manual verification and correction by clinicians. To address this challenge, we propose a method for 2D medical image segmentation called Self-Correcting SAM (CoSAM). Our approach begins by generating coarse masks using SAM in a prompt-free manner, providing prior prompts for the subsequent stages, and eliminating the need for prompt generators. To automatically refine these coarse masks, we introduce a generalized error decoder that simulates the correction process typically performed by clinicians. Furthermore, we generate diverse prompts as feedback based on the corrected masks, which are used to iteratively refine the predictions within a self-correcting loop, enhancing the generalization performance of our model. Extensive experiments on two medical image segmentation benchmarks across multiple scenarios demonstrate the superiority of CoSAM over state-of-the-art SAM-based methods.

The Segment Anything Model 2 (SAM 2) is the latest generation foundation model for image and video segmentation. Trained on the expansive Segment Anything Video (SA-V) dataset, which comprises 35.5 million masks across 50.9K videos, SAM 2 advances its predecessor's capabilities by supporting zero-shot segmentation through various prompts (e.g., points, boxes, and masks). Its robust zero-shot performance and efficient memory usage make SAM 2 particularly appealing for surgical tool segmentation in videos, especially given the scarcity of labeled data and the diversity of surgical procedures. In this study, we evaluate the zero-shot video segmentation performance of the SAM 2 model across different types of surgeries, including endoscopy and microscopy. We also assess its performance on videos featuring single and multiple tools of varying lengths to demonstrate SAM 2's applicability and effectiveness in the surgical domain. We found that: 1) SAM 2 demonstrates a strong capability for segmenting various surgical videos; 2) When new tools enter the scene, additional prompts are necessary to maintain segmentation accuracy; and 3) Specific challenges inherent to surgical videos can impact the robustness of SAM 2.

The Segment Anything Model (SAM) represents a significant breakthrough into foundation models for computer vision, providing a large-scale image segmentation model. However, despite SAM's zero-shot performance, its segmentation masks lack fine-grained details, particularly in accurately delineating object boundaries. Therefore, it is both interesting and valuable to explore whether SAM can be improved towards highly accurate object segmentation, which is known as the dichotomous image segmentation (DIS) task. To address this issue, we propose DIS-SAM, which advances SAM towards DIS with extremely accurate details. DIS-SAM is a framework specifically tailored for highly accurate segmentation, maintaining SAM's promptable design. DIS-SAM employs a two-stage approach, integrating SAM with a modified advanced network that was previously designed to handle the prompt-free DIS task. To better train DIS-SAM, we employ a ground truth enrichment strategy by modifying original mask annotations. Despite its simplicity, DIS-SAM significantly advances the SAM, HQ-SAM, and Pi-SAM ~by 8.5%, ~6.9%, and ~3.7% maximum F-measure. Our code at https://github.com/Tennine2077/DIS-SAM

While Contrastive Language-Image Pre-training (CLIP) has advanced open-vocabulary predictions, its performance on semantic segmentation remains suboptimal. This shortfall primarily stems from its spatial-invariant semantic features and constrained resolution. While previous adaptations addressed spatial invariance semantic by modifying the self-attention in CLIP's image encoder, the issue of limited resolution remains unexplored. Different from previous segment-then-splice methods that segment sub-images via a sliding window and splice the results, we introduce a splice-then-segment paradigm that incorporates Segment-Anything Model (SAM) to tackle the resolution issue since SAM excels at extracting fine-grained semantic correlations from high-resolution images. Specifically, we introduce Trident, a training-free framework that first splices features extracted by CLIP and DINO from sub-images, then leverages SAM's encoder to create a correlation matrix for global aggregation, enabling a broadened receptive field for effective segmentation. Besides, we propose a refinement strategy for CLIP's coarse segmentation outputs by transforming them into prompts for SAM, further enhancing the segmentation performance. Trident achieves a significant improvement in the mIoU across eight benchmarks compared with the current SOTA, increasing from 44.4 to 48.6.Code is available at https://github.com/YuHengsss/Trident.

We introduce SAM2Point, a preliminary exploration adapting Segment Anything Model 2 (SAM 2) for zero-shot and promptable 3D segmentation. SAM2Point interprets any 3D data as a series of multi-directional videos, and leverages SAM 2 for 3D-space segmentation, without further training or 2D-3D projection. Our framework supports various prompt types, including 3D points, boxes, and masks, and can generalize across diverse scenarios, such as 3D objects, indoor scenes, outdoor environments, and raw sparse LiDAR. Demonstrations on multiple 3D datasets, e.g., Objaverse, S3DIS, ScanNet, Semantic3D, and KITTI, highlight the robust generalization capabilities of SAM2Point. To our best knowledge, we present the most faithful implementation of SAM in 3D, which may serve as a starting point for future research in promptable 3D segmentation. Online Demo: https://huggingface.co/spaces/ZiyuG/SAM2Point . Code: https://github.com/ZiyuGuo99/SAM2Point .

Given a single labeled example, in-context segmentation aims to segment corresponding objects. This setting, known as one-shot segmentation in few-shot learning, explores the segmentation model's generalization ability and has been applied to various vision tasks, including scene understanding and image/video editing. While recent Segment Anything Models have achieved state-of-the-art results in interactive segmentation, these approaches are not directly applicable to in-context segmentation. In this work, we propose the Dual Consistency SAM (DC-SAM) method based on prompt-tuning to adapt SAM and SAM2 for in-context segmentation of both images and videos. Our key insights are to enhance the features of the SAM's prompt encoder in segmentation by providing high-quality visual prompts. When generating a mask prior, we fuse the SAM features to better align the prompt encoder. Then, we design a cycle-consistent cross-attention on fused features and initial visual prompts. Next, a dual-branch design is provided by using the discriminative positive and negative prompts in the prompt encoder. Furthermore, we design a simple mask-tube training strategy to adopt our proposed dual consistency method into the mask tube. Although the proposed DC-SAM is primarily designed for images, it can be seamlessly extended to the video domain with the support of SAM2. Given the absence of in-context segmentation in the video domain, we manually curate and construct the first benchmark from existing video segmentation datasets, named In-Context Video Object Segmentation (IC-VOS), to better assess the in-context capability of the model. Extensive experiments demonstrate that our method achieves 55.5 (+1.4) mIoU on COCO-20i, 73.0 (+1.1) mIoU on PASCAL-5i, and a J&F score of 71.52 on the proposed IC-VOS benchmark. Our source code and benchmark are available at https://github.com/zaplm/DC-SAM.

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, since the lack of the medical specific knowledge. This raises the question of how to enhance SAM's segmentation capability for medical images. In this paper, instead of fine-tuning the SAM model, we propose the Medical SAM Adapter (Med-SA), which incorporates domain-specific medical knowledge into the segmentation model using a light yet effective adaptation technique. In Med-SA, we 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. We conduct comprehensive evaluation experiments on 17 medical image segmentation tasks across various image modalities. Med-SA outperforms several state-of-the-art (SOTA) medical image segmentation methods, while updating only 2\% of the parameters. Our code is released at https://github.com/KidsWithTokens/Medical-SAM-Adapter.

This work introduces a new framework, ProtoSAM, for one-shot medical image segmentation. It combines the use of prototypical networks, known for few-shot segmentation, with SAM - a natural image foundation model. The method proposed creates an initial coarse segmentation mask using the ALPnet prototypical network, augmented with a DINOv2 encoder. Following the extraction of an initial mask, prompts are extracted, such as points and bounding boxes, which are then input into the Segment Anything Model (SAM). State-of-the-art results are shown on several medical image datasets and demonstrate automated segmentation capabilities using a single image example (one shot) with no need for fine-tuning of the foundation model. Our code is available at: https://github.com/levayz/ProtoSAM

Segment anything model (SAM) has shown its spectacular performance in segmenting universal objects, especially when elaborate prompts are provided. However, the drawback of SAM is twofold. On the first hand, it fails to segment specific targets, e.g., shadow images or lesions in medical images. On the other hand, manually specifying prompts is extremely time-consuming. To overcome the problems, we propose AdapterShadow, which adapts SAM model for shadow detection. To adapt SAM for shadow images, trainable adapters are inserted into the frozen image encoder of SAM, since the training of the full SAM model is both time and memory consuming. Moreover, we introduce a novel grid sampling method to generate dense point prompts, which helps to automatically segment shadows without any manual interventions. Extensive experiments are conducted on four widely used benchmark datasets to demonstrate the superior performance of our proposed method. Codes will are publicly available at https://github.com/LeipingJie/AdapterShadow.

The Segment Anything Model (SAM) has demonstrated outstanding adaptation to medical image segmentation but still faces three major challenges. Firstly, the huge computational costs of SAM limit its real-world applicability. Secondly, SAM depends on manual annotations (e.g., points, boxes) as prompts, which are laborious and impractical in clinical scenarios. Thirdly, SAM handles all segmentation targets equally, which is suboptimal for diverse medical modalities with inherent heterogeneity. To address these issues, we propose an Efficient Self-Prompting SAM for universal medical image segmentation, named ESP-MedSAM. We devise a Multi-Modal Decoupled Knowledge Distillation (MMDKD) strategy to distil common image knowledge and domain-specific medical knowledge from the foundation model to train a lightweight image encoder and a modality controller. Further, they combine with the additionally introduced Self-Patch Prompt Generator (SPPG) and Query-Decoupled Modality Decoder (QDMD) to construct ESP-MedSAM. Specifically, SPPG aims to generate a set of patch prompts automatically and QDMD leverages a one-to-one strategy to provide an independent decoding channel for every modality. Extensive experiments indicate that ESP-MedSAM outperforms state-of-the-arts in diverse medical imaging segmentation takes, displaying superior zero-shot learning and modality transfer ability. Especially, our framework uses only 31.4% parameters compared to SAM-Base.

Segment Anything Model (SAM) has achieved impressive results for natural image segmentation with input prompts such as points and bounding boxes. Its success largely owes to massive labeled training data. However, directly applying SAM to medical image segmentation cannot perform well because SAM lacks medical knowledge -- it does not use medical images for training. To incorporate medical knowledge into SAM, we introduce SA-Med2D-20M, a large-scale segmentation dataset of 2D medical images built upon numerous public and private datasets. It consists of 4.6 million 2D medical images and 19.7 million corresponding masks, covering almost the whole body and showing significant diversity. This paper describes all the datasets collected in SA-Med2D-20M and details how to process these datasets. Furthermore, comprehensive statistics of SA-Med2D-20M are presented to facilitate the better use of our dataset, which can help the researchers build medical vision foundation models or apply their models to downstream medical applications. We hope that the large scale and diversity of SA-Med2D-20M can be leveraged to develop medical artificial intelligence for enhancing diagnosis, medical image analysis, knowledge sharing, and education. The data with the redistribution license is publicly available at https://github.com/OpenGVLab/SAM-Med2D.

We present Segment Anything Model 2 (SAM 2), a foundation model towards solving promptable visual segmentation in images and videos. We build a data engine, which improves model and data via user interaction, to collect the largest video segmentation dataset to date. Our model is a simple transformer architecture with streaming memory for real-time video processing. SAM 2 trained on our data provides strong performance across a wide range of tasks. In video segmentation, we observe better accuracy, using 3x fewer interactions than prior approaches. In image segmentation, our model is more accurate and 6x faster than the Segment Anything Model (SAM). We believe that our data, model, and insights will serve as a significant milestone for video segmentation and related perception tasks. We are releasing a version of our model, the dataset and an interactive demo.

Segmentation is a fundamental task in computer vision, with prompt-driven methods gaining prominence due to their flexibility. The Segment Anything Model (SAM) excels at point-prompted segmentation, while text-based models, often leveraging powerful multimodal encoders like BEIT-3, provide rich semantic understanding. However, effectively combining these complementary modalities remains a challenge. This paper introduces BiPrompt-SAM, a novel dual-modal prompt segmentation framework employing an explicit selection mechanism. We leverage SAM's ability to generate multiple mask candidates from a single point prompt and use a text-guided mask (generated via EVF-SAM with BEIT-3) to select the point-generated mask that best aligns spatially, measured by Intersection over Union (IoU). This approach, interpretable as a simplified Mixture of Experts (MoE), effectively fuses spatial precision and semantic context without complex model modifications. Notably, our method achieves strong zero-shot performance on the Endovis17 medical dataset (89.55% mDice, 81.46% mIoU) using only a single point prompt per instance. This significantly reduces annotation burden compared to bounding boxes and aligns better with practical clinical workflows, demonstrating the method's effectiveness without domain-specific training. On the RefCOCO series, BiPrompt-SAM attained 87.1%, 86.5%, and 85.8% IoU, significantly outperforming existing approaches. Experiments show BiPrompt-SAM excels in scenarios requiring both spatial accuracy and semantic disambiguation, offering a simple, effective, and interpretable perspective on multi-modal prompt fusion.

The goal of interactive image segmentation is to delineate specific regions within an image via visual or language prompts. Low-latency and high-quality interactive segmentation with diverse prompts remain challenging for existing specialist and generalist models. Specialist models, with their limited prompts and task-specific designs, experience high latency because the image must be recomputed every time the prompt is updated, due to the joint encoding of image and visual prompts. Generalist models, exemplified by the Segment Anything Model (SAM), have recently excelled in prompt diversity and efficiency, lifting image segmentation to the foundation model era. However, for high-quality segmentations, SAM still lags behind state-of-the-art specialist models despite SAM being trained with x100 more segmentation masks. In this work, we delve deep into the architectural differences between the two types of models. We observe that dense representation and fusion of visual prompts are the key design choices contributing to the high segmentation quality of specialist models. In light of this, we reintroduce this dense design into the generalist models, to facilitate the development of generalist models with high segmentation quality. To densely represent diverse visual prompts, we propose to use a dense map to capture five types: clicks, boxes, polygons, scribbles, and masks. Thus, we propose SegNext, a next-generation interactive segmentation approach offering low latency, high quality, and diverse prompt support. Our method outperforms current state-of-the-art methods on HQSeg-44K and DAVIS, both quantitatively and qualitatively.

Foundation models like the Segment Anything Model (SAM) have significantly advanced promptable image segmentation in computer vision. However, extending these capabilities to videos presents substantial challenges, particularly in ensuring precise and temporally consistent mask propagation in dynamic scenes. SAM 2 attempts to address this by training a model on massive image and video data from scratch to learn complex spatiotemporal associations, resulting in huge training costs that hinder research and practical deployment. In this paper, we introduce SAM-I2V, an effective image-to-video upgradation method for cultivating a promptable video segmentation (PVS) model. Our approach strategically upgrades the pre-trained SAM to support PVS, significantly reducing training complexity and resource requirements. To achieve this, we introduce three key innovations: (i) an image-to-video feature extraction upgrader built upon SAM's static image encoder to enable spatiotemporal video perception, (ii) a memory filtering strategy that selects the most relevant past frames for more effective utilization of historical information, and (iii) a memory-as-prompt mechanism leveraging object memory to ensure temporally consistent mask propagation in dynamic scenes. Comprehensive experiments demonstrate that our method achieves over 90% of SAM 2's performance while using only 0.2% of its training cost. Our work presents a resource-efficient pathway to PVS, lowering barriers for further research in PVS model design and enabling broader applications and advancements in the field. Code and model are available at: https://github.com/showlab/SAM-I2V.

Segmenting and recognizing diverse object parts is crucial in computer vision and robotics. Despite significant progress in object segmentation, part-level segmentation remains underexplored due to complex boundaries and scarce annotated data. To address this, we propose a novel Weakly-supervised Part Segmentation (WPS) setting and an approach called WPS-SAM, built on the large-scale pre-trained vision foundation model, Segment Anything Model (SAM). WPS-SAM is an end-to-end framework designed to extract prompt tokens directly from images and perform pixel-level segmentation of part regions. During its training phase, it only uses weakly supervised labels in the form of bounding boxes or points. Extensive experiments demonstrate that, through exploiting the rich knowledge embedded in pre-trained foundation models, WPS-SAM outperforms other segmentation models trained with pixel-level strong annotations. Specifically, WPS-SAM achieves 68.93% mIOU and 79.53% mACC on the PartImageNet dataset, surpassing state-of-the-art fully supervised methods by approximately 4% in terms of mIOU.

This paper investigates the fundamental discontinuity between the latest two Segment Anything Models: SAM2 and SAM3. We explain why the expertise in prompt-based segmentation of SAM2 does not transfer to the multimodal concept-driven paradigm of SAM3. SAM2 operates through spatial prompts points, boxes, and masks yielding purely geometric and temporal segmentation. In contrast, SAM3 introduces a unified vision-language architecture capable of open-vocabulary reasoning, semantic grounding, contrastive alignment, and exemplar-based concept understanding. We structure this analysis through five core components: (1) a Conceptual Break Between Prompt-Based and Concept-Based Segmentation, contrasting spatial prompt semantics of SAM2 with multimodal fusion and text-conditioned mask generation of SAM3; (2) Architectural Divergence, detailing pure vision-temporal design of SAM2 versus integration of vision-language encoders, geometry and exemplar encoders, fusion modules, DETR-style decoders, object queries, and ambiguity-handling via Mixture-of-Experts in SAM3; (3) Dataset and Annotation Differences, contrasting SA-V video masks with multimodal concept-annotated corpora of SAM3; (4) Training and Hyperparameter Distinctions, showing why SAM2 optimization knowledge does not apply to SAM3; and (5) Evaluation, Metrics, and Failure Modes, outlining the transition from geometric IoU metrics to semantic, open-vocabulary evaluation. Together, these analyses establish SAM3 as a new class of segmentation foundation model and chart future directions for the emerging concept-driven segmentation era.

Leveraging vast training data (SA-1B), the foundation Segment Anything Model (SAM) proposed by Meta AI Research exhibits remarkable generalization and zero-shot capabilities. Nonetheless, as a category-agnostic instance segmentation method, SAM heavily depends on prior manual guidance involving points, boxes, and coarse-grained masks. Additionally, its performance on remote sensing image segmentation tasks has yet to be fully explored and demonstrated. In this paper, we consider designing an automated instance segmentation approach for remote sensing images based on the SAM foundation model, incorporating semantic category information. Inspired by prompt learning, we propose a method to learn the generation of appropriate prompts for SAM input. This enables SAM to produce semantically discernible segmentation results for remote sensing images, which we refer to as RSPrompter. We also suggest several ongoing derivatives for instance segmentation tasks, based on recent developments in the SAM community, and compare their performance with RSPrompter. Extensive experimental results on the WHU building, NWPU VHR-10, and SSDD datasets validate the efficacy of our proposed method. Our code is accessible at https://kyanchen.github.io/RSPrompter.

The Segment Anything Model (SAM) has revolutionized interactive segmentation through spatial prompting. While existing work primarily focuses on automating prompts in various settings, real-world annotation workflows involve iterative refinement where annotators observe model outputs and strategically place prompts to resolve ambiguities. Current pipelines typically rely on the annotator's visual assessment of the predicted mask quality. We postulate that a principled approach for automated interactive prompting is to use a model-derived criterion to identify the most informative region for the next prompt. In this work, we establish active prompting: a spatial active learning approach where locations within images constitute an unlabeled pool and prompts serve as queries to prioritize information-rich regions, increasing the utility of each interaction. We further present BALD-SAM: a principled framework adapting Bayesian Active Learning by Disagreement (BALD) to spatial prompt selection by quantifying epistemic uncertainty. To do so, we freeze the entire model and apply Bayesian uncertainty modeling only to a small learned prediction head, making intractable uncertainty estimation practical for large multi-million parameter foundation models. Across 16 datasets spanning natural, medical, underwater, and seismic domains, BALD-SAM demonstrates strong cross-domain performance, ranking first or second on 14 of 16 benchmarks. We validate these gains through a comprehensive ablation suite covering 3 SAM backbones and 35 Laplace posterior configurations, amounting to 38 distinct ablation settings. Beyond strong average performance, BALD-SAM surpasses human prompting and, in several categories, even oracle prompting, while consistently outperforming one-shot baselines in final segmentation quality, particularly on thin and structurally complex objects.

End-to-end medical image segmentation is of great value for computer-aided diagnosis dominated by task-specific models, usually suffering from poor generalization. With recent breakthroughs brought by the segment anything model (SAM) for universal image segmentation, extensive efforts have been made to adapt SAM for medical imaging but still encounter two major issues: 1) severe performance degradation and limited generalization without proper adaptation, and 2) semi-automatic segmentation relying on accurate manual prompts for interaction. In this work, we propose SAMUS as a universal model tailored for ultrasound image segmentation and further enable it to work in an end-to-end manner denoted as AutoSAMUS. Specifically, in SAMUS, a parallel CNN branch is introduced to supplement local information through cross-branch attention, and a feature adapter and a position adapter are jointly used to adapt SAM from natural to ultrasound domains while reducing training complexity. AutoSAMUS is realized by introducing an auto prompt generator (APG) to replace the manual prompt encoder of SAMUS to automatically generate prompt embeddings. A comprehensive ultrasound dataset, comprising about 30k images and 69k masks and covering six object categories, is collected for verification. Extensive comparison experiments demonstrate the superiority of SAMUS and AutoSAMUS against the state-of-the-art task-specific and SAM-based foundation models. We believe the auto-prompted SAM-based model has the potential to become a new paradigm for end-to-end medical image segmentation and deserves more exploration. Code and data are available at https://github.com/xianlin7/SAMUS.

The emergence of large models, also known as foundation models, has brought significant advancements to AI research. One such model is Segment Anything (SAM), which is designed for image segmentation tasks. However, as with other foundation models, our experimental findings suggest that SAM may fail or perform poorly in certain segmentation tasks, such as shadow detection and camouflaged object detection (concealed object detection). This study first paves the way for applying the large pre-trained image segmentation model SAM to these downstream tasks, even in situations where SAM performs poorly. Rather than fine-tuning the SAM network, we propose SAM-Adapter, which incorporates domain-specific information or visual prompts into the segmentation network by using simple yet effective adapters. By integrating task-specific knowledge with general knowledge learnt by the large model, SAM-Adapter can significantly elevate the performance of SAM in challenging tasks as shown in extensive experiments. We can even outperform task-specific network models and achieve state-of-the-art performance in the task we tested: camouflaged object detection, shadow detection. We also tested polyp segmentation (medical image segmentation) and achieves better results. We believe our work opens up opportunities for utilizing SAM in downstream tasks, with potential applications in various fields, including medical image processing, agriculture, remote sensing, and more.

Due to the inherent flexibility of prompting, foundation models have emerged as the predominant force in the fields of natural language processing and computer vision. The recent introduction of the Segment Anything Model (SAM) signifies a noteworthy expansion of the prompt-driven paradigm into the domain of image segmentation, thereby introducing a plethora of previously unexplored capabilities. However, the viability of its application to medical image segmentation remains uncertain, given the substantial distinctions between natural and medical images. In this work, we provide a comprehensive overview of recent endeavors aimed at extending the efficacy of SAM to medical image segmentation tasks, encompassing both empirical benchmarking and methodological adaptations. Additionally, we explore potential avenues for future research directions in SAM's role within medical image segmentation. While direct application of SAM to medical image segmentation does not yield satisfactory performance on multi-modal and multi-target medical datasets so far, numerous insights gleaned from these efforts serve as valuable guidance for shaping the trajectory of foundational models in the realm of medical image analysis. To support ongoing research endeavors, we maintain an active repository that contains an up-to-date paper list and a succinct summary of open-source projects at https://github.com/YichiZhang98/SAM4MIS.

Conventional few-shot medical image segmentation (FSMIS) approaches face performance bottlenecks that hinder broader clinical applicability. Although the Segment Anything Model (SAM) exhibits strong category-agnostic segmentation capabilities, its direct application to medical images often leads to over-segmentation due to ambiguous anatomical boundaries. In this paper, we reformulate SAM-based FSMIS as a prompt localization task and propose FoB (Focus on Background), a background-centric prompt generator that provides accurate background prompts to constrain SAM's over-segmentation. Specifically, FoB bridges the gap between segmentation and prompt localization by category-agnostic generation of support background prompts and localizing them directly in the query image. To address the challenge of prompt localization for novel categories, FoB models rich contextual information to capture foreground-background spatial dependencies. Moreover, inspired by the inherent structural patterns of background prompts in medical images, FoB models this structure as a constraint to progressively refine background prompt predictions. Experiments on three diverse medical image datasets demonstrate that FoB outperforms other baselines by large margins, achieving state-of-the-art performance on FSMIS, and exhibiting strong cross-domain generalization. Our code is available at https://github.com/primebo1/FoB_SAM.

Segment Anything Model 2 (SAM2) has emerged as a strong base model in various pinhole imaging segmentation tasks. However, when applying it to 360^circ domain, the significant field-of-view (FoV) gap between pinhole (70^circ times 70^circ) and panoramic images (180^circ times 360^circ) poses unique challenges. Two major concerns for this application includes 1) inevitable distortion and object deformation brought by the large FoV disparity between domains; 2) the lack of pixel-level semantic understanding that the original SAM2 cannot provide. To address these issues, we propose a novel OmniSAM framework, which makes the first attempt to apply SAM2 for panoramic semantic segmentation. Specifically, to bridge the first gap, OmniSAM first divides the panorama into sequences of patches. These patches are then treated as image sequences in similar manners as in video segmentation tasks. We then leverage the SAM2's memory mechanism to extract cross-patch correspondences that embeds the cross-FoV dependencies, improving feature continuity and the prediction consistency along mask boundaries. For the second gap, OmniSAM fine-tunes the pretrained image encoder and reutilize the mask decoder for semantic prediction. An FoV-based prototypical adaptation module with dynamic pseudo label update mechanism is also introduced to facilitate the alignment of memory and backbone features, thereby improving model generalization ability across different sizes of source models. Extensive experimental results demonstrate that OmniSAM outperforms the state-of-the-art methods by large margins, e.g., 79.06% (+10.22%) on SPin8-to-SPan8, 62.46% (+6.58%) on CS13-to-DP13.

Few-shot segmentation aims to segment unseen object categories from just a handful of annotated examples. This requires mechanisms that can both identify semantically related objects across images and accurately produce segmentation masks. We note that Segment Anything 2 (SAM2), with its prompt-and-propagate mechanism, offers both strong segmentation capabilities and a built-in feature matching process. However, we show that its representations are entangled with task-specific cues optimized for object tracking, which impairs its use for tasks requiring higher level semantic understanding. Our key insight is that, despite its class-agnostic pretraining, SAM2 already encodes rich semantic structure in its features. We propose SANSA (Semantically AligNed Segment Anything 2), a framework that makes this latent structure explicit, and repurposes SAM2 for few-shot segmentation through minimal task-specific modifications. SANSA achieves state-of-the-art performance on few-shot segmentation benchmarks specifically designed to assess generalization, outperforms generalist methods in the popular in-context setting, supports various prompts flexible interaction via points, boxes, or scribbles, and remains significantly faster and more compact than prior approaches. Code is available at https://github.com/ClaudiaCuttano/SANSA.

Segment Anything Model (SAM) is a foundation model for interactive segmentation, and it has catalyzed major advances in generative AI, computational photography, and medical imaging. This model takes in an arbitrary user input and provides segmentation masks of the corresponding objects. It is our goal to develop a version of SAM that is appropriate for use in a photography app. The original SAM model has a few challenges in this setting. First, original SAM a 600 million parameter based on ViT-H, and its high computational cost and large model size that are not suitable for todays mobile hardware. We address this by proposing the SqueezeSAM model architecture, which is 50x faster and 100x smaller than SAM. Next, when a user takes a photo on their phone, it might not occur to them to click on the image and get a mask. Our solution is to use salient object detection to generate the first few clicks. This produces an initial segmentation mask that the user can interactively edit. Finally, when a user clicks on an object, they typically expect all related pieces of the object to be segmented. For instance, if a user clicks on a person t-shirt in a photo, they expect the whole person to be segmented, but SAM typically segments just the t-shirt. We address this with a new data augmentation scheme, and the end result is that if the user clicks on a person holding a basketball, the person and the basketball are all segmented together.

Medical image segmentation involves partitioning medical images into meaningful regions, with a focus on identifying anatomical structures and lesions. It has broad applications in healthcare, and deep learning methods have enabled significant advancements in automating this process. Recently, the introduction of the Segmentation Anything Model (SAM), the first foundation model for segmentation task, has prompted researchers to adapt it for the medical domain to improve performance across various tasks. However, SAM's large model size and high GPU requirements hinder its scalability and development in the medical domain. In this work, we propose MCP-MedSAM, a powerful and lightweight medical SAM model designed to be trainable on a single A100 GPU with 40GB of memory within one day while delivering superior segmentation performance. Recognizing the significant internal differences between modalities and the need for direct segmentation target information within bounding boxes, we introduce two kinds of prompts: the modality prompt and the content prompt. After passing through the prompt encoder, their embedding representations can further improve the segmentation performance by incorporating more relevant information without adding significant training overhead. Additionally, we adopt an effective modality-based data sampling strategy to address data imbalance between modalities, ensuring more balanced performance across all modalities. Our method was trained and evaluated using a large-scale challenge dataset, compared to top-ranking methods on the challenge leaderboard, MCP-MedSAM achieved superior performance while requiring only one day of training on a single GPU. The code is publicly available at blue{https://github.com/dong845/MCP-MedSAM}.}

The development of 2D foundation models for image segmentation has been significantly advanced by the Segment Anything Model (SAM). However, achieving similar success in 3D models remains a challenge due to issues such as non-unified data formats, lightweight models, and the scarcity of labeled data with diverse masks. To this end, we propose a 3D promptable segmentation model (Point-SAM) focusing on point clouds. Our approach utilizes a transformer-based method, extending SAM to the 3D domain. We leverage part-level and object-level annotations and introduce a data engine to generate pseudo labels from SAM, thereby distilling 2D knowledge into our 3D model. Our model outperforms state-of-the-art models on several indoor and outdoor benchmarks and demonstrates a variety of applications, such as 3D annotation. Codes and demo can be found at https://github.com/zyc00/Point-SAM.

Transforming foundation segmentation models from human-prompted tools into auto-promptable annotators is critical for scalable medical data annotation. Current methods commonly depend on external feature matchers or auxiliary networks to automate geometric prompting, but introducing architectural overhead and limiting performance scalability. Although SAM3 natively supports concept segmentation via reusable text prompts, its direct use in medical imaging is hindered by a lack of fine-grained clinical knowledge and the ambiguity of human-written descriptions. In this work, we propose Mask to Concept (M2C), an efficient framework that adapts SAM3 for medical few-shot annotation without external modules, parameter retraining, or manual text engineering. Using only a few labeled images, M2C enables SAM3 to automatically search for transferable visual concepts entirely within its frozen architecture: it initializes a learnable concept embedding, uses it to prompt segmentation, and updates the embedding by gradients of minimizing the concept segmentation error. We further introduce a Hybrid Uncertainty Estimation (HUE) module that calculates the prediction entropy and maps concept predictions back to the box prompts, measuring concept-geometry prompting inconsistency. Highly uncertain samples are flagged actively for human correction, and the corrected masks are then fed back to M2C to continuously search for more precise concept embeddings, forming a self-enhancing annotation loop with minimal expert effort. Experiments on medical segmentation benchmarks show that our method achieves SOTA few-shot segmentation performance and outstanding annotation efficiency, offering a practical and efficient pathway toward scalable medical image labeling. Codes are at https://github.com/Huster-Hq/M2C.

The performance of image segmentation models has historically been constrained by the high cost of collecting large-scale annotated data. The Segment Anything Model (SAM) alleviates this original problem through a promptable, semantics-agnostic, segmentation paradigm and yet still requires manual visual-prompts or complex domain-dependent prompt-generation rules to process a new image. Towards reducing this new burden, our work investigates the task of object segmentation when provided with, alternatively, only a small set of reference images. Our key insight is to leverage strong semantic priors, as learned by foundation models, to identify corresponding regions between a reference and a target image. We find that correspondences enable automatic generation of instance-level segmentation masks for downstream tasks and instantiate our ideas via a multi-stage, training-free method incorporating (1) memory bank construction; (2) representation aggregation and (3) semantic-aware feature matching. Our experiments show significant improvements on segmentation metrics, leading to state-of-the-art performance on COCO FSOD (36.8% nAP), PASCAL VOC Few-Shot (71.2% nAP50) and outperforming existing training-free approaches on the Cross-Domain FSOD benchmark (22.4% nAP).

Recent advances in medical image segmentation have been driven by deep learning; however, most existing methods remain limited by modality-specific designs and exhibit poor adaptability to dynamic medical imaging scenarios. The Segment Anything Model 2 (SAM2) and its related variants, which introduce a streaming memory mechanism for real-time video segmentation, present new opportunities for prompt-based, generalizable solutions. Nevertheless, adapting these models to medical video scenarios typically requires large-scale datasets for retraining or transfer learning, leading to high computational costs and the risk of catastrophic forgetting. To address these challenges, we propose DD-SAM2, an efficient adaptation framework for SAM2 that incorporates a Depthwise-Dilated Adapter (DD-Adapter) to enhance multi-scale feature extraction with minimal parameter overhead. This design enables effective fine-tuning of SAM2 on medical videos with limited training data. Unlike existing adapter-based methods focused solely on static images, DD-SAM2 fully exploits SAM2's streaming memory for medical video object tracking and segmentation. Comprehensive evaluations on TrackRad2025 (tumor segmentation) and EchoNet-Dynamic (left ventricle tracking) datasets demonstrate superior performance, achieving Dice scores of 0.93 and 0.97, respectively. To the best of our knowledge, this work provides an initial attempt at systematically exploring adapter-based SAM2 fine-tuning for medical video segmentation and tracking. Code, datasets, and models will be publicly available at https://github.com/apple1986/DD-SAM2.

Promptable segmentation foundation models such as SAM3 have demonstrated strong generalization capabilities through interactive and concept-based prompting. However, their direct applicability to medical image segmentation remains limited by severe domain shifts, the absence of privileged spatial prompts, and the need to reason over complex anatomical and volumetric structures. Here we present Medical SAM3, a foundation model for universal prompt-driven medical image segmentation, obtained by fully fine-tuning SAM3 on large-scale, heterogeneous 2D and 3D medical imaging datasets with paired segmentation masks and text prompts. Through a systematic analysis of vanilla SAM3, we observe that its performance degrades substantially on medical data, with its apparent competitiveness largely relying on strong geometric priors such as ground-truth-derived bounding boxes. These findings motivate full model adaptation beyond prompt engineering alone. By fine-tuning SAM3's model parameters on 33 datasets spanning 10 medical imaging modalities, Medical SAM3 acquires robust domain-specific representations while preserving prompt-driven flexibility. Extensive experiments across organs, imaging modalities, and dimensionalities demonstrate consistent and significant performance gains, particularly in challenging scenarios characterized by semantic ambiguity, complex morphology, and long-range 3D context. Our results establish Medical SAM3 as a universal, text-guided segmentation foundation model for medical imaging and highlight the importance of holistic model adaptation for achieving robust prompt-driven segmentation under severe domain shift. Code and model will be made available at https://github.com/AIM-Research-Lab/Medical-SAM3.

Promptable segmentation models such as SAM have established a powerful paradigm, enabling strong generalization to unseen objects and domains with minimal user input, including points, bounding boxes, and text prompts. Among these, bounding boxes stand out as particularly effective, often outperforming points while significantly reducing annotation costs. However, current training and evaluation protocols typically rely on synthetic prompts generated through simple heuristics, offering limited insight into real-world robustness. In this paper, we investigate the robustness of promptable segmentation models to natural variations in bounding box prompts. First, we conduct a controlled user study and collect thousands of real bounding box annotations. Our analysis reveals substantial variability in segmentation quality across users for the same model and instance, indicating that SAM-like models are highly sensitive to natural prompt noise. Then, since exhaustive testing of all possible user inputs is computationally prohibitive, we reformulate robustness evaluation as a white-box optimization problem over the bounding box prompt space. We introduce BREPS, a method for generating adversarial bounding boxes that minimize or maximize segmentation error while adhering to naturalness constraints. Finally, we benchmark state-of-the-art models across 10 datasets, spanning everyday scenes to medical imaging. Code - https://github.com/emb-ai/BREPS.

The Segment Anything Model 2 (SAM 2) has emerged as a powerful foundation model for object segmentation in both images and videos, paving the way for various downstream video applications. The crucial design of SAM 2 for video segmentation is its memory module, which prompts object-aware memories from previous frames for current frame prediction. However, its greedy-selection memory design suffers from the "error accumulation" problem, where an errored or missed mask will cascade and influence the segmentation of the subsequent frames, which limits the performance of SAM 2 toward complex long-term videos. To this end, we introduce SAM2Long, an improved training-free video object segmentation strategy, which considers the segmentation uncertainty within each frame and chooses the video-level optimal results from multiple segmentation pathways in a constrained tree search manner. In practice, we maintain a fixed number of segmentation pathways throughout the video. For each frame, multiple masks are proposed based on the existing pathways, creating various candidate branches. We then select the same fixed number of branches with higher cumulative scores as the new pathways for the next frame. After processing the final frame, the pathway with the highest cumulative score is chosen as the final segmentation result. Benefiting from its heuristic search design, SAM2Long is robust toward occlusions and object reappearances, and can effectively segment and track objects for complex long-term videos. Notably, SAM2Long achieves an average improvement of 3.0 points across all 24 head-to-head comparisons, with gains of up to 5.3 points in J&F on long-term video object segmentation benchmarks such as SA-V and LVOS. The code is released at https://github.com/Mark12Ding/SAM2Long.

The remarkable capabilities of the Segment Anything Model (SAM) for tackling image segmentation tasks in an intuitive and interactive manner has sparked interest in the design of effective visual prompts. Such interest has led to the creation of automated point prompt selection strategies, typically motivated from a feature extraction perspective. However, there is still very little understanding of how appropriate these automated visual prompting strategies are, particularly when compared to humans, across diverse image domains. Additionally, the performance benefits of including such automated visual prompting strategies within the finetuning process of SAM also remains unexplored, as does the effect of interpretable factors like distance between the prompt points on segmentation performance. To bridge these gaps, we leverage a recently released visual prompting dataset, PointPrompt, and introduce a number of benchmarking tasks that provide an array of opportunities to improve the understanding of the way human prompts differ from automated ones and what underlying factors make for effective visual prompts. We demonstrate that the resulting segmentation scores obtained by humans are approximately 29% higher than those given by automated strategies and identify potential features that are indicative of prompting performance with R^2 scores over 0.5. Additionally, we demonstrate that performance when using automated methods can be improved by up to 68% via a finetuning approach. Overall, our experiments not only showcase the existing gap between human prompts and automated methods, but also highlight potential avenues through which this gap can be leveraged to improve effective visual prompt design. Further details along with the dataset links and codes are available at https://github.com/olivesgatech/PointPrompt

Open-vocabulary semantic segmentation aims to assign semantic labels to each pixel without being constrained by a predefined set of categories. While Contrastive Language-Image Pre-training (CLIP) excels in zero-shot classification, it struggles to align image patches with category embeddings because of its incoherent patch correlations. This study reveals that inter-class correlations are the main reason for impairing CLIP's segmentation performance. Accordingly, we propose CorrCLIP, which reconstructs the scope and value of patch correlations. Specifically, CorrCLIP leverages the Segment Anything Model (SAM) to define the scope of patch interactions, reducing inter-class correlations. To mitigate the problem that SAM-generated masks may contain patches belonging to different classes, CorrCLIP incorporates self-supervised models to compute coherent similarity values, suppressing the weight of inter-class correlations. Additionally, we introduce two additional branches to strengthen patch features' spatial details and semantic representation. Finally, we update segmentation maps with SAM-generated masks to improve spatial consistency. Based on the improvement across patch correlations, feature representations, and segmentation maps, CorrCLIP achieves superior performance across eight benchmarks. Codes are available at: https://github.com/zdk258/CorrCLIP.

The primary challenge of cross-domain few-shot segmentation (CD-FSS) is the domain disparity between the training and inference phases, which can exist in either the input data or the target classes. Previous models struggle to learn feature representations that generalize to various unknown domains from limited training domain samples. In contrast, the large-scale visual model SAM, pre-trained on tens of millions of images from various domains and classes, possesses excellent generalizability. In this work, we propose a SAM-aware graph prompt reasoning network (GPRN) that fully leverages SAM to guide CD-FSS feature representation learning and improve prediction accuracy. Specifically, we propose a SAM-aware prompt initialization module (SPI) to transform the masks generated by SAM into visual prompts enriched with high-level semantic information. Since SAM tends to divide an object into many sub-regions, this may lead to visual prompts representing the same semantic object having inconsistent or fragmented features. We further propose a graph prompt reasoning (GPR) module that constructs a graph among visual prompts to reason about their interrelationships and enable each visual prompt to aggregate information from similar prompts, thus achieving global semantic consistency. Subsequently, each visual prompt embeds its semantic information into the corresponding mask region to assist in feature representation learning. To refine the segmentation mask during testing, we also design a non-parameter adaptive point selection module (APS) to select representative point prompts from query predictions and feed them back to SAM to refine inaccurate segmentation results. Experiments on four standard CD-FSS datasets demonstrate that our method establishes new state-of-the-art results. Code: https://github.com/CVL-hub/GPRN.

We present SAM4EM, a novel approach for 3D segmentation of complex neural structures in electron microscopy (EM) data by leveraging the Segment Anything Model (SAM) alongside advanced fine-tuning strategies. Our contributions include the development of a prompt-free adapter for SAM using two stage mask decoding to automatically generate prompt embeddings, a dual-stage fine-tuning method based on Low-Rank Adaptation (LoRA) for enhancing segmentation with limited annotated data, and a 3D memory attention mechanism to ensure segmentation consistency across 3D stacks. We further release a unique benchmark dataset for the segmentation of astrocytic processes and synapses. We evaluated our method on challenging neuroscience segmentation benchmarks, specifically targeting mitochondria, glia, and synapses, with significant accuracy improvements over state-of-the-art (SOTA) methods, including recent SAM-based adapters developed for the medical domain and other vision transformer-based approaches. Experimental results indicate that our approach outperforms existing solutions in the segmentation of complex processes like glia and post-synaptic densities. Our code and models are available at https://github.com/Uzshah/SAM4EM.

With the proposal of the Segment Anything Model (SAM), fine-tuning SAM for medical image segmentation (MIS) has become popular. However, due to the large size of the SAM model and the significant domain gap between natural and medical images, fine-tuning-based strategies are costly with potential risk of instability, feature damage and catastrophic forgetting. Furthermore, some methods of transferring SAM to a domain-specific MIS through fine-tuning strategies disable the model's prompting capability, severely limiting its utilization scenarios. In this paper, we propose an Auto-Prompting Module (APM), which provides SAM-based foundation model with Euclidean adaptive prompts in the target domain. Our experiments demonstrate that such adaptive prompts significantly improve SAM's non-fine-tuned performance in MIS. In addition, we propose a novel non-invasive method called Incremental Pattern Shifting (IPS) to adapt SAM to specific medical domains. Experimental results show that the IPS enables SAM to achieve state-of-the-art or competitive performance in MIS without the need for fine-tuning. By coupling these two methods, we propose ProMISe, an end-to-end non-fine-tuned framework for Promptable Medical Image Segmentation. Our experiments demonstrate that both using our methods individually or in combination achieves satisfactory performance in low-cost pattern shifting, with all of SAM's parameters frozen.

Video camouflaged object segmentation (VCOS), aiming at segmenting camouflaged objects that seamlessly blend into their environment, is a fundamental vision task with various real-world applications. With the release of SAM2, video segmentation has witnessed significant progress. However, SAM2's capability of segmenting camouflaged videos is suboptimal, especially when given simple prompts such as point and box. To address the problem, we propose Camouflaged SAM2 (CamSAM2), which enhances SAM2's ability to handle camouflaged scenes without modifying SAM2's parameters. Specifically, we introduce a decamouflaged token to provide the flexibility of feature adjustment for VCOS. To make full use of fine-grained and high-resolution features from the current frame and previous frames, we propose implicit object-aware fusion (IOF) and explicit object-aware fusion (EOF) modules, respectively. Object prototype generation (OPG) is introduced to abstract and memorize object prototypes with informative details using high-quality features from previous frames. Extensive experiments are conducted to validate the effectiveness of our approach. While CamSAM2 only adds negligible learnable parameters to SAM2, it substantially outperforms SAM2 on three VCOS datasets, especially achieving 12.2 mDice gains with click prompt on MoCA-Mask and 19.6 mDice gains with mask prompt on SUN-SEG-Hard, with Hiera-T as the backbone. The code will be available at https://github.com/zhoustan/CamSAM2.

Few-shot semantic segmentation has recently attracted great attention. The goal is to develop a model capable of segmenting unseen classes using only a few annotated samples. Most existing approaches adapt a pre-trained model by training from scratch an additional module. Achieving optimal performance with these approaches requires extensive training on large-scale datasets. The Segment Anything Model 2 (SAM2) is a foundational model for zero-shot image and video segmentation with a modular design. In this paper, we propose a Few-Shot segmentation method based on SAM2 (FS-SAM2), where SAM2's video capabilities are directly repurposed for the few-shot task. Moreover, we apply a Low-Rank Adaptation (LoRA) to the original modules in order to handle the diverse images typically found in standard datasets, unlike the temporally connected frames used in SAM2's pre-training. With this approach, only a small number of parameters is meta-trained, which effectively adapts SAM2 while benefiting from its impressive segmentation performance. Our method supports any K-shot configuration. We evaluate FS-SAM2 on the PASCAL-5^i, COCO-20^i and FSS-1000 datasets, achieving remarkable results and demonstrating excellent computational efficiency during inference. Code is available at https://github.com/fornib/FS-SAM2

Segment Anything Model 2 (SAM2) exhibits strong generalisation for promptable segmentation in video clips; however, its integration with the audio modality remains underexplored. Existing approaches either convert audio into visual prompts (e.g., boxes) via foundation models, or inject adapters into the image encoder for audio-visual fusion. Yet both directions fall short in human-in-the-loop scenarios due to limited prompt accuracy and increased inference overhead. In particular, these adapter-based methods often suffer from audio prompt dilution, where the signal gradually weakens as it propagates through the network. In this work, we propose AuralSAM2, which integrates audio into SAM2 while largely preserving its promptable segmentation capability. Its core module, AuralFuser, fuses audio and visual features to generate sparse and dense prompts. Guided by audio and built upon SAM2's feature pyramid, these prompts propagate auditory cues across visual layers, reinforcing cross-modal influence. To further align modalities, we introduce an audio-guided contrastive loss that emphasises auditory relevance in dominant visual features. Our method achieves notable accuracy gains on public benchmarks with only minimal impact on the interactive efficiency of promptable segmentation. Our code is available at https://github.com/yyliu01/AuralSAM2.

Leveraging pre-trained models with tailored prompts for in-context learning has proven highly effective in NLP tasks. Building on this success, recent studies have applied a similar approach to the Segment Anything Model (SAM) within a ``one-shot" framework, where only a single reference image and its label are employed. However, these methods face limitations in the medical domain, primarily due to SAM's essential requirement for visual prompts and the over-reliance on pixel similarity for generating them. This dependency may lead to (1) inaccurate prompt generation and (2) clustering of point prompts, resulting in suboptimal outcomes. To address these challenges, we introduce Med-PerSAM, a novel and straightforward one-shot framework designed for the medical domain. Med-PerSAM uses only visual prompt engineering and eliminates the need for additional training of the pretrained SAM or human intervention, owing to our novel automated prompt generation process. By integrating our lightweight warping-based prompt tuning model with SAM, we enable the extraction and iterative refinement of visual prompts, enhancing the performance of the pre-trained SAM. This advancement is particularly meaningful in the medical domain, where creating visual prompts poses notable challenges for individuals lacking medical expertise. Our model outperforms various foundational models and previous SAM-based approaches across diverse 2D medical imaging datasets.

Surgical video segmentation is crucial for computer-assisted surgery, enabling precise localization and tracking of instruments and tissues. Interactive Video Object Segmentation (iVOS) models such as Segment Anything Model 2 (SAM2) provide prompt-based flexibility beyond methods with predefined categories, but face challenges in surgical scenarios due to the domain gap and limited long-term tracking. To address these limitations, we construct SA-SV, the largest surgical iVOS benchmark with instance-level spatio-temporal annotations (masklets) spanning eight procedure types (61k frames, 1.6k masklets), enabling comprehensive development and evaluation for long-term tracking and zero-shot generalization. Building on SA-SV, we propose SAM2S, a foundation model enhancing SAM2 for Surgical iVOS through: (1) DiveMem, a trainable diverse memory mechanism for robust long-term tracking; (2) temporal semantic learning for instrument understanding; and (3) ambiguity-resilient learning to mitigate annotation inconsistencies across multi-source datasets. Extensive experiments demonstrate that fine-tuning on SA-SV enables substantial performance gains, with SAM2 improving by 12.99 average J\&F over vanilla SAM2. SAM2S further advances performance to 80.42 average J\&F, surpassing vanilla and fine-tuned SAM2 by 17.10 and 4.11 points respectively, while maintaining 68 FPS real-time inference and strong zero-shot generalization. Code and dataset will be released at https://jinlab-imvr.github.io/SAM2S.

Medical image segmentation and video object segmentation are essential for diagnosing and analyzing diseases by identifying and measuring biological structures. Recent advances in natural domain have been driven by foundation models like the Segment Anything Model 2 (SAM 2). To explore the performance of SAM 2 in biomedical applications, we designed two evaluation pipelines for single-frame image segmentation and multi-frame video segmentation with varied prompt designs, revealing SAM 2's limitations in medical contexts. Consequently, we developed BioSAM 2, an enhanced foundation model optimized for biomedical data based on SAM 2. Our experiments show that BioSAM 2 not only surpasses the performance of existing state-of-the-art foundation models but also matches or even exceeds specialist models, demonstrating its efficacy and potential in the medical domain.

Multi-organ medical segmentation is a crucial component of medical image processing, essential for doctors to make accurate diagnoses and develop effective treatment plans. Despite significant progress in this field, current multi-organ segmentation models often suffer from inaccurate details, dependence on geometric prompts and loss of spatial information. Addressing these challenges, we introduce a novel model named CRISP-SAM2 with CRoss-modal Interaction and Semantic Prompting based on SAM2. This model represents a promising approach to multi-organ medical segmentation guided by textual descriptions of organs. Our method begins by converting visual and textual inputs into cross-modal contextualized semantics using a progressive cross-attention interaction mechanism. These semantics are then injected into the image encoder to enhance the detailed understanding of visual information. To eliminate reliance on geometric prompts, we use a semantic prompting strategy, replacing the original prompt encoder to sharpen the perception of challenging targets. In addition, a similarity-sorting self-updating strategy for memory and a mask-refining process is applied to further adapt to medical imaging and enhance localized details. Comparative experiments conducted on seven public datasets indicate that CRISP-SAM2 outperforms existing models. Extensive analysis also demonstrates the effectiveness of our method, thereby confirming its superior performance, especially in addressing the limitations mentioned earlier. Our code is available at: https://github.com/YU-deep/CRISP\_SAM2.git.

Interactive segmentation models such as the Segment Anything Model (SAM) have demonstrated remarkable generalization on natural images, but they perform suboptimally on remote sensing imagery (RSI) due to severe domain shifts and the scarcity of dense annotations. To address this limitation, we propose a point-supervised self-prompting framework that adapts SAM to RSI using only sparse point annotations. Our method employs a Refine-Requery-Reinforce loop, in which coarse pseudo-masks are generated from initial points (Refine), improved with self-constructed box prompts (Requery), and embeddings are aligned for Soft Semantic Alignment to mitigate error propagation. (Reinforce). Without relying on full-mask supervision, our approach progressively enhances SAM's segmentation quality and domain robustness through self-guided prompt adaptation. We evaluate our proposed method on three RSI benchmark datasets, WHU, HRSID, and NWPU VHR-10, showing that our method consistently surpasses pretrained SAM and recent point-supervised segmentation methods. Our results demonstrate that self-prompting and semantic alignment provide an efficient path towards scalable, point-level adaptation of foundation segmentation models for remote sensing applications.

Segmentation of anatomical structures and pathological regions in medical images is essential for modern clinical diagnosis, disease research, and treatment planning. While significant advancements have been made in deep learning-based segmentation techniques, many of these methods still suffer from limitations in data efficiency, generalizability, and interactivity. As a result, developing precise segmentation methods that require fewer labeled datasets remains a critical challenge in medical image analysis. Recently, the introduction of foundation models like CLIP and Segment-Anything-Model (SAM), with robust cross-domain representations, has paved the way for interactive and universal image segmentation. However, further exploration of these models for data-efficient segmentation in medical imaging is still needed and highly relevant. In this paper, we introduce MedCLIP-SAMv2, a novel framework that integrates the CLIP and SAM models to perform segmentation on clinical scans using text prompts, in both zero-shot and weakly supervised settings. Our approach includes fine-tuning the BiomedCLIP model with a new Decoupled Hard Negative Noise Contrastive Estimation (DHN-NCE) loss, and leveraging the Multi-modal Information Bottleneck (M2IB) to create visual prompts for generating segmentation masks from SAM in the zero-shot setting. We also investigate using zero-shot segmentation labels within a weakly supervised paradigm to enhance segmentation quality further. Extensive testing across four diverse segmentation tasks and medical imaging modalities (breast tumor ultrasound, brain tumor MRI, lung X-ray, and lung CT) demonstrates the high accuracy of our proposed framework. Our code is available at https://github.com/HealthX-Lab/MedCLIP-SAMv2.

The recent Segment Anything Model (SAM) represents a big leap in scaling up segmentation models, allowing for powerful zero-shot capabilities and flexible prompting. Despite being trained with 1.1 billion masks, SAM's mask prediction quality falls short in many cases, particularly when dealing with objects that have intricate structures. We propose HQ-SAM, equipping SAM with the ability to accurately segment any object, while maintaining SAM's original promptable design, efficiency, and zero-shot generalizability. Our careful design reuses and preserves the pre-trained model weights of SAM, while only introducing minimal additional parameters and computation. We design a learnable High-Quality Output Token, which is injected into SAM's mask decoder and is responsible for predicting the high-quality mask. Instead of only applying it on mask-decoder features, we first fuse them with early and final ViT features for improved mask details. To train our introduced learnable parameters, we compose a dataset of 44K fine-grained masks from several sources. HQ-SAM is only trained on the introduced detaset of 44k masks, which takes only 4 hours on 8 GPUs. We show the efficacy of HQ-SAM in a suite of 9 diverse segmentation datasets across different downstream tasks, where 7 out of them are evaluated in a zero-shot transfer protocol. Our code and models will be released at https://github.com/SysCV/SAM-HQ.

Accurate tongue segmentation is crucial for reliable TCM analysis. Supervised models require large annotated datasets, while SAM-family models remain prompt-driven. We present Memory-SAM, a training-free, human-prompt-free pipeline that automatically generates effective prompts from a small memory of prior cases via dense DINOv3 features and FAISS retrieval. Given a query image, mask-constrained correspondences to the retrieved exemplar are distilled into foreground/background point prompts that guide SAM2 without manual clicks or model fine-tuning. We evaluate on 600 expert-annotated images (300 controlled, 300 in-the-wild). On the mixed test split, Memory-SAM achieves mIoU 0.9863, surpassing FCN (0.8188) and a detector-to-box SAM baseline (0.1839). On controlled data, ceiling effects above 0.98 make small differences less meaningful given annotation variability, while our method shows clear gains under real-world conditions. Results indicate that retrieval-to-prompt enables data-efficient, robust segmentation of irregular boundaries in tongue imaging. The code is publicly available at https://github.com/jw-chae/memory-sam.

Camouflaged object detection (COD) approaches heavily rely on pixel-level annotated datasets. Weakly-supervised COD (WSCOD) approaches use sparse annotations like scribbles or points to reduce annotation effort, but this can lead to decreased accuracy. The Segment Anything Model (SAM) shows remarkable segmentation ability with sparse prompts like points. However, manual prompt is not always feasible, as it may not be accessible in real-world application. Additionally, it only provides localization information instead of semantic one, which can intrinsically cause ambiguity in interpreting the targets. In this work, we aim to eliminate the need for manual prompt. The key idea is to employ Cross-modal Chains of Thought Prompting (CCTP) to reason visual prompts using the semantic information given by a generic text prompt. To that end, we introduce a test-time adaptation per-instance mechanism called Generalizable SAM (GenSAM) to automatically enerate and optimize visual prompts the generic task prompt for WSCOD. In particular, CCTP maps a single generic text prompt onto image-specific consensus foreground and background heatmaps using vision-language models, acquiring reliable visual prompts. Moreover, to test-time adapt the visual prompts, we further propose Progressive Mask Generation (PMG) to iteratively reweight the input image, guiding the model to focus on the targets in a coarse-to-fine manner. Crucially, all network parameters are fixed, avoiding the need for additional training. Experiments demonstrate the superiority of GenSAM. Experiments on three benchmarks demonstrate that GenSAM outperforms point supervision approaches and achieves comparable results to scribble supervision ones, solely relying on general task descriptions as prompts. our codes is in: https://lwpyh.github.io/GenSAM/.

Driven by large-data pre-training, Segment Anything Model (SAM) has been demonstrated as a powerful and promptable framework, revolutionizing the segmentation models. Despite the generality, customizing SAM for specific visual concepts without man-powered prompting is under explored, e.g., automatically segmenting your pet dog in different images. In this paper, we propose a training-free Personalization approach for SAM, termed as PerSAM. Given only a single image with a reference mask, PerSAM first localizes the target concept by a location prior, and segments it within other images or videos via three techniques: target-guided attention, target-semantic prompting, and cascaded post-refinement. In this way, we effectively adapt SAM for private use without any training. To further alleviate the mask ambiguity, we present an efficient one-shot fine-tuning variant, PerSAM-F. Freezing the entire SAM, we introduce two learnable weights for multi-scale masks, only training 2 parameters within 10 seconds for improved performance. To demonstrate our efficacy, we construct a new segmentation dataset, PerSeg, for personalized evaluation, and test our methods on video object segmentation with competitive performance. Besides, our approach can also enhance DreamBooth to personalize Stable Diffusion for text-to-image generation, which discards the background disturbance for better target appearance learning. Code is released at https://github.com/ZrrSkywalker/Personalize-SAM

The interactive segmentation task consists in the creation of object segmentation masks based on user interactions. The most common way to guide a model towards producing a correct segmentation consists in clicks on the object and background. The recently published Segment Anything Model (SAM) supports a generalized version of the interactive segmentation problem and has been trained on an object segmentation dataset which contains 1.1B masks. Though being trained extensively and with the explicit purpose of serving as a foundation model, we show significant limitations of SAM when being applied for interactive segmentation on novel domains or object types. On the used datasets, SAM displays a failure rate FR_{30}@90 of up to 72.6 %. Since we still want such foundation models to be immediately applicable, we present a framework that can adapt SAM during immediate usage. For this we will leverage the user interactions and masks, which are constructed during the interactive segmentation process. We use this information to generate pseudo-labels, which we use to compute a loss function and optimize a part of the SAM model. The presented method causes a relative reduction of up to 48.1 % in the FR_{20}@85 and 46.6 % in the FR_{30}@90 metrics.

Precision medicine, such as patient-adaptive treatments assisted by medical image analysis, poses new challenges for segmentation algorithms in adapting to new patients, due to the large variability across different patients and the limited availability of annotated data for each patient. In this work, we propose a data-efficient segmentation algorithm, namely Part-aware Prompted Segment Anything Model (P^2SAM). Without any model fine-tuning, P^2SAM enables seamless adaptation to any new patients relying only on one-shot patient-specific data. We introduce a novel part-aware prompt mechanism to select multiple-point prompts based on the part-level features of the one-shot data, which can be extensively integrated into different promptable segmentation models, such as SAM and SAM 2. Moreover, to determine the optimal number of parts for each specific case, we propose a distribution-guided retrieval approach that further enhances the robustness of the part-aware prompt mechanism. P^2SAM improves the performance by +8.0% and +2.0% mean Dice score for two different patient-adaptive segmentation applications, respectively. In addition, P^2SAM also exhibits impressive generalizability in other adaptive segmentation tasks in the natural image domain, e.g., +6.4% mIoU within personalized object segmentation task. The code is available at: https://github.com/Zch0414/p2sam

Nucleus instance segmentation in histology images is crucial for a broad spectrum of clinical applications. Current dominant algorithms rely on regression of nuclear proxy maps. Distinguishing nucleus instances from the estimated maps requires carefully curated post-processing, which is error-prone and parameter-sensitive. Recently, the Segment Anything Model (SAM) has earned huge attention in medical image segmentation, owing to its impressive generalization ability and promptable property. Nevertheless, its potential on nucleus instance segmentation remains largely underexplored. In this paper, we present a novel prompt-driven framework that consists of a nucleus prompter and SAM for automatic nucleus instance segmentation. Specifically, the prompter learns to generate a unique point prompt for each nucleus while the SAM is fine-tuned to output the corresponding mask for the prompted nucleus. Furthermore, we propose the inclusion of adjacent nuclei as negative prompts to enhance the model's capability to identify overlapping nuclei. Without complicated post-processing, our proposed method sets a new state-of-the-art performance on three challenging benchmarks. Code is available at github.com/windygoo/PromptNucSeg

The Segment Anything Model (SAM) has achieved remarkable successes in the realm of natural image segmentation, but its deployment in the medical imaging sphere has encountered challenges. Specifically, the model struggles with medical images that feature low contrast, faint boundaries, intricate morphologies, and small-sized objects. To address these challenges and enhance SAM's performance in the medical domain, we introduce a comprehensive modification. Firstly, we incorporate a frozen Convolutional Neural Network (CNN) branch as an image encoder, which synergizes with SAM's original Vision Transformer (ViT) encoder through a novel variational attention fusion module. This integration bolsters the model's capability to capture local spatial information, which is often paramount in medical imagery. Moreover, to further optimize SAM for medical imaging, we introduce feature and position adapters within the ViT branch, refining the encoder's representations. We see that compared to current prompting strategies to fine-tune SAM for ultrasound medical segmentation, the use of text descriptions that serve as text prompts for SAM helps significantly improve the performance. Leveraging ChatGPT's natural language understanding capabilities, we generate prompts that offer contextual information and guidance to SAM, enabling it to better understand the nuances of ultrasound medical images and improve its segmentation accuracy. Our method, in its entirety, represents a significant stride towards making universal image segmentation models more adaptable and efficient in the medical domain.

Surgical video segmentation is a critical task in computer-assisted surgery and is vital for enhancing surgical quality and patient outcomes. Recently, the Segment Anything Model 2 (SAM2) framework has shown superior advancements in image and video segmentation. However, SAM2 struggles with efficiency due to the high computational demands of processing high-resolution images and complex and long-range temporal dynamics in surgical videos. To address these challenges, we introduce Surgical SAM 2 (SurgSAM-2), an advanced model to utilize SAM2 with an Efficient Frame Pruning (EFP) mechanism, to facilitate real-time surgical video segmentation. The EFP mechanism dynamically manages the memory bank by selectively retaining only the most informative frames, reducing memory usage and computational cost while maintaining high segmentation accuracy. Our extensive experiments demonstrate that SurgSAM-2 significantly improves both efficiency and segmentation accuracy compared to the vanilla SAM2. Remarkably, SurgSAM-2 achieves a 3times FPS compared with SAM2, while also delivering state-of-the-art performance after fine-tuning with lower-resolution data. These advancements establish SurgSAM-2 as a leading model for surgical video analysis, making real-time surgical video segmentation in resource-constrained environments a feasible reality.

Recent advances in segmentation foundation models have enabled accurate and efficient segmentation across a wide range of natural images and videos, but their utility to medical data remains unclear. In this work, we first present a comprehensive benchmarking of the Segment Anything Model 2 (SAM2) across 11 medical image modalities and videos and point out its strengths and weaknesses by comparing it to SAM1 and MedSAM. Then, we develop a transfer learning pipeline and demonstrate SAM2 can be quickly adapted to medical domain by fine-tuning. Furthermore, we implement SAM2 as a 3D slicer plugin and Gradio API for efficient 3D image and video segmentation. The code has been made publicly available at https://github.com/bowang-lab/MedSAM.

Background: We evaluate SAM 2 for surgical scene understanding by examining its semantic segmentation capabilities for organs/tissues both in zero-shot scenarios and after fine-tuning. Methods: We utilized five public datasets to evaluate and fine-tune SAM 2 for segmenting anatomical tissues in surgical videos/images. Fine-tuning was applied to the image encoder and mask decoder. We limited training subsets from 50 to 400 samples per class to better model real-world constraints with data acquisition. The impact of dataset size on fine-tuning performance was evaluated with weighted mean Dice coefficient (WMDC), and the results were also compared against previously reported state-of-the-art (SOTA) results. Results: SurgiSAM 2, a fine-tuned SAM 2 model, demonstrated significant improvements in segmentation performance, achieving a 17.9% relative WMDC gain compared to the baseline SAM 2. Increasing prompt points from 1 to 10 and training data scale from 50/class to 400/class enhanced performance; the best WMDC of 0.92 on the validation subset was achieved with 10 prompt points and 400 samples per class. On the test subset, this model outperformed prior SOTA methods in 24/30 (80%) of the classes with a WMDC of 0.91 using 10-point prompts. Notably, SurgiSAM 2 generalized effectively to unseen organ classes, achieving SOTA on 7/9 (77.8%) of them. Conclusion: SAM 2 achieves remarkable zero-shot and fine-tuned performance for surgical scene segmentation, surpassing prior SOTA models across several organ classes of diverse datasets. This suggests immense potential for enabling automated/semi-automated annotation pipelines, thereby decreasing the burden of annotations facilitating several surgical applications.

Pre-trained on a large and diverse dataset, the segment anything model (SAM) is the first promptable foundation model in computer vision aiming at object segmentation tasks. In this work, we evaluate SAM for the task of nuclear instance segmentation performance with zero-shot learning and finetuning. We compare SAM with other representative methods in nuclear instance segmentation, especially in the context of model generalisability. To achieve automatic nuclear instance segmentation, we propose using a nuclei detection model to provide bounding boxes or central points of nu-clei as visual prompts for SAM in generating nuclear instance masks from histology images.

Segment Anything Model (SAM) has demonstrated impressive performance on a wide range of natural image segmentation tasks. However, its performance significantly deteriorates when directly applied to medical domain, due to the remarkable differences between natural images and medical images. Some researchers have attempted to train SAM on large scale medical datasets. However, poor zero-shot performance is observed from the experimental results. In this context, inspired by the superior performance of U-Net-like models in medical image segmentation, we propose SAMUNet, a new foundation model which incorporates U-Net to the original SAM, to fully leverage the powerful contextual modeling ability of convolutions. To be specific, we parallel a convolutional branch in the image encoder, which is trained independently with the vision Transformer branch frozen. Additionally, we employ multi-scale fusion in the mask decoder, to facilitate accurate segmentation of objects with different scales. We train SAM-UNet on SA-Med2D-16M, the largest 2-dimensional medical image segmentation dataset to date, yielding a universal pretrained model for medical images. Extensive experiments are conducted to evaluate the performance of the model, and state-of-the-art result is achieved, with a dice similarity coefficient score of 0.883 on SA-Med2D-16M dataset. Specifically, in zero-shot segmentation experiments, our model not only significantly outperforms previous large medical SAM models across all modalities, but also substantially mitigates the performance degradation seen on unseen modalities. It should be highlighted that SAM-UNet is an efficient and extensible foundation model, which can be further fine-tuned for other downstream tasks in medical community. The code is available at https://github.com/Hhankyangg/sam-unet.

Segment Anything Model (SAM) has emerged as a transformative approach in image segmentation, acclaimed for its robust zero-shot segmentation capabilities and flexible prompting system. Nonetheless, its performance is challenged by images with degraded quality. Addressing this limitation, we propose the Robust Segment Anything Model (RobustSAM), which enhances SAM's performance on low-quality images while preserving its promptability and zero-shot generalization. Our method leverages the pre-trained SAM model with only marginal parameter increments and computational requirements. The additional parameters of RobustSAM can be optimized within 30 hours on eight GPUs, demonstrating its feasibility and practicality for typical research laboratories. We also introduce the Robust-Seg dataset, a collection of 688K image-mask pairs with different degradations designed to train and evaluate our model optimally. Extensive experiments across various segmentation tasks and datasets confirm RobustSAM's superior performance, especially under zero-shot conditions, underscoring its potential for extensive real-world application. Additionally, our method has been shown to effectively improve the performance of SAM-based downstream tasks such as single image dehazing and deblurring.

Surgery video segmentation is an important topic in the surgical AI field. It allows the AI model to understand the spatial information of a surgical scene. Meanwhile, due to the lack of annotated surgical data, surgery segmentation models suffer from limited performance. With the emergence of SAM2 model, a large foundation model for video segmentation trained on natural videos, zero-shot surgical video segmentation became more realistic but meanwhile remains to be explored. In this paper, we systematically evaluate the performance of SAM2 model in zero-shot surgery video segmentation task. We conducted experiments under different configurations, including different prompting strategies, robustness, etc. Moreover, we conducted an empirical evaluation over the performance, including 9 datasets with 17 different types of surgeries.

Segmentation is one of the most important tasks in the medical imaging pipeline as it influences a number of image-based decisions. To be effective, fully supervised segmentation approaches require large amounts of manually annotated training data. However, the pixel-level annotation process is expensive, time-consuming, and error-prone, hindering progress and making it challenging to perform effective segmentations. Therefore, models must learn efficiently from limited labeled data. Self-supervised learning (SSL), particularly contrastive learning via pre-training on unlabeled data and fine-tuning on limited annotations, can facilitate such limited labeled image segmentation. To this end, we propose a novel self-supervised contrastive learning framework for medical image segmentation, leveraging inherent relationships of different images, dubbed PolyCL. Without requiring any pixel-level annotations or unreasonable data augmentations, our PolyCL learns and transfers context-aware discriminant features useful for segmentation from an innovative surrogate, in a task-related manner. Additionally, we integrate the Segment Anything Model (SAM) into our framework in two novel ways: as a post-processing refinement module that improves the accuracy of predicted masks using bounding box prompts derived from coarse outputs, and as a propagation mechanism via SAM 2 that generates volumetric segmentations from a single annotated 2D slice. Experimental evaluations on three public computed tomography (CT) datasets demonstrate that PolyCL outperforms fully-supervised and self-supervised baselines in both low-data and cross-domain scenarios. Our code is available at https://github.com/tbwa233/PolyCL.

The recently introduced Segment Anything Model (SAM) combines a clever architecture and large quantities of training data to obtain remarkable image segmentation capabilities. However, it fails to reproduce such results for Out-Of-Distribution (OOD) domains such as medical images. Moreover, while SAM is conditioned on either a mask or a set of points, it may be desirable to have a fully automatic solution. In this work, we replace SAM's conditioning with an encoder that operates on the same input image. By adding this encoder and without further fine-tuning SAM, we obtain state-of-the-art results on multiple medical images and video benchmarks. This new encoder is trained via gradients provided by a frozen SAM. For inspecting the knowledge within it, and providing a lightweight segmentation solution, we also learn to decode it into a mask by a shallow deconvolution network.

Large Language Models (LLMs) demonstrate strong capabilities in broad knowledge representation, yet they are inherently deficient in pixel-level perceptual understanding. Although the Segment Anything Model (SAM) represents a significant advancement in visual-prompt-driven image segmentation, it exhibits notable limitations in multi-mask prediction and category-specific segmentation tasks, and it cannot integrate all segmentation tasks within a unified model architecture. To address these limitations, we present X-SAM, a streamlined Multimodal Large Language Model (MLLM) framework that extends the segmentation paradigm from segment anything to any segmentation. Specifically, we introduce a novel unified framework that enables more advanced pixel-level perceptual comprehension for MLLMs. Furthermore, we propose a new segmentation task, termed Visual GrounDed (VGD) segmentation, which segments all instance objects with interactive visual prompts and empowers MLLMs with visual grounded, pixel-wise interpretative capabilities. To enable effective training on diverse data sources, we present a unified training strategy that supports co-training across multiple datasets. Experimental results demonstrate that X-SAM achieves state-of-the-art performance on a wide range of image segmentation benchmarks, highlighting its efficiency for multimodal, pixel-level visual understanding. Code is available at https://github.com/wanghao9610/X-SAM.

The Segment Anything Model (SAM) has established itself as a powerful zero-shot image segmentation model, employing interactive prompts such as points to generate masks. This paper presents SAM-PT, a method extending SAM's capability to tracking and segmenting anything in dynamic videos. SAM-PT leverages robust and sparse point selection and propagation techniques for mask generation, demonstrating that a SAM-based segmentation tracker can yield strong zero-shot performance across popular video object segmentation benchmarks, including DAVIS, YouTube-VOS, and MOSE. Compared to traditional object-centric mask propagation strategies, we uniquely use point propagation to exploit local structure information that is agnostic to object semantics. We highlight the merits of point-based tracking through direct evaluation on the zero-shot open-world Unidentified Video Objects (UVO) benchmark. To further enhance our approach, we utilize K-Medoids clustering for point initialization and track both positive and negative points to clearly distinguish the target object. We also employ multiple mask decoding passes for mask refinement and devise a point re-initialization strategy to improve tracking accuracy. Our code integrates different point trackers and video segmentation benchmarks and will be released at https://github.com/SysCV/sam-pt.

Open-vocabulary semantic segmentation aims to assign pixel-level labels to images across an unlimited range of classes. Traditional methods address this by sequentially connecting a powerful mask proposal generator, such as the Segment Anything Model (SAM), with a pre-trained vision-language model like CLIP. But these two-stage approaches often suffer from high computational costs, memory inefficiencies. In this paper, we propose ESC-Net, a novel one-stage open-vocabulary segmentation model that leverages the SAM decoder blocks for class-agnostic segmentation within an efficient inference framework. By embedding pseudo prompts generated from image-text correlations into SAM's promptable segmentation framework, ESC-Net achieves refined spatial aggregation for accurate mask predictions. ESC-Net achieves superior performance on standard benchmarks, including ADE20K, PASCAL-VOC, and PASCAL-Context, outperforming prior methods in both efficiency and accuracy. Comprehensive ablation studies further demonstrate its robustness across challenging conditions.

Purpose: Foundation models, trained on multitudes of public datasets, often require additional fine-tuning or re-prompting mechanisms to be applied to visually distinct target domains such as surgical videos. Further, without domain knowledge, they cannot model the specific semantics of the target domain. Hence, when applied to surgical video segmentation, they fail to generalise to sections where previously tracked objects leave the scene or new objects enter. Methods: We propose SASVi, a novel re-prompting mechanism based on a frame-wise Mask R-CNN Overseer model, which is trained on a minimal amount of scarcely available annotations for the target domain. This model automatically re-prompts the foundation model SAM2 when the scene constellation changes, allowing for temporally smooth and complete segmentation of full surgical videos. Results: Re-prompting based on our Overseer model significantly improves the temporal consistency of surgical video segmentation compared to similar prompting techniques and especially frame-wise segmentation, which neglects temporal information, by at least 1.5%. Our proposed approach allows us to successfully deploy SAM2 to surgical videos, which we quantitatively and qualitatively demonstrate for three different cholecystectomy and cataract surgery datasets. Conclusion: SASVi can serve as a new baseline for smooth and temporally consistent segmentation of surgical videos with scarcely available annotation data. Our method allows us to leverage scarce annotations and obtain complete annotations for full videos of the large-scale counterpart datasets. We make those annotations publicly available, providing extensive annotation data for the future development of surgical data science models.

We introduce SAMPro3D for zero-shot 3D indoor scene segmentation. Given the 3D point cloud and multiple posed 2D frames of 3D scenes, our approach segments 3D scenes by applying the pretrained Segment Anything Model (SAM) to 2D frames. Our key idea involves locating 3D points in scenes as natural 3D prompts to align their projected pixel prompts across frames, ensuring frame-consistency in both pixel prompts and their SAM-predicted masks. Moreover, we suggest filtering out low-quality 3D prompts based on feedback from all 2D frames, for enhancing segmentation quality. We also propose to consolidate different 3D prompts if they are segmenting the same object, bringing a more comprehensive segmentation. Notably, our method does not require any additional training on domain-specific data, enabling us to preserve the zero-shot power of SAM. Extensive qualitative and quantitative results show that our method consistently achieves higher quality and more diverse segmentation than previous zero-shot or fully supervised approaches, and in many cases even surpasses human-level annotations. The project page can be accessed at https://mutianxu.github.io/sampro3d/.

Automated feature detection in historical maps can significantly accelerate the reconstruction of the geospatial past. However, this process is often constrained by the time-consuming task of manually digitizing sufficient high-quality training data. The emergence of visual foundation models, such as the Segment Anything Model (SAM), offers a promising solution due to their remarkable generalization capabilities and rapid adaptation to new data distributions. Despite this, directly applying SAM in a zero-shot manner to historical map segmentation poses significant challenges, including poor recognition of certain geospatial features and a reliance on input prompts, which limits its ability to be fully automated. To address these challenges, we introduce MapSAM, a parameter-efficient fine-tuning strategy that adapts SAM into a prompt-free and versatile solution for various downstream historical map segmentation tasks. Specifically, we employ Weight-Decomposed Low-Rank Adaptation (DoRA) to integrate domain-specific knowledge into the image encoder. Additionally, we develop an automatic prompt generation process, eliminating the need for manual input. We further enhance the positional prompt in SAM, transforming it into a higher-level positional-semantic prompt, and modify the cross-attention mechanism in the mask decoder with masked attention for more effective feature aggregation. The proposed MapSAM framework demonstrates promising performance across two distinct historical map segmentation tasks: one focused on linear features and the other on areal features. Experimental results show that it adapts well to various features, even when fine-tuned with extremely limited data (e.g. 10 shots).

Image segmentation remains a pivotal component in medical image analysis, aiding in the extraction of critical information for precise diagnostic practices. With the advent of deep learning, automated image segmentation methods have risen to prominence, showcasing exceptional proficiency in processing medical imagery. Motivated by the Segment Anything Model (SAM)-a foundational model renowned for its remarkable precision and robust generalization capabilities in segmenting 2D natural images-we introduce SAM3D, an innovative adaptation tailored for 3D volumetric medical image analysis. Unlike current SAM-based methods that segment volumetric data by converting the volume into separate 2D slices for individual analysis, our SAM3D model processes the entire 3D volume image in a unified approach. Extensive experiments are conducted on multiple medical image datasets to demonstrate that our network attains competitive results compared with other state-of-the-art methods in 3D medical segmentation tasks while being significantly efficient in terms of parameters. Code and checkpoints are available at https://github.com/UARK-AICV/SAM3D.

Recent studies have highlighted the potential of adapting the Segment Anything Model (SAM) for various downstream tasks. However, constructing a more powerful and generalizable encoder to further enhance performance remains an open challenge. In this work, we propose SAM2-UNeXT, an advanced framework that builds upon the core principles of SAM2-UNet while extending the representational capacity of SAM2 through the integration of an auxiliary DINOv2 encoder. By incorporating a dual-resolution strategy and a dense glue layer, our approach enables more accurate segmentation with a simple architecture, relaxing the need for complex decoder designs. Extensive experiments conducted on four benchmarks, including dichotomous image segmentation, camouflaged object detection, marine animal segmentation, and remote sensing saliency detection, demonstrate the superior performance of our proposed method. The code is available at https://github.com/WZH0120/SAM2-UNeXT.

In the era of information explosion, efficiently leveraging large-scale unlabeled data while minimizing the reliance on high-quality pixel-level annotations remains a critical challenge in the field of medical imaging. Semi-supervised learning (SSL) enhances the utilization of unlabeled data by facilitating knowledge transfer, significantly improving the performance of fully supervised models and emerging as a highly promising research direction in medical image analysis. Inspired by the ability of Vision Foundation Models (e.g., SAM-2) to provide rich prior knowledge, we propose SSS (Semi-Supervised SAM-2), a novel approach that leverages SAM-2's robust feature extraction capabilities to uncover latent knowledge in unlabeled medical images, thus effectively enhancing feature support for fully supervised medical image segmentation. Specifically, building upon the single-stream "weak-to-strong" consistency regularization framework, this paper introduces a Discriminative Feature Enhancement (DFE) mechanism to further explore the feature discrepancies introduced by various data augmentation strategies across multiple views. By leveraging feature similarity and dissimilarity across multi-scale augmentation techniques, the method reconstructs and models the features, thereby effectively optimizing the salient regions. Furthermore, a prompt generator is developed that integrates Physical Constraints with a Sliding Window (PCSW) mechanism to generate input prompts for unlabeled data, fulfilling SAM-2's requirement for additional prompts. Extensive experiments demonstrate the superiority of the proposed method for semi-supervised medical image segmentation on two multi-label datasets, i.e., ACDC and BHSD. Notably, SSS achieves an average Dice score of 53.15 on BHSD, surpassing the previous state-of-the-art method by +3.65 Dice. Code will be available at https://github.com/AIGeeksGroup/SSS.

Recent segmentation methods, which adopt large-scale data training and transformer architecture, aim to create one foundation model that can perform multiple tasks. However, most of these methods rely on heavy encoder and decoder frameworks, hindering their performance in real-time scenarios. To explore real-time segmentation, recent advancements primarily focus on semantic segmentation within specific environments, such as autonomous driving. However, they often overlook the generalization ability of these models across diverse scenarios. Therefore, to fill this gap, this work explores a novel real-time segmentation setting called real-time multi-purpose segmentation. It contains three fundamental sub-tasks: interactive segmentation, panoptic segmentation, and video instance segmentation. Unlike previous methods, which use a specific design for each task, we aim to use only a single end-to-end model to accomplish all these tasks in real-time. To meet real-time requirements and balance multi-task learning, we present a novel dynamic convolution-based method, Real-Time Multi-Purpose SAM (RMP-SAM). It contains an efficient encoder and an efficient decoupled adapter to perform prompt-driven decoding. Moreover, we further explore different training strategies and one new adapter design to boost co-training performance further. We benchmark several strong baselines by extending existing works to support our multi-purpose segmentation. Extensive experiments demonstrate that RMP-SAM is effective and generalizes well on proposed benchmarks and other specific semantic tasks. Our implementation of RMP-SAM achieves the optimal balance between accuracy and speed for these tasks.Our code and model are available at https://github.com/xushilin1/RAP-SAM/.

With breakthroughs in large-scale modeling, the Segment Anything Model (SAM) and its extensions have been attempted for applications in various underwater visualization tasks in marine sciences, and have had a significant impact on the academic community. Recently, Meta has further developed the Segment Anything Model 2 (SAM2), which significantly improves running speed and segmentation accuracy compared to its predecessor. This report aims to explore the potential of SAM2 in marine science by evaluating it on the underwater instance segmentation benchmark datasets UIIS and USIS10K. The experiments show that the performance of SAM2 is extremely dependent on the type of user-provided prompts. When using the ground truth bounding box as prompt, SAM2 performed excellently in the underwater instance segmentation domain. However, when running in automatic mode, SAM2's ability with point prompts to sense and segment underwater instances is significantly degraded. It is hoped that this paper will inspire researchers to further explore the SAM model family in the underwater domain. The results and evaluation codes in this paper are available at https://github.com/LiamLian0727/UnderwaterSAM2Eval.

Vision-language segmentation models such as SAM3 enable flexible, prompt-driven visual grounding, but inherit large, general-purpose text encoders originally designed for open-ended language understanding. In practice, segmentation prompts are short, structured, and semantically constrained, leading to substantial over-provisioning in text encoder capacity and persistent computational and memory overhead. In this paper, we perform a large-scale anatomical analysis of text prompting in vision-language segmentation, covering 404,796 real prompts across multiple benchmarks. Our analysis reveals severe redundancy: most context windows are underutilized, vocabulary usage is highly sparse, and text embeddings lie on low-dimensional manifold despite high-dimensional representations. Motivated by these findings, we propose SAM3-LiteText, a lightweight text encoding framework that replaces the original SAM3 text encoder with a compact MobileCLIP student that is optimized by knowledge distillation. Extensive experiments on image and video segmentation benchmarks show that SAM3-LiteText reduces text encoder parameters by up to 88%, substantially reducing static memory footprint, while maintaining segmentation performance comparable to the original model. Code: https://github.com/SimonZeng7108/efficientsam3/tree/sam3_litetext.

Segment anything model (SAM) is a prompt-guided vision foundation model for cutting out the object of interest from its background. Since Meta research team released the SA project, SAM has attracted significant attention due to its impressive zero-shot transfer performance and high versatility of being compatible with other models for advanced vision applications like image editing with fine-grained control. Many of such use cases need to be run on resource-constraint edge devices, like mobile Apps. In this work, we aim to make SAM mobile-friendly by replacing the heavyweight image encoder with a lightweight one. A naive way to train such a new SAM as in the original SAM paper leads to unsatisfactory performance, especially when limited training sources are available. We find that this is mainly caused by the coupled optimization of the image encoder and mask decoder, motivated by which we propose decoupled distillation. Concretely, we distill the knowledge from the image encoder ViT-H in the original SAM to a lightweight image encoder, which can be automatically compatible with the mask decoder in the original SAM. The training can be completed on a single GPU within less than one day, and the resulting lightweight SAM is termed MobileSAM which is more than 60 times smaller yet performs on par with the original SAM. For inference speed, MobileSAM runs around 10ms per image: 8ms on the image encoder and 2ms on the mask decoder. With superior performance and a higher versatility, our MobileSAM is 7 times smaller and 4 times faster than the concurrent FastSAM, making it more suitable for mobile applications. The code for MobileSAM project is provided at https://github.com/ChaoningZhang/MobileSAM

The rapid rise of large-scale foundation models has reshaped the landscape of image segmentation, with models such as Segment Anything achieving unprecedented versatility across diverse vision tasks. However, previous generations-including SAM and its successor-still struggle with fine-grained, low-level segmentation challenges such as camouflaged object detection, medical image segmentation, cell image segmentation, and shadow detection. To address these limitations, we originally proposed SAM-Adapter in 2023, demonstrating substantial gains on these difficult scenarios. With the emergence of Segment Anything 3 (SAM3)-a more efficient and higher-performing evolution with a redesigned architecture and improved training pipeline-we revisit these long-standing challenges. In this work, we present SAM3-Adapter, the first adapter framework tailored for SAM3 that unlocks its full segmentation capability. SAM3-Adapter not only reduces computational overhead but also consistently surpasses both SAM and SAM2-based solutions, establishing new state-of-the-art results across multiple downstream tasks, including medical imaging, camouflaged (concealed) object segmentation, and shadow detection. Built upon the modular and composable design philosophy of the original SAM-Adapter, SAM3-Adapter provides stronger generalizability, richer task adaptability, and significantly improved segmentation precision. Extensive experiments confirm that integrating SAM3 with our adapter yields superior accuracy, robustness, and efficiency compared to all prior SAM-based adaptations. We hope SAM3-Adapter can serve as a foundation for future research and practical segmentation applications. Code, pre-trained models, and data processing pipelines are available.

The Segmentation Anything Model (SAM) requires labor-intensive data labeling. We present Unsupervised SAM (UnSAM) for promptable and automatic whole-image segmentation that does not require human annotations. UnSAM utilizes a divide-and-conquer strategy to "discover" the hierarchical structure of visual scenes. We first leverage top-down clustering methods to partition an unlabeled image into instance/semantic level segments. For all pixels within a segment, a bottom-up clustering method is employed to iteratively merge them into larger groups, thereby forming a hierarchical structure. These unsupervised multi-granular masks are then utilized to supervise model training. Evaluated across seven popular datasets, UnSAM achieves competitive results with the supervised counterpart SAM, and surpasses the previous state-of-the-art in unsupervised segmentation by 11% in terms of AR. Moreover, we show that supervised SAM can also benefit from our self-supervised labels. By integrating our unsupervised pseudo masks into SA-1B's ground-truth masks and training UnSAM with only 1% of SA-1B, a lightly semi-supervised UnSAM can often segment entities overlooked by supervised SAM, exceeding SAM's AR by over 6.7% and AP by 3.9% on SA-1B.

Segment Anything Model 2 (SAM 2) has emerged as a powerful tool for video object segmentation and tracking anything. Key components of SAM 2 that drive the impressive video object segmentation performance include a large multistage image encoder for frame feature extraction and a memory mechanism that stores memory contexts from past frames to help current frame segmentation. The high computation complexity of multistage image encoder and memory module has limited its applications in real-world tasks, e.g., video object segmentation on mobile devices. To address this limitation, we propose EfficientTAMs, lightweight track anything models that produce high-quality results with low latency and model size. Our idea is based on revisiting the plain, nonhierarchical Vision Transformer (ViT) as an image encoder for video object segmentation, and introducing an efficient memory module, which reduces the complexity for both frame feature extraction and memory computation for current frame segmentation. We take vanilla lightweight ViTs and efficient memory module to build EfficientTAMs, and train the models on SA-1B and SA-V datasets for video object segmentation and track anything tasks. We evaluate on multiple video segmentation benchmarks including semi-supervised VOS and promptable video segmentation, and find that our proposed EfficientTAM with vanilla ViT perform comparably to SAM 2 model (HieraB+SAM 2) with ~2x speedup on A100 and ~2.4x parameter reduction. On segment anything image tasks, our EfficientTAMs also perform favorably over original SAM with ~20x speedup on A100 and ~20x parameter reduction. On mobile devices such as iPhone 15 Pro Max, our EfficientTAMs can run at ~10 FPS for performing video object segmentation with reasonable quality, highlighting the capability of small models for on-device video object segmentation applications.

Medical image segmentation is a key task in the imaging workflow, influencing many image-based decisions. Traditional, fully-supervised segmentation models rely on large amounts of labeled training data, typically obtained through manual annotation, which can be an expensive, time-consuming, and error-prone process. This signals a need for accurate, automatic, and annotation-efficient methods of training these models. We propose ADA-SAM (automated, domain-specific, and adaptive segment anything model), a novel multitask learning framework for medical image segmentation that leverages class activation maps from an auxiliary classifier to guide the predictions of the semi-supervised segmentation branch, which is based on the Segment Anything (SAM) framework. Additionally, our ADA-SAM model employs a novel gradient feedback mechanism to create a learnable connection between the segmentation and classification branches by using the segmentation gradients to guide and improve the classification predictions. We validate ADA-SAM on real-world clinical data collected during rehabilitation trials, and demonstrate that our proposed method outperforms both fully-supervised and semi-supervised baselines by double digits in limited label settings. Our code is available at: https://github.com/tbwa233/ADA-SAM.

In geographical image segmentation, performance is often constrained by the limited availability of training data and a lack of generalizability, particularly for segmenting mobility infrastructure such as roads, sidewalks, and crosswalks. Vision foundation models like the Segment Anything Model (SAM), pre-trained on millions of natural images, have demonstrated impressive zero-shot segmentation performance, providing a potential solution. However, SAM struggles with geographical images, such as aerial and satellite imagery, due to its training being confined to natural images and the narrow features and textures of these objects blending into their surroundings. To address these challenges, we propose Geographical SAM (GeoSAM), a SAM-based framework that fine-tunes SAM using automatically generated multi-modal prompts. Specifically, GeoSAM integrates point prompts from a pre-trained task-specific model as primary visual guidance, and text prompts generated by a large language model as secondary semantic guidance, enabling the model to better capture both spatial structure and contextual meaning. GeoSAM outperforms existing approaches for mobility infrastructure segmentation in both familiar and completely unseen regions by at least 5\% in mIoU, representing a significant leap in leveraging foundation models to segment mobility infrastructure, including both road and pedestrian infrastructure in geographical images. The source code can be found in this GitHub Repository: https://github.com/rafiibnsultan/GeoSAM.

Segment anything model (SAM) has revolutionized natural image segmentation, but its performance on medical images is limited. This work presents MedSAM, the first attempt at extending the success of SAM to medical images, with the goal of creating a universal tool for the segmentation of various medical targets. Specifically, we first curate a large-scale medical image dataset, encompassing over 200,000 masks across 11 different modalities. Then, we develop a simple fine-tuning method to adapt SAM to general medical image segmentation. Comprehensive experiments on 21 3D segmentation tasks and 9 2D segmentation tasks demonstrate that MedSAM outperforms the default SAM model with an average Dice Similarity Coefficient (DSC) of 22.5% and 17.6% on 3D and 2D segmentation tasks, respectively. The code and trained model are publicly available at https://github.com/bowang-lab/MedSAM.

In the evolving landscape of computer vision, foundation models have emerged as pivotal tools, exhibiting exceptional adaptability to a myriad of tasks. Among these, the Segment Anything Model (SAM) by Meta AI has distinguished itself in image segmentation. However, SAM, like its counterparts, encounters limitations in specific niche applications, prompting a quest for enhancement strategies that do not compromise its inherent capabilities. This paper introduces ASAM, a novel methodology that amplifies SAM's performance through adversarial tuning. We harness the potential of natural adversarial examples, inspired by their successful implementation in natural language processing. By utilizing a stable diffusion model, we augment a subset (1%) of the SA-1B dataset, generating adversarial instances that are more representative of natural variations rather than conventional imperceptible perturbations. Our approach maintains the photorealism of adversarial examples and ensures alignment with original mask annotations, thereby preserving the integrity of the segmentation task. The fine-tuned ASAM demonstrates significant improvements across a diverse range of segmentation tasks without necessitating additional data or architectural modifications. The results of our extensive evaluations confirm that ASAM establishes new benchmarks in segmentation tasks, thereby contributing to the advancement of foundational models in computer vision. Our project page is in https://asam2024.github.io/.

The recently proposed segment anything model (SAM) has made a significant influence in many computer vision tasks. It is becoming a foundation step for many high-level tasks, like image segmentation, image caption, and image editing. However, its huge computation costs prevent it from wider applications in industry scenarios. The computation mainly comes from the Transformer architecture at high-resolution inputs. In this paper, we propose a speed-up alternative method for this fundamental task with comparable performance. By reformulating the task as segments-generation and prompting, we find that a regular CNN detector with an instance segmentation branch can also accomplish this task well. Specifically, we convert this task to the well-studied instance segmentation task and directly train the existing instance segmentation method using only 1/50 of the SA-1B dataset published by SAM authors. With our method, we achieve a comparable performance with the SAM method at 50 times higher run-time speed. We give sufficient experimental results to demonstrate its effectiveness. The codes and demos will be released at https://github.com/CASIA-IVA-Lab/FastSAM.

Medical image segmentation of anatomical structures and pathology is crucial in modern clinical diagnosis, disease study, and treatment planning. To date, great progress has been made in deep learning-based segmentation techniques, but most methods still lack data efficiency, generalizability, and interactability. Consequently, the development of new, precise segmentation methods that demand fewer labeled datasets is of utmost importance in medical image analysis. Recently, the emergence of foundation models, such as CLIP and Segment-Anything-Model (SAM), with comprehensive cross-domain representation opened the door for interactive and universal image segmentation. However, exploration of these models for data-efficient medical image segmentation is still limited, but is highly necessary. In this paper, we propose a novel framework, called MedCLIP-SAM that combines CLIP and SAM models to generate segmentation of clinical scans using text prompts in both zero-shot and weakly supervised settings. To achieve this, we employed a new Decoupled Hard Negative Noise Contrastive Estimation (DHN-NCE) loss to fine-tune the BiomedCLIP model and the recent gScoreCAM to generate prompts to obtain segmentation masks from SAM in a zero-shot setting. Additionally, we explored the use of zero-shot segmentation labels in a weakly supervised paradigm to improve the segmentation quality further. By extensively testing three diverse segmentation tasks and medical image modalities (breast tumor ultrasound, brain tumor MRI, and lung X-ray), our proposed framework has demonstrated excellent accuracy. Code is available at https://github.com/HealthX-Lab/MedCLIP-SAM.

The Segment Anything Model (SAM), a profound vision foundation model pretrained on a large-scale dataset, breaks the boundaries of general segmentation and sparks various downstream applications. This paper introduces Hi-SAM, a unified model leveraging SAM for hierarchical text segmentation. Hi-SAM excels in segmentation across four hierarchies, including pixel-level text, word, text-line, and paragraph, while realizing layout analysis as well. Specifically, we first turn SAM into a high-quality pixel-level text segmentation (TS) model through a parameter-efficient fine-tuning approach. We use this TS model to iteratively generate the pixel-level text labels in a semi-automatical manner, unifying labels across the four text hierarchies in the HierText dataset. Subsequently, with these complete labels, we launch the end-to-end trainable Hi-SAM based on the TS architecture with a customized hierarchical mask decoder. During inference, Hi-SAM offers both automatic mask generation (AMG) mode and promptable segmentation (PS) mode. In the AMG mode, Hi-SAM segments pixel-level text foreground masks initially, then samples foreground points for hierarchical text mask generation and achieves layout analysis in passing. As for the PS mode, Hi-SAM provides word, text-line, and paragraph masks with a single point click. Experimental results show the state-of-the-art performance of our TS model: 84.86% fgIOU on Total-Text and 88.96% fgIOU on TextSeg for pixel-level text segmentation. Moreover, compared to the previous specialist for joint hierarchical detection and layout analysis on HierText, Hi-SAM achieves significant improvements: 4.73% PQ and 5.39% F1 on the text-line level, 5.49% PQ and 7.39% F1 on the paragraph level layout analysis, requiring 20times fewer training epochs. The code is available at https://github.com/ymy-k/Hi-SAM.

Current AI-assisted skin image diagnosis has achieved dermatologist-level performance in classifying skin cancer, driven by rapid advancements in deep learning architectures. However, unlike traditional vision tasks, skin images in general present unique challenges due to the limited availability of well-annotated datasets, complex variations in conditions, and the necessity for detailed interpretations to ensure patient safety. Previous segmentation methods have sought to reduce image noise and enhance diagnostic performance, but these techniques require fine-grained, pixel-level ground truth masks for training. In contrast, with the rise of foundation models, the Segment Anything Model (SAM) has been introduced to facilitate promptable segmentation, enabling the automation of the segmentation process with simple yet effective prompts. Efforts applying SAM predominantly focus on dermatoscopy images, which present more easily identifiable lesion boundaries than clinical photos taken with smartphones. This limitation constrains the practicality of these approaches to real-world applications. To overcome the challenges posed by noisy clinical photos acquired via non-standardized protocols and to improve diagnostic accessibility, we propose a novel Cross-Attentive Fusion framework for interpretable skin lesion diagnosis. Our method leverages SAM to generate visual concepts for skin diseases using prompts, integrating local visual concepts with global image features to enhance model performance. Extensive evaluation on two skin disease datasets demonstrates our proposed method's effectiveness on lesion diagnosis and interpretability.

The Segment Anything Model (SAM) has set a new standard in interactive image segmentation, offering robust performance across various tasks. However, its significant computational requirements limit its deployment in real-time or resource-constrained environments. To address these challenges, we propose a novel knowledge distillation approach, KD SAM, which incorporates both encoder and decoder optimization through a combination of Mean Squared Error (MSE) and Perceptual Loss. This dual-loss framework captures structural and semantic features, enabling the student model to maintain high segmentation accuracy while reducing computational complexity. Based on the model evaluation on datasets, including Kvasir-SEG, ISIC 2017, Fetal Head Ultrasound, and Breast Ultrasound, we demonstrate that KD SAM achieves comparable or superior performance to the baseline models, with significantly fewer parameters. KD SAM effectively balances segmentation accuracy and computational efficiency, making it well-suited for real-time medical image segmentation applications in resource-constrained environments.

Camouflaged object detection (COD) poses a significant challenge in computer vision due to the high similarity between objects and their backgrounds. Existing approaches often rely on heavy training and large computational resources. While foundation models such as the Segment Anything Model (SAM) offer strong generalization, they still struggle to handle COD tasks without fine-tuning and require high-quality prompts to yield good performance. However, generating such prompts manually is costly and inefficient. To address these challenges, we propose First RAG, Second SEG (RAG-SEG), a training-free paradigm that decouples COD into two stages: Retrieval-Augmented Generation (RAG) for generating coarse masks as prompts, followed by SAM-based segmentation (SEG) for refinement. RAG-SEG constructs a compact retrieval database via unsupervised clustering, enabling fast and effective feature retrieval. During inference, the retrieved features produce pseudo-labels that guide precise mask generation using SAM2. Our method eliminates the need for conventional training while maintaining competitive performance. Extensive experiments on benchmark COD datasets demonstrate that RAG-SEG performs on par with or surpasses state-of-the-art methods. Notably, all experiments are conducted on a personal laptop, highlighting the computational efficiency and practicality of our approach. We present further analysis in the Appendix, covering limitations, salient object detection extension, and possible improvements. blue {Code: https://github.com/Lwt-diamond/RAG-SEG.}

The Segment Anything Model (SAM) family has become a widely adopted vision foundation model, but its ability to control segmentation granularity remains limited. Users often need to refine results manually - by adding more prompts or selecting from pre-generated masks - to achieve the desired level of detail. This process can be ambiguous, as the same prompt may correspond to several plausible masks, and collecting dense annotations across all granularities is prohibitively expensive, making supervised solutions infeasible. To address this limitation, we introduce UnSAMv2, which enables segment anything at any granularity without human annotations. UnSAMv2 extends the divide-and-conquer strategy of UnSAM by discovering abundant mask-granularity pairs and introducing a novel granularity control embedding that enables precise, continuous control over segmentation scale. Remarkably, with only 6K unlabeled images and 0.02% additional parameters, UnSAMv2 substantially enhances SAM-2, achieving segment anything at any granularity across interactive, whole-image, and video segmentation tasks. Evaluated on over 11 benchmarks, UnSAMv2 improves NoC_{90} (5.69 rightarrow 4.75), 1-IoU (58.0 rightarrow 73.1), and AR_{1000} (49.6 rightarrow 68.3), showing that small amounts of unlabeled data with a granularity-aware self-supervised learning method can unlock the potential of vision foundation models.

Segment Anything Model (SAM) has attracted widespread attention for its superior interactive segmentation capabilities with visual prompts while lacking further exploration of text prompts. In this paper, we empirically investigate what text prompt encoders (e.g., CLIP or LLM) are good for adapting SAM for referring expression segmentation and introduce the Early Vision-language Fusion-based SAM (EVF-SAM). EVF-SAM is a simple yet effective referring segmentation method which exploits multimodal prompts (i.e., image and text) and comprises a pre-trained vision-language model to generate referring prompts and a SAM model for segmentation. Surprisingly, we observe that: (1) multimodal prompts and (2) vision-language models with early fusion (e.g., BEIT-3) are beneficial for prompting SAM for accurate referring segmentation. Our experiments show that the proposed EVF-SAM based on BEIT-3 can obtain state-of-the-art performance on RefCOCO/+/g for referring expression segmentation and demonstrate the superiority of prompting SAM with early vision-language fusion. In addition, the proposed EVF-SAM with 1.32B parameters achieves remarkably higher performance while reducing nearly 82% of parameters compared to previous SAM methods based on large multimodal models.

Existing volumetric medical image segmentation models are typically task-specific, excelling at specific target but struggling to generalize across anatomical structures or modalities. This limitation restricts their broader clinical use. In this paper, we introduce SAM-Med3D for general-purpose segmentation on volumetric medical images. Given only a few 3D prompt points, SAM-Med3D can accurately segment diverse anatomical structures and lesions across various modalities. To achieve this, we gather and process a large-scale 3D medical image dataset, SA-Med3D-140K, from a blend of public sources and licensed private datasets. This dataset includes 22K 3D images and 143K corresponding 3D masks. Then SAM-Med3D, a promptable segmentation model characterized by the fully learnable 3D structure, is trained on this dataset using a two-stage procedure and exhibits impressive performance on both seen and unseen segmentation targets. We comprehensively evaluate SAM-Med3D on 16 datasets covering diverse medical scenarios, including different anatomical structures, modalities, targets, and zero-shot transferability to new/unseen tasks. The evaluation shows the efficiency and efficacy of SAM-Med3D, as well as its promising application to diverse downstream tasks as a pre-trained model. Our approach demonstrates that substantial medical resources can be utilized to develop a general-purpose medical AI for various potential applications. Our dataset, code, and models are available at https://github.com/uni-medical/SAM-Med3D.

Multimodal Large Language Models (MLLMs) have demonstrated strong image-level visual understanding and reasoning, yet their pixel-level perception across both images and videos remains limited. Foundation segmentation models such as the SAM series produce high-quality masks, but they rely on low-level visual prompts and cannot natively interpret complex conversational instructions. Existing segmentation MLLMs narrow this gap, but are usually specialized for either images or videos and rarely support both textual and visual prompts in one interface. We introduce X2SAM, a unified segmentation MLLM that extends any-segmentation capabilities from images to videos. Given conversational instructions and visual prompts, X2SAM couples an LLM with a Mask Memory module that stores guided vision features for temporally consistent video mask generation. The same formulation supports generic, open-vocabulary, referring, reasoning, grounded conversation generation, interactive, and visual grounded segmentation across image and video inputs. We further introduce the Video Visual Grounded (V-VGD) segmentation benchmark, which evaluates whether a model can segment object tracks in videos from interactive visual prompts. With a unified joint training strategy over heterogeneous image and video datasets, X2SAM delivers strong video segmentation performance, remains competitive on image segmentation benchmarks, and preserves general image and video chat ability.

In this paper, we introduce an open-vocabulary panoptic segmentation model that effectively unifies the strengths of the Segment Anything Model (SAM) with the vision-language CLIP model in an end-to-end framework. While SAM excels in generating spatially-aware masks, it's decoder falls short in recognizing object class information and tends to oversegment without additional guidance. Existing approaches address this limitation by using multi-stage techniques and employing separate models to generate class-aware prompts, such as bounding boxes or segmentation masks. Our proposed method, PosSAM is an end-to-end model which leverages SAM's spatially rich features to produce instance-aware masks and harnesses CLIP's semantically discriminative features for effective instance classification. Specifically, we address the limitations of SAM and propose a novel Local Discriminative Pooling (LDP) module leveraging class-agnostic SAM and class-aware CLIP features for unbiased open-vocabulary classification. Furthermore, we introduce a Mask-Aware Selective Ensembling (MASE) algorithm that adaptively enhances the quality of generated masks and boosts the performance of open-vocabulary classification during inference for each image. We conducted extensive experiments to demonstrate our methods strong generalization properties across multiple datasets, achieving state-of-the-art performance with substantial improvements over SOTA open-vocabulary panoptic segmentation methods. In both COCO to ADE20K and ADE20K to COCO settings, PosSAM outperforms the previous state-of-the-art methods by a large margin, 2.4 PQ and 4.6 PQ, respectively. Project Website: https://vibashan.github.io/possam-web/.

With recent breakthroughs in large-scale modeling, the Segment Anything Model (SAM) has demonstrated significant potential in a variety of visual applications. However, due to the lack of underwater domain expertise, SAM and its variants face performance limitations in end-to-end underwater instance segmentation tasks, while their higher computational requirements further hinder their application in underwater scenarios. To address this challenge, we propose a large-scale underwater instance segmentation dataset, UIIS10K, which includes 10,048 images with pixel-level annotations for 10 categories. Then, we introduce UWSAM, an efficient model designed for automatic and accurate segmentation of underwater instances. UWSAM efficiently distills knowledge from the SAM ViT-Huge image encoder into the smaller ViT-Small image encoder via the Mask GAT-based Underwater Knowledge Distillation (MG-UKD) method for effective visual representation learning. Furthermore, we design an End-to-end Underwater Prompt Generator (EUPG) for UWSAM, which automatically generates underwater prompts instead of explicitly providing foreground points or boxes as prompts, thus enabling the network to locate underwater instances accurately for efficient segmentation. Comprehensive experimental results show that our model is effective, achieving significant performance improvements over state-of-the-art methods on multiple underwater instance datasets. Datasets and codes are available at https://github.com/LiamLian0727/UIIS10K.

The CLIP and Segment Anything Model (SAM) are remarkable vision foundation models (VFMs). SAM excels in segmentation tasks across diverse domains, while CLIP is renowned for its zero-shot recognition capabilities. This paper presents an in-depth exploration of integrating these two models into a unified framework. Specifically, we introduce the Open-Vocabulary SAM, a SAM-inspired model designed for simultaneous interactive segmentation and recognition, leveraging two unique knowledge transfer modules: SAM2CLIP and CLIP2SAM. The former adapts SAM's knowledge into the CLIP via distillation and learnable transformer adapters, while the latter transfers CLIP knowledge into SAM, enhancing its recognition capabilities. Extensive experiments on various datasets and detectors show the effectiveness of Open-Vocabulary SAM in both segmentation and recognition tasks, significantly outperforming the naive baselines of simply combining SAM and CLIP. Furthermore, aided with image classification data training, our method can segment and recognize approximately 22,000 classes.

In this study, we evaluate the performance of the Segment Anything Model (SAM) in clinical radiotherapy. Our results indicate that SAM's 'segment anything' mode can achieve clinically acceptable segmentation results in most organs-at-risk (OARs) with Dice scores higher than 0.7. SAM's 'box prompt' mode further improves the Dice scores by 0.1 to 0.5. Considering the size of the organ and the clarity of its boundary, SAM displays better performance for large organs with clear boundaries but performs worse for smaller organs with unclear boundaries. Given that SAM, a model pre-trained purely on natural images, can handle the delineation of OARs from medical images with clinically acceptable accuracy, these results highlight SAM's robust generalization capabilities with consistent accuracy in automatic segmentation for radiotherapy. In other words, SAM can achieve delineation of different OARs at different sites using a generic automatic segmentation model. SAM's generalization capabilities across different disease sites suggest that it is technically feasible to develop a generic model for automatic segmentation in radiotherapy.

On top of Segment Anything Model (SAM), SAM 2 further extends its capability from image to video inputs through a memory bank mechanism and obtains a remarkable performance compared with previous methods, making it a foundation model for video segmentation task. In this paper, we aim at making SAM 2 much more efficient so that it even runs on mobile devices while maintaining a comparable performance. Despite several works optimizing SAM for better efficiency, we find they are not sufficient for SAM 2 because they all focus on compressing the image encoder, while our benchmark shows that the newly introduced memory attention blocks are also the latency bottleneck. Given this observation, we propose EdgeTAM, which leverages a novel 2D Spatial Perceiver to reduce the computational cost. In particular, the proposed 2D Spatial Perceiver encodes the densely stored frame-level memories with a lightweight Transformer that contains a fixed set of learnable queries. Given that video segmentation is a dense prediction task, we find preserving the spatial structure of the memories is essential so that the queries are split into global-level and patch-level groups. We also propose a distillation pipeline that further improves the performance without inference overhead. As a result, EdgeTAM achieves 87.7, 70.0, 72.3, and 71.7 J&F on DAVIS 2017, MOSE, SA-V val, and SA-V test, while running at 16 FPS on iPhone 15 Pro Max.

Virtual try-on (VTO) has made significant progress in realistically transferring garments onto a target person. Yet most systems give the user little control over how a garment should be worn -- its size (loose or fitted), style (e.g., tucked in or untucked, open or closed), and spatial placement on the body. We address this gap with two complementary contributions. First, we define and solve Visual-Instance-Prompt Segmentation via VIP-SAM: given a flatlay image of a garment, segment that specific instance in a photograph of a person wearing it. This is an instance-level task, distinct from the typically studied category-level segmentation. Second, we introduce CtrlVTON, a controllable VTO framework that recasts try-on as an image editing problem and adds segmentation masks as pixel-level control over garment layout, including style, size, and spatial placement on the body. VIP-SAM and CtrlVTON each achieve state-of-the-art results on their respective tasks. In particular, CtrlVTON generates images that follow user-provided layouts far more faithfully than the strongest proprietary editing systems while matching them on garment fidelity.

Modern Video Object Segmentation (VOS) involves tracking and segmenting user-specified targets. While recent approaches have achieved remarkable performance in single-target scenarios, extending them to multi-target settings typically involves replicating the single-target processing for each individual object, resulting in reduced frame rates (FPS) with unbounded latency as target count increases. Built upon Segment Anything 2 (SAM2), we propose SAM-MT, which addresses this by transforming the model into an interactive framework for real-time Multi-Target video segmentation. SAM-MT uses explicit queries to represent different individual targets, in parallel with a shared representation for global context. It employs decoupled masked attention to keep individual identities distinct from cross-target interference, and sparse memory for stable temporal evolution, along with specialized strategies for occlusion handling and overlap prevention. SAM-MT successfully decouples latency from the number of targets, achieving real-time speed on par with single-target baselines (>36 FPS for 10 targets) while maintaining SAM2's robust video segmentation performance.

Weakly-Supervised Semantic Segmentation (WSSS) aims to train segmentation models using image data with only image-level supervision. Since precise pixel-level annotations are not accessible, existing methods typically focus on producing pseudo masks for training segmentation models by refining CAM-like heatmaps. However, the produced heatmaps may capture only the discriminative image regions of object categories or the associated co-occurring backgrounds. To address the issues, we propose a Semantic Prompt Learning for WSSS (SemPLeS) framework, which learns to effectively prompt the CLIP latent space to enhance the semantic alignment between the segmented regions and the target object categories. More specifically, we propose Contrastive Prompt Learning and Prompt-guided Semantic Refinement to learn the prompts that adequately describe and suppress the co-occurring backgrounds associated with each target object category. In this way, SemPLeS can perform better semantic alignment between object regions and the associated class labels, resulting in desired pseudo masks for training the segmentation model. The proposed SemPLeS framework achieves SOTA performance on the standard WSSS benchmarks, PASCAL VOC and MS COCO, and shows compatibility with other WSSS methods. The source codes are provided in the supplementary.

The Segment Anything Model (SAM) was originally designed for label-agnostic mask generation. Does this model also possess inherent semantic understanding, of value to broader visual tasks? In this work we follow a multi-staged approach towards exploring this question. We firstly quantify SAM's semantic capabilities by comparing base image encoder efficacy under classification tasks, in comparison with established models (CLIP and DINOv2). Our findings reveal a significant lack of semantic discriminability in SAM feature representations, limiting potential for tasks that require class differentiation. This initial result motivates our exploratory study that attempts to enable semantic information via in-context learning with lightweight fine-tuning where we observe that generalisability to unseen classes remains limited. Our observations culminate in the proposal of a training-free approach that leverages DINOv2 features, towards better endowing SAM with semantic understanding and achieving instance-level class differentiation through feature-based similarity. Our study suggests that incorporation of external semantic sources provides a promising direction for the enhancement of SAM's utility with respect to complex visual tasks that require semantic understanding.

Segment Anything Model (SAM) has emerged as a powerful tool for numerous vision applications. A key component that drives the impressive performance for zero-shot transfer and high versatility is a super large Transformer model trained on the extensive high-quality SA-1B dataset. While beneficial, the huge computation cost of SAM model has limited its applications to wider real-world applications. To address this limitation, we propose EfficientSAMs, light-weight SAM models that exhibits decent performance with largely reduced complexity. Our idea is based on leveraging masked image pretraining, SAMI, which learns to reconstruct features from SAM image encoder for effective visual representation learning. Further, we take SAMI-pretrained light-weight image encoders and mask decoder to build EfficientSAMs, and finetune the models on SA-1B for segment anything task. We perform evaluations on multiple vision tasks including image classification, object detection, instance segmentation, and semantic object detection, and find that our proposed pretraining method, SAMI, consistently outperforms other masked image pretraining methods. On segment anything task such as zero-shot instance segmentation, our EfficientSAMs with SAMI-pretrained lightweight image encoders perform favorably with a significant gain (e.g., ~4 AP on COCO/LVIS) over other fast SAM models.