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Updated: Sep 15, 2025

Application of Deep Learning-Based Medical Image Segmentation via Orbital Computed Tomography
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ProtoSAM-2D: 2D Semantic Segment Anything Model with Mask-Level Prototype-Learning and Distillation.

Yiqing Shen1, David Dreizin2, Blanca Inigo1

  • 1Department of Computer Science, Johns Hopkins University, Baltimore, USA.

Proceedings of Spie--The International Society for Optical Engineering
|July 18, 2025
PubMed
Summary
This summary is machine-generated.

ProtoSAM-2D enhances medical image segmentation by integrating semantic understanding into foundation models. This approach improves adaptability and efficiency for diverse anatomical structures in zero-shot and few-shot learning scenarios.

Keywords:
Deep LearningFoundation ModelsPrototype-based LearningSegment Anything Model

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Area of Science:

  • Artificial Intelligence
  • Medical Imaging
  • Computer Vision

Background:

  • Deep learning improved medical image segmentation but requires fully supervised training on specific datasets and modalities.
  • Foundation models like Segment Anything Model (SAM) offer interactive segmentation but lack crucial medical semantic understanding.
  • Existing methods struggle with adaptability across diverse medical imaging scenarios and anatomical contexts.

Purpose of the Study:

  • To introduce ProtoSAM-2D, an enhanced interactive segmentation framework for 2D medical images.
  • To integrate semantic capabilities into SAM-based models for improved medical image analysis.
  • To enable efficient categorization of anatomical structures and rapid adaptation to new classes.

Main Methods:

  • Developed a novel mask-level prototype prediction mechanism for instance classification.
  • Utilized learned prototypes to generate and classify feature representations of segmented instances.
  • Implemented a distillation method to optimize computational efficiency of the SAM architecture and prototype classification head.

Main Results:

  • ProtoSAM-2D demonstrated effectiveness in zero-shot and few-shot learning scenarios for multi-organ segmentation.
  • Achieved high-quality semantic segmentation across different imaging modalities.
  • Showcased efficient categorization of diverse anatomical structures and adaptability to new classes.

Conclusions:

  • ProtoSAM-2D combines SAM's flexibility with prototype-based learning for adaptable semantic segmentation.
  • Offers a novel solution for diverse medical imaging tasks requiring semantic understanding.
  • Addresses the limitations of traditional deep learning and foundation models in specialized medical contexts.