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Taming large vision model for medical image segmentation via Dual Visual Prompt Tuning.

Ruize Cui1, Lanqing Liu1, Jing Zou1

  • 1Centre for Smart Health, School of Nursing, The Hong Kong Polytechnic University, Hong Kong Special Administrative Region of China.

Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society
|July 22, 2025
PubMed
Summary

Dual Visual Prompt Tuning (DVPT) improves medical image segmentation by enhancing the Segment Anything Model (SAM). This novel approach uses automatic local and global prompts for superior accuracy in computer-assisted diagnostics.

Keywords:
Large model adaptationMedical image segmentationSAMVisual prompting

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Area of Science:

  • Medical Image Analysis
  • Computer Vision
  • Artificial Intelligence

Background:

  • The Segment Anything Model (SAM) shows promise in natural image segmentation but struggles with medical imaging due to unique target characteristics, noise, and limited fine-tuning data.
  • Manual prompting in SAM is inefficient for medical applications, requiring laborious adaptation.

Purpose of the Study:

  • To introduce Dual Visual Prompt Tuning (DVPT), an automated strategy to enhance SAM's performance for medical image segmentation.
  • To address limitations of SAM in medical imaging, including noise, artifacts, and the need for efficient prompting.

Main Methods:

  • DVPT utilizes a fully automatic prompting paradigm with two key components: the Local Feature Prompt Tuning (LFPT) module for detailed anatomical structures and the Global Guiding Prompt (GGP) encoder for noise mitigation and boundary clarification.
  • Both local and global prompts are integrated into the mask decoder of SAM.

Main Results:

  • DVPT demonstrated superior segmentation accuracy across three distinct medical image segmentation tasks.
  • The method consistently outperformed existing state-of-the-art approaches in experimental evaluations.

Conclusions:

  • DVPT significantly enhances SAM's capability for medical image segmentation, offering a more accurate and efficient solution.
  • This advancement contributes to improved computer-assisted diagnostics and promotes progress in healthcare technology.