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Accelerating Volumetric Medical Image Annotation via Short-Long Memory SAM 2
IEEE Transactions on Medical Imaging
|November 3, 2025
Summary
Short-Long Memory SAM 2 (SLM-SAM 2) improves medical image segmentation by using dual memory banks to reduce errors. This novel approach enhances accuracy and significantly cuts down manual correction time for volumetric image annotation.
Area of Science:
- Medical Imaging
- Artificial Intelligence
- Computer Vision
Background:
- Manual annotation of volumetric medical images (MRI, CT) is time-consuming.
- Foundation models like Segment Anything Model 2 (SAM 2) offer potential for faster annotation via slice propagation.
- Current SAM 2 performance is limited by error propagation, especially at slice boundaries.
Purpose of the Study:
- To develop an improved segmentation model for medical images.
- To address the limitations of SAM 2 in propagating masks across volumetric data.
- To enhance the accuracy and efficiency of automated medical image annotation.
Main Methods:
- Proposed Short-Long Memory SAM 2 (SLM-SAM 2) architecture with distinct short-term and long-term memory banks and separate attention modules.
- Evaluated SLM-SAM 2 on four public datasets (organs, bones, muscles) across MRI, CT, and ultrasound videos.
- Compared SLM-SAM 2 performance against the default SAM 2.
Main Results:
- SLM-SAM 2 significantly outperformed default SAM 2, with average Dice Similarity Coefficient improvements of 0.14 (5 volumes) and 0.10 (1 volume).
- The proposed method demonstrated greater resistance to over-propagation errors.
- Reduced manual correction time by 60.575% per volume compared to SAM 2.
Conclusions:
- SLM-SAM 2 offers a substantial improvement over SAM 2 for medical image segmentation.
- The dual memory bank architecture effectively mitigates error propagation in volumetric annotation.
- SLM-SAM 2 represents a significant advancement towards accurate and efficient automated medical image annotation for segmentation model development.

