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ProtoSAM for automated one shot medical image segmentation using foundational models.
Lev Ayzenberg1, Raja Giryes2, Hayit Greenspan2,3
1Department of Engineering, Tel Aviv University, Tel Aviv, Israel. leva1@mail.tau.ac.il.
Scientific Reports
|November 24, 2025
Summary
ProtoSAM advances one-shot medical image segmentation using Prototypical networks and the Segment Anything Model (SAM). This framework achieves state-of-the-art results, even without prior training, by adapting to new data sites effectively.
Area of Science:
- Medical Imaging
- Computer Vision
- Artificial Intelligence
Background:
- One-shot medical image segmentation is crucial for scenarios with limited labeled data.
- Rapid adaptation to new data classes and sites is a significant challenge in medical image analysis.
Purpose of the Study:
- To introduce ProtoSAM, a novel, automated framework for one-shot medical image segmentation.
- To leverage Prototypical networks and the Segment Anything Model (SAM) for efficient segmentation adaptation.
- To demonstrate state-of-the-art performance on diverse medical imaging datasets.
Main Methods:
- ProtoSAM combines Prototypical networks (ALPnet with DINOv2 encoder) for initial mask generation.
- Extracted prompts (points, bounding boxes) from the initial mask are fed into the Segment Anything Model (SAM).
- The framework is validated on CT, MRI, and endoscopy image datasets.
Main Results:
- ProtoSAM achieves state-of-the-art results across various medical imaging segmentation tasks.
- An untrained ProtoSAM matches or surpasses existing one-shot trained methods.
- Self-supervised finetuning of the encoder further enhances ProtoSAM's performance.
Conclusions:
- ProtoSAM offers a powerful and adaptable solution for one-shot medical image segmentation.
- The framework demonstrates significant potential for applications with scarce labeled data.
- The availability of the code facilitates further research and development in this area.

