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MedPTQ: a practical pipeline for real post-training quantization in 3D medical image segmentation
Chongyu Qu1, Ritchie Zhao2, Ye Yu2
1Vanderbilt University, Department of Electrical and Computer Engineering, Nashville, Tennessee, United States.
Journal of Medical Imaging (Bellingham, Wash.)
|February 19, 2026
Summary
MedPTQ enables real 8-bit (INT8) quantization for 3D medical imaging AI models, significantly reducing model size and inference time on GPUs. This advancement allows efficient deployment of deep learning in resource-constrained medical applications without sacrificing accuracy.
Area of Science:
- Medical Imaging AI
- Deep Learning Optimization
- Computational Efficiency
Background:
- Quantizing deep neural networks reduces computational demands, crucial for medical imaging.
- Existing methods often simulate quantization, failing to reduce model size or improve real-world speed.
- Real 3D low-bit quantization on modern GPUs remains largely unexplored.
Purpose of the Study:
- Introduce MedPTQ, an open-source pipeline for real post-training quantization.
- Implement true 8-bit (INT8) inference for state-of-the-art 3D medical segmentation models.
- Enable efficient deployment of AI in resource-limited medical imaging settings.
Main Methods:
- Utilize TensorRT for simulated quantization of weights and activations with an unlabeled dataset.
- Convert simulated quantization to real INT8 quantization using TensorRT engine on GPUs.
- Apply to various 3D medical segmentation models including U-Net, SwinUNETR, and nnU-Net.
Main Results:
- MedPTQ achieves real INT8 quantization on GPUs, reducing model size up to 3.83× and latency up to 2.74×.
- Maintains nearly identical Dice similarity coefficient (mDSC) performance compared to full-precision (FP32) models.
- Demonstrated effectiveness across seven models and three diverse datasets.
Conclusions:
- MedPTQ provides real INT8 inference for 3D AI medical imaging segmentation models.
- Reduces model size, computational needs, and latency on GPUs without compromising accuracy.
- Shows strong generalizability across diverse AI architectures, datasets, and imaging modalities.

