Papers › Medical SAM Adapter: Adapting Segment Anything Model for Medical Image Segmentation

Medical SAM Adapter: Adapting Segment Anything Model for Medical Image Segmentation

25 Apr 2023arXiv:2304.12620archive 2025-07-28

Junde Wu, Wei Ji, Yuanpei Liu, Huazhu Fu, Min Xu, Yanwu Xu, Yueming Jin

The Segment Anything Model (SAM) has recently gained popularity in the field of image segmentation due to its impressive capabilities in various segmentation tasks and its prompt-based interface. However, recent studies and individual experiments have shown that SAM underperforms in medical image segmentation, since the lack of the medical specific knowledge. This raises the question of how to enhance SAM's segmentation capability for medical images. In this paper, instead of fine-tuning the SAM model, we propose the Medical SAM Adapter (Med-SA), which incorporates domain-specific medical knowledge into the segmentation model using a light yet effective adaptation technique. In Med-SA, we propose Space-Depth Transpose (SD-Trans) to adapt 2D SAM to 3D medical images and Hyper-Prompting Adapter (HyP-Adpt) to achieve prompt-conditioned adaptation. We conduct comprehensive evaluation experiments on 17 medical image segmentation tasks across various image modalities. Med-SA outperforms several state-of-the-art (SOTA) medical image segmentation methods, while updating only 2\% of the parameters. Our code is released at https://github.com/KidsWithTokens/Medical-SAM-Adapter.

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Code

kidswithtokens/medical-sam-adapter officialmentioned in papermentioned on GitHubpytorchGPL-3.0 report
wujunde/medical-sam-adapter officialmentioned in papermentioned on GitHubpytorchGPL-3.0 report
liutingwed/sam-not-perfect mentioned on GitHubpytorch report
medicinetoken/medical-graph-rag mentioned on GitHubMIT report
supermedintel/medical-sam-adapter mentioned on GitHubpytorchGPL-3.0 report

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Tasks

Image SegmentationMedical Image SegmentationSegmentationSemantic Segmentation

Results from the paper archive 2025-07-28

TaskDatasetModelMetricValueRank at snapshotLeaderboardReport
Medical Image Segmentation Synapse multi-organ CT Medical SAM Adapter Avg DSC 89.80 #2 of 23 Archive leaderboard report

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Methods

AdapterSAM

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