{"about":{"site":"https://codewithpapers.app","non_affiliation":"Code with Papers and Syntology are not affiliated with, endorsed by, or sponsored by Papers with Code, Meta, or the pwc-archive mirror.","licence":"CC BY-SA 4.0","licence_url":"https://creativecommons.org/licenses/by-sa/4.0/legalcode","attribution":"https://codewithpapers.app/attribution","modified":"archive material modified by Syntology; see the attribution page"},"url":"/paper/prompt-tuning-for-parameter-efficient-medical","title":"Prompt Tuning for Parameter-efficient Medical Image Segmentation","arxiv_id":"2211.09233","date":"2022-11-16","proceeding":null,"authors":["Marc Fischer","Alexander Bartler","Bin Yang"],"abstract":"Neural networks pre-trained on a self-supervision scheme have become the standard when operating in data rich environments with scarce annotations. As such, fine-tuning a model to a downstream task in a parameter-efficient but effective way, e.g. for a new set of classes in the case of semantic segmentation, is of increasing importance. In this work, we propose and investigate several contributions to achieve a parameter-efficient but effective adaptation for semantic segmentation on two medical imaging datasets. Relying on the recently popularized prompt tuning approach, we provide a prompt-able UNet (PUNet) architecture, that is frozen after pre-training, but adaptable throughout the network by class-dependent learnable prompt tokens. We pre-train this architecture with a dedicated dense self-supervision scheme based on assignments to online generated prototypes (contrastive prototype assignment, CPA) of a student teacher combination alongside a concurrent segmentation loss on a subset of classes. We demonstrate that the resulting neural network model is able to attenuate the gap between fully fine-tuned and parameter-efficiently adapted models on CT imaging datasets. As such, the difference between fully fine-tuned and prompt-tuned variants amounts to only 3.83 pp for the TCIA/BTCV dataset and 2.67 pp for the CT-ORG dataset in the mean Dice Similarity Coefficient (DSC, in %) while only prompt tokens, corresponding to 0.85% of the pre-trained backbone model with 6.8M frozen parameters, are adjusted. The code for this work is available on https://github.com/marcdcfischer/PUNet .","url_abs":"https://arxiv.org/abs/2211.09233v1","url_pdf":"https://arxiv.org/pdf/2211.09233v1.pdf","source":{"archive":"pwc-archive (Hugging Face), CC BY-SA 4.0","snapshot":"2025-07-28","licence_url":"https://creativecommons.org/licenses/by-sa/4.0/legalcode","row_kind":"abstracts"},"code_links":[{"paper_slug":"prompt-tuning-for-parameter-efficient-medical","repo_url":"https://github.com/marcdcfischer/punet","is_official":1,"mentioned_in_paper":1,"mentioned_in_github":1,"framework":"pytorch","reach":{"status":"ok","spdx":"MIT"}},{"paper_slug":"prompt-tuning-for-parameter-efficient-medical","repo_url":"https://github.com/marcdcfischer/punetr","is_official":0,"mentioned_in_paper":0,"mentioned_in_github":1,"framework":"pytorch","reach":{"status":"ok","spdx":"MIT"}}],"tasks":[{"task_slug":"image-segmentation","task_name":"Image Segmentation"},{"task_slug":"medical-image-segmentation","task_name":"Medical Image Segmentation"},{"task_slug":"segmentation","task_name":"Segmentation"},{"task_slug":"semantic-segmentation","task_name":"Semantic Segmentation"}],"methods":[],"datasets_introduced":[],"methods_introduced":[],"results":[],"syntology":{"atlas_url":"https://app.syntology.ai/?focus=2211.09233","mcp":{"get_harvested_code_for_paper":{"arxiv_id":"2211.09233"}},"developers":"https://syntology.ai/developers","read_at":"2026-09-24T18:15:14+00:00","read_at_is":"when the build read Syntology's graph, not when any sample ran","claim":"Per-sample execution status on synthesized fixtures; not a correctness claim about the paper. 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