Unleashing the Potential of SAM for Medical Adaptation via Hierarchical Decoding

Fuente: arXiv
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Main Authors: Cheng, Zhiheng, Wei, Qingyue, Zhu, Hongru, Wang, Yan, Qu, Liangqiong, Shao, Wei, Zhou, Yuyin
Format: Preprint
Published: 2024
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author Cheng, Zhiheng
Wei, Qingyue
Zhu, Hongru
Wang, Yan
Qu, Liangqiong
Shao, Wei
Zhou, Yuyin
author_facet Cheng, Zhiheng
Wei, Qingyue
Zhu, Hongru
Wang, Yan
Qu, Liangqiong
Shao, Wei
Zhou, Yuyin
contents The Segment Anything Model (SAM) has garnered significant attention for its versatile segmentation abilities and intuitive prompt-based interface. However, its application in medical imaging presents challenges, requiring either substantial training costs and extensive medical datasets for full model fine-tuning or high-quality prompts for optimal performance. This paper introduces H-SAM: a prompt-free adaptation of SAM tailored for efficient fine-tuning of medical images via a two-stage hierarchical decoding procedure. In the initial stage, H-SAM employs SAM's original decoder to generate a prior probabilistic mask, guiding a more intricate decoding process in the second stage. Specifically, we propose two key designs: 1) A class-balanced, mask-guided self-attention mechanism addressing the unbalanced label distribution, enhancing image embedding; 2) A learnable mask cross-attention mechanism spatially modulating the interplay among different image regions based on the prior mask. Moreover, the inclusion of a hierarchical pixel decoder in H-SAM enhances its proficiency in capturing fine-grained and localized details. This approach enables SAM to effectively integrate learned medical priors, facilitating enhanced adaptation for medical image segmentation with limited samples. Our H-SAM demonstrates a 4.78% improvement in average Dice compared to existing prompt-free SAM variants for multi-organ segmentation using only 10% of 2D slices. Notably, without using any unlabeled data, H-SAM even outperforms state-of-the-art semi-supervised models relying on extensive unlabeled training data across various medical datasets. Our code is available at https://github.com/Cccccczh404/H-SAM.
format Preprint
id arxiv_https___arxiv_org_abs_2403_18271
institution arXiv
publishDate 2024
record_format arxiv
spellingShingle Unleashing the Potential of SAM for Medical Adaptation via Hierarchical Decoding
Cheng, Zhiheng
Wei, Qingyue
Zhu, Hongru
Wang, Yan
Qu, Liangqiong
Shao, Wei
Zhou, Yuyin
Computer Vision and Pattern Recognition
The Segment Anything Model (SAM) has garnered significant attention for its versatile segmentation abilities and intuitive prompt-based interface. However, its application in medical imaging presents challenges, requiring either substantial training costs and extensive medical datasets for full model fine-tuning or high-quality prompts for optimal performance. This paper introduces H-SAM: a prompt-free adaptation of SAM tailored for efficient fine-tuning of medical images via a two-stage hierarchical decoding procedure. In the initial stage, H-SAM employs SAM's original decoder to generate a prior probabilistic mask, guiding a more intricate decoding process in the second stage. Specifically, we propose two key designs: 1) A class-balanced, mask-guided self-attention mechanism addressing the unbalanced label distribution, enhancing image embedding; 2) A learnable mask cross-attention mechanism spatially modulating the interplay among different image regions based on the prior mask. Moreover, the inclusion of a hierarchical pixel decoder in H-SAM enhances its proficiency in capturing fine-grained and localized details. This approach enables SAM to effectively integrate learned medical priors, facilitating enhanced adaptation for medical image segmentation with limited samples. Our H-SAM demonstrates a 4.78% improvement in average Dice compared to existing prompt-free SAM variants for multi-organ segmentation using only 10% of 2D slices. Notably, without using any unlabeled data, H-SAM even outperforms state-of-the-art semi-supervised models relying on extensive unlabeled training data across various medical datasets. Our code is available at https://github.com/Cccccczh404/H-SAM.
title Unleashing the Potential of SAM for Medical Adaptation via Hierarchical Decoding
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2403.18271