RadSAM: Segmenting 3D radiological images with a 2D promptable model

Fuente: arXiv
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Main Authors: Khlaut, Julien, Ferreres, Elodie, Tordjman, Daniel, Philippe, Hélène, Boeken, Tom, Manceron, Pierre, Dancette, Corentin
Format: Preprint
Published: 2025
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author Khlaut, Julien
Ferreres, Elodie
Tordjman, Daniel
Philippe, Hélène
Boeken, Tom
Manceron, Pierre
Dancette, Corentin
author_facet Khlaut, Julien
Ferreres, Elodie
Tordjman, Daniel
Philippe, Hélène
Boeken, Tom
Manceron, Pierre
Dancette, Corentin
contents Medical image segmentation is a crucial and time-consuming task in clinical care, where mask precision is extremely important. The Segment Anything Model (SAM) offers a promising approach, as it provides an interactive interface based on visual prompting and edition to refine an initial segmentation. This model has strong generalization capabilities, does not rely on predefined classes, and adapts to diverse objects; however, it is pre-trained on natural images and lacks the ability to process medical data effectively. In addition, this model is built for 2D images, whereas a whole medical domain is based on 3D images, such as CT and MRI. Recent adaptations of SAM for medical imaging are based on 2D models, thus requiring one prompt per slice to segment 3D objects, making the segmentation process tedious. They also lack important features such as editing. To bridge this gap, we propose RadSAM, a novel method for segmenting 3D objects with a 2D model from a single prompt. In practice, we train a 2D model using noisy masks as initial prompts, in addition to bounding boxes and points. We then use this novel prompt type with an iterative inference pipeline to reconstruct the 3D mask slice-by-slice. We introduce a benchmark to evaluate the model's ability to segment 3D objects in CT images from a single prompt and evaluate the models' out-of-domain transfer and edition capabilities. We demonstrate the effectiveness of our approach against state-of-the-art models on this benchmark using the AMOS abdominal organ segmentation dataset.
format Preprint
id arxiv_https___arxiv_org_abs_2504_20837
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle RadSAM: Segmenting 3D radiological images with a 2D promptable model
Khlaut, Julien
Ferreres, Elodie
Tordjman, Daniel
Philippe, Hélène
Boeken, Tom
Manceron, Pierre
Dancette, Corentin
Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
Medical image segmentation is a crucial and time-consuming task in clinical care, where mask precision is extremely important. The Segment Anything Model (SAM) offers a promising approach, as it provides an interactive interface based on visual prompting and edition to refine an initial segmentation. This model has strong generalization capabilities, does not rely on predefined classes, and adapts to diverse objects; however, it is pre-trained on natural images and lacks the ability to process medical data effectively. In addition, this model is built for 2D images, whereas a whole medical domain is based on 3D images, such as CT and MRI. Recent adaptations of SAM for medical imaging are based on 2D models, thus requiring one prompt per slice to segment 3D objects, making the segmentation process tedious. They also lack important features such as editing. To bridge this gap, we propose RadSAM, a novel method for segmenting 3D objects with a 2D model from a single prompt. In practice, we train a 2D model using noisy masks as initial prompts, in addition to bounding boxes and points. We then use this novel prompt type with an iterative inference pipeline to reconstruct the 3D mask slice-by-slice. We introduce a benchmark to evaluate the model's ability to segment 3D objects in CT images from a single prompt and evaluate the models' out-of-domain transfer and edition capabilities. We demonstrate the effectiveness of our approach against state-of-the-art models on this benchmark using the AMOS abdominal organ segmentation dataset.
title RadSAM: Segmenting 3D radiological images with a 2D promptable model
topic Computer Vision and Pattern Recognition
Artificial Intelligence
Machine Learning
url https://arxiv.org/abs/2504.20837