MedDINOv3: How to adapt vision foundation models for medical image segmentation?

Fuente: arXiv
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Hauptverfasser: Li, Yuheng, Wu, Yizhou, Lai, Yuxiang, Hu, Mingzhe, Yang, Xiaofeng
Format: Preprint
Veröffentlicht: 2025
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author Li, Yuheng
Wu, Yizhou
Lai, Yuxiang
Hu, Mingzhe
Yang, Xiaofeng
author_facet Li, Yuheng
Wu, Yizhou
Lai, Yuxiang
Hu, Mingzhe
Yang, Xiaofeng
contents Accurate segmentation of organs and tumors in CT and MRI scans is essential for diagnosis, treatment planning, and disease monitoring. While deep learning has advanced automated segmentation, most models remain task-specific, lacking generalizability across modalities and institutions. Vision foundation models (FMs) pretrained on billion-scale natural images offer powerful and transferable representations. However, adapting them to medical imaging faces two key challenges: (1) the ViT backbone of most foundation models still underperform specialized CNNs on medical image segmentation, and (2) the large domain gap between natural and medical images limits transferability. We introduce MedDINOv3, a simple and effective framework for adapting DINOv3 to medical segmentation. We first revisit plain ViTs and design a simple and effective architecture with multi-scale token aggregation. Then, we perform domain-adaptive pretraining on CT-3M, a curated collection of 3.87M axial CT slices, using a multi-stage DINOv3 recipe to learn robust dense features. MedDINOv3 matches or exceeds state-of-the-art performance across four segmentation benchmarks, demonstrating the potential of vision foundation models as unified backbones for medical image segmentation. The code is available at https://github.com/ricklisz/MedDINOv3.
format Preprint
id arxiv_https___arxiv_org_abs_2509_02379
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MedDINOv3: How to adapt vision foundation models for medical image segmentation?
Li, Yuheng
Wu, Yizhou
Lai, Yuxiang
Hu, Mingzhe
Yang, Xiaofeng
Computer Vision and Pattern Recognition
Accurate segmentation of organs and tumors in CT and MRI scans is essential for diagnosis, treatment planning, and disease monitoring. While deep learning has advanced automated segmentation, most models remain task-specific, lacking generalizability across modalities and institutions. Vision foundation models (FMs) pretrained on billion-scale natural images offer powerful and transferable representations. However, adapting them to medical imaging faces two key challenges: (1) the ViT backbone of most foundation models still underperform specialized CNNs on medical image segmentation, and (2) the large domain gap between natural and medical images limits transferability. We introduce MedDINOv3, a simple and effective framework for adapting DINOv3 to medical segmentation. We first revisit plain ViTs and design a simple and effective architecture with multi-scale token aggregation. Then, we perform domain-adaptive pretraining on CT-3M, a curated collection of 3.87M axial CT slices, using a multi-stage DINOv3 recipe to learn robust dense features. MedDINOv3 matches or exceeds state-of-the-art performance across four segmentation benchmarks, demonstrating the potential of vision foundation models as unified backbones for medical image segmentation. The code is available at https://github.com/ricklisz/MedDINOv3.
title MedDINOv3: How to adapt vision foundation models for medical image segmentation?
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2509.02379