MM-DINOv2: Adapting Foundation Models for Multi-Modal Medical Image Analysis

Fuente: arXiv
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Autori principali: Scholz, Daniel, Erdur, Ayhan Can, Ehm, Viktoria, Meyer-Baese, Anke, Peeken, Jan C., Rueckert, Daniel, Wiestler, Benedikt
Natura: Preprint
Pubblicazione: 2025
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author Scholz, Daniel
Erdur, Ayhan Can
Ehm, Viktoria
Meyer-Baese, Anke
Peeken, Jan C.
Rueckert, Daniel
Wiestler, Benedikt
author_facet Scholz, Daniel
Erdur, Ayhan Can
Ehm, Viktoria
Meyer-Baese, Anke
Peeken, Jan C.
Rueckert, Daniel
Wiestler, Benedikt
contents Vision foundation models like DINOv2 demonstrate remarkable potential in medical imaging despite their origin in natural image domains. However, their design inherently works best for uni-modal image analysis, limiting their effectiveness for multi-modal imaging tasks that are common in many medical fields, such as neurology and oncology. While supervised models perform well in this setting, they fail to leverage unlabeled datasets and struggle with missing modalities, a frequent challenge in clinical settings. To bridge these gaps, we introduce MM-DINOv2, a novel and efficient framework that adapts the pre-trained vision foundation model DINOv2 for multi-modal medical imaging. Our approach incorporates multi-modal patch embeddings, enabling vision foundation models to effectively process multi-modal imaging data. To address missing modalities, we employ full-modality masking, which encourages the model to learn robust cross-modality relationships. Furthermore, we leverage semi-supervised learning to harness large unlabeled datasets, enhancing both the accuracy and reliability of medical predictions. Applied to glioma subtype classification from multi-sequence brain MRI, our method achieves a Matthews Correlation Coefficient (MCC) of 0.6 on an external test set, surpassing state-of-the-art supervised approaches by +11.1%. Our work establishes a scalable and robust solution for multi-modal medical imaging tasks, leveraging powerful vision foundation models pre-trained on natural images while addressing real-world clinical challenges such as missing data and limited annotations.
format Preprint
id arxiv_https___arxiv_org_abs_2509_06617
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle MM-DINOv2: Adapting Foundation Models for Multi-Modal Medical Image Analysis
Scholz, Daniel
Erdur, Ayhan Can
Ehm, Viktoria
Meyer-Baese, Anke
Peeken, Jan C.
Rueckert, Daniel
Wiestler, Benedikt
Image and Video Processing
Computer Vision and Pattern Recognition
Vision foundation models like DINOv2 demonstrate remarkable potential in medical imaging despite their origin in natural image domains. However, their design inherently works best for uni-modal image analysis, limiting their effectiveness for multi-modal imaging tasks that are common in many medical fields, such as neurology and oncology. While supervised models perform well in this setting, they fail to leverage unlabeled datasets and struggle with missing modalities, a frequent challenge in clinical settings. To bridge these gaps, we introduce MM-DINOv2, a novel and efficient framework that adapts the pre-trained vision foundation model DINOv2 for multi-modal medical imaging. Our approach incorporates multi-modal patch embeddings, enabling vision foundation models to effectively process multi-modal imaging data. To address missing modalities, we employ full-modality masking, which encourages the model to learn robust cross-modality relationships. Furthermore, we leverage semi-supervised learning to harness large unlabeled datasets, enhancing both the accuracy and reliability of medical predictions. Applied to glioma subtype classification from multi-sequence brain MRI, our method achieves a Matthews Correlation Coefficient (MCC) of 0.6 on an external test set, surpassing state-of-the-art supervised approaches by +11.1%. Our work establishes a scalable and robust solution for multi-modal medical imaging tasks, leveraging powerful vision foundation models pre-trained on natural images while addressing real-world clinical challenges such as missing data and limited annotations.
title MM-DINOv2: Adapting Foundation Models for Multi-Modal Medical Image Analysis
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2509.06617