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Main Authors: Liu, Zelin, Dong, Sicheng, Li, Bocheng, Yang, Yixuan, Ruan, Jiacheng, Zhou, Chenxu, Xiang, Suncheng
Format: Preprint
Published: 2025
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Online Access:https://arxiv.org/abs/2509.24204
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author Liu, Zelin
Dong, Sicheng
Li, Bocheng
Yang, Yixuan
Ruan, Jiacheng
Zhou, Chenxu
Xiang, Suncheng
author_facet Liu, Zelin
Dong, Sicheng
Li, Bocheng
Yang, Yixuan
Ruan, Jiacheng
Zhou, Chenxu
Xiang, Suncheng
contents Vision foundation models like the Segment Anything Model (SAM), pretrained on large-scale natural image datasets, often struggle in medical image segmentation due to a lack of domain-specific adaptation. In clinical practice, fine-tuning such models efficiently for medical downstream tasks with minimal resource demands, while maintaining strong performance, is challenging. To address these issues, we propose BALR-SAM, a boundary-aware low-rank adaptation framework that enhances SAM for medical imaging. It combines three tailored components: (1) a Complementary Detail Enhancement Network (CDEN) using depthwise separable convolutions and multi-scale fusion to capture boundary-sensitive features essential for accurate segmentation; (2) low-rank adapters integrated into SAM's Vision Transformer blocks to optimize feature representation and attention for medical contexts, while simultaneously significantly reducing the parameter space; and (3) a low-rank tensor attention mechanism in the mask decoder, cutting memory usage by 75% and boosting inference speed. Experiments on standard medical segmentation datasets show that BALR-SAM, without requiring prompts, outperforms several state-of-the-art (SOTA) methods, including fully fine-tuned MedSAM, while updating just 1.8% (11.7M) of its parameters.
format Preprint
id arxiv_https___arxiv_org_abs_2509_24204
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle BALR-SAM: Boundary-Aware Low-Rank Adaptation of SAM for Resource-Efficient Medical Image Segmentation
Liu, Zelin
Dong, Sicheng
Li, Bocheng
Yang, Yixuan
Ruan, Jiacheng
Zhou, Chenxu
Xiang, Suncheng
Computer Vision and Pattern Recognition
Artificial Intelligence
Vision foundation models like the Segment Anything Model (SAM), pretrained on large-scale natural image datasets, often struggle in medical image segmentation due to a lack of domain-specific adaptation. In clinical practice, fine-tuning such models efficiently for medical downstream tasks with minimal resource demands, while maintaining strong performance, is challenging. To address these issues, we propose BALR-SAM, a boundary-aware low-rank adaptation framework that enhances SAM for medical imaging. It combines three tailored components: (1) a Complementary Detail Enhancement Network (CDEN) using depthwise separable convolutions and multi-scale fusion to capture boundary-sensitive features essential for accurate segmentation; (2) low-rank adapters integrated into SAM's Vision Transformer blocks to optimize feature representation and attention for medical contexts, while simultaneously significantly reducing the parameter space; and (3) a low-rank tensor attention mechanism in the mask decoder, cutting memory usage by 75% and boosting inference speed. Experiments on standard medical segmentation datasets show that BALR-SAM, without requiring prompts, outperforms several state-of-the-art (SOTA) methods, including fully fine-tuned MedSAM, while updating just 1.8% (11.7M) of its parameters.
title BALR-SAM: Boundary-Aware Low-Rank Adaptation of SAM for Resource-Efficient Medical Image Segmentation
topic Computer Vision and Pattern Recognition
Artificial Intelligence
url https://arxiv.org/abs/2509.24204