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CLIP in Medical Imaging: A Survey

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arxiv 2312.07353 v6 pith:ADFOXTIX submitted 2023-12-12 cs.CV

CLIP in Medical Imaging: A Survey

classification cs.CV
keywords clipmedicalimagingpre-trainingdomainsurveytasksparadigm
verification ladder T0 review T1 audit T2 compute T3 formal T4 reserved
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Contrastive Language-Image Pre-training (CLIP), a simple yet effective pre-training paradigm, successfully introduces text supervision to vision models. It has shown promising results across various tasks due to its generalizability and interpretability. The use of CLIP has recently gained increasing interest in the medical imaging domain, serving as a pre-training paradigm for image-text alignment, or a critical component in diverse clinical tasks. With the aim of facilitating a deeper understanding of this promising direction, this survey offers an in-depth exploration of the CLIP within the domain of medical imaging, regarding both refined CLIP pre-training and CLIP-driven applications. In this paper, we (1) first start with a brief introduction to the fundamentals of CLIP methodology; (2) then investigate the adaptation of CLIP pre-training in the medical imaging domain, focusing on how to optimize CLIP given characteristics of medical images and reports; (3) further explore practical utilization of CLIP pre-trained models in various tasks, including classification, dense prediction, and cross-modal tasks; and (4) finally discuss existing limitations of CLIP in the context of medical imaging, and propose forward-looking directions to address the demands of medical imaging domain. Studies featuring technical and practical value are both investigated. We expect this survey will provide researchers with a holistic understanding of the CLIP paradigm and its potential implications. The project page of this survey can also be found on https://github.com/zhaozh10/Awesome-CLIP-in-Medical-Imaging.

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Cited by 5 Pith papers

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  1. Hierarchically Robust Zero-shot Vision-language Models

    cs.CV 2026-04 unverdicted novelty 7.0

    A hierarchical adversarial fine-tuning method for VLMs aligns image and text embeddings at multiple hierarchy depths with theoretical margin connections to boost robustness to leaf and superclass attacks while using m...

  2. Improving CLIP Adaptation by Breaking Tail Alignment for Source-Free Cross-Domain Few-Shot Learning

    cs.CV 2026-05 unverdicted novelty 6.0

    Proposes Adaptive Tail-Head Alignment (ATHA) that breaks alignment for low-similarity 'tail tokens' in CLIP to boost source-free cross-domain few-shot learning.

  3. On the Reproducibility of "FairCLIP: Harnessing Fairness in Vision-Language Learning''

    cs.CV 2025-09 conditional novelty 6.0

    FairCLIP's claimed fairness and performance gains over CLIP do not reproduce on two datasets, and its official implementation diverges from the paper's own formulation.

  4. Addressing Exacerbated Attention Sink for Source-Free Cross-Domain Few-Shot Learning

    cs.CV 2026-05 unverdicted novelty 5.0

    Proposes dynamic token re-weighting during target-domain fine-tuning to mitigate exacerbated attention sink in source-free CDFSL, achieving SOTA on four benchmarks.

  5. CLIP-SVD: Efficient and Interpretable Vision-Language Adaptation via Singular Values

    cs.CV 2025-09 unverdicted novelty 5.0

    CLIP-SVD performs parameter-efficient adaptation of CLIP by fine-tuning singular values from SVD of weight matrices, reporting SOTA few-shot accuracy on 21 datasets plus a language-based interpretability analysis.