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Segment Anything Model (SAM) for Digital Pathology: Assess Zero-shot Segmentation on Whole Slide Imaging

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arxiv 2304.04155 v1 pith:7HGAEUPU submitted 2023-04-09 eess.IV cs.CV

classification eess.IVcs.CV
keywords segmentationmodelimageperformancezero-shotdigitalpathologyachieve
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The segment anything model (SAM) was released as a foundation model for image segmentation. The promptable segmentation model was trained by over 1 billion masks on 11M licensed and privacy-respecting images. The model supports zero-shot image segmentation with various segmentation prompts (e.g., points, boxes, masks). It makes the SAM attractive for medical image analysis, especially for digital pathology where the training data are rare. In this study, we evaluate the zero-shot segmentation performance of SAM model on representative segmentation tasks on whole slide imaging (WSI), including (1) tumor segmentation, (2) non-tumor tissue segmentation, (3) cell nuclei segmentation. Core Results: The results suggest that the zero-shot SAM model achieves remarkable segmentation performance for large connected objects. However, it does not consistently achieve satisfying performance for dense instance object segmentation, even with 20 prompts (clicks/boxes) on each image. We also summarized the identified limitations for digital pathology: (1) image resolution, (2) multiple scales, (3) prompt selection, and (4) model fine-tuning. In the future, the few-shot fine-tuning with images from downstream pathological segmentation tasks might help the model to achieve better performance in dense object segmentation.

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Forward citations

Cited by 12 Pith papers

Reviewed papers in the Pith corpus that reference this work. Sorted by Pith novelty score. Full citation record

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    cs.CV 2025-07 conditional novelty 6.0 of 10

    LoD-Loc v2 localizes aerial cameras by aligning predicted building silhouettes with rendered low-detail city-model silhouettes, achieving accurate 4-DoF pose without textured maps.

  2. KPIs 2024 Challenge: Advancing Glomerular Segmentation from Patch- to Slide-Level

    cs.CV 2025-02 conditional novelty 6.0 of 10

    The KPIs 2024 challenge created a benchmark for glomerular segmentation in PAS-stained mouse kidney slides from four CKD models, and top models achieved Dice scores near 94 percent.

  3. Few-Shot Adaptation of Training-Free Foundation Model for 3D Medical Image Segmentation

    cs.CV 2025-01 conditional novelty 6.0 of 10

    Using a handful of labeled slices as memory in SAM2's video-segmentation pipeline enables prompt-free, fine-tuning-free segmentation of 3D medical volumes.

  4. Efficient Track Anything

    cs.CV 2024-11 conditional novelty 6.0 of 10

    A lightweight video segmentation model with a vanilla ViT encoder and pooled memory cross-attention matches SAM 2 closely while running twice as fast and using 2.4x fewer parameters.

  5. Sli2Vol+: Segmenting 3D Medical Images Based on an Object Estimation Guided Correspondence Flow Network

    cs.CV 2024-11 conditional novelty 6.0 of 10

    Sli2Vol+ learns slice-to-slice correspondences with guidance from pseudo-labels, improving single-slice-annotated 3D segmentation over the Sli2Vol baseline by about 5.6 Dice points on CT and 3.5 on MRI.

  6. TAGS: 3D Tumor-Adaptive Guidance for SAM

    eess.IV 2025-05 conditional novelty 5.0 of 10

    A SAM-based 3D tumor segmentation framework combining TotalSegmentator organ masks, CLIP text guidance, and multi-stage adapters outperforms several medical segmentation baselines on three CT datasets.

  7. Adaptive Interactive Segmentation for Multimodal Medical Imaging via Selection Engine

    cs.CV 2024-11 conditional novelty 5.0 of 10

    An image-feature scoring engine plus k-means clustering selects prompt frames, improving SAM2-based segmentation in seven medical modalities.

  8. ITACLIP: Boosting Training-Free Semantic Segmentation with Image, Text, and Architectural Enhancements

    cs.CV 2024-11 conditional novelty 5.0 of 10

    ITACLIP combines modified CLIP attention, image augmentations, and LLM-generated class descriptions to achieve state-of-the-art training-free semantic segmentation on five benchmarks.

  9. Prompt Mechanisms in Medical Imaging: A Comprehensive Survey

    eess.IV 2025-06 conditional novelty 4.0 of 10

    A broad survey that organizes prompt mechanisms for medical image generation, segmentation, and classification into a two-dimensional taxonomy of core technologies and clinical applications.

  10. Open Foundation Models in Healthcare: Challenges, Paradoxes, and Opportunities with GenAI Driven Personalized Prescription

    cs.CL 2025-02 conditional novelty 4.0 of 10

    Open LLMs (LLaMA-2, LLaMA-3, Mistral, Meditron) roughly match GPT-4 on a 25-patient prescription-suitability check when given SmPC context via RAG, though some interaction classes degrade with RAG.

  11. Gland Segmentation Using SAM With Cancer Grade as a Prompt

    eess.IV 2025-01 conditional novelty 4.0 of 10

    A heat map from a cancer-grade classifier used as a SAM prompt gives small gland-segmentation gains on GlaS, with no error bars and only old baselines compared.

  12. Self-Prompt SAM: Medical Image Segmentation via Automatic Prompt SAM Adaptation

    cs.CV 2025-02 conditional novelty 3.0 of 10

    Self-Prompt-SAM automatically generates point, box, and mask prompts for a fine-tuned SAM and reports state-of-the-art Dice scores on three medical segmentation benchmarks.

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