Due to the inherent flexibility of prompting, foundation models have emerged as the predominant force in the fields of natural language processing and computer vision. The introduction of the Segment Anything Model (SAM) (paper) and SAM2 (paper) signifies a noteworthy expansion of the prompt-driven paradigm into the domain of image/video segmentation, introducing a plethora of previously unexplored capabilities.
We provide a comprehensive survey of recent endeavors aimed at extending the efficacy of SAM to medical image segmentation tasks, encompassing both empirical benchmarking and methodological adaptations. Additionally, we explore potential avenues for future research directions in SAM's role within medical image segmentation. Please refer to the paper for more details.
This repo will continue to track and summarize the latest research progress of SAM in medical image segmentation to support ongoing research endeavors. If you find this project helpful, please consider stars or citing. Feel free to contact for any suggestions. If you would like to contribute, please open an issue.
@article{SAM4MIS,
title={Segment Anything Model for Medical Image Segmentation: Current Applications and Future Directions},
author={Zhang, Yichi and Shen, Zhenrong and Jiao, Rushi},
journal={Computers in Biology and Medicine},
volume={171},
pages={108238},
year={2024}
}
Segment Anything Model (SAM) uses vision transformer-based image encoder to extract image features and compute an image embedding, and prompt encoder to embed prompts and incorporate user interactions. Then extranted information from two encoders are combined to alightweight mask decoder to generate segmentation results based on the image embedding, prompt embedding, and output token. For more details, please refer to the original paper of SAM.


A brief chronology of Segment Anything Model (SAM) and its variants for medical image segmentation in 2023.
| Date | Authors | Title | Code |
|---|---|---|---|
| 202408 | Y. Yamagishi et al. | Zero-shot 3D Segmentation of Abdominal Organs in CT Scans Using Segment Anything Model 2: Adapting Video Tracking Capabilities for 3D Medical Imaging (paper) | None |
| 202408 | M. Mansoori et al. | Polyp SAM 2: Advancing Zero shot Polyp Segmentation in Colorectal Cancer Detection (paper) | Code |
| 202408 | AS. Yu et al. | Novel adaptation of video segmentation to 3D MRI: efficient zero-shot knee segmentation with SAM2 (paper) | None |
| 202408 | J. Yu et al. | SAM 2 in Robotic Surgery: An Empirical Evaluation for Robustness and Generalization in Surgical Video Segmentation (paper) | None |
| 202408 | T. Chen et al. | SAM2-Adapter: Evaluating & Adapting Segment Anything 2 in Downstream Tasks: Camouflage, Shadow, Medical Image Segmentation, and More (paper) | None |
| 202408 | S. Sengupta et al. | Is SAM 2 Better than SAM in Medical Image Segmentation? (paper) | None |
| 202408 | Y. Shen et al. | Performance and Non-adversarial Robustness of the Segment Anything Model 2 in Surgical Video Segmentation (paper) | None |
| 202408 | M. Zhang et al. | SAM2-PATH: A better segment anything model for semantic segmentation in digital pathology (paper) | Code |
| 202408 | J. Ma et al. | Segment Anything in Medical Images and Videos: Benchmark and Deployment (paper) | Code |
| 202408 | Z. Yan et al. | Biomedical SAM 2: Segment Anything in Biomedical Images and Videos (paper) | None |
| 202408 | C. Shen et al. | Interactive 3D Medical Image Segmentation with SAM 2 (paper) | Code |
| 202408 | A. Lou et al. | Zero-Shot Surgical Tool Segmentation in Monocular Video Using Segment Anything Model 2 (paper) | None |
| 202408 | J. Zhu et al. | Medical SAM 2: Segment medical images as video via Segment Anything Model 2 (paper) | Code |
| 202408 | H. Dong et al. | Segment anything model 2: an application to 2D and 3D medical images (paper) | None |
| Date | Authors | Title | Code |
|---|---|---|---|
| 202408 | J. Wei et al. | SAM-FNet: SAM-Guided Fusion Network for Laryngo-Pharyngeal Tumor Detection (paper) | Code |
| 202408 | X. Wei et al. | PromptSAM+: Malware Detection based on Prompt Segment Anything Model (paper) | Code |
| 202407 | J. Cai et al. | PESAM: Privacy-Enhanced Segment Anything Model for Medical Image Segmentation (paper) | None |
| 202407 | M. Asokan et al. | A Federated Learning-Friendly Approach for Parameter-Efficient Fine-Tuning of SAM in 3D Segmentation (paper) | Code |
| 202407 | SN. Gowda et al. | CC-SAM: SAM with Cross-feature Attention and Context for Ultrasound Image Segmentation(paper) | None |
| 202407 | X. Huo et al. | Dr-SAM: U-Shape Structure Segment Anything Model for Generalizable Medical Image Segmentation (paper) | None |
| 202407 | H. Fang et al. | SAM-MIL: A Spatial Contextual Aware Multiple Instance Learning Approach for Whole Slide Image Classification (paper) | None |
| 202407 | Q. Xu et al. | ESP-MedSAM: Efficient Self-Prompting SAM for Universal Domain-Generalized Medical Image Segmentation (paper) | Code |
| 202407 | X. Zhao et al. | SAM-Driven Weakly Supervised Nodule Segmentation with Uncertainty-Aware Cross Teaching (paper) | None |
| 202407 | Q. Xu et al. | ProtoSAM: One Shot Medical Image Segmentation With Foundational Models (paper) | Code |
| 202407 | A. Murali et al. | CycleSAM: One-Shot Surgical Scene Segmentation using Cycle-Consistent Feature Matching to Prompt SAM (paper) | None |
| 202407 | T. Song et al. | TinySAM-Med3D: A Lightweight Segment Anything Model for Volumetric Medical Imaging with Mixture of Experts (paper) | None |
| 202407 | Y. Gao et al. | MBA-Net: SAM-driven Bidirectional Aggregation Network for Ovarian Tumor Segmentation (paper) | None |
| 202407 | J. Miao et al. | Cross Prompting Consistency with Segment Anything Model for Semi-supervised Medical Image Segmentation (paper) | Code |
| 202407 | G. Wang et al. | SAM-Med3D-MoE: Towards a Non-Forgetting Segment Anything Model via Mixture of Experts for 3D Medical Image Segmentation (paper) | None |
| 202407 | Z. Zhang et al. | Quantification of cardiac capillarization in basement-membrane-immunostained myocardial slices using Segment Anything Model (paper) | None |
| 202407 | H. Li et al. | ASPS: Augmented Segment Anything Model for Polyp Segmentation (paper) | Code |
| 202406 | Y. Xie et al. | SimTxtSeg: Weakly-Supervised Medical Image Segmentation with Simple Text Cues (paper) | None |
| 202406 | X. Deng et al. | MemSAM: Taming Segment Anything Model for Echocardiography Video Segmentation (paper) | Code |
| 202406 | Yunhe Gao | Training Like a Medical Resident: Context-Prior Learning Toward Universal Medical Image Segmentation (paper) | Code |
| 202406 | C.D Albelda et al. | How SAM Perceives Different mp-MRI Brain Tumor Domains? (paper) | Code |
| 202406 | T. Huang et al. | Improving Segment Anything on the Fly: Auxiliary Online Learning and Adaptive Fusion for Medical Image Segmentation (paper) | Code |
| 202406 | B. Towle et al. | SimSAM: Zero-shot Medical Image Segmentation via Simulated Interaction (paper) | Code |
| 202405 | Y. Gu et al. | LeSAM: Adapt Segment Anything Model for medical lesion segmentation (paper) | None |
| 202405 | J. Leng et al. | Development of UroSAM: A Machine Learning Model to Automatically Identify Kidney Stone Composition from Endoscopic Video (paper) | None |
| 202405 | MM. Rahman et al. | PP-SAM: Perturbed Prompts for Robust Adaptation of Segment Anything Model for Polyp Segmentation (paper) | Code |
| 202405 | X. Zhang et al. | A Foundation Model for Brain Lesion Segmentation with Mixture of Modality Experts (paper) | Code |
| 202405 | TJ. Chan et al. | SAM3D: Zero-Shot Semi-Automatic Segmentation in 3D Medical Images with the Segment Anything Model (paper) | None |
| 202405 | HL. Zedda et al. | SAMMI: Segment Anything Model for Malaria Identification (paper) | None |
| 202404 | H. Zhou et al. | AGSAM: Agent-Guided Segment Anything Model for Automatic Segmentation in Few-Shot Scenarios (paper) | None |
| 202404 | V. Zohranyan et al. | Dr-SAM: An End-to-End Framework for Vascular Segmentation, Diameter Estimation, and Anomaly Detection on Angiography Images (paper) | Code |
| 202404 | Z. Tu et al. | Ultrasound SAM Adapter: Adapting SAM for Breast Lesion Segmentation in Ultrasound Images (paper) | Code |
| 202404 | Y. Sheng et al. | Surgical-DeSAM: Decoupling SAM for Instrument Segmentation in Robotic Surgery (paper) | None |
| 202404 | J. Yu et al. | Adapting SAM for Surgical Instrument Tracking and Segmentation in Endoscopic Submucosal Dissection Videos (paper) | None |
| 202404 | H. Gu et al. | How to build the best medical image segmentation algorithm using foundation models: a comprehensive empirical study with Segment Anything Model (paper) | Code |
| 202404 | W. Abebe et al. | SAM-I-Am: Semantic Boosting for Zero-shot Atomic-Scale Electron Micrograph Segmentation (paper) | None |
| 202404 | S. Aleem et al. | Test-Time Adaptation with SaLIP: A Cascade of SAM and CLIP for Zero-shot Medical Image Segmentation (paper) | Code |
| 202404 | Z. Su et al. | Adapting SAM to histopathology images for tumor bud segmentation in colorectal cancer (paper) | None |
| 202404 | Y. Ding et al. | Barely-supervised Brain Tumor Segmentation via Employing Segment Anything Model (paper) | None |
| 202404 | Y. Zhu et al. | SAM-Att: A Prompt-free SAM-related Model with an Attention Module for Automatic Segmentation of the Left Ventricle in Echocardiography (paper) | None |
| 202404 | Y. |


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