Rafaela Cappelari Ravazio

Christian Mattjie, Luis Vinicius de Moura, Rafaela Cappelari Ravazio et al.

Segmentation in medical imaging is a critical component for the diagnosis, monitoring, and treatment of various diseases and medical conditions. Presently, the medical segmentation landscape is dominated by numerous specialized deep learning models, each fine-tuned for specific segmentation tasks and image modalities. The recently-introduced Segment Anything Model (SAM) employs the ViT neural architecture and harnesses a massive training dataset to segment nearly any object; however, its suitability to the medical domain has not yet been investigated. In this study, we explore the zero-shot performance of SAM in medical imaging by implementing eight distinct prompt strategies across six datasets from four imaging modalities, including X-ray, ultrasound, dermatoscopy, and colonoscopy. Our findings reveal that SAM's zero-shot performance is not only comparable to, but in certain cases, surpasses the current state-of-the-art. Based on these results, we propose practical guidelines that require minimal interaction while consistently yielding robust outcomes across all assessed contexts. The source code, along with a demonstration of the recommended guidelines, can be accessed at https://github.com/Malta-Lab/SAM-zero-shot-in-Medical-Imaging.

Joana Pasquali, Ramiro N. Barros, Arthur S. Bianchessi et al.

LoRA is widely adopted for continual fine-tuning of Large Language Models due to its parameter efficiency, modularity across tasks, and compatibility with replay strategies. However, LoRA-based continual learning remains vulnerable to catastrophic forgetting, whose severity depends on how successive task gradients interact: when consecutive task gradients conflict, standard adapter initializations channel updates into subspaces that overwrite previously learned directions. We propose SLICE, a gradient-surgery-based initialization for LoRA adapters in continual learning. SLICE accumulates gradients from both the current task and a replay buffer of prior tasks, reconciles them through a projection operator, and decomposes the result via truncated SVD to initialize the adapter weights. We evaluate SLICE on the TRACE benchmark and sequences of Super-NI tasks, including a set of adversarial Super-NI sequences that we construct by mining task pairs with maximally opposing gradients. Compared to vanilla LoRA, LoRA-GA, and LoRAM, SLICE consistently achieves a better stability-plasticity trade-off, improving Average Performance, Final Performance and Forgetting metrics while preserving General Performance and In Context Performance across both standard and adversarial continual learning sequences.