CVMay 9, 2025

Adapting a Segmentation Foundation Model for Medical Image Classification

arXiv:2505.06217v11 citationsh-index: 52025 IEEE 38th International Symposium on Computer-Based Medical Systems (CBMS)
Originality Incremental advance
AI Analysis

This work addresses the challenge of leveraging segmentation foundation models for medical image classification, which is an incremental advancement in adapting existing models to new domains.

The paper tackles the problem of adapting the Segment Anything Model (SAM) for medical image classification by proposing a framework that uses SAM's frozen encoder as a feature extractor and a novel Spatially Localized Channel Attention (SLCA) mechanism to enhance classification models, achieving improved performance on three public datasets.

Recent advancements in foundation models, such as the Segment Anything Model (SAM), have shown strong performance in various vision tasks, particularly image segmentation, due to their impressive zero-shot segmentation capabilities. However, effectively adapting such models for medical image classification is still a less explored topic. In this paper, we introduce a new framework to adapt SAM for medical image classification. First, we utilize the SAM image encoder as a feature extractor to capture segmentation-based features that convey important spatial and contextual details of the image, while freezing its weights to avoid unnecessary overhead during training. Next, we propose a novel Spatially Localized Channel Attention (SLCA) mechanism to compute spatially localized attention weights for the feature maps. The features extracted from SAM's image encoder are processed through SLCA to compute attention weights, which are then integrated into deep learning classification models to enhance their focus on spatially relevant or meaningful regions of the image, thus improving classification performance. Experimental results on three public medical image classification datasets demonstrate the effectiveness and data-efficiency of our approach.

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