IVCVNov 19, 2025

UniUltra: Interactive Parameter-Efficient SAM2 for Universal Ultrasound Segmentation

arXiv:2511.15771v11 citationsh-index: 4Has Code
Originality Incremental advance
AI Analysis

This work solves the problem of efficient and effective ultrasound segmentation for clinical deployment, though it is incremental as it builds on SAM2 with domain-specific adaptations.

The paper tackled adapting the Segment Anything Model 2 (SAM2) to ultrasound images by addressing domain disparities and resource constraints, achieving competitive performance with only 8.91% of SAM2's parameters during fine-tuning and a 94.08% reduction in the final compressed model.

The Segment Anything Model 2 (SAM2) demonstrates remarkable universal segmentation capabilities on natural images. However, its performance on ultrasound images is significantly degraded due to domain disparities. This limitation raises two critical challenges: how to efficiently adapt SAM2 to ultrasound imaging while maintaining parameter efficiency, and how to deploy the adapted model effectively in resource-constrained clinical environments. To address these issues, we propose UniUltra for universal ultrasound segmentation. Specifically, we first introduce a novel context-edge hybrid adapter (CH-Adapter) that enhances fine-grained perception across diverse ultrasound imaging modalities while achieving parameter-efficient fine-tuning. To further improve clinical applicability, we develop a deep-supervised knowledge distillation (DSKD) technique that transfers knowledge from the large image encoder of the fine-tuned SAM2 to a super lightweight encoder, substantially reducing computational requirements without compromising performance. Extensive experiments demonstrate that UniUltra outperforms state-of-the-arts with superior generalization capabilities. Notably, our framework achieves competitive performance using only 8.91% of SAM2's parameters during fine-tuning, and the final compressed model reduces the parameter count by 94.08% compared to the original SAM2, making it highly suitable for practical clinical deployment. The source code is available at https://github.com/xq141839/UniUltra.

Code Implementations1 repo
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