A Data-scalable Transformer for Medical Image Segmentation: Architecture, Model Efficiency, and Benchmark
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Abstract (arXiv)
Transformers have demonstrated remarkable performance in natural language processing and computer vision. However, existing vision Transformers struggle to learn from limited medical data and are unable to generalize on diverse medical image tasks. To tackle these challenges, we present MedFormer, a data-scalable Transformer designed for generalizable 3D medical image segmentation. Our approach incorporates three key elements: a desirable inductive bias, hierarchical modeling with linear-complexity attention, and multi-scale feature fusion that integrates spatial and semantic information globally. MedFormer can learn across tiny- to large-scale data without pre-training. Comprehensive experiments demonstrate MedFormer's potential as a versatile segmentation backbone, outperforming CNNs and vision Transformers on seven public datasets covering multiple modalities (e.g., CT and MRI) and various medical targets (e.g., healthy organs, diseased tissues, and tumors). We provide public access to our models and evaluation pipeline, offering solid baselines and unbiased comparisons to advance a wide range of downstream clinical applications.
Key facts. Cited by 45 papers in the map (data through 7 Oct 2026). Builds on 52 of its 80 references that are in the map. First posted on arXiv 28 Feb 2022.
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52 of 80 references.
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50 most cited of 52 All 52 (JSON)
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Citing papers per year: 2022: 4; 2023: 10; 2024: 11; 2025: 13; 2026: 7.
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- 2023Training Like a Medical Resident: Context-Prior Learning Toward Universal Medical Image Segmentationcited by 32
- 2024Touchstone Benchmark: Are We on the Right Way for Evaluating AI Algorithms for Medical Segmentation?cited by 31
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- 2022DeepRecon: Joint 2D Cardiac Segmentation and 3D Volume Reconstruction via A Structure-Specific Generative Methodcited by 17
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- 2023DeFormer: Integrating Transformers with Deformable Models for 3D Shape Abstraction from a Single Imagecited by 11
- 2024BEFUnet: A Hybrid CNN-Transformer Architecture for Precise Medical Image Segmentationcited by 11
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12 most cited of 40 All 40 (JSON)
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- 2026RT-Super: Learning Tumor Segmentation from Longitudinal Images and Reports28 Sep 2026
- 2026Report Supervision27 Aug 2026
- 2026MedPlex: Deep Vision-Language Co-Adaptation for Clinically Grounded Medical Segmentation13 Aug 2026
- 2026GLeVE: Graph-Guided Lesion Grounding with Proposal Verification in 3D CT21 May 2026
- 2026Deep Learning-Based Automated Quantification of TIMI Myocardial Perfusion Frame Count (DL-TMPFC) from Coronary Angiography: A Novel Framework for Rapid Assessment of Microvascular Dysfunction20 May 2026
- 2026CDSA-Net:Collaborative Decoupling of Vascular Structure and Background for High-Fidelity Coronary Digital Subtraction Angiography19 Apr 2026
- 2025FluenceFormer: Transformer-Driven Multi-Beam Fluence Map Regression for Radiotherapy Planning27 Dec 2025
- 2025Auditing Significance, Metric Choice, and Demographic Fairness in Medical AI Challenges22 Dec 2025
- 2025See More, Change Less: Anatomy-Aware Diffusion for Contrast Enhancement8 Dec 2025
- 2025Bridging spatial awareness and global context in medical image segmentation6 Dec 2025
- 2025Scaling Artificial Intelligence for Multi-Tumor Early Detection with More Reports, Fewer Masks16 Oct 2025
12 newest of 40 All 40 (JSON)