UniSeg: A Prompt-driven Universal Segmentation Model as well as A Strong Representation Learner
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Abstract (arXiv)
The universal model emerges as a promising trend for medical image segmentation, paving up the way to build medical imaging large model (MILM). One popular strategy to build universal models is to encode each task as a one-hot vector and generate dynamic convolutional layers at the end of the decoder to extract the interested target. Although successful, it ignores the correlations among tasks and meanwhile is too late to make the model 'aware' of the ongoing task. To address both issues, we propose a prompt-driven Universal Segmentation model (UniSeg) for multi-task medical image segmentation using diverse modalities and domains. We first devise a learnable universal prompt to describe the correlations among all tasks and then convert this prompt and image features into a task-specific prompt, which is fed to the decoder as a part of its input. Thus, we make the model 'aware' of the ongoing task early and boost the task-specific training of the whole decoder. Our results indicate that the proposed UniSeg outperforms other universal models and single-task models on 11 upstream tasks. Moreover, UniSeg also beats other pre-trained models on two downstream datasets, providing the community with a high-quality pre-trained model for 3D medical image segmentation. Code and model are available at https://github.com/yeerwen/UniSeg.
Key facts. Cited by 46 papers in the map (data through 7 Oct 2026). Builds on 22 of its 32 references that are in the map. First posted on arXiv 7 Apr 2023.
Builds on
22 of 32 references.
References · 22
- 2019Cross-lingual Language Model Pretrainingcited by 1,088
- 2021UNETR: Transformers for 3D Medical Image Segmentationcited by 954
- 2021Learning to Prompt for Continual Learningcited by 938
- 2021PVT v2: Improved Baselines with Pyramid Vision Transformercited by 749
- 2021The Medical Segmentation Decathloncited by 620
- 2021The RSNA-ASNR-MICCAI BraTS 2021 Benchmark on Brain Tumor Segmentation and Radiogenomic Classificationcited by 507
- 2019The Liver Tumor Segmentation Benchmark (LiTS)cited by 504
- 2021Self-Supervised Pre-Training of Swin Transformers for 3D Medical Image Analysiscited by 418
- 2019Med3D: Transfer Learning for 3D Medical Image Analysiscited by 282
- 2021CoTr: Efficiently Bridging CNN and Transformer for 3D Medical Image Segmentationcited by 227
- 2023CLIP-Driven Universal Model for Organ Segmentation and Tumor Detectioncited by 224
- 2019The state of the art in kidney and kidney tumor segmentation in contrast-enhanced CT imaging: Results of the KiTS19 Challengecited by 188
10 more
- 2020MS-Net: Multi-Site Network for Improving Prostate Segmentation with Heterogeneous MRI Datacited by 121
- 2020VerSe: A Vertebrae Labelling and Segmentation Benchmark for Multi-detector CT Imagescited by 111
- 2020DoDNet: Learning to segment multi-organ and tumors from multiple partially labeled datasetscited by 94
- 20223D UX-Net: A Large Kernel Volumetric ConvNet Modernizing Hierarchical Transformer for Medical Image Segmentationcited by 94
- 2020Multi-organ Segmentation over Partially Labeled Datasets with Multi-scale Feature Abstractioncited by 70
- 2021UniMiSS: Universal Medical Self-Supervised Learning via Breaking Dimensionality Barriercited by 55
- 2023Geometric Visual Similarity Learning in 3D Medical Image Self-supervised Pre-trainingcited by 36
- 2022Self-supervised 3D anatomy segmentation using self-distilled masked image transformer (SMIT)cited by 35
- 2022Universal Segmentation of 33 Anatomiescited by 10
- 2021Omni-Seg: A Single Dynamic Network for Multi-label Renal Pathology Image Segmentation using Partially Labeled Datacited by 4
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Citing papers per year: 2023: 7; 2024: 17; 2025: 17; 2026: 5.
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- 2023Prompt Engineering for Healthcare: Methodologies and Applicationscited by 52
- 2023Generative Text-Guided 3D Vision-Language Pretraining for Unified Medical Image Segmentationcited by 47
- 2023Continual Self-supervised Learning: Towards Universal Multi-modal Medical Data Representation Learningcited by 34
- 2023Training Like a Medical Resident: Context-Prior Learning Toward Universal Medical Image Segmentationcited by 32
- 2024Universal and Extensible Language-Vision Models for Organ Segmentation and Tumor Detection from Abdominal Computed Tomographycited by 31
- 2024Touchstone Benchmark: Are We on the Right Way for Evaluating AI Algorithms for Medical Segmentation?cited by 31
- 2023SegRap2023: A Benchmark of Organs-at-Risk and Gross Tumor Volume Segmentation for Radiotherapy Planning of Nasopharyngeal Carcinomacited by 28
- 2026Medical SAM3: A Foundation Model for Universal Prompt-Driven Medical Image Segmentationcited by 23
- 2023COSST: Multi-organ Segmentation with Partially Labeled Datasets Using Comprehensive Supervisions and Self-trainingcited by 16
- 2025Show and Segment: Universal Medical Image Segmentation via In-Context Learningcited by 15
- 2023Segment Together: A Versatile Paradigm for Semi-Supervised Medical Image Segmentationcited by 12
- 2024MedUniSeg: 2D and 3D Medical Image Segmentation via a Prompt-driven Universal Modelcited by 7
34 more
- 2024Unleashing the Potential of Vision-Language Pre-Training for 3D Zero-Shot Lesion Segmentation via Mask-Attribute Alignmentcited by 7
- 2024FedLPPA: Learning Personalized Prompt and Aggregation for Federated Weakly-supervised Medical Image Segmentationcited by 6
- 2026MedSAM-Agent: Empowering Interactive Medical Image Segmentation with Multi-turn Agentic Reinforcement Learningcited by 6
- 2024LSHBloom: Memory-efficient, Extreme-scale Document Deduplicationcited by 5
- 2025Expectation-Maximization as the Engine of Scalable Medical Intelligencecited by 5
- 2024Autoregressive Sequence Modeling for 3D Medical Image Representationcited by 4
- 2024LoRKD: Low-Rank Knowledge Decomposition for Medical Foundation Modelscited by 4
- 2024MCP-MedSAM: A Powerful Lightweight Medical Segment Anything Model Trained with a Single GPU in Just One Daycited by 4
- 2024UniUSNet: A Promptable Framework for Universal Ultrasound Disease Prediction and Tissue Segmentationcited by 2
- 2024Deep Mutual Learning among Partially Labeled Datasets for Multi-Organ Segmentationcited by 2
- 2025UPCMR: A Universal Prompt-guided Model for Random Sampling Cardiac MRI Reconstructioncited by 2
- 2025Generalist Models in Medical Image Segmentation: A Survey and Performance Comparison with Task-Specific Approachescited by 2
- 2025K-Prism: A Knowledge-Guided and Prompt Integrated Universal Medical Image Segmentation Modelcited by 2
- 2024Labeled-to-Unlabeled Distribution Alignment for Partially-Supervised Multi-Organ Medical Image Segmentationcited by 1
- 2024Universal Medical Image Representation Learning with Compositional Decoderscited by 1
- 2025Advancing Generalizable Tumor Segmentation with Anomaly-Aware Open-Vocabulary Attention Maps and Frozen Foundation Diffusion Modelscited by 1
- 2025MedSeqFT: Sequential Fine-tuning Foundation Models for 3D Medical Image Segmentationcited by 1
- 2025Enhancing 3D Medical Image Understanding with Pretraining Aided by 2D Multimodal Large Language Modelscited by 1
- 2025ProPL: Universal Semi-Supervised Ultrasound Image Segmentation via Prompt-Guided Pseudo-Labelingcited by 1
- 2025LapFM: A Laparoscopic Segmentation Foundation Model via Hierarchical Concept Evolving Pre-trainingcited by 1
- 2024MedFLIP: Medical Vision-and-Language Self-supervised Fast Pre-Training with Masked Autoencodercited by 0
- 2024Prompt-driven Universal Model for View-Agnostic Echocardiography Analysiscited by 0
- 2024Machine Learning Techniques for MRI Data Processing at Expanding Scalecited by 0
- 2024Modality-Projection Universal Model for Comprehensive Full-Body Medical Imaging Segmentationcited by 0
- 2025Dynamic Gradient Sparsification Training for Few-Shot Fine-tuning of CT Lymph Node Segmentation Foundation Modelcited by 0
- 2025TAGS: 3D Tumor-Adaptive Guidance for SAMcited by 0
- 2025TK-Mamba: Marrying KAN With Mamba for Text-Driven 3D Medical Image Segmentationcited by 0
- 2025CDPDNet: Integrating Text Guidance with Hybrid Vision Encoders for Medical Image Segmentationcited by 0
- 2025Prompt Mechanisms in Medical Imaging: A Comprehensive Surveycited by 0
- 2025DpDNet: An Dual-Prompt-Driven Network for Universal PET-CT Segmentationcited by 0
- 2025Exploiting Unlabeled Structures through Task Consistency Training for Versatile Medical Image Segmentationcited by 0
- 2026UniMedSeg: Unified In-Context Learning for Multi-Paradigm 2D/3D Medical Image Segmentationcited by 0
- 2026GoDeep: Annotation-Free Open-Vocabulary 3D Scene Understanding via Language-Space Liftingcited by 0
- 2026FreqDINO++: A Frequency-Guided Multi-Task Routing Vision Foundation Model for Universal Ultrasound Analysiscited by 0
- 2026FreqDINO++: A Frequency-Guided Multi-Task Routing Vision Foundation Model for Universal Ultrasound Analysis17 Sep 2026
- 2026GoDeep: Annotation-Free Open-Vocabulary 3D Scene Understanding via Language-Space Lifting8 Sep 2026
- 2026UniMedSeg: Unified In-Context Learning for Multi-Paradigm 2D/3D Medical Image Segmentation14 Jul 2026
- 2026MedSAM-Agent: Empowering Interactive Medical Image Segmentation with Multi-turn Agentic Reinforcement Learning3 Feb 2026
- 2026Medical SAM3: A Foundation Model for Universal Prompt-Driven Medical Image Segmentation15 Jan 2026
- 2025LapFM: A Laparoscopic Segmentation Foundation Model via Hierarchical Concept Evolving Pre-training9 Dec 2025
- 2025ProPL: Universal Semi-Supervised Ultrasound Image Segmentation via Prompt-Guided Pseudo-Labeling19 Nov 2025
- 2025K-Prism: A Knowledge-Guided and Prompt Integrated Universal Medical Image Segmentation Model29 Sep 2025
- 2025Enhancing 3D Medical Image Understanding with Pretraining Aided by 2D Multimodal Large Language Models11 Sep 2025
- 2025MedSeqFT: Sequential Fine-tuning Foundation Models for 3D Medical Image Segmentation7 Sep 2025
- 2025Exploiting Unlabeled Structures through Task Consistency Training for Versatile Medical Image Segmentation5 Sep 2025
- 2025DpDNet: An Dual-Prompt-Driven Network for Universal PET-CT Segmentation8 Jul 2025
34 more
- 2025Prompt Mechanisms in Medical Imaging: A Comprehensive Survey28 Jun 2025
- 2025Generalist Models in Medical Image Segmentation: A Survey and Performance Comparison with Task-Specific Approaches12 Jun 2025
- 2025CDPDNet: Integrating Text Guidance with Hybrid Vision Encoders for Medical Image Segmentation25 May 2025
- 2025TK-Mamba: Marrying KAN With Mamba for Text-Driven 3D Medical Image Segmentation24 May 2025
- 2025TAGS: 3D Tumor-Adaptive Guidance for SAM21 May 2025
- 2025Advancing Generalizable Tumor Segmentation with Anomaly-Aware Open-Vocabulary Attention Maps and Frozen Foundation Diffusion Models5 May 2025
- 2025Show and Segment: Universal Medical Image Segmentation via In-Context Learning25 Mar 2025
- 2025Dynamic Gradient Sparsification Training for Few-Shot Fine-tuning of CT Lymph Node Segmentation Foundation Model2 Mar 2025
- 2025UPCMR: A Universal Prompt-guided Model for Random Sampling Cardiac MRI Reconstruction18 Feb 2025
- 2025Expectation-Maximization as the Engine of Scalable Medical Intelligence6 Jan 2025
- 2024Modality-Projection Universal Model for Comprehensive Full-Body Medical Imaging Segmentation26 Dec 2024
- 2024MCP-MedSAM: A Powerful Lightweight Medical Segment Anything Model Trained with a Single GPU in Just One Day8 Dec 2024
- 2024LSHBloom: Memory-efficient, Extreme-scale Document Deduplication6 Nov 2024
- 2024Touchstone Benchmark: Are We on the Right Way for Evaluating AI Algorithms for Medical Segmentation?6 Nov 2024
- 2024Unleashing the Potential of Vision-Language Pre-Training for 3D Zero-Shot Lesion Segmentation via Mask-Attribute Alignment21 Oct 2024
- 2024MedUniSeg: 2D and 3D Medical Image Segmentation via a Prompt-driven Universal Model8 Oct 2024
- 2024Universal Medical Image Representation Learning with Compositional Decoders30 Sep 2024
- 2024LoRKD: Low-Rank Knowledge Decomposition for Medical Foundation Models29 Sep 2024
- 2024Autoregressive Sequence Modeling for 3D Medical Image Representation13 Sep 2024
- 2024Labeled-to-Unlabeled Distribution Alignment for Partially-Supervised Multi-Organ Medical Image Segmentation5 Sep 2024
- 2024Deep Mutual Learning among Partially Labeled Datasets for Multi-Organ Segmentation17 Jul 2024
- 2024UniUSNet: A Promptable Framework for Universal Ultrasound Disease Prediction and Tissue Segmentation3 Jun 2024
- 2024Universal and Extensible Language-Vision Models for Organ Segmentation and Tumor Detection from Abdominal Computed Tomography28 May 2024
- 2024Machine Learning Techniques for MRI Data Processing at Expanding Scale22 Apr 2024
- 2024Prompt-driven Universal Model for View-Agnostic Echocardiography Analysis9 Apr 2024
- 2024MedFLIP: Medical Vision-and-Language Self-supervised Fast Pre-Training with Masked Autoencoder7 Mar 2024
- 2024FedLPPA: Learning Personalized Prompt and Aggregation for Federated Weakly-supervised Medical Image Segmentation27 Feb 2024
- 2023SegRap2023: A Benchmark of Organs-at-Risk and Gross Tumor Volume Segmentation for Radiotherapy Planning of Nasopharyngeal Carcinoma15 Dec 2023
- 2023Continual Self-supervised Learning: Towards Universal Multi-modal Medical Data Representation Learning29 Nov 2023
- 2023Segment Together: A Versatile Paradigm for Semi-Supervised Medical Image Segmentation20 Nov 2023
- 2023Generative Text-Guided 3D Vision-Language Pretraining for Unified Medical Image Segmentation7 Jun 2023
- 2023Training Like a Medical Resident: Context-Prior Learning Toward Universal Medical Image Segmentation4 Jun 2023
- 2023Prompt Engineering for Healthcare: Methodologies and Applications28 Apr 2023
- 2023COSST: Multi-organ Segmentation with Partially Labeled Datasets Using Comprehensive Supervisions and Self-training27 Apr 2023
- 2023Generative Text-Guided 3D Vision-Language Pretraining for Unified Medical Image Segmentationcited by 47
- 2024Unleashing the Potential of Vision-Language Pre-Training for 3D Zero-Shot Lesion Segmentation via Mask-Attribute Alignmentcited by 7
- 2025Enhancing 3D Medical Image Understanding with Pretraining Aided by 2D Multimodal Large Language Modelscited by 1
- 2025Enhancing 3D Medical Image Understanding with Pretraining Aided by 2D Multimodal Large Language Models11 Sep 2025
- 2024Unleashing the Potential of Vision-Language Pre-Training for 3D Zero-Shot Lesion Segmentation via Mask-Attribute Alignment21 Oct 2024
- 2023Generative Text-Guided 3D Vision-Language Pretraining for Unified Medical Image Segmentation7 Jun 2023
- 2023Prompt Engineering for Healthcare: Methodologies and Applicationscited by 52
- 2023Continual Self-supervised Learning: Towards Universal Multi-modal Medical Data Representation Learningcited by 34
- 2023Training Like a Medical Resident: Context-Prior Learning Toward Universal Medical Image Segmentationcited by 32
- 2024Universal and Extensible Language-Vision Models for Organ Segmentation and Tumor Detection from Abdominal Computed Tomographycited by 31
- 2024Touchstone Benchmark: Are We on the Right Way for Evaluating AI Algorithms for Medical Segmentation?cited by 31
- 2023SegRap2023: A Benchmark of Organs-at-Risk and Gross Tumor Volume Segmentation for Radiotherapy Planning of Nasopharyngeal Carcinomacited by 28
- 2026Medical SAM3: A Foundation Model for Universal Prompt-Driven Medical Image Segmentationcited by 23
- 2023COSST: Multi-organ Segmentation with Partially Labeled Datasets Using Comprehensive Supervisions and Self-trainingcited by 16
- 2025Show and Segment: Universal Medical Image Segmentation via In-Context Learningcited by 15
- 2023Segment Together: A Versatile Paradigm for Semi-Supervised Medical Image Segmentationcited by 12
- 2024MedUniSeg: 2D and 3D Medical Image Segmentation via a Prompt-driven Universal Modelcited by 7
- 2024FedLPPA: Learning Personalized Prompt and Aggregation for Federated Weakly-supervised Medical Image Segmentationcited by 6
12 most cited of 39 All 39 (JSON)
- 2026FreqDINO++: A Frequency-Guided Multi-Task Routing Vision Foundation Model for Universal Ultrasound Analysis17 Sep 2026
- 2026GoDeep: Annotation-Free Open-Vocabulary 3D Scene Understanding via Language-Space Lifting8 Sep 2026
- 2026UniMedSeg: Unified In-Context Learning for Multi-Paradigm 2D/3D Medical Image Segmentation14 Jul 2026
- 2026Medical SAM3: A Foundation Model for Universal Prompt-Driven Medical Image Segmentation15 Jan 2026
- 2025LapFM: A Laparoscopic Segmentation Foundation Model via Hierarchical Concept Evolving Pre-training9 Dec 2025
- 2025ProPL: Universal Semi-Supervised Ultrasound Image Segmentation via Prompt-Guided Pseudo-Labeling19 Nov 2025
- 2025MedSeqFT: Sequential Fine-tuning Foundation Models for 3D Medical Image Segmentation7 Sep 2025
- 2025Exploiting Unlabeled Structures through Task Consistency Training for Versatile Medical Image Segmentation5 Sep 2025
- 2025DpDNet: An Dual-Prompt-Driven Network for Universal PET-CT Segmentation8 Jul 2025
- 2025Prompt Mechanisms in Medical Imaging: A Comprehensive Survey28 Jun 2025
- 2025Generalist Models in Medical Image Segmentation: A Survey and Performance Comparison with Task-Specific Approaches12 Jun 2025
- 2025CDPDNet: Integrating Text Guidance with Hybrid Vision Encoders for Medical Image Segmentation25 May 2025
12 newest of 39 All 39 (JSON)