CLIP in Medical Imaging: A Survey
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Abstract (arXiv)
Contrastive Language-Image Pre-training (CLIP), a simple yet effective pre-training paradigm, successfully introduces text supervision to vision models. It has shown promising results across various tasks due to its generalizability and interpretability. The use of CLIP has recently gained increasing interest in the medical imaging domain, serving as a pre-training paradigm for image-text alignment, or a critical component in diverse clinical tasks. With the aim of facilitating a deeper understanding of this promising direction, this survey offers an in-depth exploration of the CLIP within the domain of medical imaging, regarding both refined CLIP pre-training and CLIP-driven applications. In this paper, we (1) first start with a brief introduction to the fundamentals of CLIP methodology; (2) then investigate the adaptation of CLIP pre-training in the medical imaging domain, focusing on how to optimize CLIP given characteristics of medical images and reports; (3) further explore practical utilization of CLIP pre-trained models in various tasks, including classification, dense prediction, and cross-modal tasks; and (4) finally discuss existing limitations of CLIP in the context of medical imaging, and propose forward-looking directions to address the demands of medical imaging domain. Studies featuring technical and practical value are both investigated. We expect this survey will provide researchers with a holistic understanding of the CLIP paradigm and its potential implications. The project page of this survey can also be found on https://github.com/zhaozh10/Awesome-CLIP-in-Medical-Imaging.
Key facts. Cited by 40 papers in the map (data through 7 Oct 2026). Builds on 194 of its 319 references that are in the map. First posted on arXiv 12 Dec 2023.
Builds on
194 of 319 references.
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50 most cited of 194 All 194 (JSON)
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- 2025Better Tokens for Better 3D: Advancing Vision-Language Modeling in 3D Medical Imagingcited by 20
- 2024Mind the Modality Gap: Towards a Remote Sensing Vision-Language Model via Cross-modal Alignmentcited by 15
- 2024μ-Bench: A Vision-Language Benchmark for Microscopy Understandingcited by 15
- 2025On the Robustness of Medical Vision-Language Models: Are they Truly Generalizable?cited by 10
- 2025MedMoE: Modality-Specialized Mixture of Experts for Medical Vision-Language Understandingcited by 10
- 2025Brain-Adapter: Enhancing Neurological Disorder Analysis with Adapter-Tuning Multimodal Large Language Modelscited by 6
- 2025Explaining Similarity in Vision-Language Encoders with Weighted Banzhaf Interactionscited by 6
- 2024B-VLLM: A Vision Large Language Model with Balanced Spatio-Temporal Tokenscited by 5
- 2025TextSAM-EUS: Text Prompt Learning for SAM to Accurately Segment Pancreatic Tumor in Endoscopic Ultrasoundcited by 5
- 2025Dual Cross-image Semantic Consistency with Self-aware Pseudo Labeling for Semi-supervised Medical Image Segmentationcited by 4
- 2025Multimodal Medical Image Binding via Shared Text Embeddingscited by 3
- 2025Anatomy-VLM: A Fine-grained Vision-Language Model for Medical Interpretationcited by 3
28 more
- 2026MedCLIPSeg: Probabilistic Vision-Language Adaptation for Data-Efficient and Generalizable Medical Image Segmentationcited by 3
- 2025Point, Detect, Count: Multi-Task Medical Image Understanding with Instruction-Tuned Vision-Language Modelscited by 2
- 2025Generalist Models in Medical Image Segmentation: A Survey and Performance Comparison with Task-Specific Approachescited by 2
- 2025Enabling Ultra-Fast Cardiovascular Imaging Across Heterogeneous Clinical Environments with A Generalist Foundation Model and Multimodal Databasecited by 2
- 2025Adapting Foundation Model for Dental Caries Detection with Dual-View Co-Trainingcited by 1
- 2025Exploring the Capabilities of Large Language Model Encoders for Image-Text Retrieval in Chest X-rayscited by 1
- 2025Revolutionizing Precise Low Back Pain Diagnosis via Contrastive Learningcited by 1
- 2025Surgeons Are Indian Males and Speech Therapists Are White Females: Auditing Biases in Vision-Language Models for Healthcare Professionalscited by 1
- 2025CHIPS: Efficient CLIP Adaptation via Curvature-aware Hybrid Influence-based Data Selectioncited by 1
- 2025Improvise, Adapt, Overcome -- Telescopic Adapters for Efficient Fine-tuning of Vision Language Models in Medical Imagingcited by 1
- 2025VL-OrdinalFormer: Vision Language Guided Ordinal Transformers for Interpretable Knee Osteoarthritis Gradingcited by 1
- 2025Adapting Foundation Vision-Language Models to Medical Diagnosis via Query-Driven Expert Bridgingcited by 0
- 2025Role-SynthCLIP: A Role Play Driven Diverse Synthetic Data Approachcited by 0
- 2025Beyond CLIP: Knowledge-Enhanced Multimodal Transformers for Cross-Modal Alignment in Diabetic Retinopathy Diagnosiscited by 0
- 2026CytoCLIP: Learning Cytoarchitectural Characteristics in Developing Human Brain Using Contrastive Language Image Pre-Trainingcited by 0
- 2026CauCLIP: Bridging the Sim-to-Real Gap in Surgical Video Understanding via Causality-Inspired Vision-Language Modelingcited by 0
- 2026XAI-CLIP: ROI-Guided Perturbation Framework for Explainable Medical Image Segmentation in Multimodal Vision-Language Modelscited by 0
- 2026Foundation Models for Medical Imaging: Status, Challenges, and Directionscited by 0
- 2026Towards Calibrating Prompt Tuning of Vision-Language Modelscited by 0
- 2026Spectral Rectification for Parameter-Efficient Adaptation of Foundation Models in Colonoscopy Depth Estimationcited by 0
- 2026MedSAD-CLIP: Supervised CLIP with Token-Patch Cross-Attention for Medical Anomaly Detection and Segmentationcited by 0
- 2026Event-Level Detection of Surgical Instrument Handovers in Videos with Interpretable Vision Modelscited by 0
- 2026Are Natural-Domain Foundation Models Effective for Accelerated Cardiac MRI Reconstruction?cited by 0
- 2026Toward Multimodal Conversational AI for Age-Related Macular Degenerationcited by 0
- 2026Learning from Acquisition: Metadata-driven Multimodal Pre-training for Cardiac MRIcited by 0
- 2026SCALPEL: Semantic Cross-modal Alignment via LLM-Powered Encoder Learning for Medical Vision-Language Representationcited by 0
- 2026Prompt-Anchored Residual Adaptation for Biomedical Vision-Language Modelscited by 0
- 2026Targeted Visual Counterfactual Explanations for Contrastive Vision-Language Modelcited by 0
- 2026Targeted Visual Counterfactual Explanations for Contrastive Vision-Language Model29 Sep 2026
- 2026Prompt-Anchored Residual Adaptation for Biomedical Vision-Language Models27 Sep 2026
- 2026SCALPEL: Semantic Cross-modal Alignment via LLM-Powered Encoder Learning for Medical Vision-Language Representation29 Jul 2026
- 2026Learning from Acquisition: Metadata-driven Multimodal Pre-training for Cardiac MRI27 Jun 2026
- 2026Toward Multimodal Conversational AI for Age-Related Macular Degeneration28 Apr 2026
- 2026Are Natural-Domain Foundation Models Effective for Accelerated Cardiac MRI Reconstruction?24 Apr 2026
- 2026Event-Level Detection of Surgical Instrument Handovers in Videos with Interpretable Vision Models8 Apr 2026
- 2026MedSAD-CLIP: Supervised CLIP with Token-Patch Cross-Attention for Medical Anomaly Detection and Segmentation18 Mar 2026
- 2026Spectral Rectification for Parameter-Efficient Adaptation of Foundation Models in Colonoscopy Depth Estimation16 Mar 2026
- 2026MedCLIPSeg: Probabilistic Vision-Language Adaptation for Data-Efficient and Generalizable Medical Image Segmentation23 Feb 2026
- 2026Towards Calibrating Prompt Tuning of Vision-Language Models22 Feb 2026
- 2026Foundation Models for Medical Imaging: Status, Challenges, and Directions17 Feb 2026
28 more
- 2026CauCLIP: Bridging the Sim-to-Real Gap in Surgical Video Understanding via Causality-Inspired Vision-Language Modeling6 Feb 2026
- 2026XAI-CLIP: ROI-Guided Perturbation Framework for Explainable Medical Image Segmentation in Multimodal Vision-Language Models1 Feb 2026
- 2026CytoCLIP: Learning Cytoarchitectural Characteristics in Developing Human Brain Using Contrastive Language Image Pre-Training18 Jan 2026
- 2025VL-OrdinalFormer: Vision Language Guided Ordinal Transformers for Interpretable Knee Osteoarthritis Grading31 Dec 2025
- 2025Enabling Ultra-Fast Cardiovascular Imaging Across Heterogeneous Clinical Environments with A Generalist Foundation Model and Multimodal Database25 Dec 2025
- 2025Beyond CLIP: Knowledge-Enhanced Multimodal Transformers for Cross-Modal Alignment in Diabetic Retinopathy Diagnosis22 Dec 2025
- 2025Improvise, Adapt, Overcome -- Telescopic Adapters for Efficient Fine-tuning of Vision Language Models in Medical Imaging15 Dec 2025
- 2025CHIPS: Efficient CLIP Adaptation via Curvature-aware Hybrid Influence-based Data Selection23 Nov 2025
- 2025Anatomy-VLM: A Fine-grained Vision-Language Model for Medical Interpretation11 Nov 2025
- 2025Role-SynthCLIP: A Role Play Driven Diverse Synthetic Data Approach7 Nov 2025
- 2025Better Tokens for Better 3D: Advancing Vision-Language Modeling in 3D Medical Imaging23 Oct 2025
- 2025Surgeons Are Indian Males and Speech Therapists Are White Females: Auditing Biases in Vision-Language Models for Healthcare Professionals6 Oct 2025
- 2025Revolutionizing Precise Low Back Pain Diagnosis via Contrastive Learning25 Sep 2025
- 2025Exploring the Capabilities of Large Language Model Encoders for Image-Text Retrieval in Chest X-rays17 Sep 2025
- 2025Adapting Foundation Model for Dental Caries Detection with Dual-View Co-Training28 Aug 2025
- 2025Explaining Similarity in Vision-Language Encoders with Weighted Banzhaf Interactions7 Aug 2025
- 2025Dual Cross-image Semantic Consistency with Self-aware Pseudo Labeling for Semi-supervised Medical Image Segmentation29 Jul 2025
- 2025TextSAM-EUS: Text Prompt Learning for SAM to Accurately Segment Pancreatic Tumor in Endoscopic Ultrasound24 Jul 2025
- 2025Multimodal Medical Image Binding via Shared Text Embeddings22 Jun 2025
- 2025Generalist Models in Medical Image Segmentation: A Survey and Performance Comparison with Task-Specific Approaches12 Jun 2025
- 2025MedMoE: Modality-Specialized Mixture of Experts for Medical Vision-Language Understanding10 Jun 2025
- 2025Adapting Foundation Vision-Language Models to Medical Diagnosis via Query-Driven Expert Bridging27 May 2025
- 2025Point, Detect, Count: Multi-Task Medical Image Understanding with Instruction-Tuned Vision-Language Models22 May 2025
- 2025On the Robustness of Medical Vision-Language Models: Are they Truly Generalizable?21 May 2025
- 2025Brain-Adapter: Enhancing Neurological Disorder Analysis with Adapter-Tuning Multimodal Large Language Models27 Jan 2025
- 2024B-VLLM: A Vision Large Language Model with Balanced Spatio-Temporal Tokens13 Dec 2024
- 2024μ-Bench: A Vision-Language Benchmark for Microscopy Understanding1 Jul 2024
- 2024Mind the Modality Gap: Towards a Remote Sensing Vision-Language Model via Cross-modal Alignment15 Feb 2024
- 2025Better Tokens for Better 3D: Advancing Vision-Language Modeling in 3D Medical Imagingcited by 20
- 2024Mind the Modality Gap: Towards a Remote Sensing Vision-Language Model via Cross-modal Alignmentcited by 15
- 2025On the Robustness of Medical Vision-Language Models: Are they Truly Generalizable?cited by 10
- 2025Brain-Adapter: Enhancing Neurological Disorder Analysis with Adapter-Tuning Multimodal Large Language Modelscited by 6
- 2025Explaining Similarity in Vision-Language Encoders with Weighted Banzhaf Interactionscited by 6
- 2025Anatomy-VLM: A Fine-grained Vision-Language Model for Medical Interpretationcited by 3
- 2026MedCLIPSeg: Probabilistic Vision-Language Adaptation for Data-Efficient and Generalizable Medical Image Segmentationcited by 3
- 2025Point, Detect, Count: Multi-Task Medical Image Understanding with Instruction-Tuned Vision-Language Modelscited by 2
- 2025Surgeons Are Indian Males and Speech Therapists Are White Females: Auditing Biases in Vision-Language Models for Healthcare Professionalscited by 1
- 2025Improvise, Adapt, Overcome -- Telescopic Adapters for Efficient Fine-tuning of Vision Language Models in Medical Imagingcited by 1
- 2025Adapting Foundation Vision-Language Models to Medical Diagnosis via Query-Driven Expert Bridgingcited by 0
- 2026CauCLIP: Bridging the Sim-to-Real Gap in Surgical Video Understanding via Causality-Inspired Vision-Language Modelingcited by 0
12 most cited of 17 All 17 (JSON)
- 2026Targeted Visual Counterfactual Explanations for Contrastive Vision-Language Model29 Sep 2026
- 2026Prompt-Anchored Residual Adaptation for Biomedical Vision-Language Models27 Sep 2026
- 2026SCALPEL: Semantic Cross-modal Alignment via LLM-Powered Encoder Learning for Medical Vision-Language Representation29 Jul 2026
- 2026MedCLIPSeg: Probabilistic Vision-Language Adaptation for Data-Efficient and Generalizable Medical Image Segmentation23 Feb 2026
- 2026Towards Calibrating Prompt Tuning of Vision-Language Models22 Feb 2026
- 2026CauCLIP: Bridging the Sim-to-Real Gap in Surgical Video Understanding via Causality-Inspired Vision-Language Modeling6 Feb 2026
- 2026XAI-CLIP: ROI-Guided Perturbation Framework for Explainable Medical Image Segmentation in Multimodal Vision-Language Models1 Feb 2026
- 2025Improvise, Adapt, Overcome -- Telescopic Adapters for Efficient Fine-tuning of Vision Language Models in Medical Imaging15 Dec 2025
- 2025Anatomy-VLM: A Fine-grained Vision-Language Model for Medical Interpretation11 Nov 2025
- 2025Better Tokens for Better 3D: Advancing Vision-Language Modeling in 3D Medical Imaging23 Oct 2025
- 2025Surgeons Are Indian Males and Speech Therapists Are White Females: Auditing Biases in Vision-Language Models for Healthcare Professionals6 Oct 2025
- 2025Explaining Similarity in Vision-Language Encoders with Weighted Banzhaf Interactions7 Aug 2025
12 newest of 17 All 17 (JSON)
- 2024μ-Bench: A Vision-Language Benchmark for Microscopy Understandingcited by 15
- 2025TextSAM-EUS: Text Prompt Learning for SAM to Accurately Segment Pancreatic Tumor in Endoscopic Ultrasoundcited by 5
- 2025Dual Cross-image Semantic Consistency with Self-aware Pseudo Labeling for Semi-supervised Medical Image Segmentationcited by 4
- 2025Multimodal Medical Image Binding via Shared Text Embeddingscited by 3
- 2025Generalist Models in Medical Image Segmentation: A Survey and Performance Comparison with Task-Specific Approachescited by 2
- 2025Enabling Ultra-Fast Cardiovascular Imaging Across Heterogeneous Clinical Environments with A Generalist Foundation Model and Multimodal Databasecited by 2
- 2025Adapting Foundation Model for Dental Caries Detection with Dual-View Co-Trainingcited by 1
- 2025Exploring the Capabilities of Large Language Model Encoders for Image-Text Retrieval in Chest X-rayscited by 1
- 2025Revolutionizing Precise Low Back Pain Diagnosis via Contrastive Learningcited by 1
- 2025CHIPS: Efficient CLIP Adaptation via Curvature-aware Hybrid Influence-based Data Selectioncited by 1
- 2025VL-OrdinalFormer: Vision Language Guided Ordinal Transformers for Interpretable Knee Osteoarthritis Gradingcited by 1
- 2025Beyond CLIP: Knowledge-Enhanced Multimodal Transformers for Cross-Modal Alignment in Diabetic Retinopathy Diagnosiscited by 0
12 most cited of 20 All 20 (JSON)
- 2026Learning from Acquisition: Metadata-driven Multimodal Pre-training for Cardiac MRI27 Jun 2026
- 2026Toward Multimodal Conversational AI for Age-Related Macular Degeneration28 Apr 2026
- 2026Are Natural-Domain Foundation Models Effective for Accelerated Cardiac MRI Reconstruction?24 Apr 2026
- 2026Event-Level Detection of Surgical Instrument Handovers in Videos with Interpretable Vision Models8 Apr 2026
- 2026MedSAD-CLIP: Supervised CLIP with Token-Patch Cross-Attention for Medical Anomaly Detection and Segmentation18 Mar 2026
- 2026Spectral Rectification for Parameter-Efficient Adaptation of Foundation Models in Colonoscopy Depth Estimation16 Mar 2026
- 2026Foundation Models for Medical Imaging: Status, Challenges, and Directions17 Feb 2026
- 2026CytoCLIP: Learning Cytoarchitectural Characteristics in Developing Human Brain Using Contrastive Language Image Pre-Training18 Jan 2026
- 2025VL-OrdinalFormer: Vision Language Guided Ordinal Transformers for Interpretable Knee Osteoarthritis Grading31 Dec 2025
- 2025Enabling Ultra-Fast Cardiovascular Imaging Across Heterogeneous Clinical Environments with A Generalist Foundation Model and Multimodal Database25 Dec 2025
- 2025Beyond CLIP: Knowledge-Enhanced Multimodal Transformers for Cross-Modal Alignment in Diabetic Retinopathy Diagnosis22 Dec 2025
- 2025CHIPS: Efficient CLIP Adaptation via Curvature-aware Hybrid Influence-based Data Selection23 Nov 2025
12 newest of 20 All 20 (JSON)