# A Large-scale Medical Visual Task Adaptation Benchmark

arXiv: https://arxiv.org/abs/2404.12876 · HTML: https://mlsanity.com/paper/2404.12876/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 24 of its 46 references that are in the map.
- First posted on arXiv 19 Apr 2024.

## Builds on (most cited first, 24 of 24)

- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [Swin Transformer: Hierarchical Vision Transformer using Shifted Windows](https://mlsanity.com/paper/2103.14030/) (2021)
- [DINOv2: Learning Robust Visual Features without Supervision](https://mlsanity.com/paper/2304.07193/) (2023)
- [Masked Autoencoders Are Scalable Vision Learners](https://mlsanity.com/paper/2111.06377/) (2021)
- [Emerging Properties in Self-Supervised Vision Transformers](https://mlsanity.com/paper/2104.14294/) (2021)
- [Training data-efficient image transformers & distillation through attention](https://mlsanity.com/paper/2012.12877/) (2020)
- [Visual Prompt Tuning](https://mlsanity.com/paper/2203.12119/) (2022)
- [An Empirical Study of Training Self-Supervised Vision Transformers](https://mlsanity.com/paper/2104.02057/) (2021)
- [CheXpert: A Large Chest Radiograph Dataset with Uncertainty Labels and Expert Comparison](https://mlsanity.com/paper/1901.07031/) (2019)
- [Unsupervised Learning of Visual Representations by Solving Jigsaw Puzzles](https://mlsanity.com/paper/1603.09246/) (2016)
- [BitFit: Simple Parameter-efficient Fine-tuning for Transformer-based Masked Language-models](https://mlsanity.com/paper/2106.10199/) (2021)
- [Tokens-to-Token ViT: Training Vision Transformers from Scratch on ImageNet](https://mlsanity.com/paper/2101.11986/) (2021)
- [Scaling Laws for Reward Model Overoptimization](https://mlsanity.com/paper/2210.10760/) (2022)
- [AdapterFusion: Non-Destructive Task Composition for Transfer Learning](https://mlsanity.com/paper/2005.00247/) (2020)
- [MedCLIP: Contrastive Learning from Unpaired Medical Images and Text](https://mlsanity.com/paper/2210.10163/) (2022)
- [Med-BERT: pre-trained contextualized embeddings on large-scale structured electronic health records for disease prediction](https://mlsanity.com/paper/2005.12833/) (2020)
- [COVID-Net: A Tailored Deep Convolutional Neural Network Design for Detection of COVID-19 Cases from Chest X-Ray Images](https://mlsanity.com/paper/2003.09871/) (2020)
- [VinDr-CXR: An open dataset of chest X-rays with radiologist's annotations](https://mlsanity.com/paper/2012.15029/) (2020)
- [MosMedData: Chest CT Scans With COVID-19 Related Findings Dataset](https://mlsanity.com/paper/2005.06465/) (2020)
- [Delving into Masked Autoencoders for Multi-Label Thorax Disease Classification](https://mlsanity.com/paper/2210.12843/) (2022)
- [LVM-Med: Learning Large-Scale Self-Supervised Vision Models for Medical Imaging via Second-order Graph Matching](https://mlsanity.com/paper/2306.11925/) (2023)
- [Improving Visual Prompt Tuning for Self-supervised Vision Transformers](https://mlsanity.com/paper/2306.05067/) (2023)
- [The SARAS Endoscopic Surgeon Action Detection (ESAD) dataset: Challenges and methods](https://mlsanity.com/paper/2104.03178/) (2021)
- [LSPT: Long-term Spatial Prompt Tuning for Visual Representation Learning](https://mlsanity.com/paper/2402.17406/) (2024)

## Built on by (most cited first, 3 of 3)

- [pMoE: Prompting Diverse Experts Together Wins More in Visual Adaptation](https://mlsanity.com/paper/2602.22938/) (2026)
- [Can Experts Adapt Without Training? On Test-Time Modality Generalization in MVLMs](https://mlsanity.com/paper/2607.16726/) (2026)
- [CRS-Bench: A Reference-Relative Reliability Benchmark for Medical Image Encoders](https://mlsanity.com/paper/2608.22059/) (2026)

## Abstract (arXiv)

Visual task adaptation has been demonstrated to be effective in adapting pre-trained Vision Transformers (ViTs) to general downstream visual tasks using specialized learnable layers or tokens. However, there is yet a large-scale benchmark to fully explore the effect of visual task adaptation on the realistic and important medical domain, particularly across diverse medical visual modalities, such as color images, X-ray, and CT. To close this gap, we present Med-VTAB, a large-scale Medical Visual Task Adaptation Benchmark consisting of 1.68 million medical images for diverse organs, modalities, and adaptation approaches. Based on Med-VTAB, we explore the scaling law of medical prompt tuning concerning tunable parameters and the generalizability of medical visual adaptation using non-medical/medical pre-train weights. Besides, we study the impact of patient ID out-of-distribution on medical visual adaptation, which is a real and challenging scenario. Furthermore, results from Med-VTAB indicate that a single pre-trained model falls short in medical task adaptation. Therefore, we introduce GMoE-Adapter, a novel method that combines medical and general pre-training weights through a gated mixture-of-experts adapter, achieving state-of-the-art results in medical visual task adaptation.