mlsanityData to 7 Oct 2026

VLSM-Adapter: Finetuning Vision-Language Segmentation Efficiently with Lightweight Blocks

arXiv 2405.06196 ↗First posted 10 May 2024cs.CV cs.AI cs.CLcited by 11

On the map: Multimodal LLMs / vision-language models → Medical vision-language models

Abstract (arXiv)

Foundation Vision-Language Models (VLMs) trained using large-scale open-domain images and text pairs have recently been adapted to develop Vision-Language Segmentation Models (VLSMs) that allow providing text prompts during inference to guide image segmentation. If robust and powerful VLSMs can be built for medical images, it could aid medical professionals in many clinical tasks where they must spend substantial time delineating the target structure of interest. VLSMs for medical images resort to fine-tuning base VLM or VLSM pretrained on open-domain natural image datasets due to fewer annotated medical image datasets; this fine-tuning is resource-consuming and expensive as it usually requires updating all or a significant fraction of the pretrained parameters. Recently, lightweight blocks called adapters have been proposed in VLMs that keep the pretrained model frozen and only train adapters during fine-tuning, substantially reducing the computing resources required. We introduce a novel adapter, VLSM-Adapter, that can fine-tune pretrained vision-language segmentation models using transformer encoders. Our experiments in widely used CLIP-based segmentation models show that with only 3 million trainable parameters, the VLSM-Adapter outperforms state-of-the-art and is comparable to the upper bound end-to-end fine-tuning. The source code is available at: https://github.com/naamiinepal/vlsm-adapter.

Key facts. Cited by 11 papers in the map (data through 7 Oct 2026). Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models. Builds on 23 of its 32 references that are in the map. First posted on arXiv 10 May 2024.

Builds on

23 of 32 references.

Closest ancestors · 1

Same direction, newest first

  1. 2023Exploring Transfer Learning in Medical Image Segmentation using Vision-Language Models15 Aug

Other references · 22

  1. 2017Attention Is All You Needcited by 59,932
  2. 2015Deep Residual Learning for Image Recognitioncited by 51,809
  3. 2021Learning Transferable Visual Models From Natural Language Supervisioncited by 33,456
  4. 2020An Image is Worth 16x16 Words: Transformers for Image Recognition at Scalecited by 29,915
  5. 2021LoRA: Low-Rank Adaptation of Large Language Modelscited by 14,084
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  7. 2015Learning Transferable Features with Deep Adaptation Networkscited by 1,323
  8. 2014How transferable are features in deep neural networks?cited by 1,216
  9. 2021CLIP-Adapter: Better Vision-Language Models with Feature Adapterscited by 1,021
  10. 2019Kvasir-SEG: A Segmented Polyp Datasetcited by 588
  11. 2022Vision Transformer Adapter for Dense Predictionscited by 564
  12. 2017Learning multiple visual domains with residual adapterscited by 553
10 more
  1. 2021Image Segmentation Using Text and Image Promptscited by 509
  2. 2021CRIS: CLIP-Driven Referring Image Segmentationcited by 353
  3. 2021VL-Adapter: Parameter-Efficient Transfer Learning for Vision-and-Language Taskscited by 319
  4. 2023Side Adapter Network for Open-Vocabulary Semantic Segmentationcited by 296
  5. 2019Deep Learning for Segmentation using an Open Large-Scale Dataset in 2D Echocardiographycited by 243
  6. 2023Zero-shot Referring Image Segmentation with Global-Local Context Featurescited by 61
  7. 2021NeoUNet: Towards accurate colon polyp segmentation and neoplasm detectioncited by 50
  8. 2023Meta-Adapter: An Online Few-shot Learner for Vision-Language Modelcited by 31
  9. 2022Translating Clinical Delineation of Diabetic Foot Ulcers into Machine Interpretable Segmentationcited by 19
  10. 2023Synthetic Boost: Leveraging Synthetic Data for Enhanced Vision-Language Segmentation in Echocardiographycited by 6

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Cited by year (2026 to 7 Oct)

Citing papers per year: 2024: 1; 2025: 5; 2026: 5.

11 papers.

Similar, not cited

Close in wording, no citation either way

  1. 2024Freeze the backbones: A Parameter-Efficient Contrastive Approach to Robust Medical Vision-Language Pre-training
  2. 2026T-Gated Adapter: A Lightweight Temporal Adapter for Vision-Language Medical Segmentation
  3. 2024TuneVLSeg: Prompt Tuning Benchmark for Vision-Language Segmentation Models
  4. 2024Knowledge-grounded Adaptation Strategy for Vision-language Models: Building Unique Case-set for Screening Mammograms for Residents Training
  5. 2025VLSM-Ensemble: Ensembling CLIP-based Vision-Language Models for Enhanced Medical Image Segmentation
  6. 2024On Large Visual Language Models for Medical Imaging Analysis: An Empirical Study
  7. 2022SVL-Adapter: Self-Supervised Adapter for Vision-Language Pretrained Models
  8. 2025Few-Shot, Now for Real: Medical VLMs Adaptation without Balanced Sets or Validation