VLSM-Adapter: Finetuning Vision-Language Segmentation Efficiently with Lightweight Blocks
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.
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23 of 32 references.
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Other references · 22
- 2017Attention Is All You Needcited by 59,932
- 2015Deep Residual Learning for Image Recognitioncited by 51,809
- 2021Learning Transferable Visual Models From Natural Language Supervisioncited by 33,456
- 2020An Image is Worth 16x16 Words: Transformers for Image Recognition at Scalecited by 29,915
- 2021LoRA: Low-Rank Adaptation of Large Language Modelscited by 14,084
- 2019Parameter-Efficient Transfer Learning for NLPcited by 4,195
- 2015Learning Transferable Features with Deep Adaptation Networkscited by 1,323
- 2014How transferable are features in deep neural networks?cited by 1,216
- 2021CLIP-Adapter: Better Vision-Language Models with Feature Adapterscited by 1,021
- 2019Kvasir-SEG: A Segmented Polyp Datasetcited by 588
- 2022Vision Transformer Adapter for Dense Predictionscited by 564
- 2017Learning multiple visual domains with residual adapterscited by 553
10 more
- 2021Image Segmentation Using Text and Image Promptscited by 509
- 2021CRIS: CLIP-Driven Referring Image Segmentationcited by 353
- 2021VL-Adapter: Parameter-Efficient Transfer Learning for Vision-and-Language Taskscited by 319
- 2023Side Adapter Network for Open-Vocabulary Semantic Segmentationcited by 296
- 2019Deep Learning for Segmentation using an Open Large-Scale Dataset in 2D Echocardiographycited by 243
- 2023Zero-shot Referring Image Segmentation with Global-Local Context Featurescited by 61
- 2021NeoUNet: Towards accurate colon polyp segmentation and neoplasm detectioncited by 50
- 2023Meta-Adapter: An Online Few-shot Learner for Vision-Language Modelcited by 31
- 2022Translating Clinical Delineation of Diabetic Foot Ulcers into Machine Interpretable Segmentationcited by 19
- 2023Synthetic Boost: Leveraging Synthetic Data for Enhanced Vision-Language Segmentation in Echocardiographycited by 6
Built on by
Citing papers per year: 2024: 1; 2025: 5; 2026: 5.
11 papers.
- 2025Taming Vision-Language Models for Medical Image Analysis: A Comprehensive Reviewcited by 9
- 2025Generalizing vision-language models to novel domains: A comprehensive surveycited by 6
- 2026MedCLIPSeg: Probabilistic Vision-Language Adaptation for Data-Efficient and Generalizable Medical Image Segmentationcited by 3
- 2025Adversarial Robustness Analysis of Vision-Language Models in Medical Image Segmentationcited by 2
- 2024Parameter-efficient Fine-tuning for improved Convolutional Baseline for Brain Tumor Segmentation in Sub-Saharan Africa Adult Glioma Datasetcited by 1
- 2025GFT: Graph Feature Tuning for Efficient Point Cloud Analysiscited by 1
- 2025Improvise, Adapt, Overcome -- Telescopic Adapters for Efficient Fine-tuning of Vision Language Models in Medical Imagingcited by 1
- 2026StomataSeg: Semi-Supervised Instance Segmentation for Sorghum Stomatal Componentscited by 0
- 2026DistMedVL: Distributional Vision-Language Alignment for Uncertainty-Aware Medical Image Segmentationcited by 0
- 2026Federated LoRA Adaptation of BiomedCLIP Across Four International Chest X-Ray Cohortscited by 0
- 2026Preference-Guided Adaptation for Open-Vocabulary Semantic Segmentation via Prompt Disagreementcited by 0
- 2026Preference-Guided Adaptation for Open-Vocabulary Semantic Segmentation via Prompt Disagreement28 Sep 2026
- 2026Federated LoRA Adaptation of BiomedCLIP Across Four International Chest X-Ray Cohorts2 Sep 2026
- 2026DistMedVL: Distributional Vision-Language Alignment for Uncertainty-Aware Medical Image Segmentation6 Aug 2026
- 2026MedCLIPSeg: Probabilistic Vision-Language Adaptation for Data-Efficient and Generalizable Medical Image Segmentation23 Feb 2026
- 2026StomataSeg: Semi-Supervised Instance Segmentation for Sorghum Stomatal Components31 Jan 2026
- 2025Improvise, Adapt, Overcome -- Telescopic Adapters for Efficient Fine-tuning of Vision Language Models in Medical Imaging15 Dec 2025
- 2025GFT: Graph Feature Tuning for Efficient Point Cloud Analysis13 Nov 2025
- 2025Generalizing vision-language models to novel domains: A comprehensive survey23 Jun 2025
- 2025Taming Vision-Language Models for Medical Image Analysis: A Comprehensive Review23 Jun 2025
- 2025Adversarial Robustness Analysis of Vision-Language Models in Medical Image Segmentation5 May 2025
- 2024Parameter-efficient Fine-tuning for improved Convolutional Baseline for Brain Tumor Segmentation in Sub-Saharan Africa Adult Glioma Dataset18 Dec 2024
Similar, not cited
Close in wording, no citation either way
- 2024Freeze the backbones: A Parameter-Efficient Contrastive Approach to Robust Medical Vision-Language Pre-training
- 2026T-Gated Adapter: A Lightweight Temporal Adapter for Vision-Language Medical Segmentation
- 2024TuneVLSeg: Prompt Tuning Benchmark for Vision-Language Segmentation Models
- 2024Knowledge-grounded Adaptation Strategy for Vision-language Models: Building Unique Case-set for Screening Mammograms for Residents Training
- 2025VLSM-Ensemble: Ensembling CLIP-based Vision-Language Models for Enhanced Medical Image Segmentation
- 2024On Large Visual Language Models for Medical Imaging Analysis: An Empirical Study
- 2022SVL-Adapter: Self-Supervised Adapter for Vision-Language Pretrained Models
- 2025Few-Shot, Now for Real: Medical VLMs Adaptation without Balanced Sets or Validation