# SAM-Med3D-MoE: Towards a Non-Forgetting Segment Anything Model via Mixture of Experts for 3D Medical Image Segmentation

arXiv: https://arxiv.org/abs/2407.04938 · HTML: https://mlsanity.com/paper/2407.04938/

## Key facts

- Cited by 12 papers in the map (data through 14 Oct 2026).
- Placed in Medical and biomedical MoE, one of 12 directions in Mixture-of-experts.
- Builds on 17 of its 21 references that are in the map.
- First posted on arXiv 6 Jul 2024.

## Placed in

- Mixture-of-experts / [Medical and biomedical MoE](https://mlsanity.com/moe/medical-and-biomedical-moe/)

## Builds on (most cited first, 17 of 17)

- [An Image is Worth 16x16 Words: Transformers for Image Recognition at Scale](https://mlsanity.com/paper/2010.11929/) (2020)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Outrageously Large Neural Networks: The Sparsely-Gated Mixture-of-Experts Layer](https://mlsanity.com/paper/1701.06538/) (2017)
- [Switch Transformers: Scaling to Trillion Parameter Models with Simple and Efficient Sparsity](https://mlsanity.com/paper/2101.03961/) (2021)
- [Scaling Instruction-Finetuned Language Models](https://mlsanity.com/paper/2210.11416/) (2022)
- [Mixtral of Experts](https://mlsanity.com/paper/2401.04088/) (2024)
- [GShard: Scaling Giant Models with Conditional Computation and Automatic Sharding](https://mlsanity.com/paper/2006.16668/) (2020)
- [The Medical Segmentation Decathlon](https://mlsanity.com/paper/2106.05735/) (2021)
- [AMOS: A Large-Scale Abdominal Multi-Organ Benchmark for Versatile Medical Image Segmentation](https://mlsanity.com/paper/2206.08023/) (2022)
- [AbdomenCT-1K: Is Abdominal Organ Segmentation A Solved Problem?](https://mlsanity.com/paper/2010.14808/) (2020)
- [SAM-Med2D](https://mlsanity.com/paper/2308.16184/) (2023)
- [SAM-Med3D: Towards General-purpose Segmentation Models for Volumetric Medical Images](https://mlsanity.com/paper/2310.15161/) (2023)
- [STU-Net: Scalable and Transferable Medical Image Segmentation Models Empowered by Large-Scale Supervised Pre-training](https://mlsanity.com/paper/2304.06716/) (2023)
- [SegVol: Universal and Interactive Volumetric Medical Image Segmentation](https://mlsanity.com/paper/2311.13385/) (2023)
- [LoRAMoE: Alleviate World Knowledge Forgetting in Large Language Models via MoE-Style Plugin](https://mlsanity.com/paper/2312.09979/) (2023)

## Built on by (most cited first, 12 of 12)

- [Segment Anything in Medical Images and Videos: Benchmark and Deployment](https://mlsanity.com/paper/2408.03322/) (2024)
- [Medical Multimodal Foundation Models in Clinical Diagnosis and Treatment: Applications, Challenges, and Future Directions](https://mlsanity.com/paper/2412.02621/) (2024)
- [Unraveling Normal Anatomy via Fluid-Driven Anomaly Randomization](https://mlsanity.com/paper/2501.13370/) (2025)
- [Mixture-of-Shape-Experts (MoSE): End-to-End Shape Dictionary Framework to Prompt SAM for Generalizable Medical Segmentation](https://mlsanity.com/paper/2504.09601/) (2025)
- [Mamba Goes HoME: Hierarchical Soft Mixture-of-Experts for 3D Medical Image Segmentation](https://mlsanity.com/paper/2507.06363/) (2025)
- [SplatWeaver: Learning to Allocate Gaussian Primitives for Generalizable Novel View Synthesis](https://mlsanity.com/paper/2605.07287/) (2026)
- [Prompt Mechanisms in Medical Imaging: A Comprehensive Survey](https://mlsanity.com/paper/2507.01055/) (2025)
- [SHMoAReg: Spark Deformable Image Registration via Spatial Heterogeneous Mixture of Experts and Attention Heads](https://mlsanity.com/paper/2509.20073/) (2025)
- [Intelligent Communication Mixture-of-Experts Boosted-Medical Image Segmentation Foundation Model](https://mlsanity.com/paper/2510.17684/) (2025)
- [Breast Cancer Neoadjuvant Chemotherapy Treatment Response Prediction Using Aligned Longitudinal MRI and Clinical Data](https://mlsanity.com/paper/2512.17759/) (2025)
- [C^2GR: Coupled Comprehensive Generative Replay for a Continually Learnable Universal Segmentation Model](https://mlsanity.com/paper/2606.23473/) (2026)
- [Generalist-Specialist Mixture-of-Experts for Rare Pathology Detection in Multimodal Imaging](https://mlsanity.com/paper/2609.18688/) (2026)

## Abstract (arXiv)

Volumetric medical image segmentation is pivotal in enhancing disease diagnosis, treatment planning, and advancing medical research. While existing volumetric foundation models for medical image segmentation, such as SAM-Med3D and SegVol, have shown remarkable performance on general organs and tumors, their ability to segment certain categories in clinical downstream tasks remains limited. Supervised Finetuning (SFT) serves as an effective way to adapt such foundation models for task-specific downstream tasks but at the cost of degrading the general knowledge previously stored in the original foundation model.To address this, we propose SAM-Med3D-MoE, a novel framework that seamlessly integrates task-specific finetuned models with the foundational model, creating a unified model at minimal additional training expense for an extra gating network. This gating network, in conjunction with a selection strategy, allows the unified model to achieve comparable performance of the original models in their respective tasks both general and specialized without updating any parameters of them.Our comprehensive experiments demonstrate the efficacy of SAM-Med3D-MoE, with an average Dice performance increase from 53 to 56.4 on 15 specific classes. It especially gets remarkable gains of 29.6, 8.5, 11.2 on the spinal cord, esophagus, and right hip, respectively. Additionally, it achieves 48.9 Dice on the challenging SPPIN2023 Challenge, significantly surpassing the general expert's performance of 32.3. We anticipate that SAM-Med3D-MoE can serve as a new framework for adapting the foundation model to specific areas in medical image analysis. Codes and datasets will be publicly available.