# SAM2-Adapter: Evaluating & Adapting Segment Anything 2 in Downstream Tasks: Camouflage, Shadow, Medical Image Segmentation, and More

arXiv: https://arxiv.org/abs/2408.04579 · HTML: https://mlsanity.com/paper/2408.04579/

## Key facts

- Cited by 60 papers in the map (data through 14 Oct 2026).
- Builds on 69 of its 106 references that are in the map.
- First posted on arXiv 8 Aug 2024.

## Builds on (most cited first, 30 of 69)

- [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)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Fully Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1411.4038/) (2014)
- [Parameter-Efficient Transfer Learning for NLP](https://mlsanity.com/paper/1902.00751/) (2019)
- [On the Opportunities and Risks of Foundation Models](https://mlsanity.com/paper/2108.07258/) (2021)
- [Gaussian Error Linear Units (GELUs)](https://mlsanity.com/paper/1606.08415/) (2016)
- [DeepLab: Semantic Image Segmentation with Deep Convolutional Nets, Atrous Convolution, and Fully Connected CRFs](https://mlsanity.com/paper/1606.00915/) (2016)
- [Encoder-Decoder with Atrous Separable Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1802.02611/) (2018)
- [SegFormer: Simple and Efficient Design for Semantic Segmentation with Transformers](https://mlsanity.com/paper/2105.15203/) (2021)
- [Pyramid Scene Parsing Network](https://mlsanity.com/paper/1612.01105/) (2016)
- [Masked-attention Mask Transformer for Universal Image Segmentation](https://mlsanity.com/paper/2112.01527/) (2021)
- [Rethinking Atrous Convolution for Semantic Image Segmentation](https://mlsanity.com/paper/1706.05587/) (2017)
- [UNet++: A Nested U-Net Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1807.10165/) (2018)
- [SegNet: A Deep Convolutional Encoder-Decoder Architecture for Image Segmentation](https://mlsanity.com/paper/1511.00561/) (2015)
- [Rethinking Semantic Segmentation from a Sequence-to-Sequence Perspective with Transformers](https://mlsanity.com/paper/2012.15840/) (2020)
- [Segmenter: Transformer for Semantic Segmentation](https://mlsanity.com/paper/2105.05633/) (2021)
- [Exploring Plain Vision Transformer Backbones for Object Detection](https://mlsanity.com/paper/2203.16527/) (2022)
- [BiSeNet: Bilateral Segmentation Network for Real-time Semantic Segmentation](https://mlsanity.com/paper/1808.00897/) (2018)
- [Kvasir-SEG: A Segmented Polyp Dataset](https://mlsanity.com/paper/1911.07069/) (2019)
- [Vision Transformer Adapter for Dense Predictions](https://mlsanity.com/paper/2205.08534/) (2022)
- [Semantic Image Segmentation with Deep Convolutional Nets and Fully Connected CRFs](https://mlsanity.com/paper/1412.7062/) (2014)
- [Medical SAM Adapter: Adapting Segment Anything Model for Medical Image Segmentation](https://mlsanity.com/paper/2304.12620/) (2023)
- [Faster Segment Anything: Towards Lightweight SAM for Mobile Applications](https://mlsanity.com/paper/2306.14289/) (2023)
- [Segment Anything Model for Medical Image Analysis: an Experimental Study](https://mlsanity.com/paper/2304.10517/) (2023)
- [Anabranch Network for Camouflaged Object Segmentation](https://mlsanity.com/paper/2105.09451/) (2021)
- [Simultaneously Localize, Segment and Rank the Camouflaged Objects](https://mlsanity.com/paper/2103.04011/) (2021)
- [Asymmetric Non-local Neural Networks for Semantic Segmentation](https://mlsanity.com/paper/1908.07678/) (2019)
- [EfficientSAM: Leveraged Masked Image Pretraining for Efficient Segment Anything](https://mlsanity.com/paper/2312.00863/) (2023)
- [RSPrompter: Learning to Prompt for Remote Sensing Instance Segmentation based on Visual Foundation Model](https://mlsanity.com/paper/2306.16269/) (2023)

## Built on by (most cited first, 30 of 60)

- [OmniSAM: Omnidirectional Segment Anything Model for UDA in Panoramic Semantic Segmentation](https://mlsanity.com/paper/2503.07098/) (2025)
- [EdgeTAM: On-Device Track Anything Model](https://mlsanity.com/paper/2501.07256/) (2025)
- [ROS-SAM: High-Quality Interactive Segmentation for Remote Sensing Moving Object](https://mlsanity.com/paper/2503.12006/) (2025)
- [Improving SAM for Camouflaged Object Detection via Dual Stream Adapters](https://mlsanity.com/paper/2503.06042/) (2025)
- [SAM2 for Image and Video Segmentation: A Comprehensive Survey](https://mlsanity.com/paper/2503.12781/) (2025)
- [CRISP-SAM2: SAM2 with Cross-Modal Interaction and Semantic Prompting for Multi-Organ Segmentation](https://mlsanity.com/paper/2506.23121/) (2025)
- [When SAM2 Meets Video Camouflaged Object Segmentation: A Comprehensive Evaluation and Adaptation](https://mlsanity.com/paper/2409.18653/) (2024)
- [Vanish into Thin Air: Cross-prompt Universal Adversarial Attacks for SAM2](https://mlsanity.com/paper/2510.24195/) (2025)
- [Structural and Statistical Texture Knowledge Distillation and Learning for Segmentation](https://mlsanity.com/paper/2503.08043/) (2025)
- [SAM-I2V: Upgrading SAM to Support Promptable Video Segmentation with Less than 0.2% Training Cost](https://mlsanity.com/paper/2506.01304/) (2025)
- [RevSAM2: Prompt SAM2 for Medical Image Segmentation via Reverse-Propagation without Fine-tuning](https://mlsanity.com/paper/2409.04298/) (2024)
- [Rethinking Detecting Salient and Camouflaged Objects in Unconstrained Scenes](https://mlsanity.com/paper/2412.10943/) (2024)
- [CamSAM2: Segment Anything Accurately in Camouflaged Videos](https://mlsanity.com/paper/2503.19730/) (2025)
- [SAM3-Adapter: Efficient Adaptation of Segment Anything 3 for Camouflage Object Segmentation, Shadow Detection, and Medical Image Segmentation](https://mlsanity.com/paper/2511.19425/) (2025)
- [SCALER: SAM-Enhanced Collaborative Learning for Label-Deficient Concealed Object Segmentation](https://mlsanity.com/paper/2511.18136/) (2025)
- [DifferSeg: Towards Diverse Multimodal Binary Segmentation via Differential Perception and Frequency Guidance](https://mlsanity.com/paper/2606.08906/) (2026)
- [SEG-SAM: Semantic-Guided SAM for Unified Medical Image Segmentation](https://mlsanity.com/paper/2412.12660/) (2024)
- [UniUltra: Interactive Parameter-Efficient SAM2 for Universal Ultrasound Segmentation](https://mlsanity.com/paper/2511.15771/) (2025)
- [Refining Context-Entangled Content Segmentation via Curriculum Selection and Anti-Curriculum Promotion](https://mlsanity.com/paper/2602.01183/) (2026)
- [SASVi -- Segment Any Surgical Video](https://mlsanity.com/paper/2502.09653/) (2025)
- [RS2-SAM2: Customized SAM2 for Referring Remote Sensing Image Segmentation](https://mlsanity.com/paper/2503.07266/) (2025)
- [Evaluating SAM2 for Video Semantic Segmentation](https://mlsanity.com/paper/2512.01774/) (2025)
- [SpaceSeg: A High-Precision Intelligent Perception Segmentation Method for Multi-Spacecraft On-Orbit Targets](https://mlsanity.com/paper/2503.11133/) (2025)
- [Synergistic Bleeding Region and Point Detection in Laparoscopic Surgical Videos](https://mlsanity.com/paper/2503.22174/) (2025)
- [SAM4D: Segment Anything in Camera and LiDAR Streams](https://mlsanity.com/paper/2506.21547/) (2025)
- [SAMwave: Wavelet-Driven Feature Enrichment for Effective Adaptation of Segment Anything Model](https://mlsanity.com/paper/2507.20186/) (2025)
- [SAMSOD: Rethinking SAM Optimization for RGB-T Salient Object Detection](https://mlsanity.com/paper/2510.03689/) (2025)
- [FreqDINO: Frequency-Guided Adaptation for Generalized Boundary-Aware Ultrasound Image Segmentation](https://mlsanity.com/paper/2512.11335/) (2025)
- [Segment Anything for Video: A Comprehensive Review of Video Object Segmentation and Tracking from Past to Future](https://mlsanity.com/paper/2507.22792/) (2025)
- [Supervise Less, See More: Training-free Nuclear Instance Segmentation with Prototype-Guided Prompting](https://mlsanity.com/paper/2511.19953/) (2025)

## Abstract (arXiv)

The advent of large models, also known as foundation models, has significantly transformed the AI research landscape, with models like Segment Anything (SAM) achieving notable success in diverse image segmentation scenarios. Despite its advancements, SAM encountered limitations in handling some complex low-level segmentation tasks like camouflaged object and medical imaging. In response, in 2023, we introduced SAM-Adapter, which demonstrated improved performance on these challenging tasks. Now, with the release of Segment Anything 2 (SAM2), a successor with enhanced architecture and a larger training corpus, we reassess these challenges. This paper introduces SAM2-Adapter, the first adapter designed to overcome the persistent limitations observed in SAM2 and achieve new state-of-the-art (SOTA) results in specific downstream tasks including medical image segmentation, camouflaged (concealed) object detection, and shadow detection. SAM2-Adapter builds on the SAM-Adapter's strengths, offering enhanced generalizability and composability for diverse applications. We present extensive experimental results demonstrating SAM2-Adapter's effectiveness. We show the potential and encourage the research community to leverage the SAM2 model with our SAM2-Adapter for achieving superior segmentation outcomes. Code, pre-trained models, and data processing protocols are available at http://tianrun-chen.github.io/SAM-Adaptor/