# Pre-training Everywhere: Parameter-Efficient Fine-Tuning for Medical Image Analysis via Target Parameter Pre-training

arXiv: https://arxiv.org/abs/2408.15011 · HTML: https://mlsanity.com/paper/2408.15011/

## Key facts

- Cited by 1 papers in the map (data through 14 Oct 2026).
- Builds on 47 of its 67 references that are in the map.
- First posted on arXiv 27 Aug 2024.

## Builds on (most cited first, 30 of 47)

- [BERT: Pre-training of Deep Bidirectional Transformers for Language Understanding](https://mlsanity.com/paper/1810.04805/) (2018)
- [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)
- [A Simple Framework for Contrastive Learning of Visual Representations](https://mlsanity.com/paper/2002.05709/) (2020)
- [Momentum Contrast for Unsupervised Visual Representation Learning](https://mlsanity.com/paper/1911.05722/) (2019)
- [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)
- [Generative Adversarial Networks](https://mlsanity.com/paper/2203.00667/) (2022)
- [Parameter-Efficient Transfer Learning for NLP](https://mlsanity.com/paper/1902.00751/) (2019)
- [Prefix-Tuning: Optimizing Continuous Prompts for Generation](https://mlsanity.com/paper/2101.00190/) (2021)
- [Unsupervised Learning of Visual Features by Contrasting Cluster Assignments](https://mlsanity.com/paper/2006.09882/) (2020)
- [Decoupled Weight Decay Regularization](https://mlsanity.com/paper/1711.05101/) (2017)
- [BitFit: Simple Parameter-efficient Fine-tuning for Transformer-based Masked Language-models](https://mlsanity.com/paper/2106.10199/) (2021)
- [AdaptFormer: Adapting Vision Transformers for Scalable Visual Recognition](https://mlsanity.com/paper/2205.13535/) (2022)
- [TotalSegmentator: robust segmentation of 104 anatomical structures in CT images](https://mlsanity.com/paper/2208.05868/) (2022)
- [UNet++: Redesigning Skip Connections to Exploit Multiscale Features in Image Segmentation](https://mlsanity.com/paper/1912.05074/) (2019)
- [The Liver Tumor Segmentation Benchmark (LiTS)](https://mlsanity.com/paper/1901.04056/) (2019)
- [AdaLoRA: Adaptive Budget Allocation for Parameter-Efficient Fine-Tuning](https://mlsanity.com/paper/2303.10512/) (2023)
- [Big Self-Supervised Models Advance Medical Image Classification](https://mlsanity.com/paper/2101.05224/) (2021)
- [Scaling & Shifting Your Features: A New Baseline for Efficient Model Tuning](https://mlsanity.com/paper/2210.08823/) (2022)
- [Localizing Objects with Self-Supervised Transformers and no Labels](https://mlsanity.com/paper/2109.14279/) (2021)
- [LST: Ladder Side-Tuning for Parameter and Memory Efficient Transfer Learning](https://mlsanity.com/paper/2206.06522/) (2022)
- [Gland Segmentation in Colon Histology Images: The GlaS Challenge Contest](https://mlsanity.com/paper/1603.00275/) (2016)
- [The KiTS19 Challenge Data: 300 Kidney Tumor Cases with Clinical Context, CT Semantic Segmentations, and Surgical Outcomes](https://mlsanity.com/paper/1904.00445/) (2019)
- [Benchmarking Self-Supervised Learning on Diverse Pathology Datasets](https://mlsanity.com/paper/2212.04690/) (2022)
- [Explicit Visual Prompting for Low-Level Structure Segmentations](https://mlsanity.com/paper/2303.10883/) (2023)
- [Training BatchNorm and Only BatchNorm: On the Expressive Power of Random Features in CNNs](https://mlsanity.com/paper/2003.00152/) (2020)
- [STU-Net: Scalable and Transferable Medical Image Segmentation Models Empowered by Large-Scale Supervised Pre-training](https://mlsanity.com/paper/2304.06716/) (2023)
- [Instance Localization for Self-supervised Detection Pretraining](https://mlsanity.com/paper/2102.08318/) (2021)

## Built on by (most cited first, 1 of 1)

- [Beyond H&E: Unlocking Pathological Insights with Polarization Imaging](https://mlsanity.com/paper/2503.05933/) (2025)

## Abstract (arXiv)

Parameter-efficient fine-tuning (PEFT) techniques have emerged to address overfitting and high computational costs associated with fully fine-tuning in self-supervised learning. Mainstream PEFT methods add a few trainable parameters while keeping the pre-trained backbone parameters fixed. These methods achieve comparative, and often superior, performance to fully fine-tuning, demonstrating the powerful representation ability of the pre-trained backbone. Despite this success, these methods typically ignore the initialization of the new parameters, often relying solely on random initialization. We argue that if pre-training is significantly beneficial, it should be applied to all parameters requiring representational capacity. Motivated by this, we propose Target Parameter Pre-training (TPP), a simple yet effective fine-tuning framework. TPP pre-trains target parameters, i.e., the new parameters introduced during fine-tuning, in an additional stage before PEFT. During this stage, the pre-trained backbone parameters are frozen, and only the new parameters are trainable. A defined pretext task encourages the new parameters to learn specific representations of downstream data. Subsequently, when PEFT is employed, the pre-trained new parameters are loaded to enhance fine-tuning efficiency. The proposed TPP framework is versatile, allowing integration with various pre-trained backbones, pretext tasks, and PEFT methods. We evaluated the fine-tuning performance of our method on seven public datasets, covering four modalities and two task types. The results demonstrate that TPP can be easily integrated into existing PEFT methods, significantly improving performance.
