# Foundation AI Model for Medical Image Segmentation

arXiv: https://arxiv.org/abs/2411.02745 · HTML: https://mlsanity.com/paper/2411.02745/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 10 of its 12 references that are in the map.
- First posted on arXiv 5 Nov 2024.

## Builds on (most cited first, 10 of 10)

- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [On the Challenges and Perspectives of Foundation Models for Medical Image Analysis](https://mlsanity.com/paper/2306.05705/) (2023)
- [SAM on Medical Images: A Comprehensive Study on Three Prompt Modes](https://mlsanity.com/paper/2305.00035/) (2023)
- [AutoSAM: Adapting SAM to Medical Images by Overloading the Prompt Encoder](https://mlsanity.com/paper/2306.06370/) (2023)
- [Can SAM Segment Polyps?](https://mlsanity.com/paper/2304.07583/) (2023)
- [When SAM Meets Medical Images: An Investigation of Segment Anything Model (SAM) on Multi-phase Liver Tumor Segmentation](https://mlsanity.com/paper/2304.08506/) (2023)
- [Computer-Vision Benchmark Segment-Anything Model (SAM) in Medical Images: Accuracy in 12 Datasets](https://mlsanity.com/paper/2304.09324/) (2023)
- [All-in-SAM: from Weak Annotation to Pixel-wise Nuclei Segmentation with Prompt-based Finetuning](https://mlsanity.com/paper/2307.00290/) (2023)
- [SkinSAM: Empowering Skin Cancer Segmentation with Segment Anything Model](https://mlsanity.com/paper/2304.13973/) (2023)
- [A Systematic Review of Few-Shot Learning in Medical Imaging](https://mlsanity.com/paper/2309.11433/) (2023)

## Built on by (most cited first, 2 of 2)

- [F3-Net: Foundation Model for Full Abnormality Segmentation of Medical Images with Flexible Input Modality Requirement](https://mlsanity.com/paper/2507.08460/) (2025)
- [OptiGradTrust: Byzantine-Robust Federated Learning with Multi-Feature Gradient Analysis and Reinforcement Learning-Based Trust Weighting](https://mlsanity.com/paper/2507.23638/) (2025)

## Abstract (arXiv)

Foundation models refer to artificial intelligence (AI) models that are trained on massive amounts of data and demonstrate broad generalizability across various tasks with high accuracy. These models offer versatile, one-for-many or one-for-all solutions, eliminating the need for developing task-specific AI models. Examples of such foundation models include the Chat Generative Pre-trained Transformer (ChatGPT) and the Segment Anything Model (SAM). These models have been trained on millions to billions of samples and have shown wide-ranging and accurate applications in numerous tasks such as text processing (using ChatGPT) and natural image segmentation (using SAM). In medical image segmentation - finding target regions in medical images - there is a growing need for these one-for-many or one-for-all foundation models. Such models could obviate the need to develop thousands of task-specific AI models, which is currently standard practice in the field. They can also be adapted to tasks with datasets too small for effective training. We discuss two paths to achieve foundation models for medical image segmentation and comment on progress, challenges, and opportunities. One path is to adapt or fine-tune existing models, originally developed for natural images, for use with medical images. The second path entails building models from scratch, exclusively training on medical images.
