Zero-shot Domain Generalization of Foundational Models for 3D Medical Image Segmentation: An Experimental Study
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Abstract (arXiv)
Domain shift, caused by variations in imaging modalities and acquisition protocols, limits model generalization in medical image segmentation. While foundation models (FMs) trained on diverse large-scale data hold promise for zero-shot generalization, their application to volumetric medical data remains underexplored. In this study, we examine their ability towards domain generalization (DG), by conducting a comprehensive experimental study encompassing 6 medical segmentation FMs and 12 public datasets spanning multiple modalities and anatomies. Our findings reveal the potential of promptable FMs in bridging the domain gap via smart prompting techniques. Additionally, by probing into multiple facets of zero-shot DG, we offer valuable insights into the viability of FMs for DG and identify promising avenues for future research.
Key facts. Cited by 3 papers in the map (data through 14 Oct 2026). Builds on 35 of its 48 references that are in the map. First posted on arXiv 28 Mar 2025.
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35 of 48 references.
References · 35
- 2018BERT: Pre-training of Deep Bidirectional Transformers for Language Understandingcited by 40,399
- 2021Learning Transferable Visual Models From Natural Language Supervisioncited by 33,744
- 2020Language Models are Few-Shot Learnerscited by 32,419
- 2019PyTorch: An Imperative Style, High-Performance Deep Learning Librarycited by 20,305
- 2023Segment Anythingcited by 8,234
- 2021Zero-Shot Text-to-Image Generationcited by 4,288
- 2021On the Opportunities and Risks of Foundation Modelscited by 4,033
- 2021The Medical Segmentation Decathloncited by 628
- 2019The Liver Tumor Segmentation Benchmark (LiTS)cited by 509
- 2022MONAI: An open-source framework for deep learning in healthcarecited by 448
- 2019Domain Generalization via Model-Agnostic Learning of Semantic Featurescited by 407
- 2022AMOS: A Large-Scale Abdominal Multi-Organ Benchmark for Versatile Medical Image Segmentationcited by 351
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- 2020CHAOS Challenge -- Combined (CT-MR) Healthy Abdominal Organ Segmentationcited by 309
- 2021FedDG: Federated Domain Generalization on Medical Image Segmentation via Episodic Learning in Continuous Frequency Spacecited by 287
- 2024nnU-Net Revisited: A Call for Rigorous Validation in 3D Medical Image Segmentationcited by 240
- 2023CLIP-Driven Universal Model for Organ Segmentation and Tumor Detectioncited by 224
- 2019The state of the art in kidney and kidney tumor segmentation in contrast-enhanced CT imaging: Results of the KiTS19 Challengecited by 190
- 2023MedCPT: Contrastive Pre-trained Transformers with Large-scale PubMed Search Logs for Zero-shot Biomedical Information Retrievalcited by 185
- 2023SAM-Med2Dcited by 124
- 2023SAM-Med3D: Towards General-purpose Segmentation Models for Volumetric Medical Imagescited by 107
- 2023The KiTS21 Challenge: Automatic segmentation of kidneys, renal tumors, and renal cysts in corticomedullary-phase CTcited by 103
- 2020Test-Time Adaptable Neural Networks for Robust Medical Image Segmentationcited by 102
- 2018Translating and Segmenting Multimodal Medical Volumes with Cycle- and Shape-Consistency Generative Adversarial Networkcited by 97
- 2023SegVol: Universal and Interactive Volumetric Medical Image Segmentationcited by 87
- 2023A Comprehensive Survey on Segment Anything Model for Vision and Beyondcited by 64
- 2023Large-Vocabulary Segmentation for Medical Images with Text Promptscited by 62
- 2024uniGradICON: A Foundation Model for Medical Image Registrationcited by 58
- 2023Unleashing the Strengths of Unlabeled Data in Pan-cancer Abdominal Organ Quantification: the FLARE22 Challengecited by 50
- 2022On-the-Fly Test-time Adaptation for Medical Image Segmentationcited by 34
- 2023Towards Foundation Models and Few-Shot Parameter-Efficient Fine-Tuning for Volumetric Organ Segmentationcited by 17
- 2020Domain Shift in Computer Vision models for MRI data analysis: An Overviewcited by 16
- 2024multiGradICON: A Foundation Model for Multimodal Medical Image Registrationcited by 16
- 2024MRSegmentator: Multi-Modality Segmentation of 40 Classes in MRI and CTcited by 6
- 2024Do Vision Foundation Models Enhance Domain Generalization in Medical Image Segmentation?cited by 6
- 2024CoSAM: Self-Correcting SAM for Domain Generalization in 2D Medical Image Segmentationcited by 5
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Citing papers per year: 2025: 1; 2026: 2.
3 papers.
- 2026On The Robustness of Foundational 3D Medical Image Segmentation Models Against Imprecise Visual Promptscited by 2
- 2025Make me an Expert: Distilling from Generalist Black-Box Models into Specialized Models for Semantic Segmentationcited by 0
- 2026Are Natural-Domain Foundation Models Effective for Accelerated Cardiac MRI Reconstruction?cited by 0
- 2026Are Natural-Domain Foundation Models Effective for Accelerated Cardiac MRI Reconstruction?24 Apr 2026
- 2026On The Robustness of Foundational 3D Medical Image Segmentation Models Against Imprecise Visual Prompts23 Jan 2026
- 2025Make me an Expert: Distilling from Generalist Black-Box Models into Specialized Models for Semantic Segmentation30 Aug 2025