# Prompt-Tuning SAM: From Generalist to Specialist with only 2048 Parameters and 16 Training Images

arXiv: https://arxiv.org/abs/2504.16739 · HTML: https://mlsanity.com/paper/2504.16739/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 44 of its 69 references that are in the map.
- First posted on arXiv 23 Apr 2025.

## Builds on (most cited first, 30 of 44)

- [Attention Is All You Need](https://mlsanity.com/paper/1706.03762/) (2017)
- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [Language Models are Few-Shot Learners](https://mlsanity.com/paper/2005.14165/) (2020)
- [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)
- [GPT-4 Technical Report](https://mlsanity.com/paper/2303.08774/) (2023)
- [LoRA: Low-Rank Adaptation of Large Language Models](https://mlsanity.com/paper/2106.09685/) (2021)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Masked Autoencoders Are Scalable Vision Learners](https://mlsanity.com/paper/2111.06377/) (2021)
- [Mask R-CNN](https://mlsanity.com/paper/1703.06870/) (2017)
- [SGDR: Stochastic Gradient Descent with Warm Restarts](https://mlsanity.com/paper/1608.03983/) (2016)
- [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)
- [Prefix-Tuning: Optimizing Continuous Prompts for Generation](https://mlsanity.com/paper/2101.00190/) (2021)
- [The Power of Scale for Parameter-Efficient Prompt Tuning](https://mlsanity.com/paper/2104.08691/) (2021)
- [QLoRA: Efficient Finetuning of Quantized LLMs](https://mlsanity.com/paper/2305.14314/) (2023)
- [Visual Prompt Tuning](https://mlsanity.com/paper/2203.12119/) (2022)
- [Rethinking Semantic Segmentation from a Sequence-to-Sequence Perspective with Transformers](https://mlsanity.com/paper/2012.15840/) (2020)
- [Depth Anything: Unleashing the Power of Large-Scale Unlabeled Data](https://mlsanity.com/paper/2401.10891/) (2024)
- [UNETR: Transformers for 3D Medical Image Segmentation](https://mlsanity.com/paper/2103.10504/) (2021)
- [Swin UNETR: Swin Transformers for Semantic Segmentation of Brain Tumors in MRI Images](https://mlsanity.com/paper/2201.01266/) (2022)
- [Exploring Plain Vision Transformer Backbones for Object Detection](https://mlsanity.com/paper/2203.16527/) (2022)
- [Parameter-Efficient Fine-Tuning for Large Models: A Comprehensive Survey](https://mlsanity.com/paper/2403.14608/) (2024)
- [Kvasir-SEG: A Segmented Polyp Dataset](https://mlsanity.com/paper/1911.07069/) (2019)
- [DeCAF: A Deep Convolutional Activation Feature for Generic Visual Recognition](https://mlsanity.com/paper/1310.1531/) (2013)
- [nnU-Net: Self-adapting Framework for U-Net-Based Medical Image Segmentation](https://mlsanity.com/paper/1809.10486/) (2018)
- [Customized Segment Anything Model for Medical Image Segmentation](https://mlsanity.com/paper/2304.13785/) (2023)
- [Parameter-Efficient Fine-Tuning Methods for Pretrained Language Models: A Critical Review and Assessment](https://mlsanity.com/paper/2312.12148/) (2023)

## Built on by (most cited first, 3 of 3)

- [When Adaptation Hurts: Connecting Representational Drift to OOD Failures in MedSAM Fine-Tuning](https://mlsanity.com/paper/2608.21300/) (2026)
- [From Boundaries to Semantics: Prompt-Guided Multi-Task Learning for Petrographic Thin-section Segmentation](https://mlsanity.com/paper/2604.14805/) (2026)
- [Evaluating Semantic and Spatial Guidance for Foundation Model Segmentation of Small-Scale PV in Remote Sensing Imagery](https://mlsanity.com/paper/2608.10801/) (2026)

## Abstract (arXiv)

The Segment Anything Model (SAM) is widely used for segmenting a diverse range of objects in natural images from simple user prompts like points or bounding boxes. However, SAM's performance decreases substantially when applied to non-natural domains like microscopic imaging. Furthermore, due to SAM's interactive design, it requires a precise prompt for each image and object, which is unfeasible in many automated biomedical applications. Previous solutions adapt SAM by training millions of parameters via fine-tuning large parts of the model or of adapter layers. In contrast, we show that as little as 2,048 additional parameters are sufficient for turning SAM into a use-case specialist for a certain downstream task. Our novel PTSAM (prompt-tuned SAM) method uses prompt-tuning, a parameter-efficient fine-tuning technique, to adapt SAM for a specific task. We validate the performance of our approach on multiple microscopic and one medical dataset. Our results show that prompt-tuning only SAM's mask decoder already leads to a performance on-par with state-of-the-art techniques while requiring roughly 2,000x less trainable parameters. For addressing domain gaps, we find that additionally prompt-tuning SAM's image encoder is beneficial, further improving segmentation accuracy by up to 18% over state-of-the-art results. Since PTSAM can be reliably trained with as little as 16 annotated images, we find it particularly helpful for applications with limited training data and domain shifts.