VLSM-Ensemble: Ensembling CLIP-based Vision-Language Models for Enhanced Medical Image Segmentation
On the map: Multimodal LLMs / vision-language models → Medical vision-language models
Abstract (arXiv)
Vision-language models and their adaptations to image segmentation tasks present enormous potential for producing highly accurate and interpretable results. However, implementations based on CLIP and BiomedCLIP are still lagging behind more sophisticated architectures such as CRIS. In this work, instead of focusing on text prompt engineering as is the norm, we attempt to narrow this gap by showing how to ensemble vision-language segmentation models (VLSMs) with a low-complexity CNN. By doing so, we achieve a significant Dice score improvement of 6.3% on the BKAI polyp dataset using the ensembled BiomedCLIPSeg, while other datasets exhibit gains ranging from 1% to 6%. Furthermore, we provide initial results on additional four radiology and non-radiology datasets. We conclude that ensembling works differently across these datasets (from outperforming to underperforming the CRIS model), indicating a topic for future investigation by the community. The code is available at https://github.com/juliadietlmeier/VLSM-Ensemble.
Key facts. Cited by 1 paper in the map (data through 14 Oct 2026). Placed in Medical vision-language models, one of 16 directions in Multimodal LLMs / vision-language models. Builds on 10 of its 14 references that are in the map. First posted on arXiv 5 Sep 2025.
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Other references · 9
- 2021Learning Transferable Visual Models From Natural Language Supervisioncited by 33,744
- 2015U-Net: Convolutional Networks for Biomedical Image Segmentationcited by 19,713
- 2019Kvasir-SEG: A Segmented Polyp Datasetcited by 589
- 2019ECA-Net: Efficient Channel Attention for Deep Convolutional Neural Networkscited by 575
- 2021Image Segmentation Using Text and Image Promptscited by 512
- 2021CRIS: CLIP-Driven Referring Image Segmentationcited by 353
- 2021NeoUNet: Towards accurate colon polyp segmentation and neoplasm detectioncited by 51
- 2024How we won BraTS 2023 Adult Glioma challenge? Just faking it! Enhanced Synthetic Data Augmentation and Model Ensemble for brain tumour segmentationcited by 28
- 2022BlazeNeo: Blazing fast polyp segmentation and neoplasm detectioncited by 10
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- 2024VLSM-Adapter: Finetuning Vision-Language Segmentation Efficiently with Lightweight Blocks
- 2024TuneVLSeg: Prompt Tuning Benchmark for Vision-Language Segmentation Models
- 2025MoME: Mixture of Visual Language Medical Experts for Medical Imaging Segmentation
- 2025BiPVL-Seg: Bidirectional Progressive Vision-Language Fusion with Global-Local Alignment for Medical Image Segmentation
- 2026SAM Meets VLM: Parameter-Decoupled Full-Parameter Training for Unified Medical Reasoning and Segmentation
- 2025Taming Vision-Language Models for Medical Image Analysis: A Comprehensive Review
- 2024On Large Visual Language Models for Medical Imaging Analysis: An Empirical Study
- 2026MedPlex: Deep Vision-Language Co-Adaptation for Clinically Grounded Medical Segmentation