# Intelligent Communication Mixture-of-Experts Boosted-Medical Image Segmentation Foundation Model

arXiv: https://arxiv.org/abs/2510.17684 · HTML: https://mlsanity.com/paper/2510.17684/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Medical and biomedical MoE, one of 12 directions in Mixture-of-experts.
- Builds on 24 of its 40 references that are in the map.
- First posted on arXiv 20 Oct 2025.

## Placed in

- Mixture-of-experts / [Medical and biomedical MoE](https://mlsanity.com/moe/medical-and-biomedical-moe/)

## Builds on (most cited first, 24 of 24)

- [Learning Transferable Visual Models From Natural Language Supervision](https://mlsanity.com/paper/2103.00020/) (2021)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Segment Anything](https://mlsanity.com/paper/2304.02643/) (2023)
- [Emerging Properties in Self-Supervised Vision Transformers](https://mlsanity.com/paper/2104.14294/) (2021)
- [TransUNet: Transformers Make Strong Encoders for Medical Image Segmentation](https://mlsanity.com/paper/2102.04306/) (2021)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [Skin Lesion Analysis Toward Melanoma Detection 2018: A Challenge Hosted by the International Skin Imaging Collaboration (ISIC)](https://mlsanity.com/paper/1902.03368/) (2019)
- [Medical SAM Adapter: Adapting Segment Anything Model for Medical Image Segmentation](https://mlsanity.com/paper/2304.12620/) (2023)
- [VM-UNet: Vision Mamba UNet for Medical Image Segmentation](https://mlsanity.com/paper/2402.02491/) (2024)
- [Customized Segment Anything Model for Medical Image Segmentation](https://mlsanity.com/paper/2304.13785/) (2023)
- [Gland Segmentation in Colon Histology Images: The GlaS Challenge Contest](https://mlsanity.com/paper/1603.00275/) (2016)
- [U-KAN Makes Strong Backbone for Medical Image Segmentation and Generation](https://mlsanity.com/paper/2406.02918/) (2024)
- [Stronger, Fewer, & Superior: Harnessing Vision Foundation Models for Domain Generalized Semantic Segmentation](https://mlsanity.com/paper/2312.04265/) (2023)
- [Convolution Meets LoRA: Parameter Efficient Finetuning for Segment Anything Model](https://mlsanity.com/paper/2401.17868/) (2024)
- [EMCAD: Efficient Multi-scale Convolutional Attention Decoding for Medical Image Segmentation](https://mlsanity.com/paper/2405.06880/) (2024)
- [MALUNet: A Multi-Attention and Light-weight UNet for Skin Lesion Segmentation](https://mlsanity.com/paper/2211.01784/) (2022)
- [How to build the best medical image segmentation algorithm using foundation models: a comprehensive empirical study with Segment Anything Model](https://mlsanity.com/paper/2404.09957/) (2024)
- [Improving the Generalization of Segmentation Foundation Model under Distribution Shift via Weakly Supervised Adaptation](https://mlsanity.com/paper/2312.03502/) (2023)
- [SegMAN: Omni-scale Context Modeling with State Space Models and Local Attention for Semantic Segmentation](https://mlsanity.com/paper/2412.11890/) (2024)
- [Context-Guided Spatial Feature Reconstruction for Efficient Semantic Segmentation](https://mlsanity.com/paper/2405.06228/) (2024)
- [SAM-Med3D-MoE: Towards a Non-Forgetting Segment Anything Model via Mixture of Experts for 3D Medical Image Segmentation](https://mlsanity.com/paper/2407.04938/) (2024)
- [MobileUNETR: A Lightweight End-To-End Hybrid Vision Transformer For Efficient Medical Image Segmentation](https://mlsanity.com/paper/2409.03062/) (2024)
- [MCANet: Medical Image Segmentation with Multi-Scale Cross-Axis Attention](https://mlsanity.com/paper/2312.08866/) (2023)
- [SAMCT: Segment Any CT Allowing Labor-Free Task-Indicator Prompts](https://mlsanity.com/paper/2403.13258/) (2024)

## Abstract (arXiv)

Foundation models for medical image segmentation have achieved remarkable performance. Adaptive fine-tuning of natural image segmentation foundation models is crucial for medical image segmentation tasks. However, some limitations exist in existing fine-tuning methods: 1) insufficient representation of high-level features and 2) the fine-tuning process disrupts the structural integrity of pretrained weights. Inspired by these critical problems, we propose an intelligent communication mixture-of-experts boosted-medical image segmentation foundation model, named IC-MoE, with twofold ideas: 1) We construct basic experts, semantic experts, and adaptive experts. Moreover, we implement a pixel probability adaptive voting strategy, which enables expert selection and fusion through label consistency and load balancing. This approach preliminarily enhances the representation capability of high-level features while preserving the structural integrity of pretrained weights. 2) We propose a semantic-guided contrastive learning method to address the issue of weak supervision in contrastive learning. This method further enhances the representation capability of high-level features while preserving the structural integrity of pretrained weights. Extensive experiments across three public medical image segmentation datasets demonstrate that the IC-MoE outperforms other SOTA models. Consequently, the proposed IC-MoE effectively supplements foundational medical image segmentation models with high-level features and pretrained structural integrity. We also validate the superior generalizability of the IC-MoE across diverse medical image segmentation scenarios.