# Sparse Autoencoders for Interpretable Medical Image Representation Learning

arXiv: https://arxiv.org/abs/2603.23794 · HTML: https://mlsanity.com/paper/2603.23794/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Placed in Interpreting biomedical and science models, one of 13 directions in Mechanistic interpretability.
- Builds on 12 of its 18 references that are in the map.
- First posted on arXiv 24 Mar 2026.

## Placed in

- Mechanistic interpretability / [Interpreting biomedical and science models](https://mlsanity.com/mechinterp/interpreting-biomedical-and-science-models/)

## Builds on (most cited first, 12 of 12)

- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [Sparse Autoencoders Find Highly Interpretable Features in Language Models](https://mlsanity.com/paper/2309.08600/) (2023)
- [Toy Models of Superposition](https://mlsanity.com/paper/2209.10652/) (2022)
- [TotalSegmentator: robust segmentation of 104 anatomical structures in CT images](https://mlsanity.com/paper/2208.05868/) (2022)
- [MedGemma Technical Report](https://mlsanity.com/paper/2507.05201/) (2025)
- [Jumping Ahead: Improving Reconstruction Fidelity with JumpReLU Sparse Autoencoders](https://mlsanity.com/paper/2407.14435/) (2024)
- [Learning Multi-Level Features with Matryoshka Sparse Autoencoders](https://mlsanity.com/paper/2503.17547/) (2025)
- [Natural Language Descriptions of Deep Visual Features](https://mlsanity.com/paper/2201.11114/) (2022)
- [BatchTopK Sparse Autoencoders](https://mlsanity.com/paper/2412.06410/) (2024)
- [SAEBench: A Comprehensive Benchmark for Sparse Autoencoders in Language Model Interpretability](https://mlsanity.com/paper/2503.09532/) (2025)
- [TotalSegmentator MRI: Robust Sequence-independent Segmentation of Multiple Anatomic Structures in MRI](https://mlsanity.com/paper/2405.19492/) (2024)
- [An X-Ray Is Worth 15 Features: Sparse Autoencoders for Interpretable Radiology Report Generation](https://mlsanity.com/paper/2410.03334/) (2024)

## Abstract (arXiv)

Vision foundation models (FMs) achieve state-of-the-art performance in medical imaging. However, they encode information in abstract latent representations that clinicians cannot interrogate or verify. The goal of this study is to investigate Sparse Autoencoders (SAEs) for replacing opaque FM image representations with human-interpretable, sparse features. We train SAEs on embeddings from BiomedParse (biomedical) and DINOv3 (general-purpose) using 909,873 CT and MRI 2D image slices from the TotalSegmentator dataset. We find that learned sparse features: (a) reconstruct original embeddings with high fidelity (R2 up to 0.941) and recover up to 87.8% of downstream performance using only 10 features (99.4% dimensionality reduction), (b) preserve semantic fidelity in image retrieval tasks, (c) correspond to specific concepts that can be expressed in language using large language model (LLM)-based auto-interpretation. (d) bridge clinical language and abstract latent representations in zero-shot language-driven image retrieval. Our work indicates SAEs are a promising pathway towards interpretable, concept-driven medical vision systems. Code repository: https://github.com/pwesp/sail.