Performance at What Cost? A Sustainability-Aware Performance Index for Cell and Nucleus Instance Segmentation

Pretrained models for cell and nuclear instance segmentation differ substantially in architecture, pretraining data and objectives, parameter count, inference strategy, adaptation requirements, postprocessing pipeline, and computational demand. Large pretrained and foundation models are increasingly adopted because of their strong zero-shot capabilities, but their use also imposes greater energy consumption, memory requirements, computational demands, adaptation costs, and operational carbon emissions. Whether these additional demands are justified by meaningful gains in segmentation performance remains unclear. We address this question by introducing the Sustainability-Aware Performance Index (SAPI), a configurable metric that combines segmentation performance, energy consumption, and model size. We benchmark 19 pretrained and foundation models across six CellBinDB datasets under zero-shot inference and evaluate 16 fine-tunable models using few-shot adaptation with both frozen encoder and full-model fine-tuning. We estimate energy consumption for GPU, CPU, and RAM using software-based monitoring tools. Our results show that larger and more computationally demanding models do not consistently achieve proportionate improvements in segmentation quality. While few-shot adaptation benefits several models, the gains and resource costs vary considerably across architectures, datasets, and adaptation strategies, causing SAPI-based rankings to differ from rankings based on performance alone. This study provides a practical framework for comparing segmentation models more comprehensively and supports more computationally accessible and environmentally responsible model selection in biomedical image analysis.