Daily Papers

Few-shot semantic segmentation has recently attracted great attention. The goal is to develop a model capable of segmenting unseen classes using only a few annotated samples. Most existing approaches adapt a pre-trained model by training from scratch an additional module. Achieving optimal performance with these approaches requires extensive training on large-scale datasets. The Segment Anything Model 2 (SAM2) is a foundational model for zero-shot image and video segmentation with a modular design. In this paper, we propose a Few-Shot segmentation method based on SAM2 (FS-SAM2), where SAM2's video capabilities are directly repurposed for the few-shot task. Moreover, we apply a Low-Rank Adaptation (LoRA) to the original modules in order to handle the diverse images typically found in standard datasets, unlike the temporally connected frames used in SAM2's pre-training. With this approach, only a small number of parameters is meta-trained, which effectively adapts SAM2 while benefiting from its impressive segmentation performance. Our method supports any K-shot configuration. We evaluate FS-SAM2 on the PASCAL-5^i, COCO-20^i and FSS-1000 datasets, achieving remarkable results and demonstrating excellent computational efficiency during inference. Code is available at https://github.com/fornib/FS-SAM2

With breakthroughs in large-scale modeling, the Segment Anything Model (SAM) and its extensions have been attempted for applications in various underwater visualization tasks in marine sciences, and have had a significant impact on the academic community. Recently, Meta has further developed the Segment Anything Model 2 (SAM2), which significantly improves running speed and segmentation accuracy compared to its predecessor. This report aims to explore the potential of SAM2 in marine science by evaluating it on the underwater instance segmentation benchmark datasets UIIS and USIS10K. The experiments show that the performance of SAM2 is extremely dependent on the type of user-provided prompts. When using the ground truth bounding box as prompt, SAM2 performed excellently in the underwater instance segmentation domain. However, when running in automatic mode, SAM2's ability with point prompts to sense and segment underwater instances is significantly degraded. It is hoped that this paper will inspire researchers to further explore the SAM model family in the underwater domain. The results and evaluation codes in this paper are available at https://github.com/LiamLian0727/UnderwaterSAM2Eval.

Recent advances in medical image segmentation have been driven by deep learning; however, most existing methods remain limited by modality-specific designs and exhibit poor adaptability to dynamic medical imaging scenarios. The Segment Anything Model 2 (SAM2) and its related variants, which introduce a streaming memory mechanism for real-time video segmentation, present new opportunities for prompt-based, generalizable solutions. Nevertheless, adapting these models to medical video scenarios typically requires large-scale datasets for retraining or transfer learning, leading to high computational costs and the risk of catastrophic forgetting. To address these challenges, we propose DD-SAM2, an efficient adaptation framework for SAM2 that incorporates a Depthwise-Dilated Adapter (DD-Adapter) to enhance multi-scale feature extraction with minimal parameter overhead. This design enables effective fine-tuning of SAM2 on medical videos with limited training data. Unlike existing adapter-based methods focused solely on static images, DD-SAM2 fully exploits SAM2's streaming memory for medical video object tracking and segmentation. Comprehensive evaluations on TrackRad2025 (tumor segmentation) and EchoNet-Dynamic (left ventricle tracking) datasets demonstrate superior performance, achieving Dice scores of 0.93 and 0.97, respectively. To the best of our knowledge, this work provides an initial attempt at systematically exploring adapter-based SAM2 fine-tuning for medical video segmentation and tracking. Code, datasets, and models will be publicly available at https://github.com/apple1986/DD-SAM2.

The perception capability of robotic systems relies on the richness of the dataset. Although Segment Anything Model 2 (SAM2), trained on large datasets, demonstrates strong perception potential in perception tasks, its inherent training paradigm prevents it from being suitable for RGB-T tasks. To address these challenges, we propose SHIFNet, a novel SAM2-driven Hybrid Interaction Paradigm that unlocks the potential of SAM2 with linguistic guidance for efficient RGB-Thermal perception. Our framework consists of two key components: (1) Semantic-Aware Cross-modal Fusion (SACF) module that dynamically balances modality contributions through text-guided affinity learning, overcoming SAM2's inherent RGB bias; (2) Heterogeneous Prompting Decoder (HPD) that enhances global semantic information through a semantic enhancement module and then combined with category embeddings to amplify cross-modal semantic consistency. With 32.27M trainable parameters, SHIFNet achieves state-of-the-art segmentation performance on public benchmarks, reaching 89.8% on PST900 and 67.8% on FMB, respectively. The framework facilitates the adaptation of pre-trained large models to RGB-T segmentation tasks, effectively mitigating the high costs associated with data collection while endowing robotic systems with comprehensive perception capabilities. The source code will be made publicly available at https://github.com/iAsakiT3T/SHIFNet.

Segment Anything Model 2 (SAM2) has emerged as a strong base model in various pinhole imaging segmentation tasks. However, when applying it to 360^circ domain, the significant field-of-view (FoV) gap between pinhole (70^circ times 70^circ) and panoramic images (180^circ times 360^circ) poses unique challenges. Two major concerns for this application includes 1) inevitable distortion and object deformation brought by the large FoV disparity between domains; 2) the lack of pixel-level semantic understanding that the original SAM2 cannot provide. To address these issues, we propose a novel OmniSAM framework, which makes the first attempt to apply SAM2 for panoramic semantic segmentation. Specifically, to bridge the first gap, OmniSAM first divides the panorama into sequences of patches. These patches are then treated as image sequences in similar manners as in video segmentation tasks. We then leverage the SAM2's memory mechanism to extract cross-patch correspondences that embeds the cross-FoV dependencies, improving feature continuity and the prediction consistency along mask boundaries. For the second gap, OmniSAM fine-tunes the pretrained image encoder and reutilize the mask decoder for semantic prediction. An FoV-based prototypical adaptation module with dynamic pseudo label update mechanism is also introduced to facilitate the alignment of memory and backbone features, thereby improving model generalization ability across different sizes of source models. Extensive experimental results demonstrate that OmniSAM outperforms the state-of-the-art methods by large margins, e.g., 79.06% (+10.22%) on SPin8-to-SPan8, 62.46% (+6.58%) on CS13-to-DP13.

Surgical video segmentation is a critical task in computer-assisted surgery and is vital for enhancing surgical quality and patient outcomes. Recently, the Segment Anything Model 2 (SAM2) framework has shown superior advancements in image and video segmentation. However, SAM2 struggles with efficiency due to the high computational demands of processing high-resolution images and complex and long-range temporal dynamics in surgical videos. To address these challenges, we introduce Surgical SAM 2 (SurgSAM-2), an advanced model to utilize SAM2 with an Efficient Frame Pruning (EFP) mechanism, to facilitate real-time surgical video segmentation. The EFP mechanism dynamically manages the memory bank by selectively retaining only the most informative frames, reducing memory usage and computational cost while maintaining high segmentation accuracy. Our extensive experiments demonstrate that SurgSAM-2 significantly improves both efficiency and segmentation accuracy compared to the vanilla SAM2. Remarkably, SurgSAM-2 achieves a 3times FPS compared with SAM2, while also delivering state-of-the-art performance after fine-tuning with lower-resolution data. These advancements establish SurgSAM-2 as a leading model for surgical video analysis, making real-time surgical video segmentation in resource-constrained environments a feasible reality.

Surgical video segmentation is crucial for computer-assisted surgery, enabling precise localization and tracking of instruments and tissues. Interactive Video Object Segmentation (iVOS) models such as Segment Anything Model 2 (SAM2) provide prompt-based flexibility beyond methods with predefined categories, but face challenges in surgical scenarios due to the domain gap and limited long-term tracking. To address these limitations, we construct SA-SV, the largest surgical iVOS benchmark with instance-level spatio-temporal annotations (masklets) spanning eight procedure types (61k frames, 1.6k masklets), enabling comprehensive development and evaluation for long-term tracking and zero-shot generalization. Building on SA-SV, we propose SAM2S, a foundation model enhancing SAM2 for Surgical iVOS through: (1) DiveMem, a trainable diverse memory mechanism for robust long-term tracking; (2) temporal semantic learning for instrument understanding; and (3) ambiguity-resilient learning to mitigate annotation inconsistencies across multi-source datasets. Extensive experiments demonstrate that fine-tuning on SA-SV enables substantial performance gains, with SAM2 improving by 12.99 average J\&F over vanilla SAM2. SAM2S further advances performance to 80.42 average J\&F, surpassing vanilla and fine-tuned SAM2 by 17.10 and 4.11 points respectively, while maintaining 68 FPS real-time inference and strong zero-shot generalization. Code and dataset will be released at https://jinlab-imvr.github.io/SAM2S.

Recent advances in segmentation foundation models have enabled accurate and efficient segmentation across a wide range of natural images and videos, but their utility to medical data remains unclear. In this work, we first present a comprehensive benchmarking of the Segment Anything Model 2 (SAM2) across 11 medical image modalities and videos and point out its strengths and weaknesses by comparing it to SAM1 and MedSAM. Then, we develop a transfer learning pipeline and demonstrate SAM2 can be quickly adapted to medical domain by fine-tuning. Furthermore, we implement SAM2 as a 3D slicer plugin and Gradio API for efficient 3D image and video segmentation. The code has been made publicly available at https://github.com/bowang-lab/MedSAM.

Although new vision foundation models such as Segment Anything Model 2 (SAM2) have significantly enhanced zero-shot image segmentation capabilities, reliance on human-provided prompts poses significant challenges in adapting SAM2 to medical image segmentation tasks. Moreover, SAM2's performance in medical image segmentation was limited by the domain shift issue, since it was originally trained on natural images and videos. To address these challenges, we proposed SAM2 with support-set guided prompting (SAM2-SGP), a framework that eliminated the need for manual prompts. The proposed model leveraged the memory mechanism of SAM2 to generate pseudo-masks using image-mask pairs from a support set via a Pseudo-mask Generation (PMG) module. We further introduced a novel Pseudo-mask Attention (PMA) module, which used these pseudo-masks to automatically generate bounding boxes and enhance localized feature extraction by guiding attention to relevant areas. Furthermore, a low-rank adaptation (LoRA) strategy was adopted to mitigate the domain shift issue. The proposed framework was evaluated on both 2D and 3D datasets across multiple medical imaging modalities, including fundus photography, X-ray, computed tomography (CT), magnetic resonance imaging (MRI), positron emission tomography (PET), and ultrasound. The results demonstrated a significant performance improvement over state-of-the-art models, such as nnUNet and SwinUNet, as well as foundation models, such as SAM2 and MedSAM2, underscoring the effectiveness of the proposed approach. Our code is publicly available at https://github.com/astlian9/SAM_Support.

Articulated object manipulation requires precise object interaction, where the object's axis must be carefully considered. Previous research employed interactive perception for manipulating articulated objects, but typically, open-loop approaches often suffer from overlooking the interaction dynamics. To address this limitation, we present a closed-loop pipeline integrating interactive perception with online axis estimation from segmented 3D point clouds. Our method leverages any interactive perception technique as a foundation for interactive perception, inducing slight object movement to generate point cloud frames of the evolving dynamic scene. These point clouds are then segmented using Segment Anything Model 2 (SAM2), after which the moving part of the object is masked for accurate motion online axis estimation, guiding subsequent robotic actions. Our approach significantly enhances the precision and efficiency of manipulation tasks involving articulated objects. Experiments in simulated environments demonstrate that our method outperforms baseline approaches, especially in tasks that demand precise axis-based control. Project Page: https://hytidel.github.io/video-tracking-for-axis-estimation/.

Real-time, on-device segmentation is critical for latency-sensitive and privacy-aware applications like smart glasses and IoT devices. We introduce PicoSAM2, a lightweight (1.3M parameters, 336M MACs) promptable segmentation model optimized for edge and in-sensor execution, including the Sony IMX500. It builds on a depthwise separable U-Net, with knowledge distillation and fixed-point prompt encoding to learn from the Segment Anything Model 2 (SAM2). On COCO and LVIS, it achieves 51.9% and 44.9% mIoU, respectively. The quantized model (1.22MB) runs at 14.3 ms on the IMX500-achieving 86 MACs/cycle, making it the only model meeting both memory and compute constraints for in-sensor deployment. Distillation boosts LVIS performance by +3.5% mIoU and +5.1% mAP. These results demonstrate that efficient, promptable segmentation is feasible directly on-camera, enabling privacy-preserving vision without cloud or host processing.

Surgery video segmentation is an important topic in the surgical AI field. It allows the AI model to understand the spatial information of a surgical scene. Meanwhile, due to the lack of annotated surgical data, surgery segmentation models suffer from limited performance. With the emergence of SAM2 model, a large foundation model for video segmentation trained on natural videos, zero-shot surgical video segmentation became more realistic but meanwhile remains to be explored. In this paper, we systematically evaluate the performance of SAM2 model in zero-shot surgery video segmentation task. We conducted experiments under different configurations, including different prompting strategies, robustness, etc. Moreover, we conducted an empirical evaluation over the performance, including 9 datasets with 17 different types of surgeries.

In this paper, we introduce Medical SAM 2 (MedSAM-2), an advanced segmentation model that utilizes the SAM 2 framework to address both 2D and 3D medical image segmentation tasks. By adopting the philosophy of taking medical images as videos, MedSAM-2 not only applies to 3D medical images but also unlocks new One-prompt Segmentation capability. That allows users to provide a prompt for just one or a specific image targeting an object, after which the model can autonomously segment the same type of object in all subsequent images, regardless of temporal relationships between the images. We evaluated MedSAM-2 across a variety of medical imaging modalities, including abdominal organs, optic discs, brain tumors, thyroid nodules, and skin lesions, comparing it against state-of-the-art models in both traditional and interactive segmentation settings. Our findings show that MedSAM-2 not only surpasses existing models in performance but also exhibits superior generalization across a range of medical image segmentation tasks. Our code will be released at: https://github.com/MedicineToken/Medical-SAM2

Referring Video Object Segmentation (RVOS) relies on natural language expressions to segment an object in a video clip. Existing methods restrict reasoning either to independent short clips, losing global context, or process the entire video offline, impairing their application in a streaming fashion. In this work, we aim to surpass these limitations and design an RVOS method capable of effectively operating in streaming-like scenarios while retaining contextual information from past frames. We build upon the Segment-Anything 2 (SAM2) model, that provides robust segmentation and tracking capabilities and is naturally suited for streaming processing. We make SAM2 wiser, by empowering it with natural language understanding and explicit temporal modeling at the feature extraction stage, without fine-tuning its weights, and without outsourcing modality interaction to external models. To this end, we introduce a novel adapter module that injects temporal information and multi-modal cues in the feature extraction process. We further reveal the phenomenon of tracking bias in SAM2 and propose a learnable module to adjust its tracking focus when the current frame features suggest a new object more aligned with the caption. Our proposed method, SAMWISE, achieves state-of-the-art across various benchmarks, by adding a negligible overhead of just 4.2 M parameters. The code is available at https://github.com/ClaudiaCuttano/SAMWISE

This paper investigates the fundamental discontinuity between the latest two Segment Anything Models: SAM2 and SAM3. We explain why the expertise in prompt-based segmentation of SAM2 does not transfer to the multimodal concept-driven paradigm of SAM3. SAM2 operates through spatial prompts points, boxes, and masks yielding purely geometric and temporal segmentation. In contrast, SAM3 introduces a unified vision-language architecture capable of open-vocabulary reasoning, semantic grounding, contrastive alignment, and exemplar-based concept understanding. We structure this analysis through five core components: (1) a Conceptual Break Between Prompt-Based and Concept-Based Segmentation, contrasting spatial prompt semantics of SAM2 with multimodal fusion and text-conditioned mask generation of SAM3; (2) Architectural Divergence, detailing pure vision-temporal design of SAM2 versus integration of vision-language encoders, geometry and exemplar encoders, fusion modules, DETR-style decoders, object queries, and ambiguity-handling via Mixture-of-Experts in SAM3; (3) Dataset and Annotation Differences, contrasting SA-V video masks with multimodal concept-annotated corpora of SAM3; (4) Training and Hyperparameter Distinctions, showing why SAM2 optimization knowledge does not apply to SAM3; and (5) Evaluation, Metrics, and Failure Modes, outlining the transition from geometric IoU metrics to semantic, open-vocabulary evaluation. Together, these analyses establish SAM3 as a new class of segmentation foundation model and chart future directions for the emerging concept-driven segmentation era.

We present Segment Anything Model 2 (SAM 2), a foundation model towards solving promptable visual segmentation in images and videos. We build a data engine, which improves model and data via user interaction, to collect the largest video segmentation dataset to date. Our model is a simple transformer architecture with streaming memory for real-time video processing. SAM 2 trained on our data provides strong performance across a wide range of tasks. In video segmentation, we observe better accuracy, using 3x fewer interactions than prior approaches. In image segmentation, our model is more accurate and 6x faster than the Segment Anything Model (SAM). We believe that our data, model, and insights will serve as a significant milestone for video segmentation and related perception tasks. We are releasing a version of our model, the dataset and an interactive demo.

The Segment Anything Model 2 (SAM 2) is the latest generation foundation model for image and video segmentation. Trained on the expansive Segment Anything Video (SA-V) dataset, which comprises 35.5 million masks across 50.9K videos, SAM 2 advances its predecessor's capabilities by supporting zero-shot segmentation through various prompts (e.g., points, boxes, and masks). Its robust zero-shot performance and efficient memory usage make SAM 2 particularly appealing for surgical tool segmentation in videos, especially given the scarcity of labeled data and the diversity of surgical procedures. In this study, we evaluate the zero-shot video segmentation performance of the SAM 2 model across different types of surgeries, including endoscopy and microscopy. We also assess its performance on videos featuring single and multiple tools of varying lengths to demonstrate SAM 2's applicability and effectiveness in the surgical domain. We found that: 1) SAM 2 demonstrates a strong capability for segmenting various surgical videos; 2) When new tools enter the scene, additional prompts are necessary to maintain segmentation accuracy; and 3) Specific challenges inherent to surgical videos can impact the robustness of SAM 2.

Medical image segmentation and video object segmentation are essential for diagnosing and analyzing diseases by identifying and measuring biological structures. Recent advances in natural domain have been driven by foundation models like the Segment Anything Model 2 (SAM 2). To explore the performance of SAM 2 in biomedical applications, we designed two evaluation pipelines for single-frame image segmentation and multi-frame video segmentation with varied prompt designs, revealing SAM 2's limitations in medical contexts. Consequently, we developed BioSAM 2, an enhanced foundation model optimized for biomedical data based on SAM 2. Our experiments show that BioSAM 2 not only surpasses the performance of existing state-of-the-art foundation models but also matches or even exceeds specialist models, demonstrating its efficacy and potential in the medical domain.

The Segment Anything Model 2 (SAM 2) has demonstrated strong performance in object segmentation tasks but faces challenges in visual object tracking, particularly when managing crowded scenes with fast-moving or self-occluding objects. Furthermore, the fixed-window memory approach in the original model does not consider the quality of memories selected to condition the image features for the next frame, leading to error propagation in videos. This paper introduces SAMURAI, an enhanced adaptation of SAM 2 specifically designed for visual object tracking. By incorporating temporal motion cues with the proposed motion-aware memory selection mechanism, SAMURAI effectively predicts object motion and refines mask selection, achieving robust, accurate tracking without the need for retraining or fine-tuning. SAMURAI operates in real-time and demonstrates strong zero-shot performance across diverse benchmark datasets, showcasing its ability to generalize without fine-tuning. In evaluations, SAMURAI achieves significant improvements in success rate and precision over existing trackers, with a 7.1% AUC gain on LaSOT_{ext} and a 3.5% AO gain on GOT-10k. Moreover, it achieves competitive results compared to fully supervised methods on LaSOT, underscoring its robustness in complex tracking scenarios and its potential for real-world applications in dynamic environments. Code and results are available at https://github.com/yangchris11/samurai.

The Segment Anything Model 2 (SAM 2) has emerged as a powerful foundation model for object segmentation in both images and videos, paving the way for various downstream video applications. The crucial design of SAM 2 for video segmentation is its memory module, which prompts object-aware memories from previous frames for current frame prediction. However, its greedy-selection memory design suffers from the "error accumulation" problem, where an errored or missed mask will cascade and influence the segmentation of the subsequent frames, which limits the performance of SAM 2 toward complex long-term videos. To this end, we introduce SAM2Long, an improved training-free video object segmentation strategy, which considers the segmentation uncertainty within each frame and chooses the video-level optimal results from multiple segmentation pathways in a constrained tree search manner. In practice, we maintain a fixed number of segmentation pathways throughout the video. For each frame, multiple masks are proposed based on the existing pathways, creating various candidate branches. We then select the same fixed number of branches with higher cumulative scores as the new pathways for the next frame. After processing the final frame, the pathway with the highest cumulative score is chosen as the final segmentation result. Benefiting from its heuristic search design, SAM2Long is robust toward occlusions and object reappearances, and can effectively segment and track objects for complex long-term videos. Notably, SAM2Long achieves an average improvement of 3.0 points across all 24 head-to-head comparisons, with gains of up to 5.3 points in J&F on long-term video object segmentation benchmarks such as SA-V and LVOS. The code is released at https://github.com/Mark12Ding/SAM2Long.

Segment Anything Model 2 (SAM 2) has emerged as a powerful tool for video object segmentation and tracking anything. Key components of SAM 2 that drive the impressive video object segmentation performance include a large multistage image encoder for frame feature extraction and a memory mechanism that stores memory contexts from past frames to help current frame segmentation. The high computation complexity of multistage image encoder and memory module has limited its applications in real-world tasks, e.g., video object segmentation on mobile devices. To address this limitation, we propose EfficientTAMs, lightweight track anything models that produce high-quality results with low latency and model size. Our idea is based on revisiting the plain, nonhierarchical Vision Transformer (ViT) as an image encoder for video object segmentation, and introducing an efficient memory module, which reduces the complexity for both frame feature extraction and memory computation for current frame segmentation. We take vanilla lightweight ViTs and efficient memory module to build EfficientTAMs, and train the models on SA-1B and SA-V datasets for video object segmentation and track anything tasks. We evaluate on multiple video segmentation benchmarks including semi-supervised VOS and promptable video segmentation, and find that our proposed EfficientTAM with vanilla ViT perform comparably to SAM 2 model (HieraB+SAM 2) with ~2x speedup on A100 and ~2.4x parameter reduction. On segment anything image tasks, our EfficientTAMs also perform favorably over original SAM with ~20x speedup on A100 and ~20x parameter reduction. On mobile devices such as iPhone 15 Pro Max, our EfficientTAMs can run at ~10 FPS for performing video object segmentation with reasonable quality, highlighting the capability of small models for on-device video object segmentation applications.

We introduce SAM2Point, a preliminary exploration adapting Segment Anything Model 2 (SAM 2) for zero-shot and promptable 3D segmentation. SAM2Point interprets any 3D data as a series of multi-directional videos, and leverages SAM 2 for 3D-space segmentation, without further training or 2D-3D projection. Our framework supports various prompt types, including 3D points, boxes, and masks, and can generalize across diverse scenarios, such as 3D objects, indoor scenes, outdoor environments, and raw sparse LiDAR. Demonstrations on multiple 3D datasets, e.g., Objaverse, S3DIS, ScanNet, Semantic3D, and KITTI, highlight the robust generalization capabilities of SAM2Point. To our best knowledge, we present the most faithful implementation of SAM in 3D, which may serve as a starting point for future research in promptable 3D segmentation. Online Demo: https://huggingface.co/spaces/ZiyuG/SAM2Point . Code: https://github.com/ZiyuGuo99/SAM2Point .

Segment Anything Model (SAM) has gained significant attention because of its ability to segment a variety of objects in images given a prompt. The recently developed SAM 2 has extended this ability to video inputs. This opens an opportunity to apply SAM to 3D images, one of the fundamental tasks in the medical imaging field. In this paper, we provide an extensive evaluation of SAM 2's ability to segment both 2D and 3D medical images. We collect 18 medical imaging datasets, including common 3D modalities such as computed tomography (CT), magnetic resonance imaging (MRI), and positron emission tomography (PET) as well as 2D modalities such as X-ray and ultrasound. We consider two evaluation pipelines of SAM 2: (1) multi-frame 3D segmentation, where prompts are provided to one or multiple slice(s) selected from the volume, and (2) single-frame 2D segmentation, where prompts are provided to each slice. The former is only applicable to 3D modalities, while the latter applies to both 2D and 3D modalities. We learn that SAM 2 exhibits similar performance as SAM under single-frame 2D segmentation, and has variable performance under multi-frame 3D segmentation depending on the choices of slices to annotate, the direction of the propagation, the predictions utilized during the propagation, etc.

The recent Segment Anything Model (SAM) 2 has demonstrated remarkable foundational competence in semantic segmentation, with its memory mechanism and mask decoder further addressing challenges in video tracking and object occlusion, thereby achieving superior results in interactive segmentation for both images and videos. Building upon our previous empirical studies, we further explore the zero-shot segmentation performance of SAM 2 in robot-assisted surgery based on prompts, alongside its robustness against real-world corruption. For static images, we employ two forms of prompts: 1-point and bounding box, while for video sequences, the 1-point prompt is applied to the initial frame. Through extensive experimentation on the MICCAI EndoVis 2017 and EndoVis 2018 benchmarks, SAM 2, when utilizing bounding box prompts, outperforms state-of-the-art (SOTA) methods in comparative evaluations. The results with point prompts also exhibit a substantial enhancement over SAM's capabilities, nearing or even surpassing existing unprompted SOTA methodologies. Besides, SAM 2 demonstrates improved inference speed and less performance degradation against various image corruption. Although slightly unsatisfactory results remain in specific edges or regions, SAM 2's robust adaptability to 1-point prompts underscores its potential for downstream surgical tasks with limited prompt requirements.

Recent "segment anything" efforts show promise by learning from large-scale data, but adapting such models directly to medical images remains challenging due to the complexity of medical data, noisy annotations, and continual learning requirements across diverse modalities and anatomical structures. In this work, we propose SAMed-2, a new foundation model for medical image segmentation built upon the SAM-2 architecture. Specifically, we introduce a temporal adapter into the image encoder to capture image correlations and a confidence-driven memory mechanism to store high-certainty features for later retrieval. This memory-based strategy counters the pervasive noise in large-scale medical datasets and mitigates catastrophic forgetting when encountering new tasks or modalities. To train and evaluate SAMed-2, we curate MedBank-100k, a comprehensive dataset spanning seven imaging modalities and 21 medical segmentation tasks. Our experiments on both internal benchmarks and 10 external datasets demonstrate superior performance over state-of-the-art baselines in multi-task scenarios. The code is available at: https://github.com/ZhilingYan/Medical-SAM-Bench.

On top of Segment Anything Model (SAM), SAM 2 further extends its capability from image to video inputs through a memory bank mechanism and obtains a remarkable performance compared with previous methods, making it a foundation model for video segmentation task. In this paper, we aim at making SAM 2 much more efficient so that it even runs on mobile devices while maintaining a comparable performance. Despite several works optimizing SAM for better efficiency, we find they are not sufficient for SAM 2 because they all focus on compressing the image encoder, while our benchmark shows that the newly introduced memory attention blocks are also the latency bottleneck. Given this observation, we propose EdgeTAM, which leverages a novel 2D Spatial Perceiver to reduce the computational cost. In particular, the proposed 2D Spatial Perceiver encodes the densely stored frame-level memories with a lightweight Transformer that contains a fixed set of learnable queries. Given that video segmentation is a dense prediction task, we find preserving the spatial structure of the memories is essential so that the queries are split into global-level and patch-level groups. We also propose a distillation pipeline that further improves the performance without inference overhead. As a result, EdgeTAM achieves 87.7, 70.0, 72.3, and 71.7 J&F on DAVIS 2017, MOSE, SA-V val, and SA-V test, while running at 16 FPS on iPhone 15 Pro Max.

We present Perceive Anything Model (PAM), a conceptually straightforward and efficient framework for comprehensive region-level visual understanding in images and videos. Our approach extends the powerful segmentation model SAM 2 by integrating Large Language Models (LLMs), enabling simultaneous object segmentation with the generation of diverse, region-specific semantic outputs, including categories, label definition, functional explanations, and detailed captions. A key component, Semantic Perceiver, is introduced to efficiently transform SAM 2's rich visual features, which inherently carry general vision, localization, and semantic priors into multi-modal tokens for LLM comprehension. To support robust multi-granularity understanding, we also develop a dedicated data refinement and augmentation pipeline, yielding a high-quality dataset of 1.5M image and 0.6M video region-semantic annotations, including novel region-level streaming video caption data. PAM is designed for lightweightness and efficiency, while also demonstrates strong performance across a diverse range of region understanding tasks. It runs 1.2-2.4x faster and consumes less GPU memory than prior approaches, offering a practical solution for real-world applications. We believe that our effective approach will serve as a strong baseline for future research in region-level visual understanding.

Medical image and video segmentation is a critical task for precision medicine, which has witnessed considerable progress in developing task or modality-specific and generalist models for 2D images. However, there have been limited studies on building general-purpose models for 3D images and videos with comprehensive user studies. Here, we present MedSAM2, a promptable segmentation foundation model for 3D image and video segmentation. The model is developed by fine-tuning the Segment Anything Model 2 on a large medical dataset with over 455,000 3D image-mask pairs and 76,000 frames, outperforming previous models across a wide range of organs, lesions, and imaging modalities. Furthermore, we implement a human-in-the-loop pipeline to facilitate the creation of large-scale datasets resulting in, to the best of our knowledge, the most extensive user study to date, involving the annotation of 5,000 CT lesions, 3,984 liver MRI lesions, and 251,550 echocardiogram video frames, demonstrating that MedSAM2 can reduce manual costs by more than 85%. MedSAM2 is also integrated into widely used platforms with user-friendly interfaces for local and cloud deployment, making it a practical tool for supporting efficient, scalable, and high-quality segmentation in both research and healthcare environments.

Surgical scene segmentation is critical in computer-assisted surgery and is vital for enhancing surgical quality and patient outcomes. Recently, referring surgical segmentation is emerging, given its advantage of providing surgeons with an interactive experience to segment the target object. However, existing methods are limited by low efficiency and short-term tracking, hindering their applicability in complex real-world surgical scenarios. In this paper, we introduce ReSurgSAM2, a two-stage surgical referring segmentation framework that leverages Segment Anything Model 2 to perform text-referred target detection, followed by tracking with reliable initial frame identification and diversity-driven long-term memory. For the detection stage, we propose a cross-modal spatial-temporal Mamba to generate precise detection and segmentation results. Based on these results, our credible initial frame selection strategy identifies the reliable frame for the subsequent tracking. Upon selecting the initial frame, our method transitions to the tracking stage, where it incorporates a diversity-driven memory mechanism that maintains a credible and diverse memory bank, ensuring consistent long-term tracking. Extensive experiments demonstrate that ReSurgSAM2 achieves substantial improvements in accuracy and efficiency compared to existing methods, operating in real-time at 61.2 FPS. Our code and datasets will be available at https://github.com/jinlab-imvr/ReSurgSAM2.