TY - JOUR AU - Jiang, Zekun AU - Cheng, Dongjie AU - Qin, Ziyuan AU - Gao, Jun AU - Lao, Qicheng AU - Bakhrom Ismoilovich, Abdullaev AU - Gayrat, Urazboev AU - Elyorbek, Yuldashov AU - Habibullo, Bekchanov AU - Tang, Defu AU - Wei, Linjing AU - Li, Kang AU - Zhang, Le PY - 2024 TI - TV-SAM: Increasing Zero-Shot Segmentation Performance on Multimodal Medical Images Using GPT-4 Generated Descriptive Prompts Without Human Annotation JO - Big Data Mining and Analytics SN - 2096-0654 SP - 1199 EP - 1211 VL - 7 IS - 4 AB - This study presents a novel multimodal medical image zero-shot segmentation algorithm named the text-visual-prompt segment anything model (TV-SAM) without any manual annotations. The TV-SAM incorporates and integrates the large language model GPT-4, the vision language model GLIP, and the SAM to autonomously generate descriptive text prompts and visual bounding box prompts from medical images, thereby enhancing the SAM’s capability for zero-shot segmentation. Comprehensive evaluations are implemented on seven public datasets encompassing eight imaging modalities to demonstrate that TV-SAM can effectively segment unseen targets across various modalities without additional training. TV-SAM significantly outperforms SAM AUTO (p < 0.01) and GSAM (p < 0.05), closely matching the performance of SAM BBOX with gold standard bounding box prompts (p = 0.07), and surpasses the state-of-the-art methods on specific datasets such as ISIC (0.853 versus 0.802) and WBC (0.968 versus 0.883). The study indicates that TV-SAM serves as an effective multimodal medical image zero-shot segmentation algorithm, highlighting the significant contribution of GPT-4 to zero-shot segmentation. By integrating foundational models such as GPT-4, GLIP, and SAM, the ability to address complex problems in specialized domains can be enhanced. UR - https://doi.org/10.26599/BDMA.2024.9020058 DO - 10.26599/BDMA.2024.9020058