Evaluation and improvement of Segment Anything Model for interactive histopathology image segmentation

With the emergence of the Segment Anything Model (SAM) as a foundational model for image segmentation, its application has been extensively studied across various domains, including the medical field. However, its potential in the context of histopathology data, specifically in region segmentation, has received relatively limited attention. In this paper, we evaluate SAM's performance in zero-shot and fine-tuned scenarios on histopathology data, with a focus on interactive segmentation. Additionally, we compare SAM with other state-of-the-art interactive models to assess its practical potential and evaluate its generalization capability with domain adaptability. In the experimental results, SAM exhibits a weakness in segmentation performance compared to other models while demonstrating relative strengths in terms of inference time and generalization capability. To improve SAM's limited local refinement ability and to enhance prompt stability while preserving its core strengths, we propose a modification of SAM's decoder. The experimental results suggest that the proposed modification is effective to make SAM useful for interactive histology image segmentation. The code is available at \url{https://github.com/hvcl/SAM_Interactive_Histopathology}