Table 1 Comparison of Model Performance Based on Dice Similarity Coefficient (DSC) and Intersection over Union (IoU)

From: Foundation versus domain-specific models for left ventricular segmentation on cardiac ultrasound

Dataset

Phase

DSC

IoU

  

SAM112 (fine-tuned)

SAM (zero-shot)

MedSAM

EchoNet

U-Net

SAM112 (fine-tuned)

SAM (zero-shot)

MedSAM

EchoNet

U-Net

EchoNet-test

Overall

0.911 ± 0.045*†+

0.863 ± 0.053

0.872 ± 0.056

0.915 ± 0.047

0.640 ± 0.151

0.840 ± 0.071*†+

0.763 ± 0.077

0.777 ± 0.083

0.847 ± 0.072

0.488 ± 0.157

ED

0.929 ± 0.030*†+

0.878 ± 0.040

0.893 ± 0.040

0.903 ± 0.052

0.675 ± 0.134

0.868 ± 0.050*†+

0.784 ± 0.062

0.809 ± 0.062

0.826 ± 0.078

0.524 ± 0.148

ES

0.894 ± 0.050*†+

0.849 ± 0.060

0.850 ± 0.061

0.928 ± 0.038

0.606 ± 0.160

0.812 ± 0.077*†+

0.742 ± 0.084

0.744 ± 0.088

0.868 ± 0.059

0.453 ± 0.159

Mayo- TTE

Overall

0.902 ± 0.032*+

0.882 ± 0.036

0.883 ± 0.039

0.893 ± 0.090

0.597 ± 0.169

0.822 ± 0.051*+

0.790 ± 0.056

0.792 ± 0.061

0.814 ± 0.093

0.444 ± 0.162

ED

0.916 ± 0.024*+

0.889 ± 0.037

0.903 ± 0.027

0.916 ± 0.031

0.634 ± 0.162

0.846 ± 0.040*+

0.802 ± 0.058

0.825 ± 0.044

0.846 ± 0.051

0.482 ± 0.161

ES

0.887 ± 0.032*+

0.875 ± 0.033

0.862 ± 0.039

0.870 ± 0.119

0.561 ± 0.169

0.799 ± 0.050*+

0.779 ± 0.052

0.760 ± 0.059

0.782 ± 0.113

0.408 ± 0.156

Mayo- POCUS

Overall

0.857 ± 0.047†+

0.861 ± 0.043

0.846 ± 0.072

0.667 ± 0.279

0.396 ± 0.239

0.753 ± 0.070†+

0.758 ± 0.066

0.740 ± 0.102

0.554 ± 0.265

0.275 ± 0.192

ED

0.878 ± 0.036†+

0.876 ± 0.032

0.868 ± 0.064

0.717 ± 0.255

0.463 ± 0.232

0.785 ± 0.056†+

0.781 ± 0.051

0.772 ± 0.092

0.607 ± 0.253

0.329 ± 0.194

ES

0.836 ± 0.047†+

0.846 ± 0.048

0.825 ± 0.074

0.617 ± 0.295

0.330 ± 0.229

0.720 ± 0.069†+

0.735 ± 0.072

0.708 ± 0.103

0.501 ± 0.270

0.221 ± 0.175

CAMUS- A2C

Overall

0.891 ± 0.040*†+

0.852 ± 0.048

0.857 ± 0.057

0.752 ± 0.196

0.460 ± 0.154

0.805 ± 0.062*†+

0.745 ± 0.069

0.754 ± 0.081

0.633 ± 0.196

0.311 ± 0.130

ED

0.897 ± 0.037*†+

0.860 ± 0.042

0.877 ± 0.040

0.754 ± 0.196

0.458 ± 0.135

0.815 ± 0.059*†+

0.756 ± 0.062

0.783 ± 0.060

0.635 ± 0.197

0.307 ± 0.116

ES

0.885 ± 0.041*†+

0.845 ± 0.052

0.838 ± 0.065

0.751 ± 0.196

0.461 ± 0.172

0.795 ± 0.064*†+

0.734 ± 0.073

0.725 ± 0.088

0.632 ± 0.196

0.315 ± 0.144

CAMUS- A4C

Overall

0.897 ± 0.036*†+

0.866 ± 0.039

0.877 ± 0.044

0.850 ± 0.097

0.418 ± 0.159

0.815 ± 0.058*†+

0.766 ± 0.059

0.784 ± 0.066

0.749 ± 0.117

0.277 ± 0.128

ED

0.904 ± 0.033 *†+

0.873 ± 0.037

0.890 ± 0.035

0.850 ± 0.098

0.428 ± 0.139

0.827 ± 0.054*†+

0.776 ± 0.056

0.804 ± 0.055

0.749 ± 0.119

0.282 ± 0.114

ES

0.889 ± 0.038 *†+

0.860 ± 0.041

0.864 ± 0.048

0.850 ± 0.096

0.409 ± 0.176

0.803 ± 0.060*†+

0.756 ± 0.061

0.763 ± 0.070

0.749 ± 0.115

0.272 ± 0.140

  1. *p < 0.05, Zero-shot vs. fine-tuned SAM. †p < 0.05, Fine-tuned SAM vs. EchoNet model. p < 0.05, Fine-tuned SAM vs. MedSAM. +p < 0.05, Fine-tuned SAM vs. U-Net. A2C: apical 2 chamber view, A4C: apical 4 chamber view, CAMUS: Cardiac Acquisitions for Multi-structure Ultrasound Segmentation, DSC Dice Similarity Score, ED end-diastolic, ES end-systolic, IoU Intersection over Union, SAM segment anything model, TTE transthoracic echocardiography, POCUS point-of-care ultrasound. Data expressed as mean ± standard deviation.