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MedSAM2 Integration and Slice Propagation for Brain MRI Segmentation in 3D Slicer

1. 3D Slicer Setup

2. MedSAM2 Integration

  • Python Interactor in Slicer to call the MedSAM2 model.
  • Or write a simple scripted module wrapping MedSAM2 inference.

3. Slice Propagation Practice

  • Pick a few slices and run MedSAM2 (e.g., bounding box or point prompt). Adjust the settings to achieve the best performance possible.
  • Then, manually or semi-automatically propagate the segmentation to neighboring slices using:
    • 3D Slicer’s built-in “fill between slices” tool in Segment Editor
    • Or simulate your own logic using simple interpolation

4. Evaluation

  • Compare your mask against the ground truth mask using Dice Similarity Coefficient (DSC)
  • Document any challenges or observations (e.g., drift, oversegmentation).

5. Deliverables

  • Screenshots or screen recordings showing segmentation + propagation
  • Code or scripts used
  • Short report explaining:
    • Workflow
    • How propagation was tested
    • Quantitative results + interpretation
    • Any limitations or ideas for improvement