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Evaluating General Purpose Vision Foundation Models for Medical Image Analysis: An Experimental Study of DINOv2 on Radiology Benchmarks

The integration of deep learning systems into healthcare has been hindered by the resource-intensive process of data annotation and the inability of these systems to generalize to different data distributions. Foundation models, which are models pre-trained on large datasets, have emerged as a solution to reduce reliance on annotated data and enhance model generalizability and robustness. DINOv2 is an open-source foundation model pre-trained with self-supervised learning on 142 million curated natural images that exhibits promising capabilities across various vision tasks. Nevertheless, a critical question remains unanswered regarding DINOv2's adaptability to radiological imaging, and whether its features are sufficiently general to benefit radiology image analysis. Therefore, this study comprehensively evaluates the performance DINOv2 for radiology, conducting over 200 evaluations across diverse modalities (X-ray, CT, and MRI). To measure the effectiveness and generalizability of DINOv2's feature representations, we analyze the model across medical image analysis tasks including disease classification and organ segmentation on both 2D and 3D images, and under different settings like kNN, few-shot learning, linear-probing, end-to-end fine-tuning, and parameter-efficient fine-tuning. Comparative analyses with established supervised, self-supervised, and weakly-supervised models reveal DINOv2's superior performance and cross-task generalizability. The findings contribute insights to potential avenues for optimizing pre-training strategies for medical imaging and enhancing the broader understanding of DINOv2's role in bridging the gap between natural and radiological image analysis. Our code is available at https://github.com/MohammedSB/DINOv2ForRadiology

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