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Universality Reconsidered: Rethinking the Validation of Foundation Models for General-Purpose 3D Medical Segmentation

Foundation models have emerged as a transformative paradigm in 3D medical imaging, with the promise of unified quantitative analysis across diverse targets and imaging modalities. Yet the prevailing conception of universality remains incomplete. Current models are predominantly developed and evaluated on datasets largely concentrated around a limited set of imaging modalities and anatomical regions. In this Perspective, we evaluate representative 3D segmentation foundation models using paired whole-body structural and functional imaging data. Our analysis reveals a substantial gap between benchmark-reported performance and real-world generalization, with marked degradation on previously unseen data and particularly severe failures on functional imaging modalities. These findings suggest that current foundation models remain far from achieving true universality. We argue that progress requires not only scaling models and datasets, but also a reconsideration of how universality is defined and validated, extending evaluation beyond regional structural benchmarks toward whole-body structural and functional imaging. Our observations highlight the need to distinguish benchmark success from genuine clinical generalization. Bridging this gap will be essential for translating foundation models from controlled evaluation settings to real-world medical practice.

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