# Is it Time to Replace CNNs with Transformers for Medical Images? Source: [Is it Time to Replace CNNs with Transformers for Medical Images?]() Collection index: [llms.txt]() Data updated: 2025-10-25T23:29:26.390Z Authors: Christos Matsoukas, Johan Fredin Haslum, Magnus S\\"oderberg, Kevin Smith Published: 2021-08-20T08:01:19.000Z ## Abstract Convolutional Neural Networks (CNNs) have reigned for a decade as the de facto approach to automated medical image diagnosis. Recently, vision transformers (ViTs) have appeared as a competitive alternative to CNNs, yielding similar levels of performance while possessing several interesting properties that could prove beneficial for medical imaging tasks. In this work, we explore whether it is time to move to transformer-based models or if we should keep working with CNNs - can we trivially switch to transformers? If so, what are the advantages and drawbacks of switching to ViTs for medical image diagnosis? We consider these questions in a series of experiments on three mainstream medical image datasets. Our findings show that, while CNNs perform better when trained from scratch, off-the-shelf vision transformers using default hyperparameters are on par with CNNs when pretrained on ImageNet, and outperform their CNN counterparts when pretrained using self-supervision. ## Recorded benchmark results A research result applies to its stated dataset, split, metric and evaluation configuration. Compare like-for-like settings, preserve the metric's unit and direction, and distinguish paper-reported results from independent reproduction. The best result recorded here is not a claim of exhaustive, current global coverage. ## Original sources and implementation [Original paper]() [PDF]()