This paper introduces a novel approach leveraging SAM 2’s video segmentation capabilities to reduce the prompts required to segment an entire volume of medical images. The study first compares SAM and SAM 2’s performance in medical image segmentation. Then, our novel approach is introduced. The results show that SAM 2 achieves an average improvement of 1.76% in the Jaccard index and 1.49% in the Dice score compared to SAM.