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arXiv2024

GraphCL: Graph-based Clustering for Semi-Supervised Medical Image Segmentation

Semi-supervised learning (SSL) has made notable advancements in medical image segmentation (MIS), particularly in scenarios with limited labeled data and significantly enhancing data utilization efficiency. Previous methods primarily focus on complex training strategies to utilize unlabeled data but neglect the importance of graph structural information. Different from existing methods, we propose a graph-based clustering for semi-supervised medical image segmentation (GraphCL) by jointly modeling graph data structure in a unified deep model. The proposed GraphCL model enjoys several advantages. Firstly, to the best of our knowledge, this is the first work to model the data structure information for semi-supervised medical image segmentation (SSMIS). Secondly, to get the clustered features across different graphs, we integrate both pairwise affinities between local image features and raw features as inputs. Extensive experimental results on three standard benchmarks show that the proposed GraphCL algorithm outperforms state-of-the-art semi-supervised medical image segmentation methods.

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arXiv2024

ConDSeg: A General Medical Image Segmentation Framework via Contrast-Driven Feature Enhancement

Medical image segmentation plays an important role in clinical decision making, treatment planning, and disease tracking. However, it still faces two major challenges. On the one hand, there is often a ``soft boundary'' between foreground and background in medical images, with poor illumination and low contrast further reducing the distinguishability of foreground and background within the image. On the other hand, co-occurrence phenomena are widespread in medical images, and learning these features is misleading to the model's judgment. To address these challenges, we propose a general framework called Contrast-Driven Medical Image Segmentation (ConDSeg). First, we develop a contrastive training strategy called Consistency Reinforcement. It is designed to improve the encoder's robustness in various illumination and contrast scenarios, enabling the model to extract high-quality features even in adverse environments. Second, we introduce a Semantic Information Decoupling module, which is able to decouple features from the encoder into foreground, background, and uncertainty regions, gradually acquiring the ability to reduce uncertainty during training. The Contrast-Driven Feature Aggregation module then contrasts the foreground and background features to guide multi-level feature fusion and key feature enhancement, further distinguishing the entities to be segmented. We also propose a Size-Aware Decoder to solve the scale singularity of the decoder. It accurately locate entities of different sizes in the image, thus avoiding erroneous learning of co-occurrence features. Extensive experiments on five medical image datasets across three scenarios demonstrate the state-of-the-art performance of our method, proving its advanced nature and general applicability to various medical image segmentation scenarios. Our released code is available at \url{https://github.com/Mengqi-Lei/ConDSeg}.

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arXiv2023

PCDAL: A Perturbation Consistency-Driven Active Learning Approach for Medical Image Segmentation and Classification

In recent years, deep learning has become a breakthrough technique in assisting medical image diagnosis. Supervised learning using convolutional neural networks (CNN) provides state-of-the-art performance and has served as a benchmark for various medical image segmentation and classification. However, supervised learning deeply relies on large-scale annotated data, which is expensive, time-consuming, and even impractical to acquire in medical imaging applications. Active Learning (AL) methods have been widely applied in natural image classification tasks to reduce annotation costs by selecting more valuable examples from the unlabeled data pool. However, their application in medical image segmentation tasks is limited, and there is currently no effective and universal AL-based method specifically designed for 3D medical image segmentation. To address this limitation, we propose an AL-based method that can be simultaneously applied to 2D medical image classification, segmentation, and 3D medical image segmentation tasks. We extensively validated our proposed active learning method on three publicly available and challenging medical image datasets, Kvasir Dataset, COVID-19 Infection Segmentation Dataset, and BraTS2019 Dataset. The experimental results demonstrate that our PCDAL can achieve significantly improved performance with fewer annotations in 2D classification and segmentation and 3D segmentation tasks. The codes of this study are available at https://github.com/ortonwang/PCDAL.

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arXiv2026

Decoding Matters: Efficient Mamba-Based Decoder with Distribution-Aware Deep Supervision for Medical Image Segmentation

Deep learning has achieved remarkable success in medical image segmentation, often reaching expert-level accuracy in delineating tumors and tissues. However, most existing approaches remain task-specific, showing strong performance on individual datasets but limited generalization across diverse imaging modalities. Moreover, many methods focus primarily on the encoder, relying on large pretrained backbones that increase computational complexity. In this paper, we propose a decoder-centric approach for generalized 2D medical image segmentation. The proposed Deco-Mamba follows a U-Net-like structure with a Transformer-CNN-Mamba design. The encoder combines a CNN block and Transformer backbone for efficient feature extraction, while the decoder integrates our novel Co-Attention Gate (CAG), Vision State Space Module (VSSM), and deformable convolutional refinement block to enhance multi-scale contextual representation. Additionally, a windowed distribution-aware KL-divergence loss is introduced for deep supervision across multiple decoding stages. Extensive experiments on diverse medical image segmentation benchmarks yield state-of-the-art performance and strong generalization capability while maintaining moderate model complexity. The source code will be released upon acceptance.

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arXiv2021

Learning With Context Feedback Loop for Robust Medical Image Segmentation

Deep learning has successfully been leveraged for medical image segmentation. It employs convolutional neural networks (CNN) to learn distinctive image features from a defined pixel-wise objective function. However, this approach can lead to less output pixel interdependence producing incomplete and unrealistic segmentation results. In this paper, we present a fully automatic deep learning method for robust medical image segmentation by formulating the segmentation problem as a recurrent framework using two systems. The first one is a forward system of an encoder-decoder CNN that predicts the segmentation result from the input image. The predicted probabilistic output of the forward system is then encoded by a fully convolutional network (FCN)-based context feedback system. The encoded feature space of the FCN is then integrated back into the forward system's feed-forward learning process. Using the FCN-based context feedback loop allows the forward system to learn and extract more high-level image features and fix previous mistakes, thereby improving prediction accuracy over time. Experimental results, performed on four different clinical datasets, demonstrate our method's potential application for single and multi-structure medical image segmentation by outperforming the state of the art methods. With the feedback loop, deep learning methods can now produce results that are both anatomically plausible and robust to low contrast images. Therefore, formulating image segmentation as a recurrent framework of two interconnected networks via context feedback loop can be a potential method for robust and efficient medical image analysis.

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arXiv2026

PDE-Constrained Optimization for Neural Image Segmentation with Physics Priors

Segmentation of microscopy images constitutes an ill-posed inverse problem due to measurement noise, weak object boundaries, and limited labeled data. Although deep neural networks provide flexible nonparametric estimators, unconstrained empirical risk minimization often leads to unstable solutions and poor generalization. In this work, image segmentation is formulated as a PDE-constrained optimization problem that integrates physically motivated priors into deep learning models through variational regularization. The proposed framework minimizes a composite objective function consisting of a data fidelity term and penalty terms derived from reaction-diffusion equations and phase-field interface energies, all implemented as differentiable residual losses. Experiments are conducted on the LIVECell dataset, a high-quality, manually annotated collection of phase-contrast microscopy images. Training is performed on two cell types, while evaluation is carried out on a distinct, unseen cell type to assess generalization. A UNet architecture is used as the unconstrained baseline model. Experimental results demonstrate consistent improvements in segmentation accuracy and boundary fidelity compared to unconstrained deep learning baselines. Moreover, the PDE-regularized models exhibit enhanced stability and improved generalization in low-sample regimes, highlighting the advantages of incorporating structured priors. The proposed approach illustrates how PDE-constrained optimization can strengthen data-driven learning frameworks, providing a principled bridge between variational methods, statistical learning, and scientific machine learning.

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arXiv2017

Recurrent Multimodal Interaction for Referring Image Segmentation

In this paper we are interested in the problem of image segmentation given natural language descriptions, i.e. referring expressions. Existing works tackle this problem by first modeling images and sentences independently and then segment images by combining these two types of representations. We argue that learning word-to-image interaction is more native in the sense of jointly modeling two modalities for the image segmentation task, and we propose convolutional multimodal LSTM to encode the sequential interactions between individual words, visual information, and spatial information. We show that our proposed model outperforms the baseline model on benchmark datasets. In addition, we analyze the intermediate output of the proposed multimodal LSTM approach and empirically explain how this approach enforces a more effective word-to-image interaction.

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arXiv2021

MISSFormer: An Effective Medical Image Segmentation Transformer

The CNN-based methods have achieved impressive results in medical image segmentation, but they failed to capture the long-range dependencies due to the inherent locality of the convolution operation. Transformer-based methods are recently popular in vision tasks because of their capacity for long-range dependencies and promising performance. However, it lacks in modeling local context. In this paper, taking medical image segmentation as an example, we present MISSFormer, an effective and powerful Medical Image Segmentation tranSFormer. MISSFormer is a hierarchical encoder-decoder network with two appealing designs: 1) A feed-forward network is redesigned with the proposed Enhanced Transformer Block, which enhances the long-range dependencies and supplements the local context, making the feature more discriminative. 2) We proposed Enhanced Transformer Context Bridge, different from previous methods of modeling only global information, the proposed context bridge with the enhanced transformer block extracts the long-range dependencies and local context of multi-scale features generated by our hierarchical transformer encoder. Driven by these two designs, the MISSFormer shows a solid capacity to capture more discriminative dependencies and context in medical image segmentation. The experiments on multi-organ and cardiac segmentation tasks demonstrate the superiority, effectiveness and robustness of our MISSFormer, the experimental results of MISSFormer trained from scratch even outperform state-of-the-art methods pre-trained on ImageNet. The core designs can be generalized to other visual segmentation tasks. The code has been released on Github: https://github.com/ZhifangDeng/MISSFormer

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arXiv2023

Self-training with dual uncertainty for semi-supervised medical image segmentation

In the field of semi-supervised medical image segmentation, the shortage of labeled data is the fundamental problem. How to effectively learn image features from unlabeled images to improve segmentation accuracy is the main research direction in this field. Traditional self-training methods can partially solve the problem of insufficient labeled data by generating pseudo labels for iterative training. However, noise generated due to the model's uncertainty during training directly affects the segmentation results. Therefore, we added sample-level and pixel-level uncertainty to stabilize the training process based on the self-training framework. Specifically, we saved several moments of the model during pre-training, and used the difference between their predictions on unlabeled samples as the sample-level uncertainty estimate for that sample. Then, we gradually add unlabeled samples from easy to hard during training. At the same time, we added a decoder with different upsampling methods to the segmentation network and used the difference between the outputs of the two decoders as pixel-level uncertainty. In short, we selectively retrained unlabeled samples and assigned pixel-level uncertainty to pseudo labels to optimize the self-training process. We compared the segmentation results of our model with five semi-supervised approaches on the public 2017 ACDC dataset and 2018 Prostate dataset. Our proposed method achieves better segmentation performance on both datasets under the same settings, demonstrating its effectiveness, robustness, and potential transferability to other medical image segmentation tasks. Keywords: Medical image segmentation, semi-supervised learning, self-training, uncertainty estimation

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arXiv2006

Multilevel Thresholding for Image Segmentation through a Fast Statistical Recursive Algorithm

A novel algorithm is proposed for segmenting an image into multiple levels using its mean and variance. Starting from the extreme pixel values at both ends of the histogram plot, the algorithm is applied recursively on sub-ranges computed from the previous step, so as to find a threshold level and a new sub-range for the next step, until no significant improvement in image quality can be achieved. The method makes use of the fact that a number of distributions tend towards Dirac delta function, peaking at the mean, in the limiting condition of vanishing variance. The procedure naturally provides for variable size segmentation with bigger blocks near the extreme pixel values and finer divisions around the mean or other chosen value for better visualization. Experiments on a variety of images show that the new algorithm effectively segments the image in computationally very less time.

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arXiv2022

SimCVD: Simple Contrastive Voxel-Wise Representation Distillation for Semi-Supervised Medical Image Segmentation

Automated segmentation in medical image analysis is a challenging task that requires a large amount of manually labeled data. However, most existing learning-based approaches usually suffer from limited manually annotated medical data, which poses a major practical problem for accurate and robust medical image segmentation. In addition, most existing semi-supervised approaches are usually not robust compared with the supervised counterparts, and also lack explicit modeling of geometric structure and semantic information, both of which limit the segmentation accuracy. In this work, we present SimCVD, a simple contrastive distillation framework that significantly advances state-of-the-art voxel-wise representation learning. We first describe an unsupervised training strategy, which takes two views of an input volume and predicts their signed distance maps of object boundaries in a contrastive objective, with only two independent dropout as mask. This simple approach works surprisingly well, performing on the same level as previous fully supervised methods with much less labeled data. We hypothesize that dropout can be viewed as a minimal form of data augmentation and makes the network robust to representation collapse. Then, we propose to perform structural distillation by distilling pair-wise similarities. We evaluate SimCVD on two popular datasets: the Left Atrial Segmentation Challenge (LA) and the NIH pancreas CT dataset. The results on the LA dataset demonstrate that, in two types of labeled ratios (i.e., 20% and 10%), SimCVD achieves an average Dice score of 90.85% and 89.03% respectively, a 0.91% and 2.22% improvement compared to previous best results. Our method can be trained in an end-to-end fashion, showing the promise of utilizing SimCVD as a general framework for downstream tasks, such as medical image synthesis, enhancement, and registration.

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arXiv2019

Data Efficient Unsupervised Domain Adaptation for Cross-Modality Image Segmentation

Deep learning models trained on medical images from a source domain (e.g. imaging modality) often fail when deployed on images from a different target domain, despite imaging common anatomical structures. Deep unsupervised domain adaptation (UDA) aims to improve the performance of a deep neural network model on a target domain, using solely unlabelled target domain data and labelled source domain data. However, current state-of-the-art methods exhibit reduced performance when target data is scarce. In this work, we introduce a new data efficient UDA method for multi-domain medical image segmentation. The proposed method combines a novel VAE-based feature prior matching, which is data-efficient, and domain adversarial training to learn a shared domain-invariant latent space which is exploited during segmentation. Our method is evaluated on a public multi-modality cardiac image segmentation dataset by adapting from the labelled source domain (3D MRI) to the unlabelled target domain (3D CT). We show that by using only one single unlabelled 3D CT scan, the proposed architecture outperforms the state-of-the-art in the same setting. Finally, we perform ablation studies on prior matching and domain adversarial training to shed light on the theoretical grounding of the proposed method.

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arXiv2023

Bellybutton: Accessible and Customizable Deep-Learning Image Segmentation

The conversion of raw images into quantifiable data can be a major hurdle in experimental research, and typically involves identifying region(s) of interest, a process known as segmentation. Machine learning tools for image segmentation are often specific to a set of tasks, such as tracking cells, or require substantial compute or coding knowledge to train and use. Here we introduce an easy-to-use (no coding required), image segmentation method, using a 15-layer convolutional neural network that can be trained on a laptop: Bellybutton. The algorithm trains on user-provided segmentation of example images, but, as we show, just one or even a portion of one training image can be sufficient in some cases. We detail the machine learning method and give three use cases where Bellybutton correctly segments images despite substantial lighting, shape, size, focus, and/or structure variation across the regions(s) of interest. Instructions for easy download and use, with further details and the datasets used in this paper are available at pypi.org/project/Bellybuttonseg.

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arXiv2023

Score-Based Generative Models for Medical Image Segmentation using Signed Distance Functions

Medical image segmentation is a crucial task that relies on the ability to accurately identify and isolate regions of interest in medical images. Thereby, generative approaches allow to capture the statistical properties of segmentation masks that are dependent on the respective structures. In this work we propose a conditional score-based generative modeling framework to represent the signed distance function (SDF) leading to an implicit distribution of segmentation masks. The advantage of leveraging the SDF is a more natural distortion when compared to that of binary masks. By learning the score function of the conditional distribution of SDFs we can accurately sample from the distribution of segmentation masks, allowing for the evaluation of statistical quantities. Thus, this probabilistic representation allows for the generation of uncertainty maps represented by the variance, which can aid in further analysis and enhance the predictive robustness. We qualitatively and quantitatively illustrate competitive performance of the proposed method on a public nuclei and gland segmentation data set, highlighting its potential utility in medical image segmentation applications.

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arXiv2025

DeNAS-ViT: Data Efficient NAS-Optimized Vision Transformer for Ultrasound Image Segmentation

Accurate segmentation of ultrasound images is essential for reliable medical diagnoses but is challenged by poor image quality and scarce labeled data. Prior approaches have relied on manually designed, complex network architectures to improve multi-scale feature extraction. However, such handcrafted models offer limited gains when prior knowledge is inadequate and are prone to overfitting on small datasets. In this paper, we introduce DeNAS-ViT, a data-efficient NAS-optimized Vision Transformer, the first method to leverage neural architecture search (NAS) for ultrasound image segmentation by automatically optimizing model architecture through token-level search. Specifically, we propose an efficient NAS module that performs multi-scale token search prior to the ViT's attention mechanism, effectively capturing both contextual and local features while minimizing computational costs. Given ultrasound's data scarcity and NAS's inherent data demands, we further develop a NAS-guided semi-supervised learning (SSL) framework. This approach integrates network independence and contrastive learning within a stage-wise optimization strategy, significantly enhancing model robustness under limited-data conditions. Extensive experiments on public datasets demonstrate that DeNAS-ViT achieves state-of-the-art performance, maintaining robustness with minimal labeled data. Moreover, we highlight DeNAS-ViT's generalization potential beyond ultrasound imaging, underscoring its broader applicability.

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arXiv2019

Iteratively-Refined Interactive 3D Medical Image Segmentation with Multi-Agent Reinforcement Learning

Existing automatic 3D image segmentation methods usually fail to meet the clinic use. Many studies have explored an interactive strategy to improve the image segmentation performance by iteratively incorporating user hints. However, the dynamic process for successive interactions is largely ignored. We here propose to model the dynamic process of iterative interactive image segmentation as a Markov decision process (MDP) and solve it with reinforcement learning (RL). Unfortunately, it is intractable to use single-agent RL for voxel-wise prediction due to the large exploration space. To reduce the exploration space to a tractable size, we treat each voxel as an agent with a shared voxel-level behavior strategy so that it can be solved with multi-agent reinforcement learning. An additional advantage of this multi-agent model is to capture the dependency among voxels for segmentation task. Meanwhile, to enrich the information of previous segmentations, we reserve the prediction uncertainty in the state space of MDP and derive an adjustment action space leading to a more precise and finer segmentation. In addition, to improve the efficiency of exploration, we design a relative cross-entropy gain-based reward to update the policy in a constrained direction. Experimental results on various medical datasets have shown that our method significantly outperforms existing state-of-the-art methods, with the advantage of fewer interactions and a faster convergence.

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arXiv2021

Orthogonal Ensemble Networks for Biomedical Image Segmentation

Despite the astonishing performance of deep-learning based approaches for visual tasks such as semantic segmentation, they are known to produce miscalibrated predictions, which could be harmful for critical decision-making processes. Ensemble learning has shown to not only boost the performance of individual models but also reduce their miscalibration by averaging independent predictions. In this scenario, model diversity has become a key factor, which facilitates individual models converging to different functional solutions. In this work, we introduce Orthogonal Ensemble Networks (OEN), a novel framework to explicitly enforce model diversity by means of orthogonal constraints. The proposed method is based on the hypothesis that inducing orthogonality among the constituents of the ensemble will increase the overall model diversity. We resort to a new pairwise orthogonality constraint which can be used to regularize a sequential ensemble training process, resulting on improved predictive performance and better calibrated model outputs. We benchmark the proposed framework in two challenging brain lesion segmentation tasks --brain tumor and white matter hyper-intensity segmentation in MR images. The experimental results show that our approach produces more robust and well-calibrated ensemble models and can deal with challenging tasks in the context of biomedical image segmentation.

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arXiv2025

Hyperspectral image segmentation with a machine learning model trained using quantum annealer

Training of machine learning models consumes large amounts of energy. Since the energy consumption becomes a major problem in the development and implementation of artificial intelligence systems there exists a need to investigate the ways to reduce use of the resources by these systems. In this work we study how application of quantum annealers could lead to reduction of energy cost in training models aiming at pixel-level segmentation of hyperspectral images. Following the results of QBM4EO team, we propose a classical machine learning model, partially trained using quantum annealer, for hyperspectral image segmentation. We show that the model trained using quantum annealer is better or at least comparable with models trained using alternative algorithms, according to the preselected, common metrics. While direct energy use comparison does not make sense at the current stage of quantum computing technology development, we believe that our work proves that quantum annealing should be considered as a tool for training at least some machine learning models.

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