Weakly supervised segmentation methods can delineate thyroid nodules in ultrasound images efficiently using training data with coarse labels, but suffer from: 1) low-confidence pseudo-labels that follow topological priors, introducing significant label noise, and 2) low-rationality loss functions that rigidly compare segmentation with labels, ignoring discriminative information for nodules with diverse and complex shapes. To solve these issues, we clarify the objective and references for weakly supervised ultrasound image segmentation, presenting a framework with high-confidence pseudo-labels to represent topological and anatomical information and high-rationality losses to capture multi-level discriminative features. Specifically, we fuse geometric transformations of four-point annotations and MedSAM model results prompted by specific annotations to generate high-confidence box, foreground, and background labels. Our high-rationality learning strategy includes: 1) Alignment loss measuring spatial consistency between segmentation and box label, and topological continuity within the foreground label, guiding the network to perceive nodule location; 2) Contrastive loss pulling features from labeled foreground regions while pushing features from labeled foreground and background regions, guiding the network to learn nodule and background feature distribution; 3) Prototype correlation loss measuring consistency between correlation maps derived by comparing features with foreground and background prototypes, refining uncertain regions to accurate nodule edges. Experimental results show that our method achieves state-of-the-art performance on the TN3K and DDTI datasets. The code is available at https://github.com/bluehenglee/MLI-MSC.
Creating fully annotated labels for medical image segmentation is prohibitively time-intensive and costly, emphasizing the necessity for innovative approaches that minimize reliance on detailed annotations. Scribble annotations offer a more cost-effective alternative, significantly reducing the expenses associated with full annotations. However, scribble annotations offer limited and imprecise information, failing to capture the detailed structural and boundary characteristics necessary for accurate organ delineation. To address these challenges, we propose HELPNet, a novel scribble-based weakly supervised segmentation framework, designed to bridge the gap between annotation efficiency and segmentation performance. HELPNet integrates three modules. The Hierarchical perturbations consistency (HPC) module enhances feature learning by employing density-controlled jigsaw perturbations across global, local, and focal views, enabling robust modeling of multi-scale structural representations. Building on this, the Entropy-guided pseudo-label (EGPL) module evaluates the confidence of segmentation predictions using entropy, generating high-quality pseudo-labels. Finally, the structural prior refinement (SPR) module incorporates connectivity and bounded priors to enhance the precision and reliability and pseudo-labels. Experimental results on three public datasets ACDC, MSCMRseg, and CHAOS show that HELPNet significantly outperforms state-of-the-art methods for scribble-based weakly supervised segmentation and achieves performance comparable to fully supervised methods. The code is available at https://github.com/IPMI-NWU/HELPNet.
The features of self-supervised vision transformers (ViTs) contain strong semantic and positional information relevant to downstream tasks like object localization and segmentation. Recent works combine these features with traditional methods like clustering, graph partitioning or region correlations to achieve impressive baselines without finetuning or training additional networks. We leverage upsampled features from ViT networks (e.g DINOv2) in two workflows: in a clustering based approach for object localization and segmentation, and paired with standard classifiers in weakly supervised materials segmentation. Both show strong performance on benchmarks, especially in weakly supervised segmentation where the ViT features capture complex relationships inaccessible to classical approaches. We expect the flexibility and generalizability of these features will both speed up and strengthen materials characterization, from segmentation to property-prediction.
In this work, we introduce Scribbles for All, a label and training data generation algorithm for semantic segmentation trained on scribble labels. Training or fine-tuning semantic segmentation models with weak supervision has become an important topic recently and was subject to significant advances in model quality. In this setting, scribbles are a promising label type to achieve high quality segmentation results while requiring a much lower annotation effort than usual pixel-wise dense semantic segmentation annotations. The main limitation of scribbles as source for weak supervision is the lack of challenging datasets for scribble segmentation, which hinders the development of novel methods and conclusive evaluations. To overcome this limitation, Scribbles for All provides scribble labels for several popular segmentation datasets and provides an algorithm to automatically generate scribble labels for any dataset with dense annotations, paving the way for new insights and model advancements in the field of weakly supervised segmentation. In addition to providing datasets and algorithm, we evaluate state-of-the-art segmentation models on our datasets and show that models trained with our synthetic labels perform competitively with respect to models trained on manual labels. Thus, our datasets enable state-of-the-art research into methods for scribble-labeled semantic segmentation. The datasets, scribble generation algorithm, and baselines are publicly available at https://github.com/wbkit/Scribbles4All
Heatmaps generated on inputs of image classification networks via explainable AI methods like Grad-CAM and LRP have been observed to resemble segmentations of input images in many cases. Consequently, heatmaps have also been leveraged for achieving weakly supervised segmentation with image-level supervision. On the other hand, losses can be imposed on differentiable heatmaps, which has been shown to serve for (1)~improving heatmaps to be more human-interpretable, (2)~regularization of networks towards better generalization, (3)~training diverse ensembles of networks, and (4)~for explicitly ignoring confounding input features. Due to the latter use case, the paradigm of imposing losses on heatmaps is often referred to as "Right for the right reasons". We unify these two lines of research by investigating semi-supervised segmentation as a novel use case for the Right for the Right Reasons paradigm. First, we show formal parallels between differentiable heatmap architectures and standard encoder-decoder architectures for image segmentation. Second, we show that such differentiable heatmap architectures yield competitive results when trained with standard segmentation losses. Third, we show that such architectures allow for training with weak supervision in the form of image-level labels and small numbers of pixel-level labels, outperforming comparable encoder-decoder models. Code is available at \url{https://github.com/Kainmueller-Lab/TW-autoencoder}.
Weakly-supervised segmentation (WSS) methods, reliant on image-level labels indicating object presence, lack explicit correspondence between labels and regions of interest (ROIs), posing a significant challenge. Despite this, WSS methods have attracted attention due to their much lower annotation costs compared to fully-supervised segmentation. Leveraging reinforcement learning (RL) self-play, we propose a novel WSS method that gamifies image segmentation of a ROI. We formulate segmentation as a competition between two agents that compete to select ROI-containing patches until exhaustion of all such patches. The score at each time-step, used to compute the reward for agent training, represents likelihood of object presence within the selection, determined by an object presence detector pre-trained using only image-level binary classification labels of object presence. Additionally, we propose a game termination condition that can be called by either side upon exhaustion of all ROI-containing patches, followed by the selection of a final patch from each. Upon termination, the agent is incentivised if ROI-containing patches are exhausted or disincentivised if an ROI-containing patch is found by the competitor. This competitive setup ensures minimisation of over- or under-segmentation, a common problem with WSS methods. Extensive experimentation across four datasets demonstrates significant performance improvements over recent state-of-the-art methods. Code: https://github.com/s-sd/spurl/tree/main/wss
Weakly supervised segmentation methods have gained significant attention due to their ability to reduce the reliance on costly pixel-level annotations during model training. However, the current weakly supervised nuclei segmentation approaches typically follow a two-stage pseudo-label generation and network training process. The performance of the nuclei segmentation heavily relies on the quality of the generated pseudo-labels, thereby limiting its effectiveness. This paper introduces a novel domain-adaptive weakly supervised nuclei segmentation framework using cross-task interaction strategies to overcome the challenge of pseudo-label generation. Specifically, we utilize weakly annotated data to train an auxiliary detection task, which assists the domain adaptation of the segmentation network. To enhance the efficiency of domain adaptation, we design a consistent feature constraint module integrating prior knowledge from the source domain. Furthermore, we develop pseudo-label optimization and interactive training methods to improve the domain transfer capability. To validate the effectiveness of our proposed method, we conduct extensive comparative and ablation experiments on six datasets. The results demonstrate the superiority of our approach over existing weakly supervised approaches. Remarkably, our method achieves comparable or even better performance than fully supervised methods. Our code will be released in https://github.com/zhangye-zoe/DAWN.
This paper proposes a dynamic interactive and weakly supervised segmentation method with minimal user interactions to address two major challenges in the segmentation of whole slide histopathology images. First, the lack of hand-annotated datasets to train algorithms. Second, the lack of interactive paradigms to enable a dialogue between the pathologist and the machine, which can be a major obstacle for use in clinical routine. We therefore propose a fast and user oriented method to bridge this gap by giving the pathologist control over the final result while limiting the number of interactions needed to achieve a good result (over 90\% on all our metrics with only 4 correction scribbles).
Weakly-supervised segmentation (WSS) has emerged as a solution to mitigate the conflict between annotation cost and model performance by adopting sparse annotation formats (e.g., point, scribble, block, etc.). Typical approaches attempt to exploit anatomy and topology priors to directly expand sparse annotations into pseudo-labels. However, due to a lack of attention to the ambiguous edges in medical images and insufficient exploration of sparse supervision, existing approaches tend to generate erroneous and overconfident pseudo proposals in noisy regions, leading to cumulative model error and performance degradation. In this work, we propose a novel WSS approach, named ProCNS, encompassing two synergistic modules devised with the principles of progressive prototype calibration and noise suppression. Specifically, we design a Prototype-based Regional Spatial Affinity (PRSA) loss to maximize the pair-wise affinities between spatial and semantic elements, providing our model of interest with more reliable guidance. The affinities are derived from the input images and the prototype-refined predictions. Meanwhile, we propose an Adaptive Noise Perception and Masking (ANPM) module to obtain more enriched and representative prototype representations, which adaptively identifies and masks noisy regions within the pseudo proposals, reducing potential erroneous interference during prototype computation. Furthermore, we generate specialized soft pseudo-labels for the noisy regions identified by ANPM, providing supplementary supervision. Extensive experiments on six medical image segmentation tasks involving different modalities demonstrate that the proposed framework significantly outperforms representative state-of-the-art methods.
Single-point annotation in visual tasks, with the goal of minimizing labelling costs, is becoming increasingly prominent in research. Recently, visual foundation models, such as Segment Anything (SAM), have gained widespread usage due to their robust zero-shot capabilities and exceptional annotation performance. However, SAM's class-agnostic output and high confidence in local segmentation introduce 'semantic ambiguity', posing a challenge for precise category-specific segmentation. In this paper, we introduce a cost-effective category-specific segmenter using SAM. To tackle this challenge, we have devised a Semantic-Aware Instance Segmentation Network (SAPNet) that integrates Multiple Instance Learning (MIL) with matching capability and SAM with point prompts. SAPNet strategically selects the most representative mask proposals generated by SAM to supervise segmentation, with a specific focus on object category information. Moreover, we introduce the Point Distance Guidance and Box Mining Strategy to mitigate inherent challenges: 'group' and 'local' issues in weakly supervised segmentation. These strategies serve to further enhance the overall segmentation performance. The experimental results on Pascal VOC and COCO demonstrate the promising performance of our proposed SAPNet, emphasizing its semantic matching capabilities and its potential to advance point-prompted instance segmentation. The code will be made publicly available.
Weakly-supervised segmentation with label-efficient sparse annotations has attracted increasing research attention to reduce the cost of laborious pixel-wise labeling process, while the pairwise affinity modeling techniques play an essential role in this task. Most of the existing approaches focus on using the local appearance kernel to model the neighboring pairwise potentials. However, such a local operation fails to capture the long-range dependencies and ignores the topology of objects. In this work, we formulate the affinity modeling as an affinity propagation process, and propose a local and a global pairwise affinity terms to generate accurate soft pseudo labels. An efficient algorithm is also developed to reduce significantly the computational cost. The proposed approach can be conveniently plugged into existing segmentation networks. Experiments on three typical label-efficient segmentation tasks, i.e. box-supervised instance segmentation, point/scribble-supervised semantic segmentation and CLIP-guided semantic segmentation, demonstrate the superior performance of the proposed approach.
In surgical procedures, correct instrument counting is essential. Instance segmentation is a location method that locates not only an object's bounding box but also each pixel's specific details. However, obtaining mask-level annotations is labor-intensive in instance segmentation. To address this issue, we propose a novel yet effective weakly-supervised surgical instrument instance segmentation approach, named Point-based Weakly-supervised Instance Segmentation (PWISeg). PWISeg adopts an FCN-based architecture with point-to-box and point-to-mask branches to model the relationships between feature points and bounding boxes, as well as feature points and segmentation masks on FPN, accomplishing instrument detection and segmentation jointly in a single model. Since mask level annotations are hard to available in the real world, for point-to-mask training, we introduce an unsupervised projection loss, utilizing the projected relation between predicted masks and bboxes as supervision signal. On the other hand, we annotate a few pixels as the key pixel for each instrument. Based on this, we further propose a key pixel association loss and a key pixel distribution loss, driving the point-to-mask branch to generate more accurate segmentation predictions. To comprehensively evaluate this task, we unveil a novel surgical instrument dataset with manual annotations, setting up a benchmark for further research. Our comprehensive research trial validated the superior performance of our PWISeg. The results show that the accuracy of surgical instrument segmentation is improved, surpassing most methods of instance segmentation via weakly supervised bounding boxes. This improvement is consistently observed in our proposed dataset and when applied to the public HOSPI-Tools dataset.
Congenital Heart Disease (CHD) is a group of cardiac malformations present already during fetal life, representing the prevailing category of birth defects globally. Our aim in this study is to aid 3D fetal vessel topology visualisation in aortic arch anomalies, a group which encompasses a range of conditions with significant anatomical heterogeneity. We present a multi-task framework for automated multi-class fetal vessel segmentation from 3D black blood T2w MRI and anomaly classification. Our training data consists of binary manual segmentation masks of the cardiac vessels' region in individual subjects and fully-labelled anomaly-specific population atlases. Our framework combines deep learning label propagation using VoxelMorph with 3D Attention U-Net segmentation and DenseNet121 anomaly classification. We target 11 cardiac vessels and three distinct aortic arch anomalies, including double aortic arch, right aortic arch, and suspected coarctation of the aorta. We incorporate an anomaly classifier into our segmentation pipeline, delivering a multi-task framework with the primary motivation of correcting topological inaccuracies of the segmentation. The hypothesis is that the multi-task approach will encourage the segmenter network to learn anomaly-specific features. As a secondary motivation, an automated diagnosis tool may have the potential to enhance diagnostic confidence in a decision support setting. Our results showcase that our proposed training strategy significantly outperforms label propagation and a network trained exclusively on propagated labels. Our classifier outperforms a classifier trained exclusively on T2w volume images, with an average balanced accuracy of 0.99 (0.01) after joint training. Adding a classifier improves the anatomical and topological accuracy of all correctly classified double aortic arch subjects.
Accurate identification and quantification of unruptured intracranial aneurysms (UIAs) is crucial for the risk assessment and treatment of this cerebrovascular disorder. Current 2D manual assessment on 3D magnetic resonance angiography (MRA) is suboptimal and time-consuming. In addition, one major issue in medical image segmentation is the need for large well-annotated data, which can be expensive to obtain. Techniques that mitigate this requirement, such as weakly supervised learning with coarse labels are highly desirable. In the paper, we propose FocalSegNet, a novel 3D focal modulation UNet, to detect an aneurysm and offer an initial, coarse segmentation of it from time-of-flight MRA image patches, which is further refined with a dense conditional random field (CRF) post-processing layer to produce a final segmentation map. We trained and evaluated our model on a public dataset, and in terms of UIA detection, our model showed a low false-positive rate of 0.21 and a high sensitivity of 0.80. For voxel-wise aneurysm segmentation, we achieved a Dice score of 0.68 and a 95% Hausdorff distance of ~0.95 mm, demonstrating its strong performance. We evaluated our algorithms against the state-of-the-art 3D Residual-UNet and Swin-UNETR, and illustrated the superior performance of our proposed FocalSegNet, highlighting the advantages of employing focal modulation for this task.
Land cover (LC) segmentation plays a critical role in various applications, including environmental analysis and natural disaster management. However, generating accurate LC maps is a complex and time-consuming task that requires the expertise of multiple annotators and regular updates to account for environmental changes. In this work, we introduce SPADA, a framework for fuel map delineation that addresses the challenges associated with LC segmentation using sparse annotations and domain adaptation techniques for semantic segmentation. Performance evaluations using reliable ground truths, such as LUCAS and Urban Atlas, demonstrate the technique's effectiveness. SPADA outperforms state-of-the-art semantic segmentation approaches as well as third-party products, achieving a mean Intersection over Union (IoU) score of 42.86 and an F1 score of 67.93 on Urban Atlas and LUCAS, respectively.
Magnetic resonance imaging (MRI) is commonly used for brain tumor segmentation, which is critical for patient evaluation and treatment planning. To reduce the labor and expertise required for labeling, weakly-supervised semantic segmentation (WSSS) methods with class activation mapping (CAM) have been proposed. However, existing CAM methods suffer from low resolution due to strided convolution and pooling layers, resulting in inaccurate predictions. In this study, we propose a novel CAM method, Attentive Multiple-Exit CAM (AME-CAM), that extracts activation maps from multiple resolutions to hierarchically aggregate and improve prediction accuracy. We evaluate our method on the BraTS 2021 dataset and show that it outperforms state-of-the-art methods.
Most uses of Meta-Learning in visual recognition are very often applied to image classification, with a relative lack of works in other tasks {such} as segmentation and detection. We propose a generic Meta-Learning framework for few-shot weakly-supervised segmentation in medical imaging domains. We conduct a comparative analysis of meta-learners from distinct paradigms adapted to few-shot image segmentation in different sparsely annotated radiological tasks. The imaging modalities include 2D chest, mammographic and dental X-rays, as well as 2D slices of volumetric tomography and resonance images. Our experiments consider a total of 9 meta-learners, 4 backbones and multiple target organ segmentation tasks. We explore small-data scenarios in radiology with varying weak annotation styles and densities. Our analysis shows that metric-based meta-learning approaches achieve better segmentation results in tasks with smaller domain shifts in comparison to the meta-training datasets, while some gradient- and fusion-based meta-learners are more generalizable to larger domain shifts.
Federated learning (FL) enables multiple sites to collaboratively train powerful deep models without compromising data privacy and security. The statistical heterogeneity (e.g., non-IID data and domain shifts) is a primary obstacle in FL, impairing the generalization performance of the global model. Weakly supervised segmentation, which uses sparsely-grained (i.e., point-, bounding box-, scribble-, block-wise) supervision, is increasingly being paid attention to due to its great potential of reducing annotation costs. However, there may exist label heterogeneity, i.e., different annotation forms across sites. In this paper, we propose a novel personalized FL framework for medical image segmentation, named FedICRA, which uniformly leverages heterogeneous weak supervision via adaptIve Contrastive Representation and Aggregation. Concretely, to facilitate personalized modeling and to avoid confusion, a channel selection based site contrastive representation module is employed to adaptively cluster intra-site embeddings and separate inter-site ones. To effectively integrate the common knowledge from the global model with the unique knowledge from each local model, an adaptive aggregation module is applied for updating and initializing local models at the element level. Additionally, a weakly supervised objective function that leverages a multiscale tree energy loss and a gated CRF loss is employed to generate more precise pseudo-labels and further boost the segmentation performance. Through extensive experiments on two distinct medical image segmentation tasks of different modalities, the proposed FedICRA demonstrates overwhelming performance over other state-of-the-art personalized FL methods. Its performance even approaches that of fully supervised training on centralized data. Our code and data are available at https://github.com/llmir/FedICRA.
Image segmentation is a fundamental task in the field of imaging and vision. Supervised deep learning for segmentation has achieved unparalleled success when sufficient training data with annotated labels are available. However, annotation is known to be expensive to obtain, especially for histopathology images where the target regions are usually with high morphology variations and irregular shapes. Thus, weakly supervised learning with sparse annotations of points is promising to reduce the annotation workload. In this work, we propose a contrast-based variational model to generate segmentation results, which serve as reliable complementary supervision to train a deep segmentation model for histopathology images. The proposed method considers the common characteristics of target regions in histopathology images and can be trained in an end-to-end manner. It can generate more regionally consistent and smoother boundary segmentation, and is more robust to unlabeled `novel' regions. Experiments on two different histology datasets demonstrate its effectiveness and efficiency in comparison to previous models.
Image-level weakly-supervised semantic segmentation (WSSS) reduces the usually vast data annotation cost by surrogate segmentation masks during training. The typical approach involves training an image classification network using global average pooling (GAP) on convolutional feature maps. This enables the estimation of object locations based on class activation maps (CAMs), which identify the importance of image regions. The CAMs are then used to generate pseudo-labels, in the form of segmentation masks, to supervise a segmentation model in the absence of pixel-level ground truth. Our work is based on two techniques for improving CAMs; importance sampling, which is a substitute for GAP, and the feature similarity loss, which utilizes a heuristic that object contours almost always align with color edges in images. However, both are based on the multinomial posterior with softmax, and implicitly assume that classes are mutually exclusive, which turns out suboptimal in our experiments. Thus, we reformulate both techniques based on binomial posteriors of multiple independent binary problems. This has two benefits; their performance is improved and they become more general, resulting in an add-on method that can boost virtually any WSSS method. This is demonstrated on a wide variety of baselines on the PASCAL VOC dataset, improving the region similarity and contour quality of all implemented state-of-the-art methods. Experiments on the MS COCO dataset further show that our proposed add-on is well-suited for large-scale settings. Our code implementation is available at https://github.com/arvijj/hfpl.