Yinjiao Tian

Zhiwei Wang, Qiang Hu, Hongkuan Shi et al.

Box-supervised polyp segmentation attracts increasing attention for its cost-effective potential. Existing solutions often rely on learning-free methods or pretrained models to laboriously generate pseudo masks, triggering Dice constraint subsequently. In this paper, we found that a model guided by the simplest box-filled masks can accurately predict polyp locations/sizes, but suffers from shape collapsing. In response, we propose two innovative learning fashions, Improved Box-dice (IBox) and Contrastive Latent-Anchors (CLA), and combine them to train a robust box-supervised model IBoxCLA. The core idea behind IBoxCLA is to decouple the learning of location/size and shape, allowing for focused constraints on each of them. Specifically, IBox transforms the segmentation map into a proxy map using shape decoupling and confusion-region swapping sequentially. Within the proxy map, shapes are disentangled, while locations/sizes are encoded as box-like responses. By constraining the proxy map instead of the raw prediction, the box-filled mask can well supervise IBoxCLA without misleading its shape learning. Furthermore, CLA contributes to shape learning by generating two types of latent anchors, which are learned and updated using momentum and segmented polyps to steadily represent polyp and background features. The latent anchors facilitate IBoxCLA to capture discriminative features within and outside boxes in a contrastive manner, yielding clearer boundaries. We benchmark IBoxCLA on five public polyp datasets. The experimental results demonstrate the competitive performance of IBoxCLA compared to recent fully-supervised polyp segmentation methods, and its superiority over other box-supervised state-of-the-arts with a relative increase of overall mDice and mIoU by at least 6.5% and 7.5%, respectively.

Quan Zhou, Gan Luo, Qiang Hu et al.

Polyp detection is crucial for colorectal cancer screening, yet existing models are limited by the scale and diversity of available data. While generative models show promise for data augmentation, current methods mainly focus on enhancing polyp diversity, often overlooking the critical issue of false positives. In this paper, we address this gap by proposing an adversarial diffusion framework to synthesize high-value false positives. The extensive variability of negative backgrounds presents a significant challenge in false positive synthesis. To overcome this, we introduce two key innovations: First, we design a regional noise matching strategy to construct a negative synthesis space using polyp detection datasets. This strategy trains a negative-centric diffusion model by masking polyp regions, ensuring the model focuses exclusively on learning diverse background patterns. Second, we introduce the Detector-guided Adversarial Diffusion Attacker (DADA) module, which perturbs the negative synthesis process to disrupt a pre-trained detector's decision, guiding the negative-centric diffusion model to generate high-value, detector-confusing false positives instead of low-value, ordinary backgrounds. Our approach is the first to apply adversarial diffusion to lesion detection, establishing a new paradigm for targeted false positive synthesis and paving the way for more reliable clinical applications in colorectal cancer screening. Extensive results on public and in-house datasets verify the superiority of our method over the current state-of-the-arts, with our synthesized data improving the detectors by at least 2.6% and 2.7% in F1-score, respectively, over the baselines. Codes are at https://github.com/Huster-Hq/DADA.