Hoang-Thien Nguyen

Vi Vu, Thanh-Huy Nguyen, Tien-Thinh Nguyen et al.

Foundation models like the Segment Anything Model (SAM) show strong generalization, yet adapting them to medical images remains difficult due to domain shift, scarce labels, and the inability of Parameter-Efficient Fine-Tuning (PEFT) to exploit unlabeled data. While conventional models like U-Net excel in semi-supervised medical learning, their potential to assist a PEFT SAM has been largely overlooked. We introduce SC-SAM, a specialist-generalist framework where U-Net provides point-based prompts and pseudo-labels to guide SAM's adaptation, while SAM serves as a powerful generalist supervisor to regularize U-Net. This reciprocal guidance forms a bidirectional co-training loop that allows both models to effectively exploit the unlabeled data. Across prostate MRI and polyp segmentation benchmarks, our method achieves state-of-the-art results, outperforming other existing semi-supervised SAM variants and even medical foundation models like MedSAM, highlighting the value of specialist-generalist cooperation for label-efficient medical image segmentation. Our code is available at https://github.com/vnlvi2k3/SC-SAM.

Ba-Thinh Lam, Thanh-Huy Nguyen, Hoang-Thien Nguyen et al.

Deep learning has shown remarkable progress in medical image semantic segmentation, yet its success heavily depends on large-scale expert annotations and consistent data distributions. In practice, annotations are scarce, and images are collected from multiple scanners or centers, leading to mixed-domain settings with unknown domain labels and severe domain gaps. Existing semi-supervised or domain adaptation approaches typically assume either a single domain shift or access to explicit domain indices, which rarely hold in real-world deployment. In this paper, we propose a domain-invariant mixed-domain semi-supervised segmentation framework that jointly enhances data diversity and mitigates domain bias. A Copy-Paste Mechanism (CPM) augments the training set by transferring informative regions across domains, while a Cluster Maximum Mean Discrepancy (CMMD) block clusters unlabeled features and aligns them with labeled anchors via an MMD objective, encouraging domain-invariant representations. Integrated within a teacher-student framework, our method achieves robust and precise segmentation even with very few labeled examples and multiple unknown domain discrepancies. Experiments on Fundus and M&Ms benchmarks demonstrate that our approach consistently surpasses semi-supervised and domain adaptation methods, establishing a potential solution for mixed-domain semi-supervised medical image segmentation.

Dinh Dai Quan Tran, Hoang-Thien Nguyen, Thanh-Huy Nguyen et al.

Semi-Supervised Semantic Segmentation (SSSS) aims to improve segmentation accuracy by leveraging a small set of labeled images alongside a larger pool of unlabeled data. Recent advances primarily focus on pseudo-labeling, consistency regularization, and co-training strategies. However, existing methods struggle to balance global semantic representation with fine-grained local feature extraction. To address this challenge, we propose a novel tri-branch semi-supervised segmentation framework incorporating a dual-teacher strategy, named IGL-DT. Our approach employs SwinUnet for high-level semantic guidance through Global Context Learning and ResUnet for detailed feature refinement via Local Regional Learning. Additionally, a Discrepancy Learning mechanism mitigates over-reliance on a single teacher, promoting adaptive feature learning. Extensive experiments on benchmark datasets demonstrate that our method outperforms state-of-the-art approaches, achieving superior segmentation performance across various data regimes.

Quang-Khai Bui-Tran, Thanh-Huy Nguyen, Hoang-Thien Nguyen et al.

Source-Free Domain Adaptation (SFDA) is emerging as a compelling solution for medical image segmentation under privacy constraints, yet current approaches often ignore sample difficulty and struggle with noisy supervision under domain shift. We present a new SFDA framework that leverages Hard Sample Selection and Denoised Patch Mixing to progressively align target distributions. First, unlabeled images are partitioned into reliable and unreliable subsets through entropy-similarity analysis, allowing adaptation to start from easy samples and gradually incorporate harder ones. Next, pseudo-labels are refined via Monte Carlo-based denoising masks, which suppress unreliable pixels and stabilize training. Finally, intra- and inter-domain objectives mix patches between subsets, transferring reliable semantics while mitigating noise. Experiments on benchmark datasets show consistent gains over prior SFDA and UDA methods, delivering more accurate boundary delineation and achieving state-of-the-art Dice and ASSD scores. Our study highlights the importance of progressive adaptation and denoised supervision for robust segmentation under domain shift.

Thanh-Huy Nguyen, Hoang-Thien Nguyen, Ba-Thinh Lam et al.

Teacher-student frameworks have emerged as a leading approach in semi-supervised medical image segmentation, demonstrating strong performance across various tasks. However, the learning effects are still limited by the strong correlation and unreliable knowledge transfer process between teacher and student networks. To overcome this limitation, we introduce a novel switching Dual-Student architecture that strategically selects the most reliable student at each iteration to enhance dual-student collaboration and prevent error reinforcement. We also introduce a strategy of Loss-Aware Exponential Moving Average to dynamically ensure that the teacher absorbs meaningful information from students, improving the quality of pseudo-labels. Our plug-and-play framework is extensively evaluated on 3D medical image segmentation datasets, where it outperforms state-of-the-art semi-supervised methods, demonstrating its effectiveness in improving segmentation accuracy under limited supervision.

Thanh-Huy Nguyen, Hoang-Thien Nguyen, Vi Vu et al.

The limited availability of annotated data in medical imaging makes semi-supervised learning increasingly appealing for its ability to learn from imperfect supervision. Recently, teacher-student frameworks have gained popularity for their training benefits and robust performance. However, jointly optimizing the entire network can hinder convergence and stability, especially in challenging scenarios. To address this for medical image segmentation, we propose DuetMatch, a novel dual-branch semi-supervised framework with asynchronous optimization, where each branch optimizes either the encoder or decoder while keeping the other frozen. To improve consistency under noisy conditions, we introduce Decoupled Dropout Perturbation, enforcing regularization across branches. We also design Pair-wise CutMix Cross-Guidance to enhance model diversity by exchanging pseudo-labels through augmented input pairs. To mitigate confirmation bias from noisy pseudo-labels, we propose Consistency Matching, refining labels using stable predictions from frozen teacher models. Extensive experiments on benchmark brain MRI segmentation datasets, including ISLES2022 and BraTS, show that DuetMatch consistently outperforms state-of-the-art methods, demonstrating its effectiveness and robustness across diverse semi-supervised segmentation scenarios.