CVSep 17, 2025Code
Semi-MoE: Mixture-of-Experts meets Semi-Supervised Histopathology SegmentationNguyen Lan Vi Vu, Thanh-Huy Nguyen, Thien Nguyen et al.
Semi-supervised learning has been employed to alleviate the need for extensive labeled data for histopathology image segmentation, but existing methods struggle with noisy pseudo-labels due to ambiguous gland boundaries and morphological misclassification. This paper introduces Semi-MOE, to the best of our knowledge, the first multi-task Mixture-of-Experts framework for semi-supervised histopathology image segmentation. Our approach leverages three specialized expert networks: A main segmentation expert, a signed distance field regression expert, and a boundary prediction expert, each dedicated to capturing distinct morphological features. Subsequently, the Multi-Gating Pseudo-labeling module dynamically aggregates expert features, enabling a robust fuse-and-refine pseudo-labeling mechanism. Furthermore, to eliminate manual tuning while dynamically balancing multiple learning objectives, we propose an Adaptive Multi-Objective Loss. Extensive experiments on GlaS and CRAG benchmarks show that our method outperforms state-of-the-art approaches in low-label settings, highlighting the potential of MoE-based architectures in advancing semi-supervised segmentation. Our code is available at https://github.com/vnlvi2k3/Semi-MoE.
CVJul 5, 2025Code
Learning Disentangled Stain and Structural Representations for Semi-Supervised Histopathology SegmentationHa-Hieu Pham, Nguyen Lan Vi Vu, Thanh-Huy Nguyen et al.
Accurate gland segmentation in histopathology images is essential for cancer diagnosis and prognosis. However, significant variability in Hematoxylin and Eosin (H&E) staining and tissue morphology, combined with limited annotated data, poses major challenges for automated segmentation. To address this, we propose Color-Structure Dual-Student (CSDS), a novel semi-supervised segmentation framework designed to learn disentangled representations of stain appearance and tissue structure. CSDS comprises two specialized student networks: one trained on stain-augmented inputs to model chromatic variation, and the other on structure-augmented inputs to capture morphological cues. A shared teacher network, updated via Exponential Moving Average (EMA), supervises both students through pseudo-labels. To further improve label reliability, we introduce stain-aware and structure-aware uncertainty estimation modules that adaptively modulate the contribution of each student during training. Experiments on the GlaS and CRAG datasets show that CSDS achieves state-of-the-art performance in low-label settings, with Dice score improvements of up to 1.2% on GlaS and 0.7% on CRAG at 5% labeled data, and 0.7% and 1.4% at 10%. Our code and pre-trained models are available at https://github.com/hieuphamha19/CSDS.
CVDec 10, 2025
Modality-Specific Enhancement and Complementary Fusion for Semi-Supervised Multi-Modal Brain Tumor SegmentationTien-Dat Chung, Ba-Thinh Lam, Thanh-Huy Nguyen et al.
Semi-supervised learning (SSL) has become a promising direction for medical image segmentation, enabling models to learn from limited labeled data alongside abundant unlabeled samples. However, existing SSL approaches for multi-modal medical imaging often struggle to exploit the complementary information between modalities due to semantic discrepancies and misalignment across MRI sequences. To address this, we propose a novel semi-supervised multi-modal framework that explicitly enhances modality-specific representations and facilitates adaptive cross-modal information fusion. Specifically, we introduce a Modality-specific Enhancing Module (MEM) to strengthen semantic cues unique to each modality via channel-wise attention, and a learnable Complementary Information Fusion (CIF) module to adaptively exchange complementary knowledge between modalities. The overall framework is optimized using a hybrid objective combining supervised segmentation loss and cross-modal consistency regularization on unlabeled data. Extensive experiments on the BraTS 2019 (HGG subset) demonstrate that our method consistently outperforms strong semi-supervised and multi-modal baselines under 1\%, 5\%, and 10\% labeled data settings, achieving significant improvements in both Dice and Sensitivity scores. Ablation studies further confirm the complementary effects of our proposed MEM and CIF in bridging cross-modality discrepancies and improving segmentation robustness under scarce supervision.
CVJan 23
Domain-invariant Mixed-domain Semi-supervised Medical Image Segmentation with Clustered Maximum Mean Discrepancy AlignmentBa-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.
CVApr 14, 2025
HDC: Hierarchical Distillation for Multi-level Noisy Consistency in Semi-Supervised Fetal Ultrasound SegmentationTran Quoc Khanh Le, Nguyen Lan Vi Vu, Ha-Hieu Pham et al.
Transvaginal ultrasound is a critical imaging modality for evaluating cervical anatomy and detecting physiological changes. However, accurate segmentation of cervical structures remains challenging due to low contrast, shadow artifacts, and indistinct boundaries. While convolutional neural networks (CNNs) have demonstrated efficacy in medical image segmentation, their reliance on large-scale annotated datasets presents a significant limitation in clinical ultrasound imaging. Semi-supervised learning (SSL) offers a potential solution by utilizing unlabeled data, yet existing teacher-student frameworks often encounter confirmation bias and high computational costs. In this paper, a novel semi-supervised segmentation framework, called HDC, is proposed incorporating adaptive consistency learning with a single-teacher architecture. The framework introduces a hierarchical distillation mechanism with two objectives: Correlation Guidance Loss for aligning feature representations and Mutual Information Loss for stabilizing noisy student learning. The proposed approach reduces model complexity while enhancing generalization. Experiments on fetal ultrasound datasets, FUGC and PSFH, demonstrate competitive performance with reduced computational overhead compared to multi-teacher models.
CVOct 29, 2025
Aligning What You Separate: Denoised Patch Mixing for Source-Free Domain Adaptation in Medical Image SegmentationQuang-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.