Constructing and Exploring Intermediate Domains in Mixed Domain Semi-supervised Medical Image Segmentation
This addresses a common problem in medical imaging where data from multiple centers have limited labels and domain shifts, offering a novel solution for improved segmentation accuracy.
The paper tackles the combined challenge of limited annotation and domain shift in medical image segmentation by introducing the Mixed Domain Semi-supervised Segmentation (MiDSS) scenario, achieving a 13.57% improvement in Dice score on the Prostate dataset.
Both limited annotation and domain shift are prevalent challenges in medical image segmentation. Traditional semi-supervised segmentation and unsupervised domain adaptation methods address one of these issues separately. However, the coexistence of limited annotation and domain shift is quite common, which motivates us to introduce a novel and challenging scenario: Mixed Domain Semi-supervised medical image Segmentation (MiDSS). In this scenario, we handle data from multiple medical centers, with limited annotations available for a single domain and a large amount of unlabeled data from multiple domains. We found that the key to solving the problem lies in how to generate reliable pseudo labels for the unlabeled data in the presence of domain shift with labeled data. To tackle this issue, we employ Unified Copy-Paste (UCP) between images to construct intermediate domains, facilitating the knowledge transfer from the domain of labeled data to the domains of unlabeled data. To fully utilize the information within the intermediate domain, we propose a symmetric Guidance training strategy (SymGD), which additionally offers direct guidance to unlabeled data by merging pseudo labels from intermediate samples. Subsequently, we introduce a Training Process aware Random Amplitude MixUp (TP-RAM) to progressively incorporate style-transition components into intermediate samples. Compared with existing state-of-the-art approaches, our method achieves a notable 13.57% improvement in Dice score on Prostate dataset, as demonstrated on three public datasets. Our code is available at https://github.com/MQinghe/MiDSS .