CVSep 18, 2025

Domain Adaptation for Ulcerative Colitis Severity Estimation Using Patient-Level Diagnoses

arXiv:2509.14573v1h-index: 17MLMI@MICCAI
Originality Incremental advance
AI Analysis

This work addresses domain adaptation for ulcerative colitis severity estimation, which is incremental as it builds on existing methods to handle lack of supervision in target domains.

The paper tackled the problem of domain shift in ulcerative colitis severity estimation by proposing a weakly supervised domain adaptation method that uses patient-level diagnoses as weak supervision, resulting in improved performance over comparative approaches.

The development of methods to estimate the severity of Ulcerative Colitis (UC) is of significant importance. However, these methods often suffer from domain shifts caused by differences in imaging devices and clinical settings across hospitals. Although several domain adaptation methods have been proposed to address domain shift, they still struggle with the lack of supervision in the target domain or the high cost of annotation. To overcome these challenges, we propose a novel Weakly Supervised Domain Adaptation method that leverages patient-level diagnostic results, which are routinely recorded in UC diagnosis, as weak supervision in the target domain. The proposed method aligns class-wise distributions across domains using Shared Aggregation Tokens and a Max-Severity Triplet Loss, which leverages the characteristic that patient-level diagnoses are determined by the most severe region within each patient. Experimental results demonstrate that our method outperforms comparative DA approaches, improving UC severity estimation in a domain-shifted setting.

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