BCMDA: Bidirectional Correlation Maps Domain Adaptation for Mixed Domain Semi-Supervised Medical Image Segmentation

In mixed domain semi-supervised medical image segmentation (MiDSS), achieving superior performance under domain shift and limited annotations is challenging. This scenario presents two primary issues: (1) distributional differences between labeled and unlabeled data hinder effective knowledge transfer, and (2) inefficient learning from unlabeled data causes severe confirmation bias. In this paper, we propose the bidirectional correlation maps domain adaptation (BCMDA) framework to overcome these issues. On the one hand, we employ knowledge transfer via virtual domain bridging (KTVDB) to facilitate cross-domain learning. First, to construct a distribution-aligned virtual domain, we leverage bidirectional correlation maps between labeled and unlabeled data to synthesize both labeled and unlabeled images, which are then mixed with the original images to generate virtual images using two strategies, a fixed ratio and a progressive dynamic MixUp. Next, dual bidirectional CutMix is used to enable initial knowledge transfer within the fixed virtual domain and gradual knowledge transfer from the dynamically transitioning labeled domain to the real unlabeled domains. On the other hand, to alleviate confirmation bias, we adopt prototypical alignment and pseudo label correction (PAPLC), which utilizes learnable prototype cosine similarity classifiers for bidirectional prototype alignment between the virtual and real domains, yielding smoother and more compact feature representations. Finally, we use prototypical pseudo label correction to generate more reliable pseudo labels. Empirical evaluations on three public multi-domain datasets demonstrate the superiority of our method, particularly showing excellent performance even with very limited labeled samples. Code available at https://github.com/pascalcpp/BCMDA.

SDCL: Students Discrepancy-Informed Correction Learning for Semi-supervised Medical Image Segmentation

Semi-supervised medical image segmentation (SSMIS) has been demonstrated the potential to mitigate the issue of limited medical labeled data. However, confirmation and cognitive biases may affect the prevalent teacher-student based SSMIS methods due to erroneous pseudo-labels. To tackle this challenge, we improve the mean teacher approach and propose the Students Discrepancy-Informed Correction Learning (SDCL) framework that includes two students and one non-trainable teacher, which utilizes the segmentation difference between the two students to guide the self-correcting learning. The essence of SDCL is to identify the areas of segmentation discrepancy as the potential bias areas, and then encourage the model to review the correct cognition and rectify their own biases in these areas. To facilitate the bias correction learning with continuous review and rectification, two correction loss functions are employed to minimize the correct segmentation voxel distance and maximize the erroneous segmentation voxel entropy. We conducted experiments on three public medical image datasets: two 3D datasets (CT and MRI) and one 2D dataset (MRI). The results show that our SDCL surpasses the current State-of-the-Art (SOTA) methods by 2.57\%, 3.04\%, and 2.34\% in the Dice score on the Pancreas, LA, and ACDC datasets, respectively. In addition, the accuracy of our method is very close to the fully supervised method on the ACDC dataset, and even exceeds the fully supervised method on the Pancreas and LA dataset. (Code available at \url{https://github.com/pascalcpp/SDCL}).