Embarrassingly Simple Scribble Supervision for 3D Medical Segmentation

Traditionally, segmentation algorithms require dense annotations for training, demanding significant annotation efforts, particularly within the 3D medical imaging field. Scribble-supervised learning emerges as a possible solution to this challenge, promising a reduction in annotation efforts when creating large-scale datasets. Recently, a plethora of methods for optimized learning from scribbles have been proposed, but have so far failed to position scribble annotation as a beneficial alternative. We relate this shortcoming to two major issues: 1) the complex nature of many methods which deeply ties them to the underlying segmentation model, thus preventing a migration to more powerful state-of-the-art models as the field progresses and 2) the lack of a systematic evaluation to validate consistent performance across the broader medical domain, resulting in a lack of trust when applying these methods to new segmentation problems. To address these issues, we propose a comprehensive scribble supervision benchmark consisting of seven datasets covering a diverse set of anatomies and pathologies imaged with varying modalities. We furthermore propose the systematic use of partial losses, i.e. losses that are only computed on annotated voxels. Contrary to most existing methods, these losses can be seamlessly integrated into state-of-the-art segmentation methods, enabling them to learn from scribble annotations while preserving their original loss formulations. Our evaluation using nnU-Net reveals that while most existing methods suffer from a lack of generalization, the proposed approach consistently delivers state-of-the-art performance. Thanks to its simplicity, our approach presents an embarrassingly simple yet effective solution to the challenges of scribble supervision. Source code as well as our extensive scribble benchmarking suite will be made publicly available upon publication.

Conditional Invertible Neural Networks for Diverse Image-to-Image Translation

We introduce a new architecture called a conditional invertible neural network (cINN), and use it to address the task of diverse image-to-image translation for natural images. This is not easily possible with existing INN models due to some fundamental limitations. The cINN combines the purely generative INN model with an unconstrained feed-forward network, which efficiently preprocesses the conditioning image into maximally informative features. All parameters of a cINN are jointly optimized with a stable, maximum likelihood-based training procedure. Even though INN-based models have received far less attention in the literature than GANs, they have been shown to have some remarkable properties absent in GANs, e.g. apparent immunity to mode collapse. We find that our cINNs leverage these properties for image-to-image translation, demonstrated on day to night translation and image colorization. Furthermore, we take advantage of our bidirectional cINN architecture to explore and manipulate emergent properties of the latent space, such as changing the image style in an intuitive way.

Guided Image Generation with Conditional Invertible Neural Networks

In this work, we address the task of natural image generation guided by a conditioning input. We introduce a new architecture called conditional invertible neural network (cINN). The cINN combines the purely generative INN model with an unconstrained feed-forward network, which efficiently preprocesses the conditioning input into useful features. All parameters of the cINN are jointly optimized with a stable, maximum likelihood-based training procedure. By construction, the cINN does not experience mode collapse and generates diverse samples, in contrast to e.g. cGANs. At the same time our model produces sharp images since no reconstruction loss is required, in contrast to e.g. VAEs. We demonstrate these properties for the tasks of MNIST digit generation and image colorization. Furthermore, we take advantage of our bi-directional cINN architecture to explore and manipulate emergent properties of the latent space, such as changing the image style in an intuitive way.