Bi-Level Collaborative Learning for Few-Shot Scribble-Supervised Medical Image Segmentation

Scribble annotations offer an efficient alternative to costly pixel-wise labeling for medical image segmentation, yet in real clinical scenarios, scribble-annotated samples are often still limited, imposing the dual challenges of sparse supervision and annotated sample scarcity. These compounded constraints severely deprive models of the structural evidence needed for complete region recovery and precise boundary delineation. To break this bottleneck, we propose a bi-level collaborative learning framework for few-shot scribble-supervised medical image segmentation. Specifically, an upper-level learnable superpixel model is introduced to provide region-structural priors for lower-level segmentation, while superpixel-based region-wise pseudo-label propagation and a spatial-prior-guided filtering strategy are performed to generate reliable dense pseudo-labels for segmentation learning. Meanwhile, the anatomical semantics learned by the lower-level segmentation model under the guidance of the current superpixels are fed back to the upper level, further driving it to learn region-structural representations better aligned with the segmentation task. Through bidirectional interaction and collaborative learning between the upper and lower levels, the proposed framework significantly outperforms existing state-of-the-art scribble-supervised methods on the ACDC and Prostate datasets under the few-shot scribble-supervised setting.

BiEvLight: Bi-level Learning of Task-Aware Event Refinement for Low-Light Image Enhancement

Event cameras, with their high dynamic range, show great promise for Low-light Image Enhancement (LLIE). Existing works primarily focus on designing effective modal fusion strategies. However, a key challenge is the dual degradation from intrinsic background activity (BA) noise in events and low signal-to-noise ratio (SNR) in images, which causes severe noise coupling during modal fusion, creating a critical performance bottleneck. We therefore posit that precise event denoising is the prerequisite to unlocking the full potential of event-based fusion. To this end, we propose BiEvLight, a hierarchical and task-aware framework that collaboratively optimizes enhancement and denoising by exploiting their intrinsic interdependence. Specifically, BiEvLight exploits the strong gradient correlation between images and events to build a gradient-guided event denoising prior that alleviates insufficient denoising in heavily noisy regions. Moreover, instead of treating event denoising as a static pre-processing stage-which inevitably incurs a trade-off between over- and under-denoising and cannot adapt to the requirements of a specific enhancement objective-we recast it as a bilevel optimization problem constrained by the enhancement task. Through cross-task interaction, the upper-level denoising problem learns event representations tailored to the lower-level enhancement objective, thereby substantially improving overall enhancement quality. Extensive experiments on the Real-world noise Dataset SDE demonstrate that our method significantly outperforms state-of-the-art (SOTA) approaches, with average improvements of 1.30dB in PSNR, 2.03dB in PSNR* and 0.047 in SSIM, respectively. The code will be publicly available at https://github.com/iijjlk/BiEvlight.