FedLPPA: Learning Personalized Prompt and Aggregation for Federated Weakly-supervised Medical Image Segmentation

Federated learning (FL) effectively mitigates the data silo challenge brought about by policies and privacy concerns, implicitly harnessing more data for deep model training. However, traditional centralized FL models grapple with diverse multi-center data, especially in the face of significant data heterogeneity, notably in medical contexts. In the realm of medical image segmentation, the growing imperative to curtail annotation costs has amplified the importance of weakly-supervised techniques which utilize sparse annotations such as points, scribbles, etc. A pragmatic FL paradigm shall accommodate diverse annotation formats across different sites, which research topic remains under-investigated. In such context, we propose a novel personalized FL framework with learnable prompt and aggregation (FedLPPA) to uniformly leverage heterogeneous weak supervision for medical image segmentation. In FedLPPA, a learnable universal knowledge prompt is maintained, complemented by multiple learnable personalized data distribution prompts and prompts representing the supervision sparsity. Integrated with sample features through a dual-attention mechanism, those prompts empower each local task decoder to adeptly adjust to both the local distribution and the supervision form. Concurrently, a dual-decoder strategy, predicated on prompt similarity, is introduced for enhancing the generation of pseudo-labels in weakly-supervised learning, alleviating overfitting and noise accumulation inherent to local data, while an adaptable aggregation method is employed to customize the task decoder on a parameter-wise basis. Extensive experiments on three distinct medical image segmentation tasks involving different modalities underscore the superiority of FedLPPA, with its efficacy closely parallels that of fully supervised centralized training. Our code and data will be available.

Unifying and Personalizing Weakly-supervised Federated Medical Image Segmentation via Adaptive Representation and Aggregation

Federated learning (FL) enables multiple sites to collaboratively train powerful deep models without compromising data privacy and security. The statistical heterogeneity (e.g., non-IID data and domain shifts) is a primary obstacle in FL, impairing the generalization performance of the global model. Weakly supervised segmentation, which uses sparsely-grained (i.e., point-, bounding box-, scribble-, block-wise) supervision, is increasingly being paid attention to due to its great potential of reducing annotation costs. However, there may exist label heterogeneity, i.e., different annotation forms across sites. In this paper, we propose a novel personalized FL framework for medical image segmentation, named FedICRA, which uniformly leverages heterogeneous weak supervision via adaptIve Contrastive Representation and Aggregation. Concretely, to facilitate personalized modeling and to avoid confusion, a channel selection based site contrastive representation module is employed to adaptively cluster intra-site embeddings and separate inter-site ones. To effectively integrate the common knowledge from the global model with the unique knowledge from each local model, an adaptive aggregation module is applied for updating and initializing local models at the element level. Additionally, a weakly supervised objective function that leverages a multiscale tree energy loss and a gated CRF loss is employed to generate more precise pseudo-labels and further boost the segmentation performance. Through extensive experiments on two distinct medical image segmentation tasks of different modalities, the proposed FedICRA demonstrates overwhelming performance over other state-of-the-art personalized FL methods. Its performance even approaches that of fully supervised training on centralized data. Our code and data are available at https://github.com/llmir/FedICRA.