Suggestive Annotation: A Deep Active Learning Framework for Biomedical Image Segmentation
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Abstract (arXiv)
Image segmentation is a fundamental problem in biomedical image analysis. Recent advances in deep learning have achieved promising results on many biomedical image segmentation benchmarks. However, due to large variations in biomedical images (different modalities, image settings, objects, noise, etc), to utilize deep learning on a new application, it usually needs a new set of training data. This can incur a great deal of annotation effort and cost, because only biomedical experts can annotate effectively, and often there are too many instances in images (e.g., cells) to annotate. In this paper, we aim to address the following question: With limited effort (e.g., time) for annotation, what instances should be annotated in order to attain the best performance? We present a deep active learning framework that combines fully convolutional network (FCN) and active learning to significantly reduce annotation effort by making judicious suggestions on the most effective annotation areas. We utilize uncertainty and similarity information provided by FCN and formulate a generalized version of the maximum set cover problem to determine the most representative and uncertain areas for annotation. Extensive experiments using the 2015 MICCAI Gland Challenge dataset and a lymph node ultrasound image segmentation dataset show that, using annotation suggestions by our method, state-of-the-art segmentation performance can be achieved by using only 50% of training data.
Key facts. Cited by 145 papers in the map (data through 7 Oct 2026). First posted on arXiv 15 Jun 2017.
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Citing papers per year: 2021: 29; 2022: 34; 2023: 33; 2024: 26; 2025: 13; 2026: 10.
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- 2022Self-Supervised Learning for Videos: A Surveycited by 85
- 2023LLMaAA: Making Large Language Models as Active Annotatorscited by 78
- 2022Trustworthy clinical AI solutions: a unified review of uncertainty quantification in deep learning models for medical image analysiscited by 62
- 2022Entropy-based Active Learning for Object Detection with Progressive Diversity Constraintcited by 53
- 2023AbdomenAtlas-8K: Annotating 8,000 CT Volumes for Multi-Organ Segmentation in Three Weekscited by 52
- 2021Semi-Supervised Active Learning with Temporal Output Discrepancycited by 50
- 2021Diminishing Uncertainty within the Training Pool: Active Learning for Medical Image Segmentationcited by 44
- 2021Multi-Layer Pseudo-Supervision for Histopathology Tissue Semantic Segmentation using Patch-level Classification Labelscited by 43
- 2022MONAI Label: A framework for AI-assisted Interactive Labeling of 3D Medical Imagescited by 38
- 2023A comprehensive survey on deep active learning in medical image analysiscited by 32
- 2021All you need are a few pixels: semantic segmentation with PixelPickcited by 30
- 2022Towards Label-efficient Automatic Diagnosis and Analysis: A Comprehensive Survey of Advanced Deep Learning-based Weakly-supervised, Semi-supervised and Self-supervised Techniques in Histopathological Image Analysiscited by 29
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- 2026How Many Labels Are Enough? ALDA: Active Learning Deployment Advisor for Medical Image Classification4 Aug 2026
- 2026Unifying Active Learning and Semi-Supervised Learning for Medical Image Segmentation27 Jul 2026
- 2026Active Learning for Efficient Annotation of Surgical Videos with Weak Supervision14 Jul 2026
- 2026Better than Average: Spatially-Aware Aggregation of Segmentation Uncertainty Improves Downstream Performance31 Mar 2026
- 2026ActiveFreq: Integrating Active Learning and Frequency Domain Analysis for Interactive Segmentation12 Mar 2026
- 2026BALD-SAM: Disagreement-based Active Prompting in Interactive Segmentation11 Mar 2026
- 2026Goal-Oriented Influence-Maximizing Data Acquisition for Learning and Optimization23 Feb 2026
- 2026Similarity-as-Evidence: Calibrating Overconfident VLMs for Interpretable and Label-Efficient Medical Active Learning21 Feb 2026
- 2026From Cold Start to Active Learning: Embedding-Based Scan Selection for Medical Image Segmentation26 Jan 2026
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