Synergistic Image and Feature Adaptation: Towards Cross-Modality Domain Adaptation for Medical Image Segmentation
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Abstract (arXiv)
This paper presents a novel unsupervised domain adaptation framework, called Synergistic Image and Feature Adaptation (SIFA), to effectively tackle the problem of domain shift. Domain adaptation has become an important and hot topic in recent studies on deep learning, aiming to recover performance degradation when applying the neural networks to new testing domains. Our proposed SIFA is an elegant learning diagram which presents synergistic fusion of adaptations from both image and feature perspectives. In particular, we simultaneously transform the appearance of images across domains and enhance domain-invariance of the extracted features towards the segmentation task. The feature encoder layers are shared by both perspectives to grasp their mutual benefits during the end-to-end learning procedure. Without using any annotation from the target domain, the learning of our unified model is guided by adversarial losses, with multiple discriminators employed from various aspects. We have extensively validated our method with a challenging application of cross-modality medical image segmentation of cardiac structures. Experimental results demonstrate that our SIFA model recovers the degraded performance from 17.2% to 73.0%, and outperforms the state-of-the-art methods by a significant margin.
Key facts. Cited by 121 papers in the map (data through 7 Oct 2026). First posted on arXiv 24 Jan 2019.
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Citing papers per year: 2021: 25; 2022: 33; 2023: 27; 2024: 12; 2025: 15; 2026: 9.
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- 2021Domain Adaptation for Medical Image Analysis: A Surveycited by 351
- 2021SynthSeg: Segmentation of brain MRI scans of any contrast and resolution without retrainingcited by 235
- 2022Deep Unsupervised Domain Adaptation: A Review of Recent Advances and Perspectivescited by 98
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- 2021EvDistill: Asynchronous Events to End-task Learning via Bidirectional Reconstruction-guided Cross-modal Knowledge Distillationcited by 46
- 2022Rethinking Data Augmentation for Single-source Domain Generalization in Medical Image Segmentationcited by 44
- 2021MetaCorrection: Domain-aware Meta Loss Correction for Unsupervised Domain Adaptation in Semantic Segmentationcited by 43
- 2021Deep Symmetric Adaptation Network for Cross-modality Medical Image Segmentationcited by 39
- 2021Adapting Off-the-Shelf Source Segmenter for Target Medical Image Segmentationcited by 39
- 2023Towards Generic Semi-Supervised Framework for Volumetric Medical Image Segmentationcited by 35
- 2021Domain Generalization on Medical Imaging Classification using Episodic Training with Task Augmentationcited by 33
38 more
- 2022LE-UDA: Label-efficient unsupervised domain adaptation for medical image segmentationcited by 27
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- 2022MT-UDA: Towards Unsupervised Cross-modality Medical Image Segmentation with Limited Source Labelscited by 24
- 2023Deep learning for unsupervised domain adaptation in medical imaging: Recent advancements and future perspectivescited by 24
- 2021Source-free unsupervised domain adaptation for cross-modality abdominal multi-organ segmentationcited by 23
- 2023FVP: Fourier Visual Prompting for Source-Free Unsupervised Domain Adaptation of Medical Image Segmentationcited by 21
- 2023UPL-SFDA: Uncertainty-aware Pseudo Label Guided Source-Free Domain Adaptation for Medical Image Segmentationcited by 21
- 2021Margin Preserving Self-paced Contrastive Learning Towards Domain Adaptation for Medical Image Segmentationcited by 20
- 2022COSMOS: Cross-Modality Unsupervised Domain Adaptation for 3D Medical Image Segmentation based on Target-aware Domain Translation and Iterative Self-Trainingcited by 20
- 2022ACT: Semi-supervised Domain-adaptive Medical Image Segmentation with Asymmetric Co-trainingcited by 20
- 2022Multi-Modality Cardiac Image Computing: A Surveycited by 19
- 2021Panoptic Segmentation: A Reviewcited by 18
- 2022Contrastive Semi-supervised Learning for Domain Adaptive Segmentation Across Similar Anatomical Structurescited by 18
- 2022An End-to-end Supervised Domain Adaptation Framework for Cross-Domain Change Detectioncited by 17
- 2022Domain Adaptation Meets Zero-Shot Learning: An Annotation-Efficient Approach to Multi-Modality Medical Image Segmentationcited by 16
- 2022Generalizable Medical Image Segmentation via Random Amplitude Mixup and Domain-Specific Image Restorationcited by 15
- 2022Memory Consistent Unsupervised Off-the-Shelf Model Adaptation for Source-Relaxed Medical Image Segmentationcited by 15
- 2021DARCNN: Domain Adaptive Region-based Convolutional Neural Network for Unsupervised Instance Segmentation in Biomedical Imagescited by 14
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- 2024Open-Set Domain Adaptation for Semantic Segmentationcited by 13
- 2021Domain Adaptation for the Segmentation of Confidential Medical Imagescited by 12
- 2021Adapt Everywhere: Unsupervised Adaptation of Point-Clouds and Entropy Minimisation for Multi-modal Cardiac Image Segmentationcited by 11
- 2022CellTranspose: Few-shot Domain Adaptation for Cellular Instance Segmentationcited by 11
- 2022SS-3DCapsNet: Self-supervised 3D Capsule Networks for Medical Segmentation on Less Labeled Datacited by 10
- 2022Reducing Domain Gap in Frequency and Spatial domain for Cross-modality Domain Adaptation on Medical Image Segmentationcited by 10
- 2023SDC-UDA: Volumetric Unsupervised Domain Adaptation Framework for Slice-Direction Continuous Cross-Modality Medical Image Segmentationcited by 10
- 2022Self-semantic contour adaptation for cross modality brain tumor segmentationcited by 9
- 2021Dual-Teacher++: Exploiting Intra-domain and Inter-domain Knowledge with Reliable Transfer for Cardiac Segmentationcited by 8
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- 2023Spectral Adversarial MixUp for Few-Shot Unsupervised Domain Adaptationcited by 8
- 2024DAWN: Domain-Adaptive Weakly Supervised Nuclei Segmentation via Cross-Task Interactionscited by 8
- 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Reviewcited by 8
- 2021Unsupervised domain adaptation for clinician pose estimation and instance segmentation in the operating roomcited by 7
- 2023Curriculum-Based Augmented Fourier Domain Adaptation for Robust Medical Image Segmentationcited by 7
50 most cited of 121 All 121 (JSON)
- 2026Unified CT and MRI Pancreas Segmentation for Label-Efficient Cross-Modality Subregion Transfer11 Sep 2026
- 2026Unsupervised Adaptation of 3D CT Foundation Models for 3D CBCT Segmentation27 Aug 2026
- 2026UnDA: Unpaired Domain Alignment for Cross-Modal Knowledge Transfer in Medical Imaging23 Jul 2026
- 2026ASTRA-Net: Anatomy-Specific Transfer and Representation Alignment for Drug-Induced Sleep Endoscopy Segmentation23 Jul 2026
- 2026Learning to Unify Deformable Shape and Texture Representations for Cardiac Video Classification8 Jul 2026
- 2026CDPR: Counterfactual Advantage-based Credit Assignment for Cost-Aware Sequential Medical Diagnosis27 Jun 2026
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- 2025Plasticine: A Traceable Diffusion Model for Medical Image Translation20 Dec 2025
- 2025TCSA-UDA: Text-Driven Cross-Semantic Alignment for Unsupervised Domain Adaptation in Medical Image Segmentation8 Nov 2025
- 2025PF-DAformer: Proximal Femur Segmentation via Domain Adaptive Transformer for Dual-Center QCT30 Oct 2025
38 more
- 2025Unsupervised Domain Adaptation via Similarity-based Prototypes for Cross-Modality Segmentation23 Oct 2025
- 2025Robust Source-Free Domain Adaptation for Medical Image Segmentation based on Curriculum Learning9 Oct 2025
- 2025Multi-Domain Brain Vessel Segmentation Through Feature Disentanglement1 Oct 2025
- 2025Multi-Channel Uncertainty-Weighted Score Matching for Conditional Diffusion in Medical UDA26 Sep 2025
- 2025Is Exchangeability better than I.I.D to handle Data Distribution Shifts while Pooling Data for Data-scarce Medical image segmentation?25 Jul 2025
- 2025Universal Domain Adaptation for Semantic Segmentation28 May 2025
- 2025Bridging the Inter-Domain Gap through Low-Level Features for Cross-Modal Medical Image Segmentation17 May 2025
- 2025DDFP: Data-dependent Frequency Prompt for Source Free Domain Adaptation of Medical Image Segmentation15 May 2025
- 2025SydneyScapes: Image Segmentation for Australian Environments10 Apr 2025
- 2025Style Content Decomposition-based Data Augmentation for Domain Generalizable Medical Image Segmentation28 Feb 2025
- 2025Surgical Scene Understanding in the Era of Foundation AI Models: A Comprehensive Review16 Feb 2025
- 2025Gaze-Assisted Human-Centric Domain Adaptation for Cardiac Ultrasound Image Segmentation6 Feb 2025
- 2024Learn2Synth: Learning Optimal Data Synthesis Using Hypergradients for Brain Image Segmentation23 Nov 2024
- 2024Optimized Vessel Segmentation: A Structure-Agnostic Approach with Small Vessel Enhancement and Morphological Correction22 Nov 2024
- 2024Navigating Distribution Shifts in Medical Image Analysis: A Survey5 Nov 2024
- 2024FunOTTA: On-the-Fly Adaptation on Cross-Domain Fundus Image via Stable Test-time Training5 Jul 2024
- 2024An Uncertainty-guided Tiered Self-training Framework for Active Source-free Domain Adaptation in Prostate Segmentation3 Jul 2024
- 2024FreeTumor: Advance Tumor Segmentation via Large-Scale Tumor Synthesis3 Jun 2024
- 2024Open-Set Domain Adaptation for Semantic Segmentation30 May 2024
- 2024Domain adaptation in small-scale and heterogeneous biological datasets29 May 2024
- 2024Rethinking Barely-Supervised Volumetric Medical Image Segmentation from an Unsupervised Domain Adaptation Perspective16 May 2024
- 2024DAWN: Domain-Adaptive Weakly Supervised Nuclei Segmentation via Cross-Task Interactions23 Apr 2024
- 2024Towards Automatic Abdominal MRI Organ Segmentation: Leveraging Synthesized Data Generated From CT Labels22 Mar 2024
- 2024Learning to Generalize over Subpartitions for Heterogeneity-aware Domain Adaptive Nuclei Segmentation17 Jan 2024
- 2023MDD-UNet: Domain Adaptation for Medical Image Segmentation with Theoretical Guarantees, a Proof of Concept19 Dec 2023
- 2023Medical Image Segmentation with Domain Adaptation: A Survey3 Nov 2023
- 2023Towards contrast-agnostic soft segmentation of the spinal cord23 Oct 2023
- 2023Towards Generic Semi-Supervised Framework for Volumetric Medical Image Segmentation17 Oct 2023
- 2023Data efficient deep learning for medical image analysis: A survey10 Oct 2023
- 2023A Hierarchical Graph-based Approach for Recognition and Description Generation of Bimanual Actions in Videos1 Oct 2023
- 2023UPL-SFDA: Uncertainty-aware Pseudo Label Guided Source-Free Domain Adaptation for Medical Image Segmentation19 Sep 2023
- 2023Image-level supervision and self-training for transformer-based cross-modality tumor segmentation17 Sep 2023
- 2023A2V: A Semi-Supervised Domain Adaptation Framework for Brain Vessel Segmentation via Two-Phase Training Angiography-to-Venography Translation12 Sep 2023
- 2023Comprehensive analysis of synthetic learning applied to neonatal brain MRI segmentation11 Sep 2023
- 2023Spectral Adversarial MixUp for Few-Shot Unsupervised Domain Adaptation3 Sep 2023
- 2023Exploring Unsupervised Cell Recognition with Prior Self-activation Maps22 Aug 2023
- 2023Taxonomy Adaptive Cross-Domain Adaptation in Medical Imaging via Optimization Trajectory Distillation27 Jul 2023
- 2023SL: Stable Learning in Source-Free Domain Adaption for Medical Image Segmentation24 Jul 2023
50 newest of 121 All 121 (JSON)
- 2021Domain Adaptation for Medical Image Analysis: A Surveycited by 351
- 2021SynthSeg: Segmentation of brain MRI scans of any contrast and resolution without retrainingcited by 235
- 2022Deep Unsupervised Domain Adaptation: A Review of Recent Advances and Perspectivescited by 98
- 2021Breaking the Dilemma of Medical Image-to-image Translationcited by 82
- 2022Robust machine learning segmentation for large-scale analysis of heterogeneous clinical brain MRI datasetscited by 50
- 2021EvDistill: Asynchronous Events to End-task Learning via Bidirectional Reconstruction-guided Cross-modal Knowledge Distillationcited by 46
- 2022Rethinking Data Augmentation for Single-source Domain Generalization in Medical Image Segmentationcited by 44
- 2021MetaCorrection: Domain-aware Meta Loss Correction for Unsupervised Domain Adaptation in Semantic Segmentationcited by 43
- 2021Deep Symmetric Adaptation Network for Cross-modality Medical Image Segmentationcited by 39
- 2021Adapting Off-the-Shelf Source Segmenter for Target Medical Image Segmentationcited by 39
- 2023Towards Generic Semi-Supervised Framework for Volumetric Medical Image Segmentationcited by 35
- 2021Domain Generalization on Medical Imaging Classification using Episodic Training with Task Augmentationcited by 33
12 most cited of 120 All 120 (JSON)
- 2026Unified CT and MRI Pancreas Segmentation for Label-Efficient Cross-Modality Subregion Transfer11 Sep 2026
- 2026Unsupervised Adaptation of 3D CT Foundation Models for 3D CBCT Segmentation27 Aug 2026
- 2026UnDA: Unpaired Domain Alignment for Cross-Modal Knowledge Transfer in Medical Imaging23 Jul 2026
- 2026ASTRA-Net: Anatomy-Specific Transfer and Representation Alignment for Drug-Induced Sleep Endoscopy Segmentation23 Jul 2026
- 2026Learning to Unify Deformable Shape and Texture Representations for Cardiac Video Classification8 Jul 2026
- 2026CDPR: Counterfactual Advantage-based Credit Assignment for Cost-Aware Sequential Medical Diagnosis27 Jun 2026
- 2026RABC-Net: Reliability-Aware Annotation-Free Skin Lesion Segmentation for Low-Resource Dermoscopy7 Apr 2026
- 2026Why Invariance is Not Enough for Biomedical Domain Generalization and How to Fix It2 Apr 2026
- 2026Unsupervised Domain Adaptation with Target-Only Margin Disparity Discrepancy10 Mar 2026
- 2025TCSA-UDA: Text-Driven Cross-Semantic Alignment for Unsupervised Domain Adaptation in Medical Image Segmentation8 Nov 2025
- 2025PF-DAformer: Proximal Femur Segmentation via Domain Adaptive Transformer for Dual-Center QCT30 Oct 2025
- 2025Unsupervised Domain Adaptation via Similarity-based Prototypes for Cross-Modality Segmentation23 Oct 2025
12 newest of 120 All 120 (JSON)