Annotation-efficient deep learning for automatic medical image segmentation
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Abstract (arXiv)
Automatic medical image segmentation plays a critical role in scientific research and medical care. Existing high-performance deep learning methods typically rely on large training datasets with high-quality manual annotations, which are difficult to obtain in many clinical applications. Here, we introduce Annotation-effIcient Deep lEarning (AIDE), an open-source framework to handle imperfect training datasets. Methodological analyses and empirical evaluations are conducted, and we demonstrate that AIDE surpasses conventional fully-supervised models by presenting better performance on open datasets possessing scarce or noisy annotations. We further test AIDE in a real-life case study for breast tumor segmentation. Three datasets containing 11,852 breast images from three medical centers are employed, and AIDE, utilizing 10% training annotations, consistently produces segmentation maps comparable to those generated by fully-supervised counterparts or provided by independent radiologists. The 10-fold enhanced efficiency in utilizing expert labels has the potential to promote a wide range of biomedical applications.
Key facts. Cited by 79 papers in the map (data through 14 Oct 2026). First posted on arXiv 9 Dec 2020.
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Citing papers per year: 2021: 1; 2022: 7; 2023: 9; 2024: 25; 2025: 22; 2026: 15.
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- 2024Enhancing the vision-language foundation model with key semantic knowledge-emphasized report refinement21 Jan 2024
- 2024A multi-modal vision-language model for generalizable annotation-free pathology localization4 Jan 2024
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- 2026Rewarding Reasoning, Not Answers: Fixing and Bounding Test-Time Reinforcement Learning on Medical QA15 Sep 2026
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- 2026A Few Cases Are All You Need: An Empirical Study of Annotation-Efficient LoRA Fine-Tuning of MedSAM319 Aug 2026
- 2026Multiclass Classification without Labels via Posterior Simplex Geometry27 Jul 2026
- 2026Interpretable Probabilistic Medical Image Segmentation via Gaussian Process with Explicit Modelling of Annotation Bias and Variability22 Jun 2026
- 2026Dataset-Aware Cold-Start Active Learning for Annotation-Efficient 3D Medical Image Segmentation18 Jun 2026
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