Teach me to segment with mixed supervision: Confident students become masters
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Abstract (arXiv)
Deep segmentation neural networks require large training datasets with pixel-wise segmentations, which are expensive to obtain in practice. Mixed supervision could mitigate this difficulty, with a small fraction of the data containing complete pixel-wise annotations, while the rest being less supervised, e.g., only a handful of pixels are labeled. In this work, we propose a dual-branch architecture, where the upper branch (teacher) receives strong annotations, while the bottom one (student) is driven by limited supervision and guided by the upper branch. In conjunction with a standard cross-entropy over the labeled pixels, our novel formulation integrates two important terms: (i) a Shannon entropy loss defined over the less-supervised images, which encourages confident student predictions at the bottom branch; and (ii) a Kullback-Leibler (KL) divergence, which transfers the knowledge from the predictions generated by the strongly supervised branch to the less-supervised branch, and guides the entropy (student-confidence) term to avoid trivial solutions. Very interestingly, we show that the synergy between the entropy and KL divergence yields substantial improvements in performances. Furthermore, we discuss an interesting link between Shannon-entropy minimization and standard pseudo-mask generation and argue that the former should be preferred over the latter for leveraging information from unlabeled pixels. Through a series of quantitative and qualitative experiments, we show the effectiveness of the proposed formulation in segmenting the left-ventricle endocardium in MRI images. We demonstrate that our method significantly outperforms other strategies to tackle semantic segmentation within a mixed-supervision framework. More interestingly, and in line with recent observations in classification, we show that the branch trained with reduced supervision largely outperforms the teacher.
Key facts. Cited by 8 papers in the map (data through 7 Oct 2026). First posted on arXiv 15 Dec 2020.
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Citing papers per year: 2021: 1; 2022: 2; 2023: 0; 2024: 4; 2025: 0; 2026: 1.
8 papers.
- 2022Scribble-Supervised Medical Image Segmentation via Dual-Branch Network and Dynamically Mixed Pseudo Labels Supervisioncited by 64
- 2022Non-Iterative Scribble-Supervised Learning with Pacing Pseudo-Masks for Medical Image Segmentationcited by 9
- 2024Ultrasound Nodule Segmentation Using Asymmetric Learning with Simple Clinical Annotationcited by 9
- 2024SAM-Driven Weakly Supervised Nodule Segmentation with Uncertainty-Aware Cross Teachingcited by 7
- 2021Segmentation with mixed supervision: Confidence maximization helps knowledge distillationcited by 6
- 2024Beyond Pixel-Wise Supervision for Medical Image Segmentation: From Traditional Models to Foundation Modelscited by 4
- 2024SP 3 : Superpixel-propagated pseudo-label learning for weakly semi-supervised medical image segmentationcited by 0
- 2026From Clinical Intent to Clinical Model: Autonomous Coding-Agents for Clinician-driven AI Developmentcited by 0
- 2026From Clinical Intent to Clinical Model: Autonomous Coding-Agents for Clinician-driven AI Development18 Apr 2026
- 2024SP 3 : Superpixel-propagated pseudo-label learning for weakly semi-supervised medical image segmentation18 Nov 2024
- 2024SAM-Driven Weakly Supervised Nodule Segmentation with Uncertainty-Aware Cross Teaching18 Jul 2024
- 2024Ultrasound Nodule Segmentation Using Asymmetric Learning with Simple Clinical Annotation23 Apr 2024
- 2024Beyond Pixel-Wise Supervision for Medical Image Segmentation: From Traditional Models to Foundation Models20 Apr 2024
- 2022Non-Iterative Scribble-Supervised Learning with Pacing Pseudo-Masks for Medical Image Segmentation20 Oct 2022
- 2022Scribble-Supervised Medical Image Segmentation via Dual-Branch Network and Dynamically Mixed Pseudo Labels Supervision4 Mar 2022
- 2021Segmentation with mixed supervision: Confidence maximization helps knowledge distillation21 Sep 2021