STRUDEL: Self-Training with Uncertainty Dependent Label Refinement across Domains
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Abstract (arXiv)
We propose an unsupervised domain adaptation (UDA) approach for white matter hyperintensity (WMH) segmentation, which uses Self-Training with Uncertainty DEpendent Label refinement (STRUDEL). Self-training has recently been introduced as a highly effective method for UDA, which is based on self-generated pseudo labels. However, pseudo labels can be very noisy and therefore deteriorate model performance. We propose to predict the uncertainty of pseudo labels and integrate it in the training process with an uncertainty-guided loss function to highlight labels with high certainty. STRUDEL is further improved by incorporating the segmentation output of an existing method in the pseudo label generation that showed high robustness for WMH segmentation. In our experiments, we evaluate STRUDEL with a standard U-Net and a modified network with a higher receptive field. Our results on WMH segmentation across datasets demonstrate the significant improvement of STRUDEL with respect to standard self-training.
Key facts. Cited by 4 papers in the map (data through 7 Oct 2026). Builds on 18 of its 31 references that are in the map. First posted on arXiv 23 Apr 2021.
Builds on
18 of 31 references.
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6 more
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Citing papers per year: 2023: 3; 2024: 0; 2025: 1.
4 papers.
- 2023Deep learning for unsupervised domain adaptation in medical imaging: Recent advancements and future perspectivescited by 24
- 2023SDC-UDA: Volumetric Unsupervised Domain Adaptation Framework for Slice-Direction Continuous Cross-Modality Medical Image Segmentationcited by 10
- 2023Data efficient deep learning for medical image analysis: A surveycited by 6
- 2025Using Foundation Models as Pseudo-Label Generators for Pre-Clinical 4D Cardiac CT Segmentationcited by 1
- 2025Using Foundation Models as Pseudo-Label Generators for Pre-Clinical 4D Cardiac CT Segmentation14 May 2025
- 2023Data efficient deep learning for medical image analysis: A survey10 Oct 2023
- 2023Deep learning for unsupervised domain adaptation in medical imaging: Recent advancements and future perspectives18 Jul 2023
- 2023SDC-UDA: Volumetric Unsupervised Domain Adaptation Framework for Slice-Direction Continuous Cross-Modality Medical Image Segmentation18 May 2023