Prototype Learning for Out-of-Distribution Polyp Segmentation

Existing polyp segmentation models from colonoscopy images often fail to provide reliable segmentation results on datasets from different centers, limiting their applicability. Our objective in this study is to create a robust and well-generalized segmentation model named PrototypeLab that can assist in polyp segmentation. To achieve this, we incorporate various lighting modes such as White light imaging (WLI), Blue light imaging (BLI), Linked color imaging (LCI), and Flexible spectral imaging color enhancement (FICE) into our new segmentation model, that learns to create prototypes for each class of object present in the images. These prototypes represent the characteristic features of the objects, such as their shape, texture, color. Our model is designed to perform effectively on out-of-distribution (OOD) datasets from multiple centers. We first generate a coarse mask that is used to learn prototypes for the main object class, which are then employed to generate the final segmentation mask. By using prototypes to represent the main class, our approach handles the variability present in the medical images and generalize well to new data since prototype capture the underlying distribution of the data. PrototypeLab offers a promising solution with a dice coefficient of ≥ 90% and mIoU ≥ 85% with a near real-time processing speed for polyp segmentation. It achieved superior performance on OOD datasets compared to 16 state-of-the-art image segmentation architectures, potentially improving clinical outcomes. Codes are available at https://github.com/xxxxx/PrototypeLab.