# Rethinking Barely-Supervised Volumetric Medical Image Segmentation from an Unsupervised Domain Adaptation Perspective

arXiv: https://arxiv.org/abs/2405.09777 · HTML: https://mlsanity.com/paper/2405.09777/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 30 of its 42 references that are in the map.
- First posted on arXiv 16 May 2024.

## Builds on (most cited first, 30 of 30)

- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [mixup: Beyond Empirical Risk Minimization](https://mlsanity.com/paper/1710.09412/) (2017)
- [CutMix: Regularization Strategy to Train Strong Classifiers with Localizable Features](https://mlsanity.com/paper/1905.04899/) (2019)
- [V-Net: Fully Convolutional Neural Networks for Volumetric Medical Image Segmentation](https://mlsanity.com/paper/1606.04797/) (2016)
- [FixMatch: Simplifying Semi-Supervised Learning with Consistency and Confidence](https://mlsanity.com/paper/2001.07685/) (2020)
- [Deep Domain Confusion: Maximizing for Domain Invariance](https://mlsanity.com/paper/1412.3474/) (2014)
- [FDA: Fourier Domain Adaptation for Semantic Segmentation](https://mlsanity.com/paper/2004.05498/) (2020)
- [Identifying the Best Machine Learning Algorithms for Brain Tumor Segmentation, Progression Assessment, and Overall Survival Prediction in the BRATS Challenge](https://mlsanity.com/paper/1811.02629/) (2018)
- [Semi-Supervised Semantic Segmentation with Cross Pseudo Supervision](https://mlsanity.com/paper/2106.01226/) (2021)
- [Uncertainty-aware Self-ensembling Model for Semi-supervised 3D Left Atrium Segmentation](https://mlsanity.com/paper/1907.07034/) (2019)
- [A Fourier-based Framework for Domain Generalization](https://mlsanity.com/paper/2105.11120/) (2021)
- [Semi-supervised Medical Image Segmentation through Dual-task Consistency](https://mlsanity.com/paper/2009.04448/) (2020)
- [Revisiting Weak-to-Strong Consistency in Semi-Supervised Semantic Segmentation](https://mlsanity.com/paper/2208.09910/) (2022)
- [FSDR: Frequency Space Domain Randomization for Domain Generalization](https://mlsanity.com/paper/2103.02370/) (2021)
- [Unsupervised Bidirectional Cross-Modality Adaptation via Deeply Synergistic Image and Feature Alignment for Medical Image Segmentation](https://mlsanity.com/paper/2002.02255/) (2020)
- [Synergistic Image and Feature Adaptation: Towards Cross-Modality Domain Adaptation for Medical Image Segmentation](https://mlsanity.com/paper/1901.08211/) (2019)
- [Bidirectional Copy-Paste for Semi-Supervised Medical Image Segmentation](https://mlsanity.com/paper/2305.00673/) (2023)
- [Mutual Consistency Learning for Semi-supervised Medical Image Segmentation](https://mlsanity.com/paper/2109.09960/) (2021)
- [Semi-supervised Left Atrium Segmentation with Mutual Consistency Training](https://mlsanity.com/paper/2103.02911/) (2021)
- [Efficient Semi-Supervised Gross Target Volume of Nasopharyngeal Carcinoma Segmentation via Uncertainty Rectified Pyramid Consistency](https://mlsanity.com/paper/2012.07042/) (2020)
- [CycleMix: A Holistic Strategy for Medical Image Segmentation from Scribble Supervision](https://mlsanity.com/paper/2203.01475/) (2022)
- [Weakly Supervised Deep Nuclei Segmentation Using Partial Points Annotation in Histopathology Images](https://mlsanity.com/paper/2007.05448/) (2020)
- [LE-UDA: Label-efficient unsupervised domain adaptation for medical image segmentation](https://mlsanity.com/paper/2212.02078/) (2022)
- [ShapePU: A New PU Learning Framework Regularized by Global Consistency for Scribble Supervised Cardiac Segmentation](https://mlsanity.com/paper/2206.02118/) (2022)
- [Co-training with High-Confidence Pseudo Labels for Semi-supervised Medical Image Segmentation](https://mlsanity.com/paper/2301.04465/) (2023)
- [WeakPolyp: You Only Look Bounding Box for Polyp Segmentation](https://mlsanity.com/paper/2307.10912/) (2023)
- [Barely-Supervised Learning: Semi-Supervised Learning with very few labeled images](https://mlsanity.com/paper/2112.12004/) (2021)
- [Nuclei Segmentation with Point Annotations from Pathology Images via Self-Supervised Learning and Co-Training](https://mlsanity.com/paper/2202.08195/) (2022)
- [Orthogonal Annotation Benefits Barely-supervised Medical Image Segmentation](https://mlsanity.com/paper/2303.13090/) (2023)
- [Deep Learning Based Instance Segmentation in 3D Biomedical Images Using Weak Annotation](https://mlsanity.com/paper/1806.11137/) (2018)

## Abstract (arXiv)

This paper investigates an extremely challenging problem: barely-supervised volumetric medical image segmentation (BSS). A BSS training dataset consists of two parts: 1) a barely-annotated labeled set, where each labeled image contains only a single-slice annotation, and 2) an unlabeled set comprising numerous unlabeled volumetric images. State-of-the-art BSS methods employ a registration-based paradigm, which uses inter-slice image registration to propagate single-slice annotations into volumetric pseudo labels, constructing a completely annotated labeled set, to which a semi-supervised segmentation scheme can be applied. However, the paradigm has a critical limitation: the pseudo-labels generated by image registration are unreliable and noisy. Motivated by this, we propose a new perspective: instead of solving BSS within a semi-supervised learning scheme, this work formulates BSS as an unsupervised domain adaptation problem. To this end, we propose a novel BSS framework, Barely-supervised learning via unsupervised domain Adaptation (BvA), as an alternative to the dominant registration paradigm. Specifically, we first design a novel noise-free labeled data construction algorithm (NFC) for slice-to-volume labeled data synthesis. Then, we introduce a frequency and spatial Mix-Up strategy (FSX) to mitigate the domain shifts. Extensive experiments demonstrate that our method provides a promising alternative for BSS. Remarkably, the proposed method, trained on the left atrial segmentation dataset with only one barely-labeled image, achieves a Dice score of 81.20%, outperforming the state-of-the-art by 61.71%. The code is available at https://github.com/Senyh/BvA.