# Size Aware Cross-shape Scribble Supervision for Medical Image Segmentation

arXiv: https://arxiv.org/abs/2408.13639 · HTML: https://mlsanity.com/paper/2408.13639/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 16 of its 24 references that are in the map.
- First posted on arXiv 24 Aug 2024.

## Builds on (most cited first, 16 of 16)

- [PyTorch: An Imperative Style, High-Performance Deep Learning Library](https://mlsanity.com/paper/1912.01703/) (2019)
- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [UNet++: A Nested U-Net Architecture for Medical Image Segmentation](https://mlsanity.com/paper/1807.10165/) (2018)
- [Kvasir-SEG: A Segmented Polyp Dataset](https://mlsanity.com/paper/1911.07069/) (2019)
- [PraNet: Parallel Reverse Attention Network for Polyp Segmentation](https://mlsanity.com/paper/2006.11392/) (2020)
- [ScribbleSup: Scribble-Supervised Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1604.05144/) (2016)
- [Learning random-walk label propagation for weakly-supervised semantic segmentation](https://mlsanity.com/paper/1802.00470/) (2018)
- [Weakly-Supervised Salient Object Detection via Scribble Annotations](https://mlsanity.com/paper/2003.07685/) (2020)
- [CycleMix: A Holistic Strategy for Medical Image Segmentation from Scribble Supervision](https://mlsanity.com/paper/2203.01475/) (2022)
- [Scribble-Supervised Medical Image Segmentation via Dual-Branch Network and Dynamically Mixed Pseudo Labels Supervision](https://mlsanity.com/paper/2203.02106/) (2022)
- [Scribble2Label: Scribble-Supervised Cell Segmentation via Self-Generating Pseudo-Labels with Consistency](https://mlsanity.com/paper/2006.12890/) (2020)
- [Tree Energy Loss: Towards Sparsely Annotated Semantic Segmentation](https://mlsanity.com/paper/2203.10739/) (2022)
- [Scribble-based Hierarchical Weakly Supervised Learning for Brain Tumor Segmentation](https://mlsanity.com/paper/1911.02014/) (2019)
- [ShapePU: A New PU Learning Framework Regularized by Global Consistency for Scribble Supervised Cardiac Segmentation](https://mlsanity.com/paper/2206.02118/) (2022)
- [Non-Iterative Scribble-Supervised Learning with Pacing Pseudo-Masks for Medical Image Segmentation](https://mlsanity.com/paper/2210.10956/) (2022)
- [ZScribbleSeg: Zen and the Art of Scribble Supervised Medical Image Segmentation](https://mlsanity.com/paper/2301.04882/) (2023)

## Abstract (arXiv)

Scribble supervision, a common form of weakly supervised learning, involves annotating pixels using hand-drawn curve lines, which helps reduce the cost of manual labelling. This technique has been widely used in medical image segmentation tasks to fasten network training. However, scribble supervision has limitations in terms of annotation consistency across samples and the availability of comprehensive groundtruth information. Additionally, it often grapples with the challenge of accommodating varying scale targets, particularly in the context of medical images. In this paper, we propose three novel methods to overcome these challenges, namely, 1) the cross-shape scribble annotation method; 2) the pseudo mask method based on cross shapes; and 3) the size-aware multi-branch method. The parameter and structure design are investigated in depth. Experimental results show that the proposed methods have achieved significant improvement in mDice scores across multiple polyp datasets. Notably, the combination of these methods outperforms the performance of state-of-the-art scribble supervision methods designed for medical image segmentation.