# DRL-STNet: Unsupervised Domain Adaptation for Cross-modality Medical Image Segmentation via Disentangled Representation Learning

arXiv: https://arxiv.org/abs/2409.18340 · HTML: https://mlsanity.com/paper/2409.18340/

## Key facts

- Cited by 3 papers in the map (data through 14 Oct 2026).
- Builds on 17 of its 40 references that are in the map.
- First posted on arXiv 26 Sep 2024.

## Builds on (most cited first, 17 of 17)

- [Deep Residual Learning for Image Recognition](https://mlsanity.com/paper/1512.03385/) (2015)
- [Least Squares Generative Adversarial Networks](https://mlsanity.com/paper/1611.04076/) (2016)
- [TotalSegmentator: robust segmentation of 104 anatomical structures in CT images](https://mlsanity.com/paper/2208.05868/) (2022)
- [A large annotated medical image dataset for the development and evaluation of segmentation algorithms](https://mlsanity.com/paper/1902.09063/) (2019)
- [AMOS: A Large-Scale Abdominal Multi-Organ Benchmark for Versatile Medical Image Segmentation](https://mlsanity.com/paper/2206.08023/) (2022)
- [Diverse Image-to-Image Translation via Disentangled Representations](https://mlsanity.com/paper/1808.00948/) (2018)
- [AbdomenCT-1K: Is Abdominal Organ Segmentation A Solved Problem?](https://mlsanity.com/paper/2010.14808/) (2020)
- [The state of the art in kidney and kidney tumor segmentation in contrast-enhanced CT imaging: Results of the KiTS19 Challenge](https://mlsanity.com/paper/1912.01054/) (2019)
- [Unsupervised Bidirectional Cross-Modality Adaptation via Deeply Synergistic Image and Feature Alignment for Medical Image Segmentation](https://mlsanity.com/paper/2002.02255/) (2020)
- [Codabench: Flexible, Easy-to-Use and Reproducible Benchmarking Platform](https://mlsanity.com/paper/2110.05802/) (2021)
- [Segment Anything in Medical Images and Videos: Benchmark and Deployment](https://mlsanity.com/paper/2408.03322/) (2024)
- [Unsupervised Domain Adaptation with Variational Approximation for Cardiac Segmentation](https://mlsanity.com/paper/2106.08752/) (2021)
- [Automatic Organ and Pan-cancer Segmentation in Abdomen CT: the FLARE 2023 Challenge](https://mlsanity.com/paper/2408.12534/) (2024)
- [SDR-Former: A Siamese Dual-Resolution Transformer for Liver Lesion Classification Using 3D Multi-Phase Imaging](https://mlsanity.com/paper/2402.17246/) (2024)
- [SDC-UDA: Volumetric Unsupervised Domain Adaptation Framework for Slice-Direction Continuous Cross-Modality Medical Image Segmentation](https://mlsanity.com/paper/2305.11012/) (2023)
- [StenUNet: Automatic Stenosis Detection from X-ray Coronary Angiography](https://mlsanity.com/paper/2310.14961/) (2023)
- [Brighteye: Glaucoma Screening with Color Fundus Photographs based on Vision Transformer](https://mlsanity.com/paper/2405.00857/) (2024)

## Built on by (most cited first, 3 of 3)

- [Multi-Domain Brain Vessel Segmentation Through Feature Disentanglement](https://mlsanity.com/paper/2510.00665/) (2025)
- [Diffusion-Based Limited-Angle CT Reconstruction under Noisy Conditions](https://mlsanity.com/paper/2507.05647/) (2025)
- [SHAPE: Structure-aware Hierarchical Unsupervised Domain Adaptation with Plausibility Evaluation for Medical Image Segmentation](https://mlsanity.com/paper/2603.21904/) (2026)

## Abstract (arXiv)

Unsupervised domain adaptation (UDA) is essential for medical image segmentation, especially in cross-modality data scenarios. UDA aims to transfer knowledge from a labeled source domain to an unlabeled target domain, thereby reducing the dependency on extensive manual annotations. This paper presents DRL-STNet, a novel framework for cross-modality medical image segmentation that leverages generative adversarial networks (GANs), disentangled representation learning (DRL), and self-training (ST). Our method leverages DRL within a GAN to translate images from the source to the target modality. Then, the segmentation model is initially trained with these translated images and corresponding source labels and then fine-tuned iteratively using a combination of synthetic and real images with pseudo-labels and real labels. The proposed framework exhibits superior performance in abdominal organ segmentation on the FLARE challenge dataset, surpassing state-of-the-art methods by 11.4% in the Dice similarity coefficient and by 13.1% in the Normalized Surface Dice metric, achieving scores of 74.21% and 80.69%, respectively. The average running time is 41 seconds, and the area under the GPU memory-time curve is 11,292 MB. These results indicate the potential of DRL-STNet for enhancing cross-modality medical image segmentation tasks.