# ScribbleVS: Scribble-Supervised Medical Image Segmentation via Dynamic Competitive Pseudo Label Selection

arXiv: https://arxiv.org/abs/2411.10237 · HTML: https://mlsanity.com/paper/2411.10237/

## Key facts

- Cited by 2 papers in the map (data through 14 Oct 2026).
- Builds on 28 of its 41 references that are in the map.
- First posted on arXiv 15 Nov 2024.

## Builds on (most cited first, 28 of 28)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [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)
- [Improved Regularization of Convolutional Neural Networks with Cutout](https://mlsanity.com/paper/1708.04552/) (2017)
- [3D U-Net: Learning Dense Volumetric Segmentation from Sparse Annotation](https://mlsanity.com/paper/1606.06650/) (2016)
- [Temporal Ensembling for Semi-Supervised Learning](https://mlsanity.com/paper/1610.02242/) (2016)
- [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)
- [Uncertainty-aware Self-ensembling Model for Semi-supervised 3D Left Atrium Segmentation](https://mlsanity.com/paper/1907.07034/) (2019)
- [ScribbleSup: Scribble-Supervised Convolutional Networks for Semantic Segmentation](https://mlsanity.com/paper/1604.05144/) (2016)
- [Puzzle Mix: Exploiting Saliency and Local Statistics for Optimal Mixup](https://mlsanity.com/paper/2009.06962/) (2020)
- [Embracing Imperfect Datasets: A Review of Deep Learning Solutions for Medical Image Segmentation](https://mlsanity.com/paper/1908.10454/) (2019)
- [Conditional Random Fields as Recurrent Neural Networks](https://mlsanity.com/paper/1502.03240/) (2015)
- [BoxInst: High-Performance Instance Segmentation with Box Annotations](https://mlsanity.com/paper/2012.02310/) (2020)
- [Multivariate mixture model for myocardium segmentation combining multi-source images](https://mlsanity.com/paper/1612.08820/) (2016)
- [Co-Mixup: Saliency Guided Joint Mixup with Supermodular Diversity](https://mlsanity.com/paper/2102.03065/) (2021)
- [On Regularized Losses for Weakly-supervised CNN Segmentation](https://mlsanity.com/paper/1803.09569/) (2018)
- [Normalized Cut Loss for Weakly-supervised CNN Segmentation](https://mlsanity.com/paper/1804.01346/) (2018)
- [Efficient Semi-Supervised Gross Target Volume of Nasopharyngeal Carcinoma Segmentation via Uncertainty Rectified Pyramid Consistency](https://mlsanity.com/paper/2012.07042/) (2020)
- [Pointly-Supervised Instance Segmentation](https://mlsanity.com/paper/2104.06404/) (2021)
- [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)
- [Learning to Segment Medical Images with Scribble-Supervision Alone](https://mlsanity.com/paper/1807.04668/) (2018)
- [Affinity Attention Graph Neural Network for Weakly Supervised Semantic Segmentation](https://mlsanity.com/paper/2106.04054/) (2021)
- [Gated CRF Loss for Weakly Supervised Semantic Image Segmentation](https://mlsanity.com/paper/1906.04651/) (2019)
- [Post-DAE: Anatomically Plausible Segmentation via Post-Processing with Denoising Autoencoders](https://mlsanity.com/paper/2006.13791/) (2020)
- [ScribbleVC: Scribble-supervised Medical Image Segmentation with Vision-Class Embedding](https://mlsanity.com/paper/2307.16226/) (2023)
- [ACCL: Adversarial constrained-CNN loss for weakly supervised medical image segmentation](https://mlsanity.com/paper/2005.00328/) (2020)

## Built on by (most cited first, 2 of 2)

- [PLESS: Pseudo-Label Enhancement with Spreading Scribbles for Weakly Supervised Segmentation](https://mlsanity.com/paper/2602.11628/) (2026)
- [Bi-Level Collaborative Learning for Few-Shot Scribble-Supervised Medical Image Segmentation](https://mlsanity.com/paper/2607.25432/) (2026)

## Abstract (arXiv)

In clinical medicine, precise image segmentation can provide substantial support to clinicians. However, obtaining high-quality segmentation typically demands extensive pixel-level annotations, which are labor-intensive and expensive. Scribble annotations offer a more cost-effective alternative by improving labeling efficiency. Nonetheless, using such sparse supervision for training reliable medical image segmentation models remains a significant challenge. Some studies employ pseudo-labeling to enhance supervision, but these methods are susceptible to noise interference. To address these challenges, we introduce ScribbleVS, a framework designed to learn from scribble annotations. We introduce a Regional Pseudo Labels Diffusion Module to expand the scope of supervision and reduce the impact of noise present in pseudo labels. Additionally, we introduce a Dynamic Competitive Selection module for enhanced refinement in selecting pseudo labels. Experiments conducted on the ACDC, MSCMRseg, WORD, and BraTS2020 datasets demonstrate promising results, achieving segmentation precision comparable to fully supervised models. The codes of this study are available at https://github.com/ortonwang/ScribbleVS.