# A Closer Look at Edema Area Segmentation in SD-OCT Images Using Adversarial Framework

arXiv: https://arxiv.org/abs/2508.18790 · HTML: https://mlsanity.com/paper/2508.18790/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 8 of its 23 references that are in the map.
- First posted on arXiv 26 Aug 2025.

## Builds on (most cited first, 8 of 8)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Attention U-Net: Learning Where to Look for the Pancreas](https://mlsanity.com/paper/1804.03999/) (2018)
- [UNet++: Redesigning Skip Connections to Exploit Multiscale Features in Image Segmentation](https://mlsanity.com/paper/1912.05074/) (2019)
- [Towards Stable Test-Time Adaptation in Dynamic Wild World](https://mlsanity.com/paper/2302.12400/) (2023)
- [Encoding Structure-Texture Relation with P-Net for Anomaly Detection in Retinal Images](https://mlsanity.com/paper/2008.03632/) (2020)
- [Proxy-bridged Image Reconstruction Network for Anomaly Detection in Medical Images](https://mlsanity.com/paper/2110.01761/) (2021)
- [RetiFluidNet: A Self-Adaptive and Multi-Attention Deep Convolutional Network for Retinal OCT Fluid Segmentation](https://mlsanity.com/paper/2209.12468/) (2022)
- [Test-time generative augmentation for medical image segmentation](https://mlsanity.com/paper/2406.17608/) (2024)

## Abstract (arXiv)

The development of artificial intelligence models for macular edema (ME) analy-sis always relies on expert-annotated pixel-level image datasets which are expen-sive to collect prospectively. While anomaly-detection-based weakly-supervised methods have shown promise in edema area (EA) segmentation task, their per-formance still lags behind fully-supervised approaches. In this paper, we leverage the strong correlation between EA and retinal layers in spectral-domain optical coherence tomography (SD-OCT) images, along with the update characteristics of weakly-supervised learning, to enhance an off-the-shelf adversarial framework for EA segmentation with a novel layer-structure-guided post-processing step and a test-time-adaptation (TTA) strategy. By incorporating additional retinal lay-er information, our framework reframes the dense EA prediction task as one of confirming intersection points between the EA contour and retinal layers, result-ing in predictions that better align with the shape prior of EA. Besides, the TTA framework further helps address discrepancies in the manifestations and presen-tations of EA between training and test sets. Extensive experiments on two pub-licly available datasets demonstrate that these two proposed ingredients can im-prove the accuracy and robustness of EA segmentation, bridging the gap between weakly-supervised and fully-supervised models.