# Unsupervised Domain Adaptation via Content Alignment for Hippocampus Segmentation

arXiv: https://arxiv.org/abs/2510.13075 · HTML: https://mlsanity.com/paper/2510.13075/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 18 of its 35 references that are in the map.
- First posted on arXiv 15 Oct 2025.

## Builds on (most cited first, 18 of 18)

- [Multimodal Unsupervised Image-to-Image Translation](https://mlsanity.com/paper/1804.04732/) (2018)
- [VoxelMorph: A Learning Framework for Deformable Medical Image Registration](https://mlsanity.com/paper/1809.05231/) (2018)
- [Domain Adaptation for Medical Image Analysis: A Survey](https://mlsanity.com/paper/2102.09508/) (2021)
- [DRIT++: Diverse Image-to-Image Translation via Disentangled Representations](https://mlsanity.com/paper/1905.01270/) (2019)
- [Medical Image Segmentation Review: The success of U-Net](https://mlsanity.com/paper/2211.14830/) (2022)
- [Unsupervised Learning of Probabilistic Diffeomorphic Registration for Images and Surfaces](https://mlsanity.com/paper/1903.03545/) (2019)
- [An Unsupervised Learning Model for Deformable Medical Image Registration](https://mlsanity.com/paper/1802.02604/) (2018)
- [Data augmentation using learned transformations for one-shot medical image segmentation](https://mlsanity.com/paper/1902.09383/) (2019)
- [Unsupervised domain adaptation in brain lesion segmentation with adversarial networks](https://mlsanity.com/paper/1612.08894/) (2016)
- [Unsupervised Learning for Fast Probabilistic Diffeomorphic Registration](https://mlsanity.com/paper/1805.04605/) (2018)
- [CycleMorph: Cycle Consistent Unsupervised Deformable Image Registration](https://mlsanity.com/paper/2008.05772/) (2020)
- [DeepAtlas: Joint Semi-Supervised Learning of Image Registration and Segmentation](https://mlsanity.com/paper/1904.08465/) (2019)
- [Morpho-MNIST: Quantitative Assessment and Diagnostics for Representation Learning](https://mlsanity.com/paper/1809.10780/) (2018)
- [LT-Net: Label Transfer by Learning Reversible Voxel-wise Correspondence for One-shot Medical Image Segmentation](https://mlsanity.com/paper/2003.07072/) (2020)
- [Deep learning for unsupervised domain adaptation in medical imaging: Recent advancements and future perspectives](https://mlsanity.com/paper/2308.01265/) (2023)
- [Deep Complementary Joint Model for Complex Scene Registration and Few-shot Segmentation on Medical Images](https://mlsanity.com/paper/2008.00710/) (2020)
- [Unsupervised Domain Adaptation via CycleGAN for White Matter Hyperintensity Segmentation in Multicenter MR Images](https://mlsanity.com/paper/2009.04985/) (2020)
- [Anatomical Data Augmentation via Fluid-based Image Registration](https://mlsanity.com/paper/2007.02447/) (2020)

## Abstract (arXiv)

Deep learning models for medical image segmentation often struggle when deployed across different datasets due to domain shifts - variations in both image appearance, known as style, and population-dependent anatomical characteristics, referred to as content. This paper presents a novel unsupervised domain adaptation framework that directly addresses domain shifts encountered in cross-domain hippocampus segmentation from MRI, with specific emphasis on content variations. Our approach combines efficient style harmonisation through z-normalisation with a bidirectional deformable image registration (DIR) strategy. The DIR network is jointly trained with segmentation and discriminator networks to guide the registration with respect to a region of interest and generate anatomically plausible transformations that align source images to the target domain. We validate our approach through comprehensive evaluations on both a synthetic dataset using Morpho-MNIST (for controlled validation of core principles) and three MRI hippocampus datasets representing populations with varying degrees of atrophy. Across all experiments, our method outperforms existing baselines. For hippocampus segmentation, when transferring from young, healthy populations to clinical dementia patients, our framework achieves up to 15% relative improvement in Dice score compared to standard augmentation methods, with the largest gains observed in scenarios with substantial content shift. These results highlight the efficacy of our approach for accurate hippocampus segmentation across diverse populations.