# Leveraging Unlabeled Scans for NCCT Image Segmentation in Early Stroke Diagnosis: A Semi-Supervised GAN Approach

arXiv: https://arxiv.org/abs/2511.19576 · HTML: https://mlsanity.com/paper/2511.19576/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 7 of its 13 references that are in the map.
- First posted on arXiv 24 Nov 2025.

## Builds on (most cited first, 7 of 7)

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [Swin-Unet: Unet-like Pure Transformer for Medical Image Segmentation](https://mlsanity.com/paper/2105.05537/) (2021)
- [Semi-Supervised Semantic Segmentation with High- and Low-level Consistency](https://mlsanity.com/paper/1908.05724/) (2019)
- [Medical Image Segmentation with Limited Supervision: A Review of Deep Network Models](https://mlsanity.com/paper/2103.00429/) (2021)
- [Symmetry-Enhanced Attention Network for Acute Ischemic Infarct Segmentation with Non-Contrast CT Images](https://mlsanity.com/paper/2110.05039/) (2021)
- [SCUNet++: Swin-UNet and CNN Bottleneck Hybrid Architecture with Multi-Fusion Dense Skip Connection for Pulmonary Embolism CT Image Segmentation](https://mlsanity.com/paper/2312.14705/) (2023)
- [Random Expert Sampling for Deep Learning Segmentation of Acute Ischemic Stroke on Non-contrast CT](https://mlsanity.com/paper/2309.03930/) (2023)

## Abstract (arXiv)

Ischemic stroke is a time-critical medical emergency where rapid diagnosis is essential for improving patient outcomes. Non-contrast computed tomography (NCCT) serves as the frontline imaging tool, yet it often fails to reveal the subtle ischemic changes present in the early, hyperacute phase. This limitation can delay crucial interventions. To address this diagnostic challenge, we introduce a semi-supervised segmentation method using generative adversarial networks (GANs) to accurately delineate early ischemic stroke regions. The proposed method employs an adversarial framework to effectively learn from a limited number of annotated NCCT scans, while simultaneously leveraging a larger pool of unlabeled scans. By employing Dice loss, cross-entropy loss, a feature matching loss and a self-training loss, the model learns to identify and delineate early infarcts, even when they are faint or their size is small. Experiments on the publicly available Acute Ischemic Stroke Dataset (AISD) demonstrate the potential of the proposed method to enhance diagnostic capabilities, reduce the burden of manual annotation, and support more efficient clinical decision-making in stroke care.