# Endo-SemiS: Towards Robust Semi-Supervised Image Segmentation for Endoscopic Video

arXiv: https://arxiv.org/abs/2512.16977 · HTML: https://mlsanity.com/paper/2512.16977/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 17 of its 24 references that are in the map.
- First posted on arXiv 18 Dec 2025.

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

- [U-Net: Convolutional Networks for Biomedical Image Segmentation](https://mlsanity.com/paper/1505.04597/) (2015)
- [CutMix: Regularization Strategy to Train Strong Classifiers with Localizable Features](https://mlsanity.com/paper/1905.04899/) (2019)
- [What Uncertainties Do We Need in Bayesian Deep Learning for Computer Vision?](https://mlsanity.com/paper/1703.04977/) (2017)
- [FixMatch: Simplifying Semi-Supervised Learning with Consistency and Confidence](https://mlsanity.com/paper/2001.07685/) (2020)
- [Deep Mutual Learning](https://mlsanity.com/paper/1706.00384/) (2017)
- [Pseudo-Labeling and Confirmation Bias in Deep Semi-Supervised Learning](https://mlsanity.com/paper/1908.02983/) (2019)
- [Semi-Supervised Semantic Segmentation with Cross Pseudo Supervision](https://mlsanity.com/paper/2106.01226/) (2021)
- [Uncertainty-aware Self-ensembling Model for Semi-supervised 3D Left Atrium Segmentation](https://mlsanity.com/paper/1907.07034/) (2019)
- [Revisiting Weak-to-Strong Consistency in Semi-Supervised Semantic Segmentation](https://mlsanity.com/paper/2208.09910/) (2022)
- [Shallow Attention Network for Polyp Segmentation](https://mlsanity.com/paper/2108.00882/) (2021)
- [Semi-supervised Left Atrium Segmentation with Mutual Consistency Training](https://mlsanity.com/paper/2103.02911/) (2021)
- [Semi-Supervised Medical Image Segmentation via Cross Teaching between CNN and Transformer](https://mlsanity.com/paper/2112.04894/) (2021)
- [A multi-centre polyp detection and segmentation dataset for generalisability assessment](https://mlsanity.com/paper/2106.04463/) (2021)
- [Debiased Self-Training for Semi-Supervised Learning](https://mlsanity.com/paper/2202.07136/) (2022)
- [AllSpark: Reborn Labeled Features from Unlabeled in Transformer for Semi-Supervised Semantic Segmentation](https://mlsanity.com/paper/2403.01818/) (2024)
- [Budget-aware Semi-Supervised Semantic and Instance Segmentation](https://mlsanity.com/paper/1905.05880/) (2019)
- [SSL^2: Self-Supervised Learning meets Semi-Supervised Learning: Multiple Sclerosis Segmentation in 7T-MRI from large-scale 3T-MRI](https://mlsanity.com/paper/2303.05026/) (2023)

## Abstract (arXiv)

In this paper, we present Endo-SemiS, a semi-supervised segmentation framework for providing reliable segmentation of endoscopic video frames with limited annotation. EndoSemiS uses 4 strategies to improve performance by effectively utilizing all available data, particularly unlabeled data: (1) Cross-supervision between two individual networks that supervise each other; (2) Uncertainty-guided pseudo-labels from unlabeled data, which are generated by selecting high-confidence regions to improve their quality; (3) Joint pseudolabel supervision, which aggregates reliable pixels from the pseudo-labels of both networks to provide accurate supervision for unlabeled data; and (4) Mutual learning, where both networks learn from each other at the feature and image levels, reducing variance and guiding them toward a consistent solution. Additionally, a separate corrective network that utilizes spatiotemporal information from endoscopy video to improve segmentation performance. Endo-SemiS is evaluated on two clinical applications: kidney stone laser lithotomy from ureteroscopy and polyp screening from colonoscopy. Compared to state-of-the-art segmentation methods, Endo-SemiS substantially achieves superior results on both datasets with limited labeled data. The code is publicly available at https://github.com/MedICL-VU/Endo-SemiS