Enhancing Dual Network Based Semi-Supervised Medical Image Segmentation with Uncertainty-Guided Pseudo-Labeling

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Main Authors: Lu, Yunyao, Wu, Yihang, Chaddad, Ahmad, Daqqaq, Tareef, Kateb, Reem
Format: Preprint
Published: 2025
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_version_ 1866914040224153600
author Lu, Yunyao
Wu, Yihang
Chaddad, Ahmad
Daqqaq, Tareef
Kateb, Reem
author_facet Lu, Yunyao
Wu, Yihang
Chaddad, Ahmad
Daqqaq, Tareef
Kateb, Reem
contents Despite the remarkable performance of supervised medical image segmentation models, relying on a large amount of labeled data is impractical in real-world situations. Semi-supervised learning approaches aim to alleviate this challenge using unlabeled data through pseudo-label generation. Yet, existing semi-supervised segmentation methods still suffer from noisy pseudo-labels and insufficient supervision within the feature space. To solve these challenges, this paper proposes a novel semi-supervised 3D medical image segmentation framework based on a dual-network architecture. Specifically, we investigate a Cross Consistency Enhancement module using both cross pseudo and entropy-filtered supervision to reduce the noisy pseudo-labels, while we design a dynamic weighting strategy to adjust the contributions of pseudo-labels using an uncertainty-aware mechanism (i.e., Kullback-Leibler divergence). In addition, we use a self-supervised contrastive learning mechanism to align uncertain voxel features with reliable class prototypes by effectively differentiating between trustworthy and uncertain predictions, thus reducing prediction uncertainty. Extensive experiments are conducted on three 3D segmentation datasets, Left Atrial, NIH Pancreas and BraTS-2019. The proposed approach consistently exhibits superior performance across various settings (e.g., 89.95\% Dice score on left Atrial with 10\% labeled data) compared to the state-of-the-art methods. Furthermore, the usefulness of the proposed modules is further validated via ablation experiments.
format Preprint
id arxiv_https___arxiv_org_abs_2509_13084
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle Enhancing Dual Network Based Semi-Supervised Medical Image Segmentation with Uncertainty-Guided Pseudo-Labeling
Lu, Yunyao
Wu, Yihang
Chaddad, Ahmad
Daqqaq, Tareef
Kateb, Reem
Computer Vision and Pattern Recognition
Despite the remarkable performance of supervised medical image segmentation models, relying on a large amount of labeled data is impractical in real-world situations. Semi-supervised learning approaches aim to alleviate this challenge using unlabeled data through pseudo-label generation. Yet, existing semi-supervised segmentation methods still suffer from noisy pseudo-labels and insufficient supervision within the feature space. To solve these challenges, this paper proposes a novel semi-supervised 3D medical image segmentation framework based on a dual-network architecture. Specifically, we investigate a Cross Consistency Enhancement module using both cross pseudo and entropy-filtered supervision to reduce the noisy pseudo-labels, while we design a dynamic weighting strategy to adjust the contributions of pseudo-labels using an uncertainty-aware mechanism (i.e., Kullback-Leibler divergence). In addition, we use a self-supervised contrastive learning mechanism to align uncertain voxel features with reliable class prototypes by effectively differentiating between trustworthy and uncertain predictions, thus reducing prediction uncertainty. Extensive experiments are conducted on three 3D segmentation datasets, Left Atrial, NIH Pancreas and BraTS-2019. The proposed approach consistently exhibits superior performance across various settings (e.g., 89.95\% Dice score on left Atrial with 10\% labeled data) compared to the state-of-the-art methods. Furthermore, the usefulness of the proposed modules is further validated via ablation experiments.
title Enhancing Dual Network Based Semi-Supervised Medical Image Segmentation with Uncertainty-Guided Pseudo-Labeling
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2509.13084