Scribble-Supervised Medical Image Segmentation with Dynamic Teacher Switching and Hierarchical Consistency

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Hauptverfasser: Nguyen, Thanh-Huy, Cao, Hoang-Loc, Chung, Dat T., Vu, Mai-Anh, Nguyen, Thanh-Minh, Le, Minh, Huynh, Phat K., Bagci, Ulas
Format: Preprint
Veröffentlicht: 2026
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author Nguyen, Thanh-Huy
Cao, Hoang-Loc
Chung, Dat T.
Vu, Mai-Anh
Nguyen, Thanh-Minh
Le, Minh
Huynh, Phat K.
Bagci, Ulas
author_facet Nguyen, Thanh-Huy
Cao, Hoang-Loc
Chung, Dat T.
Vu, Mai-Anh
Nguyen, Thanh-Minh
Le, Minh
Huynh, Phat K.
Bagci, Ulas
contents Scribble-supervised methods have emerged to mitigate the prohibitive annotation burden in medical image segmentation. However, the inherent sparsity of these annotations introduces significant ambiguity, which results in noisy pseudo-label propagation and hinders the learning of robust anatomical boundaries. To address this challenge, we propose SDT-Net, a novel dual-teacher, single-student framework designed to maximize supervision quality from these weak signals. Our method features a Dynamic Teacher Switching (DTS) module to adaptively select the most reliable teacher. This selected teacher then guides the student via two synergistic mechanisms: high-confidence pseudo-labels, refined by a Pick Reliable Pixels (PRP) mechanism, and multi-level feature alignment, enforced by a Hierarchical Consistency (HiCo) module. Extensive experiments on the ACDC and MSCMRseg datasets demonstrate that SDT-Net achieves state-of-the-art performance, producing more accurate and anatomically plausible segmentation.
format Preprint
id arxiv_https___arxiv_org_abs_2601_14563
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Scribble-Supervised Medical Image Segmentation with Dynamic Teacher Switching and Hierarchical Consistency
Nguyen, Thanh-Huy
Cao, Hoang-Loc
Chung, Dat T.
Vu, Mai-Anh
Nguyen, Thanh-Minh
Le, Minh
Huynh, Phat K.
Bagci, Ulas
Computer Vision and Pattern Recognition
Scribble-supervised methods have emerged to mitigate the prohibitive annotation burden in medical image segmentation. However, the inherent sparsity of these annotations introduces significant ambiguity, which results in noisy pseudo-label propagation and hinders the learning of robust anatomical boundaries. To address this challenge, we propose SDT-Net, a novel dual-teacher, single-student framework designed to maximize supervision quality from these weak signals. Our method features a Dynamic Teacher Switching (DTS) module to adaptively select the most reliable teacher. This selected teacher then guides the student via two synergistic mechanisms: high-confidence pseudo-labels, refined by a Pick Reliable Pixels (PRP) mechanism, and multi-level feature alignment, enforced by a Hierarchical Consistency (HiCo) module. Extensive experiments on the ACDC and MSCMRseg datasets demonstrate that SDT-Net achieves state-of-the-art performance, producing more accurate and anatomically plausible segmentation.
title Scribble-Supervised Medical Image Segmentation with Dynamic Teacher Switching and Hierarchical Consistency
topic Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2601.14563