Using Unsupervised Domain Adaptation Semantic Segmentation for Pulmonary Embolism Detection in Computed Tomography Pulmonary Angiogram (CTPA) Images

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Hauptverfasser: Lin, Wen-Liang, Cheng, Yun-Chien
Format: Preprint
Veröffentlicht: 2026
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author Lin, Wen-Liang
Cheng, Yun-Chien
author_facet Lin, Wen-Liang
Cheng, Yun-Chien
contents While deep learning has demonstrated considerable promise in computer-aided diagnosis for pulmonary embolism (PE), practical deployment in Computed Tomography Pulmonary Angiography (CTPA) is often hindered by "domain shift" and the prohibitive cost of expert annotations. To address these challenges, an unsupervised domain adaptation (UDA) framework is proposed, utilizing a Transformer backbone and a Mean-Teacher architecture for cross-center semantic segmentation. The primary focus is placed on enhancing pseudo-label reliability by learning deep structural information within the feature space. Specifically, three modules are integrated and designed for this task: (1) a Prototype Alignment (PA) mechanism to reduce category-level distribution discrepancies; (2) Global and Local Contrastive Learning (GLCL) to capture both pixel-level topological relationships and global semantic representations; and (3) an Attention-based Auxiliary Local Prediction (AALP) module designed to reinforce sensitivity to small PE lesions by automatically extracting high-information slices from Transformer attention maps. Experimental validation conducted on cross-center datasets (FUMPE and CAD-PE) demonstrates significant performance gains. In the FUMPE -> CAD-PE task, the IoU increased from 0.1152 to 0.4153, while the CAD-PE -> FUMPE task saw an improvement from 0.1705 to 0.4302. Furthermore, the proposed method achieved a 69.9% Dice score in the CT -> MRI cross-modality task on the MMWHS dataset without utilizing any target-domain labels for model selection, confirming its robustness and generalizability for diverse clinical environments.
format Preprint
id arxiv_https___arxiv_org_abs_2602_19891
institution arXiv
publishDate 2026
record_format arxiv
spellingShingle Using Unsupervised Domain Adaptation Semantic Segmentation for Pulmonary Embolism Detection in Computed Tomography Pulmonary Angiogram (CTPA) Images
Lin, Wen-Liang
Cheng, Yun-Chien
Image and Video Processing
Computer Vision and Pattern Recognition
While deep learning has demonstrated considerable promise in computer-aided diagnosis for pulmonary embolism (PE), practical deployment in Computed Tomography Pulmonary Angiography (CTPA) is often hindered by "domain shift" and the prohibitive cost of expert annotations. To address these challenges, an unsupervised domain adaptation (UDA) framework is proposed, utilizing a Transformer backbone and a Mean-Teacher architecture for cross-center semantic segmentation. The primary focus is placed on enhancing pseudo-label reliability by learning deep structural information within the feature space. Specifically, three modules are integrated and designed for this task: (1) a Prototype Alignment (PA) mechanism to reduce category-level distribution discrepancies; (2) Global and Local Contrastive Learning (GLCL) to capture both pixel-level topological relationships and global semantic representations; and (3) an Attention-based Auxiliary Local Prediction (AALP) module designed to reinforce sensitivity to small PE lesions by automatically extracting high-information slices from Transformer attention maps. Experimental validation conducted on cross-center datasets (FUMPE and CAD-PE) demonstrates significant performance gains. In the FUMPE -> CAD-PE task, the IoU increased from 0.1152 to 0.4153, while the CAD-PE -> FUMPE task saw an improvement from 0.1705 to 0.4302. Furthermore, the proposed method achieved a 69.9% Dice score in the CT -> MRI cross-modality task on the MMWHS dataset without utilizing any target-domain labels for model selection, confirming its robustness and generalizability for diverse clinical environments.
title Using Unsupervised Domain Adaptation Semantic Segmentation for Pulmonary Embolism Detection in Computed Tomography Pulmonary Angiogram (CTPA) Images
topic Image and Video Processing
Computer Vision and Pattern Recognition
url https://arxiv.org/abs/2602.19891