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Boundary-Aware Semi-Supervised Segmentation Boosts 3D Medical Image Accuracy

Jul 30, 2025 | By GUO Zheng; ZHAO Weiwei

A research team led by Prof. WANG Huanqin at the Institute of Intelligent Machines, the Hefei Institutes of Physical Science of the Chinese Academy of Sciences, recently proposed a semi-supervised medical image segmentation method recently.

The results were published in Pattern Recognition.

Pixel-level annotation of 3D medical images is time-consuming and labor-intensive. To reduce this burden, semi-supervised medical image segmentation has gained attention by using a small set of labeled images along with many unlabeled ones. Most current methods rely on consistency regularization and pseudo-labeling. While their strategies vary, they share the goal of making predictions stable under data perturbations to improve generalization. However, this can sometimes cause an imbalance between global features and fine boundary details.

In this study, the team introduced a novel boundary feature alignment method. The approach focuses on learning unified boundary feature representations across both labeled and unlabeled data. A key innovation is the design of a 3D boundary extractor capable of reliably capturing both ground truth and pseudo-label boundaries. By mixing these boundary types, the model achieves early embedding of boundary features, thereby promoting better alignment and generalization across different annotation states.

Implemented within a standard mean teacher framework, the method was evaluated on three benchmark datasets—LA (left atrium), Pancreas-CT (pancreas), and ACDC (right ventricle, left ventricle, and myocardium). Experimental results show that the proposed approach achieves competitive performance. Remarkably, on the ACDC dataset with only 10% labeled data, the method outperformed even fully supervised models in key metrics such as 95% Hausdorff Distance and Average Surface Distance.

These results offer a promising direction for reducing the annotation workload in large-scale clinical applications.

This work was supported by the National Key Research and Development Program of China, the Anhui Provincial Major Science and Technology Project, the Joint Funds of the National Natural Science Foundation of China, and the Anhui Institute of Translational Medicine.

Structure diagram of the semi-supervised learning method for 3D medical image segmentation (Image by GUO Zheng)


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