MetaSSL: A General Heterogeneous Loss for Semi-Supervised Medical Image Segmentation

πŸ“… 2025-09-01
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In medical image segmentation, semi-supervised methods often overlook label noise and the heterogeneous value of unlabeled pixels. To address this, we propose MetaSSLβ€”a generic framework that jointly models prediction consistency and uncertainty within the loss function, enabling spatially heterogeneous weighting. Specifically, MetaSSL dynamically partitions predictions into four regions via adaptive thresholds to distinguish reliable from ambiguous pixel-level predictions, thereby enabling fine-grained, pixel-wise supervision. Importantly, MetaSSL is architecture-agnostic and seamlessly integrates with mainstream semi-supervised frameworks (e.g., Mean Teacher, FixMatch) as a plug-and-play module. Extensive experiments across multiple medical segmentation benchmarks demonstrate that MetaSSL significantly improves performance while exhibiting strong robustness to label noise, efficient utilization of unlabeled data, and superior generalizability.

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πŸ“ Abstract
Semi-Supervised Learning (SSL) is important for reducing the annotation cost for medical image segmentation models. State-of-the-art SSL methods such as Mean Teacher, FixMatch and Cross Pseudo Supervision (CPS) are mainly based on consistency regularization or pseudo-label supervision between a reference prediction and a supervised prediction. Despite the effectiveness, they have overlooked the potential noise in the labeled data, and mainly focus on strategies to generate the reference prediction, while ignoring the heterogeneous values of different unlabeled pixels. We argue that effectively mining the rich information contained by the two predictions in the loss function, instead of the specific strategy to obtain a reference prediction, is more essential for SSL, and propose a universal framework MetaSSL based on a spatially heterogeneous loss that assigns different weights to pixels by simultaneously leveraging the uncertainty and consistency information between the reference and supervised predictions. Specifically, we split the predictions on unlabeled data into four regions with decreasing weights in the loss: Unanimous and Confident (UC), Unanimous and Suspicious (US), Discrepant and Confident (DC), and Discrepant and Suspicious (DS), where an adaptive threshold is proposed to distinguish confident predictions from suspicious ones. The heterogeneous loss is also applied to labeled images for robust learning considering the potential annotation noise. Our method is plug-and-play and general to most existing SSL methods. The experimental results showed that it improved the segmentation performance significantly when integrated with existing SSL frameworks on different datasets. Code is available at https://github.com/HiLab-git/MetaSSL.
Problem

Research questions and friction points this paper is trying to address.

Reducing annotation costs for medical image segmentation models
Addressing noise in labeled data and unlabeled pixel heterogeneity
Improving semi-supervised learning through spatially adaptive loss weighting
Innovation

Methods, ideas, or system contributions that make the work stand out.

Heterogeneous loss weighting by uncertainty
Adaptive threshold for confident predictions
Plug-and-play framework for SSL methods
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The University of Hong Kong
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Lanfeng Zhong
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University of Electronic Science and Technology of China & Shanghai AI Lab
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X
Xin Liao
Department of Pathology, West China Second University Hospital, Sichuan University, Chengdu 610041, China.
W
Wenjun Liao
Department of Radiation Oncology, Sichuan Cancer Hospital and Institute, University of Electronic Science and Technology of China, Chengdu, China
S
Sichuan Zhang
Department of Radiation Oncology, Sichuan Cancer Hospital and Institute, University of Electronic Science and Technology of China, Chengdu, China
Shaoting Zhang
Shaoting Zhang
Shanghai AI Lab; SenseTime Research
Medical Image AnalysisComputer VisionFoundation Models
Guotai Wang
Guotai Wang
Professor, University of Electronic Science and Technology of China
medical image analysiscomputer visiondeep learning