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    This study introduces a Weakly-Interactive-Mixed Learning (WIML) framework to reduce medical image annotation time and cost. WIML uses weak labels and few strong labels to achieve high segmentation accuracy, outperforming existing methods with minimal annotation effort.

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    Area of Science:

    • Medical Imaging
    • Computer Vision
    • Machine Learning

    Background:

    • Medical image segmentation demands extensive pixel-level annotations, which are costly and time-consuming.
    • Existing methods struggle with the high annotation burden for accurate segmentation.

    Purpose of the Study:

    • To propose a novel Weakly-Interactive-Mixed Learning (WIML) framework to reduce annotation efforts in medical image segmentation.
    • To achieve high segmentation accuracy using limited annotations.

    Main Methods:

    • Developed a Weakly-Interactive Annotation (WIA) component to reduce strong label annotation time via interactive learning.
    • Designed a Mixed-Supervised Learning (MSL) component utilizing weak and few strong labels for improved accuracy.
    • Introduced a Full-Parameter-Sharing Network (FPSNet) integrating attention modules (scSE) and a Full-Parameter-Sharing (FPS) strategy.

    Main Results:

    • The WIML framework significantly reduces the time and cost associated with creating high-quality annotated datasets.
    • FPSNet with integrated scSE modules improved class activation map (CAM) performance.
    • The FPS strategy in FPSNet mitigated overfitting when trained with minimal strong labels.
    • WIML-FPSNet demonstrated superior performance compared to state-of-the-art methods on BraTS 2019 and LiTS 2017 datasets.

    Conclusions:

    • The proposed WIML framework effectively addresses the challenge of limited annotated data in medical image segmentation.
    • WIML-FPSNet offers a promising solution for accurate and efficient medical image segmentation with reduced annotation requirements.