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HELPNet: Hierarchical perturbations consistency and entropy-guided ensemble for scribble supervised medical image
Xiao Zhang1, Shaoxuan Wu1, Peilin Zhang1
1School of Information Science and Technology, Northwest University, Xi'an, China.
Medical Image Analysis
|July 22, 2025
Summary
Medical image segmentation is improved with HELPNet, a new framework using limited scribble annotations. This approach reduces costs and enhances accuracy for organ delineation, achieving results comparable to full annotations.
Area of Science:
- Medical Image Analysis
- Computer Vision
- Machine Learning
Background:
- Fully annotating medical images for segmentation is time-consuming and expensive.
- Scribble annotations offer a cost-effective alternative but lack detailed information for accurate organ delineation.
Purpose of the Study:
- To introduce HELPNet, a novel scribble-based weakly supervised segmentation framework.
- To bridge the gap between annotation efficiency and segmentation performance in medical imaging.
Main Methods:
- HELPNet integrates Hierarchical Perturbations Consistency (HPC) for multi-scale feature learning.
- The Entropy-guided Pseudo-Label (EGPL) module generates high-quality pseudo-labels based on prediction confidence.
- Structural Prior Refinement (SPR) module refines pseudo-labels using connectivity and boundary information.
Main Results:
- HELPNet significantly outperforms existing scribble-based weakly supervised segmentation methods.
- Achieved performance comparable to fully supervised segmentation techniques on ACDC, MSCMRseg, and CHAOS datasets.
Conclusions:
- HELPNet offers an efficient and effective solution for medical image segmentation using weak supervision.
- The framework demonstrates the potential of combining hierarchical perturbations, entropy-guided pseudo-labeling, and structural priors for improved segmentation accuracy.

