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Collaborative Learning of Augmentation and Disentanglement for Semi-Supervised Domain Generalized Medical Image
IEEE Transactions on Medical Imaging
|August 6, 2025
Summary
This study introduces CausalAD, a new framework for semi-supervised domain generalization in medical imaging, addressing label scarcity and domain shifts effectively. It improves segmentation accuracy by disentangling features and using a novel training strategy.
Area of Science:
- Medical Image Analysis
- Computer Vision
- Machine Learning
Background:
- Semi-supervised domain generalization (SSDG) faces challenges from label scarcity and domain shifts.
- Existing SSDG methods fail to differentiate intra-domain shifts (IDS) from cross-domain shifts (CDS) and overlook label scarcity's impact.
- Current approaches often combine semi-supervised learning (SSL) and domain generalization (DG) without addressing their interplay.
Purpose of the Study:
- To propose a novel framework, CausalAD, for semi-supervised domain generalized medical image segmentation.
- To address limitations in existing SSDG methods by decomposing the problem into unsupervised domain adaptation (UDA) and DG.
- To improve the robustness and accuracy of medical image segmentation across diverse domains.
Main Methods:
- CausalAD framework combines unsupervised domain adaptation (UDA) and domain generalization (DG).
- Employs a causal augmentation process using disentangled style factors for UDA.
- Features a disentanglement process to separate domain-invariant content from domain-variant features for DG.
- Utilizes a proxy-based self-paced training strategy (ProSPT) for efficient learning with pseudo-labels.
- Introduces a hierarchical structural causal model (HSCM) for conceptual explanation.
Main Results:
- CausalAD demonstrates significant effectiveness in semi-supervised domain generalized medical image segmentation.
- Achieved superior performance compared to state-of-the-art methods across cross-sequence, cross-site, and cross-modality settings.
- The proposed ProSPT strategy effectively guides training by selecting high-quality pseudo-labels.
Conclusions:
- CausalAD offers a novel and effective approach to semi-supervised domain generalization in medical imaging.
- The framework successfully handles both label scarcity and domain shift challenges.
- The method shows strong potential for real-world applications requiring robust medical image segmentation.

