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SEMI-PLC: A framework for semi-supervised medical images segmentation with pseudo label correction
Shiyuan Huang1, Shudong Wang1, Sibo Qiao2
1College of Computer Science and Technology, China University of Petroleum (East China), Qingdao, 266580, Shandong, China.
Computer Methods and Programs in Biomedicine
|August 29, 2025
Summary
This study introduces a new framework to reduce bias in semi-supervised medical image segmentation, improving accuracy with limited labeled data by correcting unstable predictions.
Area of Science:
- Medical Imaging
- Computer Vision
- Machine Learning
Background:
- Semi-supervised learning is crucial for medical image segmentation but can suffer from cognitive bias due to limited labeled data.
- This bias is amplified in complex medical images, leading to unstable predictions in ambiguous regions.
- Lack of supervision diversity further hinders self-correction and exploration of alternative predictions.
Purpose of the Study:
- To mitigate cognitive bias in semi-supervised medical image segmentation.
- To improve the accuracy and robustness of segmentation models trained with limited labeled data.
Main Methods:
- Proposed a framework combining Alternating Training and Pseudo Label Correction.
- Alternating Training uses original and augmented data to prevent biased reinforcement in ambiguous regions.
- Pseudo Label Correction refines unstable pseudo-labels using perturbation-driven consistency and cross-subnet constraints.
Main Results:
- Achieved superior performance on three public datasets with only 10% labeled data.
- Demonstrated significant improvements in Dice scores and reductions in 95HD compared to strong baselines.
- Effectively mitigated bias accumulation and boosted overall segmentation performance.
Conclusions:
- The framework successfully identifies and rectifies fragile predictions during training.
- Progressively refines unstable pseudo-labels, alleviating cognitive bias in semi-supervised medical image segmentation.
- Code is publicly available for reproducibility.

