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Source-Free Active Domain Adaptation via Influential-Points-Guided Progressive Teacher for Medical Image

Yong Chen, Xiangde Luo, Renyi Chen

    IEEE Transactions on Medical Imaging
    |October 9, 2025
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    Summary
    This summary is machine-generated.

    This study introduces a novel method for source-free active domain adaptation in medical image segmentation. It identifies influential boundary samples for efficient, class-balanced target domain adaptation with minimal labeling.

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    Area of Science:

    • Medical image analysis
    • Computer vision
    • Machine learning

    Background:

    • Domain adaptation is crucial for medical image segmentation models to generalize across different datasets.
    • Source-Free Active Domain Adaptation (SFADA) addresses data scarcity and privacy concerns by selecting limited target samples for annotation without source data access.
    • Existing SFADA methods lack robust class-balanced sample selection and effective model adaptation strategies.

    Purpose of the Study:

    • To develop a novel SFADA framework for medical image segmentation that enhances generalization to new domains.
    • To address the limitations of existing SFADA methods in class-balanced sample selection and robust model adaptation.
    • To identify and leverage 'influential points'—boundary samples with source-like semantics and high predictive discrepancy—for efficient learning.

    Main Methods:

    • Proposed a slice-wise framework utilizing influential points learning, detecting source-like samples to preserve source knowledge.
    • Introduced an adaptive K-nearest neighbor algorithm for constructing source-like sample neighborhoods for knowledge transfer.
    • Developed a class-balanced Kullback-Leibler divergence to rank target samples by influence, enabling selection of diverse, high-ranked influential points for annotation.
    • Designed a progressive teacher model with curriculum learning to generate and utilize pseudo-labels, mitigating error accumulation and progressively leveraging reliable supervision.

    Main Results:

    • The proposed method significantly outperforms state-of-the-art approaches in medical image segmentation domain adaptation.
    • Effective identification and utilization of influential points led to robust model adaptation.
    • The framework achieved superior performance even with a minimal labeling budget (2.5%).

    Conclusions:

    • The developed SFADA framework effectively addresses challenges in medical image segmentation, particularly with limited annotated data and privacy constraints.
    • Identifying and utilizing influential points is a key strategy for efficient and class-balanced domain adaptation.
    • The progressive teacher model and curriculum learning enhance the robustness and accuracy of the adaptation process.