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AdverIN: Monotonic adversarial intensity attack for domain generalization in medical image segmentation
Zheyuan Zhang1, Bin Wang1, Lanhong Yao1
1Department of Radiology, Machine & Hybrid Intelligence Lab, Northwestern University, Chicago, 60611, IL, USA.
Medical Image Analysis
|November 2, 2025
Summary
This study introduces Adversarial Intensity Attack (AdverIN), a new domain generalization technique. AdverIN enhances deep learning model robustness by creating diverse image intensities, improving performance on unseen data.
Area of Science:
- Computer Vision
- Machine Learning
- Medical Imaging
Background:
- Domain generalization (DG) aims to improve deep learning model performance on unseen data domains.
- Current DG methods focus on learning domain-invariant features for robustness.
- Handling variations across different data domains remains a significant challenge in AI.
Purpose of the Study:
- To propose a novel domain generalization technique called Adversarial Intensity Attack (AdverIN).
- To enhance the generalizability of deep learning models for medical image segmentation tasks.
- To improve model robustness against domain shifts by synthesizing diverse image intensities.
Main Methods:
- Adversarial Intensity Attack (AdverIN) employs an adversarial training strategy.
- The method synthesizes a spectrum of intensity variations to augment data diversity.
- Essential contextual information within images is preserved during synthesis.
Main Results:
- AdverIN significantly improved the generalizability of segmentation models in experiments.
- State-of-the-art performance was achieved on 2D retinal optic disc/cup and 3D prostate MRI segmentation.
- The proposed technique demonstrated effectiveness across diverse multi-domain tasks.
Conclusions:
- Adversarial Intensity Attack (AdverIN) is an effective domain generalization technique.
- The method enhances model robustness and performance on previously unseen data domains.
- AdverIN shows promise for improving medical image analysis and other DG applications.

